Tag

Paediatrics

Recommendations related to paediatrics

18 recommendations 100% accepted

Tag overview

Government Response
Accepted (16)
Accepted in Part (2)
Recommendations in This Theme

recommendation across 2 inquiries

Across 2 inquiries

Tagged Recommendations

18 total
IHRD-10 Accepted Hyponatraemia Inquiry

Age-Appropriate Hospital Settings

Health and Social Care ('HSC') Trusts should publish policy and procedure for ensuring that children and young people are cared for in age-appropriate hospital settings.

- HSC Trusts reported that children are treated in age-appropriate settings with appropriately trained staff (IHRD Implementation Programme, Department of Health NI, March 2018). - …
Northern Ireland Executi… HSC Trusts
IHRD-12 Accepted Hyponatraemia Inquiry

Senior Paediatric Responsibility

Senior paediatric medical staff should hold overall patient responsibility in children's wards accommodating both medical and surgical patients.

- HSC Trusts reported that bedside name boards identifying the responsible consultant and named nurse are in place on paediatric wards (IHRD Implementation Programme, Department …
HSC Trusts
IHRD-13 Accepted in Part Hyponatraemia Inquiry

Foundation Doctors in Children's Wards

Foundation doctors should not be employed in children's wards.

- HSC Trusts reported that care plans are available at each child's bedside for reference by parents and carers (IHRD Implementation Programme, Department of Health …
HSC Trusts
IHRD-14 Accepted Hyponatraemia Inquiry

Clinician Competence Assessment

The experience and competence of all clinicians caring for children in acute hospital settings should be assessed before employment.

- HSC Trusts reported that fluid management protocols for children have been reviewed and updated (IHRD Implementation Programme, Department of Health NI, March 2018). - …
HSC Trusts
IHRD-15 Accepted Hyponatraemia Inquiry

Consultant Notification on Admission

A consultant fixed with responsibility for a child patient upon an unscheduled admission should be informed promptly of that responsibility and kept informed of the patient's condition, to ensure senior …

- HSC Trusts reported that specific protocols for the recognition and management of hyponatraemia in children have been implemented (IHRD Implementation Programme, Department of Health …
HSC Trusts
IHRD-16 Accepted Hyponatraemia Inquiry

Bedside Display of Responsible Staff

The names of both the consultant responsible and the accountable nurse should be prominently displayed at the bed in order that all can know who is in charge and responsible.

- HSC Trusts reported that Paediatric Early Warning Scoring systems are in use across paediatric settings (IHRD Implementation Programme, Department of Health NI, March 2018). …
HSC Trusts
IHRD-18 Accepted Hyponatraemia Inquiry

On-Call Consultant Display

The names of all on-call consultants should be prominently displayed in children's wards.

- HSC Trusts reported that clinical handover processes on paediatric wards have been standardised (IHRD Implementation Programme, Department of Health NI, March 2018). - No …
HSC Trusts
IHRD-19 Accepted Hyponatraemia Inquiry

Senior Lead Nurse in Children's Wards

To ensure continuity, all children's wards should have an identifiable senior lead nurse with authority to whom all other nurses report. The lead nurse should understand the care plan relating …

- HSC Trusts reported that arrangements for paediatric consultant cover out of hours have been reviewed (IHRD Implementation Programme, Department of Health NI, March 2018). …
HSC Trusts
IHRD-20 Accepted Hyponatraemia Inquiry

Consultant-Led Ward Rounds

Children's ward rounds should be led by a consultant and occur every morning and evening.

- HSC Trusts reported that processes for escalation of clinical concerns about children have been strengthened (IHRD Implementation Programme, Department of Health NI, March 2018). …
HSC Trusts
IHRD-21 Accepted Hyponatraemia Inquiry

Nurse Attendance at Clinical Interactions

The accountable nurse should, insofar as is possible, attend at every interaction between a doctor and child patient.

- HSC Trusts reported that clinical documentation standards for paediatric care have been improved (IHRD Implementation Programme, Department of Health NI, March 2018). - No …
HSC Trusts
IHRD-22 Accepted Hyponatraemia Inquiry

Parental Knowledge in Care Plans

Clinicians should respect parental knowledge and expertise in relation to a child's care needs and incorporate the same into their care plans.

- HSC Trusts reported that discharge planning processes for children have been reviewed and strengthened (IHRD Implementation Programme, Department of Health NI, March 2018). - …
HSC Trusts
IHRD-4 Accepted in Part Hyponatraemia Inquiry

Trust Awareness of Duty of Candour

Trusts should ensure that all healthcare professionals are made fully aware of the importance, meaning and implications of the duty of candour and its critical role in the provision of …

- The Department of Health NI reported that work to raise awareness of the duty of candour among healthcare staff was being taken forward (IHRD …
Northern Ireland Executi… HSC Trusts
IHRD-58 Accepted Hyponatraemia Inquiry

Paediatric Fluid Management Training

HSC Trusts should ensure that all nurses caring for children have facilitated access to e-learning on paediatric fluid management and hyponatraemia.

- HSC Trusts reported that training on the recognition and management of the deteriorating child had been strengthened (IHRD Implementation Programme, Department of Health NI, …
HSC Trusts
IHRD-61 Accepted Hyponatraemia Inquiry

Paediatric Communication Training

Clinicians caring for children should be trained in effective communication with both parents and children.

- HSC Trusts reported that training on consent processes for paediatric care had been reviewed and updated (IHRD Implementation Programme, Department of Health NI, March …
HSC Trusts
IHRD-71 Accepted Hyponatraemia Inquiry

Children's Healthcare Governance

All Trust Boards should ensure that appropriate governance mechanisms are in place to assure the quality and safety of the healthcare services provided for children and young people.

- HSC Trusts reported that quality improvement programmes had been enhanced to address patient safety themes (IHRD Implementation Programme, Department of Health NI, March 2018). …
HSC Trusts
IHRD-8 Accepted Hyponatraemia Inquiry

RQIA Compliance Review Powers

Regulation and Quality Improvement Authority ('RQIA') should review overall compliance and consideration should be given to granting it the power to prosecute in cases of serial non-compliance or serious and …

- The Department of Health NI stated in March 2018 that expanded oversight powers for RQIA were under consideration (IHRD Implementation Programme, Department of Health …
Northern Ireland Executi… Department of Health NI
IHRD-85 Accepted Hyponatraemia Inquiry

Deputy CMO for Children's Healthcare

The Department should appoint a Deputy Chief Medical Officer with specific responsibility for children's healthcare.

- The Department of Health NI stated in March 2018 that the role was under consideration within departmental restructuring (IHRD Implementation Programme, Department of Health …
Department of Health NI
7 Accepted Morecambe Bay Investigation

Audit maternity and paediatric services

The University Hospitals of Morecambe Bay NHS Foundation Trust should audit the operation of maternity and paediatric services, to ensure that they follow risk assessment protocols on place of delivery, …

- In July 2015, the government stated that the Trust was putting plans in place to audit maternity and paediatric services against risk assessment protocols, …
University Hospitals of …