Designed for NHS paediatric professionals, in both acute and community care, this enabling online forum will focus on pioneering rapid response teams, developing
‘Hospital at Home’ strategies and building community outreach teams. This is a comprehensive
guide to reducing paediatric A&E referrals and keeping care in the community which will directly benefit you if you are working across the urgent and emergency care pathway.

5 hours Continuing Professional Development: what you will learn
Identify new collaborative approaches to community-based care and hear how they operate in parallel with acute settings. You will leave this virtual forum motivated and equipped to:
Attend this online NHS event from the comfort of your own home
Packed with examples of best practice, novel ideas and expert advice, plus benefit from:
9:00 |
Join, tech support and opportunity to network in breakout rooms
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9:30 |
Introduction, instructions and chair’s opening remarks
Nathan Griffiths, Consultant Nurse and Paediatric Emergency Medicine Governance Lead, Salford Royal NHS Foundation Trust
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National directives | |
9:45 |
Case study: Building a 111 interface with Children’s Rapid Response Teams
Lynn Fanning, Team Lead for Children's Rapid Response Team, Children's Community Nurse Practitioner, Cambridge Community Services
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10:15 |
Questions and answers
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10:25 |
Interactive discussion: What role does ambulatory care play in reducing your paediatric attendance?
Breaking into small groups to discuss and share your experiences on this important topic with your fellow attendees
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10:45 |
Screen break
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10:55 |
Interactive discussion feedback: What role does ambulatory care play in reducing your paediatric attendance?
Moderators will go on screen to feedback what has been discussed and learnt in the individual breakout rooms. Whilst the presenters are speaking, you can feedback your comments and questions using the chat box function.
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Avoiding A&E referrals | |
11:05 |
Integrating RCPCH standards to treat children outside of acute settings
Ian Maconochie, Consultant Paediatric Emergency Medicine/Lead for Academic Emergency Medicine, St Mary's Hospital, Imperial College Healthcare NHS Trust
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Keeping care in the community | |
11:35 |
Delivering clinical acute care at home: the role of the ‘Hospital at Home Team’
Zoe Tribble, Senior Nurse Integrated Paediatrics, Barts Health NHS Trust
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12:05 |
Questions and answers
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12:15 |
Interactive discussion: How to reduce parent initiated attendance of minor injuries
Opportunity for attendees to share their experiences in meeting rooms, then return to the main conference to feedback via the chat function.
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12:35 |
Screen lunch break
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1:00 |
Interaction discussion feedback: How to reduce parent initiated attendance of minor injuries
Moderators will go on screen to feedback what has been discussed and learnt in the individual breakout rooms. Whilst the presenters are speaking, you can feedback your comments and questions using the chat box function.
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Improving patient flow | |
1:10 |
Utilising Paediatric Assessment Units to reduce unplanned admissions
Vanessa Brown, Senior Matron Children’s and Young People, Hull University Teaching Hospitals NHS Trust
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1:40 |
Questions and answers
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1:50 |
Interactive discussion: Developing effective parent communication to ensure appropriate referrals
Opportunity for attendees to share their experiences in meeting rooms, then return to the main conference to feedback via the chat function.
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2:10 |
Screen break
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2:20 |
Interaction discussion feedback: Developing effective parent communication to ensure appropriate referrals
Moderators will go on screen to feedback what has been discussed and learnt in the individual breakout rooms. Whilst the presenters are speaking, you can feedback your comments and questions using the chat box function.
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Adapting services | |
2:30 |
Case study: Providing Assessment and Treatment for Children at Home (PATCH)
Joanna Turner, Lead PATCH Nurse, Imperial College Healthcare NHS Trust
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3:00 |
Setting up your Short-Stay Paediatric Assessment Unit (SSPAU) to streamline patient flow
Nathan Griffiths, Consultant Nurse and Paediatric Emergency Medicine Governance Lead, Salford Royal NHS Foundation Trust
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3:30 |
Questions and answers
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3:40 |
Chair’s final remarks and close of conference
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First-hand speaker experiences
Nathan currently works as a consultant nurse in Paediatric Emergency Medicine at Salford Royal Hospital covering the Paediatric Emergency Department and Observation and Assessment Unit, he is also the clinical lead for Paediatric Unscheduled Care in the Trust. There is quite some variation in consultant nurse roles across the country involving an element of clinical, educational and strategic development. 70% of his workload involves working on the consultant medical rota within the emergency department and observation and assessment unit with supportive role in service development, governance and clinical skills development. Nathan also undertakes guideline development work for NICE including Guideline Development Group member for the Major Trauma Guidelines, formerly as a standing member of the Clinical Guideline Update Committee and now Clinical Expert. He is also a committee member for the paediatric subgroup of the Trauma Audit and Research Network (TARN).
