The purpose of our admissions policy is to ensure that admissions to the service are dealt with in a professional, sensitive and timely manner with the welfare of the child as paramount.
It is the policy that the Service will:
- Support children with life limiting conditions and their families by providing high quality transitional care, home support, respite, crisis and end of life care.
- Referrals to the service will be considered for children with: Unpredictable/deteriorating health, including frequent unplanned hospital admissions or discussions around Advance Care Planning and Resuscitation status.
- Support around symptoms that are difficult to manage i.e. pain, seizures, secretions.
Admissions can be made to the following programmes of care:
- Early Start Programme (Birth to 5 years) provides a weekly parent and child support and advice programme led by a multidisciplinary team.
- Specialist Respite Services (birth to age 18) Specialist Respite care provides the support required to meet the child’s holistic care needs and enables children and families to access short-term break services, it will often address some aspects of symptom management. New admission will be accepted up to sixteenth birthday.
- Transitional Care (birth to age 12) provides an opportunity for the family to adjust to the transfer of the child from maternity / children’s hospital to home during which time the service works with the family to ensure that supports are in place to empower them to care for their child at home. For children over 12 years of age attending the service, transitional care may be provided post surgery.
- Home Support (Birth to eighteen years), provides in home respite support, provided by the care team and practical support provided by a multidisciplinary team.
- Crisis Care provides immediate placement for the child or young person in the event of an emergency (unplanned event, bereavement or illness) within the family. Crisis Care is only provided to all families registered with the services.
- End of Life Care – Birth to eighteen years – provides care for the child or young person at end of life as an alternative to hospital or home. The service aims to ensure maximum physical comfort for the child or young person and emotional support for the child and their family.
The Admissions, Transitions, Discharge Team (ATD Team), comprising of various members Consultant Paediatrician (Chair), the Clinical Services Manager, Director of Nursing, Senior Social Worker, Physiotherapy Manager, Senior Dietician, Occupational Therapist, CNM’s and two representatives from other allied health agencies are responsible for the implementation of the policy.
Families are given the opportunity to visit the service before they make a decision to proceed with the referral.
Medical and Therapy reports are requested to determine if the child meets the criteria for admission
All referrals are documented and discussed at monthly ATD meetings and decisions are agreed as to whether child meets the criteria for admission (see criteria for Admissions here)
Two members of the team visit the family at home to:
- Discuss key aspect of the service and to discuss the application and or admission process
- Explain the range and function of the service’s child protection and welfare policy and procedures to the child’s family.
- Provide the child’s family with information on their rights and responsibilities.
- Explain other relevant policies and procedures to the child’s family.
- Conduct an assessment of the child and family needs and notify referring agency and /or family of outcome.
The service will maintain contact with all relevant persons with a bona fide interest in the welfare of the child to keep them informed of their progress throughout the admissions process.
Following assessment the team will:
1. Agree admission date with family
2. The required details of the child and family will be entered in the service client register
1. Agree with all persons involved in the admission process that the child’s admission to the service will not proceed at this time
2. Inform family in writing of the outcome of referral/admission process and a service agreement will be included with a letter of offer.
An appeal process is in place for referrals which do not meet admission criteria, where families can appeal decision if application is refused. Referring agency or family are requested to write to the Chairperson of the ATD committee requesting appeal.