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The key purpose for our service is to clinically assess and provide appropriate wheelchairs and associated equipment (posture and pressure care) to clients with a long-term mobility need, (over 6 months). The Wheelchair Service will continue to support the clients and maintain any issued equipment. Having the most appropriate mobility equipment can improve quality of life, facilitate independence, enable access into the wider community and reduce the risk of developing deformity for our clients.
The wheelchair service provides training for the community prescribers of basic wheelchairs for adult clients that are not totally wheelchair dependant. We offer specialist assessment for adult clients that are totally wheelchair dependent, all children and bariatric clients. We run a bespoke seating service for clients with complex postural needs that require made to measure / moulded seating. We are able to pressure map as part of a specialist pressure care assessment and provide a range of complex cushions. We work closely with seating companies and hold regular clinics for equipment trail or review.
Each new episode of care is completed within 18 weeks of referral and this is normally sufficient for most clients, however if something takes longer to resolve we would continue to work with the client until the clinical situation required. We accept referrals for review throughout the time the client has the equipment, and have an approved repairer contract to ensure that the wheelchairs are properly maintained while it is on issue.
We currently review all bespoke seating clients annually. We would like to offer a review service for all children and powered wheelchair users but we are currently not commissioned to do this.
The Child and Adolescent Mental Health Service (CAMH) provides outpatient assessments, support and treatment for children experiencing moderate to severe mental health problems in young people up to the age of 18. The service works to provide patients with a greater knowledge of their condition and improve coping techniques.
The service provides help to children and to the wider family, including children living with foster parents, children who have been adopted and young people living in children's homes. The service may see children and adolescents on their own, with their parents or with their family, and may also see parents on their own.
Community Learning Disability Team:
Provides assessment and intervention for children up to the age of 18 who have a learning disability and associated severe challenging behaviour or mental health problems.
Home Treatment Team:
Provides high intensive community based treatment using a care pathway approach and regular visits to patient's home or preferred location. In a few cases, where home treatment is not an appropriate option, then the team may need to consider an inpatient admission.
Looked After Children's Team:
Offers support to young people who may be accommodated or under Care Orders with the local authorities.
The Special Needs Nursing team are part of the wider Intermediate Care Team, thereby providing a co-ordinated specialist service.
The Special Needs Nursing team support children and young people aged 3-19 years old, with learning disabilities and associated additional health care needs within the special school setting. The service is provided by a multi-skilled team of registered nurses and specialist nursery nurses.
The team work in partnership with parents and carers, education teams, children’s community nurses, continuing care, social care and the wider multi-professional team to enable children and young people to access the curriculum.
The service provides:
The team develop individual care plans to meet the health care needs of children and young people through a process of assessment, planning, implementing care and evaluation of outcomes. The team co-ordinate pre and post-operative planning in order to ensure all services are in place to promote a timely return to school following surgery. The team take an active role in transition planning to promote effective transition from children’s to adult services.
The team provides training to parents, carers, education staff, respite provision and voluntary agencies in a variety of clinical interventions specific to individual care plans, to include, administration of medicines, enteral feeding, rescue medication (buccal midazolam/rectal diazepam), epilepsy awareness, oxygen therapy, suction, and the management of anaphylaxis (Anapen/Epipen).
The team work in partnership with the multi-professional team to co-ordinate health care clinics held within the special school setting in order to ensure that children and young people spend as little time as possible attending appointments outside the school setting. Clinics provided are:
•Medical reviews (led by Community Consultant Paediatrician)
•Immunisations (planned and provided by the special needs nursing team)
The nursing team work in partnership with the education staff in the planning and delivery of health promotion to include healthy eating, sexual health, drug awareness and other government initiatives.
The special needs nursing team act as an advocate and provide advice and support to families meeting their children’s health care needs. The team are responsible for sign-posting to and referring to specialist services as necessary, sourcing relevant information, liaising with and when appropriate taking the Lead Professional role in conjunction with the family and other health care professionals.
The key purpose is to provide therapeutic support for children and young people (3 +). Play and creative arts therapy can help children to gain a better understanding of their emotions and feelings. It can help work through traumatic events, divorce, bullying, anxiety to name a few. I have a toolkit I use including art, clay, sand, puppets and music. A minimum of 12 sessions are recommended, though this depends on the level of need. Group sessions are available too.
The Speech and Language Therapy team provides assessment and therapy for communication and swallowing difficulties in adults, both inpatients and outpatients. We deal with a wide range of conditions including stroke, progressive conditions, dementia, cancer, head injury, voice problems and stammering. We offer a seamless service, in that the same team will see a patient across all settings, including domiciliary and care home visits.
We are based on the ground floor of Beeden House, reception C, at Bedford Hospital and have two treatment rooms for individual therapy and a group therapy room. All rooms are wheelchair accessible.