Standard Operating Procedure 2 (SOP 2) Paediatric Physiotherapy Service (Excluding Neonatal) Why we have a procedure? To ensure the timely and equitable management of preschool aged children through the Paediatric Physiotherapy Service. What overarching policy the procedure links to? DNA/ No Access Visit - CYPF Which services of the trust does this apply to? Where is it in operation? Groups Inpatients Community Locations Mental Health Services n/a Learning Disabilities Services n/a Children and Young People Services Who does the procedure apply to? Paediatric Physiotherapy Service Sunflower Centre Paediatric Physiotherapists Physiotherapy Assistants Administrative Team Members Patients within Children and Young People Services When should the procedure be applied? For all preschool age children referred to Community Paediatric Physiotherapy who are triaged as appropriate. Paediatric Physiotherapy Service Page 1 of 17 Version 1.0 August 2016
How to carry out this procedure Preschool Age Child Referral Pathway Preschool Allocated to a Specialist Paediatric Physiotherapist Initial appointment at Sunflower Centre, Russells Hall Hospital or Children s Centre Assessment Discharge No treatment required Treatment Required Transferred within department for follow up i.e. Gait Problems identified using caseload weighting tool Goals set and agreed with parents NICE Guidelines Referral to MDT (SaLT, SEYS, OT, Seesaw) Individual treatment sessions (HV, nursery, health centre) Hydro Paediatric Physiotherapy involvement in CAF, TAC, EHCP Serial Casting Group Therapy Orhtotics Liaison with acute services for coordination of care Equipment Re-assessment New Goal set Treatment no longer indicated therefore discharge Paediatric Physiotherapy Service Page 2 of 17 Version 1.0 August 2016
Preschools clinic process New Patient Referral and Triage Any referrals identified as being urgent will be seen within 5 working days. Any appointment identified as ASAP will be brought to the attention of the preschool Physiotherapist so that an earlier appointment can be provided. Any referrals identified as being talipes and/or torticollis and/or plagiocephaly will be triaged into the appropriate clinic. Referrals will be sent for in date order as soon as a space is available in the Paediatric Physiotherapists schedule. An appointment letter will be provided/ sent for the child to attend the appropriate clinic. In order to adhere to the 18 week waiting list policy, referrals approaching this breach will be brought to the weekly service meeting to discuss. New Patient DNA Patients attend the clinic with an adult who has parental responsibility of the child. If the initial appointment is not attended then they are discharged back to the referrer unless the referral indicates a child in need or a child protection plan is in place. If this is the case contact is made to the keyworker/ Social worker/ Health visitor involved in order to see if any support is required following the initial appointment. If following this another appointment is not attended then the patient is then discharged back to the referrer. New Patient No treatment required Patients attend the clinic with an adult who has parental responsibility of the child. A full assessment is undertaken and if child does not require treatment then a report is sent to the child`s parents and the referrer and the child is discharged. New Patient Treatment required A full assessment is undertaken and indicates that Physiotherapy treatment is appropriate. The child will then be offered either a review and/or treatment sessions in an appropriate setting and/or onward referral either internally or externally. A consent form will be signed and discussed with parents. Patient notes will be recorded at the conclusion of every treatment session and goals may be set at the initial assessment or at subsequent sessions. A report will be completed either after the initial assessment or after subsequent sessions. Current patient DNA X2 If a child is currently on treatment and fails to attend 2 treatment sessions or group sessions then they will be immediately discharged from the Paediatric Physiotherapy services. A discharge letter will then be sent to the referrer as well as the parents/ guardian of the child. Discharge Children will be discharged from the Physiotherapy service when Physiotherapy treatment is no longer required or is not effective. A discharge letter will then be sent to the referrer as well as the parents/ guardian of the child. Paediatric Physiotherapy Service Page 3 of 17 Version 1.0 August 2016
