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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 Special Needs Team is part of the Speech and Language Therapy Service and is responsible for providing a service to preschool children with complex needs (Child Development Centre) and to children who have identified speech, language and communication needs and /or eating or swallowing difficulties (dysphagia) as part of their Education, Health and Care Plan who attend mainstream and special schools within Bedford Borough.
We provide a service for children between 0-19. The Service is provided in a number of ways depending on need. The Speech and Language Therapist will assess a child’s needs using formal and /or informal assessment methods; these will include observations and discussions with key adults in the child’s life. A report will be provided following initial assessment.
We will provide information and advice to enable key adults to:
• understand the language/ communication difficulty and / or swallowing difficulty
• gain skills to support the child at home and within the educational setting (preschools/schools).
We may provide individual sessions and / or group sessions to help develop specific skills and to review progress.
We aim to work collaboratively with parents and other professionals; and to agree a care plan which reflects identified targets to support development/management of the child’s speech, language and communication skills and/or eating and swallowing skills as appropriate.
Services offered to preschool children who attend the Child Development Centre include:
• initial assessment sessions ( contributing to a multidisciplinary assessment of a child’s needs)
• ‘communicate and play group’ sessions – children are offered this course of five weekly group sessions as appropriate following initial assessment.
• Down Syndrome group sessions – 6 sessions per year; a group for parents of children between 6-18months of age; to support early introduction of strategies to facilitate speech, language and communication development.
• Drop in group review sessions (Wednesday afternoons during term time) – these sessions are for children who have had an initial assessment and /or attended communicate and play groups. Families are given an allocated appointment between 13.00 and 14.30 or can attend without an appointment between14.30 and 15.30.
• Feeding clinic - joint clinic arranged by the Speech and Language Therapist and Paediatric Dietician to manage ongoing needs of children with swallowing difficulties. Approximately 2-3 clinics every 6-8 weeks.
Services provided to children who are attending a nursery/ preschool settings who have identified SEN; and children with identified needs as part of their Education, Health and Care Plan who attend mainstream and special schools:
• Assessment and review sessions are provided within the setting.
• Liaison with parents and education staff to agree and demonstrate strategies in order to provide a consistent approach to management of a child’s language and communication needs.
• Training and specialist support to parents and staff working with children and young people in preschool settings and schools; including parent workshops; termly program of workshops for adults supporting children within settings.