1. Community Children’s Nursing and Palliative Care Team - Orchard Service Stephanie Courts Children’s Nurse Consultant

2. SERVICE CRITERIA holistic family centred SERVICE CRITERIA Each Orchard Service Locality Team provides assessment, planning and evaluation of holistic family centred care for: Children who would otherwise need to receive treatment within the acute service Children with life threatening conditions who are receiving treatment that may fail or is intended to prolong their life expectancy. Children with degenerative or progressive life limiting conditions that have no cure. Children who are dependent on technology. Any other child who requires the skill of children’s trained nurse to provide treatment or care within the communit y. A COMPREHENSIVE CCN SERVICE.

3. ADVANTAGES OF COMPREHENSIVE CCN MODEL Flexible workforce Retention of staff Competent workforce Sustainable service Seamless continuity of care Continuity of professional relationships Viable psycho social support Adaptable workforce to support EOL expected long term condition unexpected acute via rapid discharge COST EFFECTIVE!

4. ORGANISATIONAL STRUCTURE WAHTHACW Nurse Consultant Nursing Teams SW R&B WF Band 7 x 3.6 wte Band 6 x 9.31 wte Band 5 x 3.6 wte Psychosocial Support for Families (County wide) Clinical Psychologist Social Worker Play Specialist Continuing Health Care (County wide) Home Support Team Band 7 x 0.8 wte Band 6 x 1.66 wte Band 5 x 0.6 wte Band 4 x 12.3 wte approx CNS Palliative care Band 7 x 0.8wte Practice Facilitator Band 7 x 0.8wte Quality Lead (Sudic)

5. POTENTIAL FOR DEVELOPMENT Extended Service Hours Increase range of care/ support Direct GP referrals Prevent further admissions / hospital attendance Provision from single organisation Increased effectiveness of workforce Share and celebrate good practice Reduce regional inequity “IMPROVE HEALTH & WELLBEING OUTCOMES FOR CYP & FAMILIES”

6. COMMUNITY CHILDREN’S NURSING, Orchard Service …….10 YEARS ON! Professional Event 22 nd October 2014 Professional Event TDU- Evesham Community Hospital FAMILY ‘PANTO & PLAY’ 18 th August 2014 Spectrum Days, Droitwich