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Bedford Hospital

If you choose Bedford you can be certain of high quality clinical care and treatment in clean, comfortable surroundings. We our proud of our short waiting times, excellent medical and nursing staff, ample car parking, which is free for disabled patients and visitors, and we are in easy reach by car, bus or train. We provide a wide range of services from our modern facilities including maternity, vascular (vein) services and cancer care. Our focus is on providing high quality clinical services and support for patients.

These trusts also provide services at Bedford Hospital South Wing

Moorfields Eye Hospital NHS Foundation Trust
Tel:020 7253 3411

East London NHS Foundation Trust
Tel:020 7655 4000

01234 355122

Bedford Open Door

We offer 1:1 counselling to young people aged 13-25 yrs in Bedford Borough. Clients are offered 12 sessions of counselling which may be extended where necessary. Clients come for counselling to deal with issues in their lives which are stopping them living full and productive lives. We do not provide on going support but may sign post them to other services where appropriate. We also have 2 counsellors working in 2 upper schools in Bedford Borough.

01234 360388

Child and Adolescent Mental Health Services (CAMHS)

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.

01234 310040

Children's Community Medical Service

The service provides Paediatric Medical and Nursing Services to children and young people with the following conditions:
•suspected developmental delays or disorders;
•neuro-developmental problems such as Autism Spectrum Disorders, Cerebral Palsy;
•ADHD and associated behavioural problems (excluding anxiety disorders, depression, mood disorders, Obsessive Compulsive Disorders, suicidal tendency);
•Developmental Co-ordination Disorder / Dyspraxia;
•Enuresis, encopresis and constipation;
•Special Educational Needs (we do not accept referrals to confirm/rule out dyslexia);
•safeguarding concerns, alleged neglect, physical, emotional, sexual abuse;
•adoption, Looked After Child medicals;
•children with additional needs/disability and having sleep/ behaviour/ toileting/feeding problems (in Nurse led clinics at CDC).

It also investigates, assesses and diagnoses other underlying medical problems. Referrals to other professionals/agencies made where appropriate.

In addition, it provides specific role related functions like:
•Named Doctor for safeguarding children
•Designated Doctor for Education
•Lead Doctor for NHSP & LAC
•Medical Advisor to Adoption Panel
•Lead Paediatrician to CDOP

The service complies with statutory requirements and has extended its role to develop health activities in line with “Every Child Matters”.

01234 310172

Children's Community Nursing

We provides a range of services to support children and young people aged 0 - 18 years (which can be extended to 19 years to support transition to adult services for young people with special needs ) who require skilled nursing support in the community.
We provide specialist clinical support for families to enable them to care for their child in their own home, to avoid unnecessary hospital admission and promote high quality family centred care.

Our services:
1. Skilled Care of any nursing procedure that can safely be undertaken at home if a child or young person requires a specific clinical procedure for example intravenous, subcutaneous, intramuscular medication. Other examples include wound care and gastrostomy care.
2. Symptom Control Management if the child or young person requires a period of regular assessment and monitoring of symptoms, for example blood pressure monitoring or oxygen monitoring. The CCN's also support oxygen dependent babies, children/ young people at home and children with complex medical needs and work together with a range of professionals to assess plan and deliver care to maximise opportunities.
3. Education - if the family requires training to enable them to continue providing support and ongoing care, for example enteral feeding, suctioning and administration of medication.
4. Acting as advocate for child and family, identifying a Lead Professional in conjunction with family.
5. Acting as resource for other professionals to the right person, at the right time care for the child/young person in the right way.

01234 310103

Children's Continuing Care Team

The aim of our service is to support children with complex medical continuing healthcare needs to live within their family home and fulfil their potential as individuals. This includes supporting them in a variety of settings in the community for example, schools and nurseries. Without the support of the team many families would find it impossible to continue to care for their child at home.

01234 310103

Children's Intermediate Care Service

The Children’s Intermediate Care Service consists of a multi-disciplinary team comprising of a number of specialists working together to provide a co-ordinated approach to meeting the needs of children and young people with complex health needs in the community. The team include the following:

•Children’s Community Nurses;
•Children’s Continuing Care;
•Children’s Respiratory Nurse;
•Paediatric Continence Adviser;
•Special Needs Nurses and Nursery Nurses;
•Child Development Centre Nursing Team;
•Early Support Manager.