Relevant Data Sheets Following each patient contact a Data sheet will be completed. Patients NHS Number, patient surname and forename, time of appointment and appointment outcome. Completed sheets are then placed within the admin in-tray for inputting. Paediatric Physiotherapy Service Page 4 of 17 Version 1.0 August 2016
Appendix 1 Baby Group Information Leaflet Paediatric Physiotherapy Service Page 5 of 17 Version 1.0 August 2016
Appendix 2 Hydrotherapy Information Leaflet Paediatric Physiotherapy Service Page 6 of 17 Version 1.0 August 2016
Appendix 3 Gross Motor Group Information Sheet Paediatric Physiotherapy Service Page 7 of 17 Version 1.0 August 2016
Appendix 4 Casting Clinic Referral From Paediatric Physiotherapy Service Page 8 of 17 Version 1.0 August 2016
Appendix 5 Orthotics Referral Form Paediatric Physiotherapy Service Page 9 of 17 Version 1.0 August 2016
Appendix 6 Specialist Early Years Referral Form Paediatric Physiotherapy Service Page 10 of 17 Version 1.0 August 2016
Appendix 7 Visual Impariment, Hearing Impairment and PIMIS Referral Form Paediatric Physiotherapy Service Page 11 of 17 Version 1.0 August 2016
Appendix 8 See Saw Team Referral Forms Paediatric Physiotherapy Service Page 12 of 17 Version 1.0 August 2016
Appendix 9 Dysphagia Team referral Form Paediatric Physiotherapy Service Page 13 of 17 Version 1.0 August 2016
Appendix 10 Inter-agency Referral Form Paediatric Physiotherapy Service Page 14 of 17 Version 1.0 August 2016
Appendix 11 Occupational Therapy Referral Form Paediatric Physiotherapy Service Page 15 of 17 Version 1.0 August 2016
Where do I go for further advice or information? Jacqueline Hemmings - Community Paediatric Physiotherapy Manager Training All staff may receive training in relation to this procedure, where it is identified in their appraisal as part of the specific development needs for their role and responsibilities. Please refer to the Trust s Mandatory & Risk Management Training Needs Analysis for further details on training requirements, target audiences and update frequencies. Monitoring / Review of this Procedure In the event of planned change in the process(es) described within this document or an incident involving the described process(es) within the review cycle, this SOP will be reviewed and revised as necessary to maintain its accuracy and effectiveness. Outside of the above the procedure will be reviewed 9 months following full implementation and will give way to retrospective audit projects to assess its benefit. Equality Impact Assessment Please refer to overarching policy Data Protection Act and Freedom of Information Act Please refer to overarching policy Paediatric Physiotherapy Service Page 16 of 17 Version 1.0 August 2016
Standard Operating Procedure Details Unique Identifier for this SOP is State if SOP is New or Revised BCPFT-SAFE-SOP-03-2 New Policy Category Executive Director whose portfolio this SOP comes under Policy Lead/Author Job titles only Committee/Group Responsible for Approval of this SOP Month/year consultation process completed Safeguarding Executive Director of Nursing, AHPs and Governance Dudley Community Quality and Safety Group July 2016 Month/year SOP was approved August 2016 Next review due August 2019 Disclosure Status Key words relating to this SOP B can be disclosed to patients and the public Preschool age child referral pathway, 18 week waiting list, new patient referral and triage, new patient DNA, no treatment required, baby group information leaflet, hydrotherapy information leaflet, gross motor group information leaflet, casting referral form, orthotics referral form, specialist early years service referral form, visual impairment, hearing impairment and PIMIS referral form, see saw referral form, dysphagia referral form, inter agency referral form, occupational therapy referral form Review and Amendment History Version Date Description of Change 1.0 Aug 2016 New SOP developed for paediatric physiotherapy services linked to Safeguarding policy for DNA/ No Access Visit for CYPF Paediatric Physiotherapy Service Page 17 of 17 Version 1.0 August 2016