1. THE CHALLENGES OF PROVIDING A COMMUNITY CHILDREN’S NURSING SERVICE IN WALES NICOLA LEWIS CCN TEAM LEADER BRO-MORGANNWG NHS TRUST

2. AIM OF THE SESSION IDENTIFY CCN SERVICES IN WALES IN COMPARISON TO THE REST OF THE UK. IDENTIFY THE CHALLENGES CCN SERVICES IN WALES HAVE TO PROVIDE AND DEVELOP THEIR SERVICES. HOW CCN’S IN WALES PLAN TO ADDRESS THESE CHALLENGES. CREATE A DISCUSSION WITH COLLEAGUES AND SHARE EXPERIENCES.

3. RCN – CCN DIRECTORY 2006 ENGLAND – 185 SCOTLAND – 23 NORTHERN IRELAND – 12 WALES – 16 CHANNEL ISLES – 2 ISLE OF MAN - 1

5. MODELS OF CCN SERVICES IN WALES (Eaton 2001) Model 1 Model 2 Model 3 Model 4 Model 5 Model 6

6. POLICY RECOMMENDATIONS 1962 – MOH – A hospital plan for England and Wales. 1971 – MOH – Hospital facilities for children. 1976 – DHSS – Fit for the future 2002 – Carlisle review 2005 – NSF

7. CHALLENGES FOR CCN SERVICE DEVELOPMENT IN WALES. TRUST RECONFIGURATION ROLE OF CCN NURSE PRESCRIBING CONTINUING CARE PACKAGES/RESPITE EDUCATION EQUIPMENT TRANSITION ON CALL SERVICES FUNDING EQUITY AND ACCESSIBILITY MEDICAL RESPONSIBILITY EVALUATION OF OUR SERVICES

8. WELSH CCN’S VS THE WORLD !!!! RAISE OUR PROFILE ASSESS LOCAL NEED PUBLISH GOOD PRACTICE

9. POLICY RECOMMENDATIONS HOUSE OF COMMONS HEALTH SELECT COMMITTEE (1997b) NSF (2005)

10. CONCLUSIONS All children who are sick or have complex health needs have the right to be cared for at home by an appropriately qualified nurse. The frustration for Welsh CCN’s is that investment and resources are needed to ensure equity,accessibility from WAG,Trusts and LHB’s.

11. ARE WE ANY DIFFERENT FROM THE REST OF THE UK?

12. THANK YOU FOR LISTENING ANY QUESTIONS?