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Proposals

The links below provide a brief overview of the services currently at Inverclyde, the issues affecting each and how we propose to change them.

Accident & Emergency (A&E)

  • More nurses would be employed to offer care and organise the safe transfer of young patients to specialist services at the Royal Alexandra Hospital (RAH) in Paisley.

Inverclyde’s A&E would continue to treat children needing urgent attention and the A&E service will continue to be operational 24/7:

Proposed New Arrangements

  • Children should be treated by appropriately trained staff.
  • Treating children alongside adults in an A&E is not best practice – it is better they have services devoted to their needs.

Issues

24-hour emergency care, which includes treating children referred by their GP or 999 ambulance services.

Current Arrangements

Acute Assessment Unit

  • This would allow direct access to specialist care for children without the need to be moved again if they need further treatment other than in exceptional circumstances
  • The service could be run within a larger pool of specialist staff at the RAH, which would guarantee safe cover
  • Highly experienced children’s nurses would be redeployed locally to support Inverclyde children discharged from the RAH and their parents
  • Resources would be freed up which could be ploughed back into the other Children’s Services at Inverclyde Royal Hospital

The Acute Assessment Service would be moved to the Royal Alexandra Hospital:

Proposed New Arrangements

  • The unit is open Mon-Fri between 9.00am and 5.00pm
  • On average, only one child a day is admitted to the unit – most often arriving by ambulance
  • Children who need specialist paediatric care have to be moved to the RAH – so may face two journeys
  • The low volume of patients makes training and keeping staff difficult
  • Even with so few patients, the unit needs a full contingent of qualified staff

Issues

A small number have to be transferred for specialist paediatric inpatient care at the Royal Alexandra Hospital in Paisley.

Most are discharged again within four to twelve hours as no serious problems develop.

Children suffering symptoms such as breathing problems, rashes, severe diarrhoea and vomiting are taken in for observation.

Current Arrangements

Planned Care

  • Day surgery services would continue
  • There would be an expanded Community Nursing team working in partnership with the Skylark Centre
  • An expanded range of outpatient/day children’s services would be introduced, including paediatric consultant clinics, nurse-led clinics and planned medical investigation (organised in partnership with Primary Care teams including GPs)
  • Home nursing services for children with a range of conditions would be enhanced
  • The existing children’s wards at Inverclyde would be refurbished as a dedicated Inverclyde Children’s Centre, purpose-designed to deliver child-friendly day and outpatient care.

Children’s Services at Inverclyde will be strengthened and developed:

Proposed New Arrangements

  • More than 80% of the children who attend Inverclyde Royal Hospital use these sorts of services
  • Demand for outpatient-type care is growing and will continue to grow
  • Our policy is to retain and provide as much locally-based care as possible

Issues

A range of community services are also provided by the Skylark Child Development Centre located within the hospital grounds.

Services include local clinics run in Port Glasgow and across Cowal and Bute. 

These investigations include: routine appointments for diagnosis of non-urgent conditions (eg with endoscopic cameras and x-ray imaging), minor operations and other treatments. 

Current Arrangements

Pre-arranged (elective) Day Surgery, Clinics and Planned Investigation