1. Introduction to Community Paediatrics Dr.Renu Jainer 18/05/2012

2. Paediatrician Has skills for assessing, diagnosing and treating a child. Should be able to identify when a child is ill or well Have good communication skills

3. Child health Physical Behavioural Emotional Social Educational

4. Why Community Paediatrician? Right person Right place Right time

5. Primary Secondary Tertiary

7. Four main domains Neurodisability including palliative care Neurobehavioral Social –Safeguarding and children in care Prevention –Health promotion including immunisation

8. Community Paediatrician Secondary care service Different settings Children (0-18 years) Contribute to the multidisciplinary service Multiagency working Prevention role

9. Other services involved Aim to provide seamless integrated care Acute paediatricians Neurology Genetics ENT and Ophthalmology CAMHS School nursing Health visitor GP Therapists

11. Other agencies Education Authority Social care Police Court

12. Statutory requirement as bound by legislations Education act 1996 Special educational needs and disability act 2001 Disability and Equality act 2010 Academy act 2010 Children's act 2004 Adoption and fostering act 2002

13. Case 1. Neonatal encephalopathy Cerebral palsy Impaired vision Dislocated hip Epilepsy Poor weight gain

14. Professionals involved Neonatologist /GP Orthopaedic surgeon Ophthalmologist Physiotherapist Occupational therapist Speech and language therapist Dietician

15. Continued.. School nurse Teachers Educational psychologist Social care -Children's disability team ?Respite ?Neurologist ?Geneticist

16. Key role Responsible for overall care Coordinates care with all professionals Represents health in multiagency meetings and prepares report. Teaching and research Leads service development and organisation

17. Any questions?