The team also works in partnership with the Local Authorities to ensure a holistic approach to meeting the health and social care needs of children and young people by focussing on the individual rather than specific needs.

This service operates a case management approach to care, co-ordinating service provision and resource allocation based on clinical assessment of health need. The service aims to reduce hospital attendance and admission by doing short term acute assessment and treatment at the child’s home and by offering advice to other professionals, allocation to support robust community packages of care, in partnership with wider Children’s services to ensure that specialist health needs are met wherever the placement.

01234 310103

Children's Special Needs School Nursing Service

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:

Care Planning
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.

Education
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).

Clinics
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)
•Continence
•Dental
•Dietitian
•Vision
•Audiology
•Immunisations (planned and provided by the special needs nursing team)

Health Promotion
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.

Family Support
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.

01234 315858

Community Eye Service

The Community Eye Service cares for children from 0 - 16 years of age with strabismus, lazy eye (amblyopia) and vision defects. If a child/young person has special needs they can be seen until the age of 19 if they remain in education. The team comprises of orthoptists, orthoptic support workers, community ophthalmologists and specialist paediatric optometrists.

The Orthoptic support workers screen the vision of all children attending mainstream lower/primary schools between the age of 4-5 years.

To develop good eyesight, it is important that eye problems are identified and treated at an early age, as defects which may cause squints or strabismus- (where one eye turns in/out), often run in families or are associated with other special needs. The term lazy eye is often used to describe one eye that is not developing good vision, this is also known as Amblyopia.

Following referral, we will offer your child an initial assessment and, together, we will plan your child’s on going eye care. The treatment plan will then be reviewed regularly to improve your child’s eyes as much as possible. After your first visit to see the orthoptist your child will probably have a further appointment to see the ophthalmologist or optometrist. For this next check eye drops may be needed to enlarge the pupils. The ophthalmologist will examine the eyes to ensure they are healthy and prescribe glasses, if required. Each eye is checked to see if it is healthy and to see if your child needs glasses to correct long/short sight or astigmatism, the children’s glasses prescription voucher (HESP) will be issued.

The orthoptist will monitor the child’s eye problem, offering advice and non-surgical treatment, in order to maximise your child’s visual development. Where a child has a condition where the vision cannot be improved the team will work with other professionals to ensure the child visual capabilities are understood. The Community Eye service orthoptists work closely with the ophthalmologists and optometrists in the Community eye Service and at the Moorfields at Bedford Paediatric Eye Clinic.

01234 897445

Paediatric Speech and Language Therapy

• We clinically assess, diagnose and manage a range of speech, language, communication, eating and drinking difficulties in children aged 0-19.
• Our service contributes to better outcomes for children and young people with special educational needs and disabilities and their families by optimizing their speech language and communication potential and helping them to achieve their potential educationally and socially.
• The Speech and Language (S and LT) Service works across the whole county providing help in both community and hospital settings. We treat children up to the age of 16 years (up to 19 years in special education), who have a difficulty with communication or swallowing.
• The Service is provided in a number of ways, depending on need. This may be e.g. individual or group treatment, parent/carer workshops and drop -in information clinics.
• The service also undertakes a role in providing training and specialist support to parents/carers and staff working with children and young people in schools, residential units and other settings. This enables parents/ carers and professionals involved with the child, to provide an appropriate level of support and input
• The service provides treatment via a range of methods. We provide training in children’s communication development for local authority preschool and educational settings. We train parents and carers in developing children’s speech and language development. We treat children in groups and individually, depending on their clinical need.
• We will treat and support a child for as long as our intervention is clinically indicated. Discharge will occur when objectives have been met. In children with long term conditions, on-going management of communication skills can often be undertaken by the family and/ or trained adults working with the child. Discharge is only undertaken with the knowledge and agreement of the family and other involved professionals. We accept re referrals for children known to the service, if re assessment and further advice is requested.
• On-going support is provided via training and advice for settings and schools and parents involved with the children on our caseload.
• We also have a public Facebook page for families and professionals to access. We aim to provide information and ideas for supporting speech, language and communication needs, as well as new research articles and training dates, where appropriate. To join in, search ‘Children’s Speech and Language Therapy in Luton and Bedfordshire’ or visit www.facebook.com/paedsltlutonbedfordshire.

01234 317002

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