Nathan qualified as a Registered Nurse (Child) in 2001 at the University of Wales, before taking up a staff nurse post within a general paediatric ward at Wrexham Maelor Hospital. Throughout his time there he developed two keen interests. Firstly; a keen interest in the development of nursing knowledge and clinical skills in paediatrics and also clinically, in emergency care. As a result of this interest he took up a paediatric practice development role, the first of its kind within the trust. With a desire to expand his knowledge he searched for a paediatric specific nursing degree, of which there were very few at the time, however managed to secure a place on the BSc Paediatric Nurse Practitioner course at St Martin’s College. His progression though this course coincided with the culmination of a number of years of strategic reconfiguration of children’s services within Greater Manchester. In 2007, this extra knowledge and the development of enhanced assessment skills enabled Nathan to take up an exciting and challenging role of Advanced Nurse Practitioner within the paediatric emergency and observation and assessment unit at Salford Royal hospital, in addition to undertaking an MSc in Advanced Practice. At the time this new role; the design and way of working of the assessment unit was almost unique.
Placing advanced nurse practitioners at the centre of the clinical decision making process, supported by consultant paediatricians and a nurse consultant allowed for Nathan to develop knowledge and skills in the assessment and management of a wide range of paediatric illnesses and injuries. After five years of consolidating his knowledge, an opportunity to develop some strategic skills presented itself with a move to Shrewsbury and Telford Hospitals NHS trust. The primary objective of the role was to support the development of an advanced nurse practitioner team in the paediatric department in order to support a wider strategic reorganisation of services within Shropshire. Nathan subsequently returned to Salford as a consultant nurse and the role that he undertakes today.
60 Second Interview
Question : What has been your route into the industry?
Answer : I qualified as a Registered Children’s Nurse in 2001 and found myself working in the general paediatric ward of the North Wales district general hospital in which the school of nursing was co-located. I probably found my way into advanced practice almost by accident. Content with being a good nurse but with a (hopefully!) long career ahead of me I looked to build upon my diploma and find a relevant paediatric degree course. At the time there weren’t too many to choose from and I stumbled across a BSc Paediatric Nurse Practitioner Degree at St Martin’s College, Lancaster. This introduction to advanced health assessment opened up the opportunity for me to apply for a job within the redesigned paediatric health service of Greater Manchester at Salford Royal.
Question : Why have you become involved in your particular specialisation?
Answer : I have always had a keen interest in emergency care, resuscitation and trauma. The redesigned Greater Manchester Paediatric Services created a combined paediatric observation and assessment unit and emergency department. It was here, as part of a training programme that I undertook an MSc in Advanced Practice at the University of Salford. A mix of being in the right place at the right time, colleagues retiring at the right time, willingness to expand my knowledge and some hard work led to being appointed to a Nurse Consultant post in Paediatric Emergency Medicine which is where I remain!
Question : What do you consider to be the biggest challenge at the moment and why?
Answer : Trying to or being expected to; deliver more for less is possibly the biggest challenge facing every member of the NHS at present. Developing, championing and supporting advanced nursing roles continues to be a huge challenge. Some areas and individuals, groups and organisations are extremely proactive and supportive, where as there are occasions where the advanced nursing roles are seen as inferior, inadequate and unnecessary.
Question : What do you consider to be the biggest threat at the moment and why?
Answer : Increasing demand with finite resources.
Question : Who will be most interested in the subject matter of the conference and in particular, your topic?
Answer : Individuals who support or manage non-medical prescribers or non-medical prescribers who are looking for guidance to support their own future development.
Question : What do you expect your delegates to “take away” with them at the end of the conference?
Answer : That support and guidance for (usually) such a small critical mass of paediatric prescribers is not impossible and there are simple steps that can be taken to formulate a continuing development plan for this important role..
I started off my nursing career as a RGN/RSCN after qualifying at Great Ormond Street Hospital for Children in 1988. After a year working as a staff nurse at Queen Elizabeth Hospital for Children in Hackney Road on a paediatric medical ward I moved back home to Hertfordshire and trained as a midwife at Watford hospital. I continued to work as a midwife at Hemel Hempstead General Hospital for the next 10 years until I left to pursue a career as a health visitor by completing the BA (Hons) Specialist Community Practice degree at the University of Bedfordshire.
In 2008 I started studying for the MSc Children’s Advanced Practice degree at South Bank University. This gave me a taste to return to a clinical role, so in 2009 I returned to my roots and joined the Children’s Community Nursing Team. At the same time I became involved in the NHS Institute’s Rapid Improvement programme in Luton and became the Community Clinical Lead for the Paediatric Urgent Care Working Group. Since the commencement of the programme it has always been my goal to set up a Children’s Rapid Response team locally to care for children with acute health needs closer to home. Following a successful business case by our Children’s Commissioner this has now been possible.
Vanessa is a senior nurse with 29 years’ experience working within the Children’s Unit at HUTH. She has been working in her current role as Senior Matron for Children & Young People for two and a half years. Her areas of responsibility include Paediatric Assessment Unit (PAU), High Dependency Unit (Level 2), Medical Ward, Surgical Ward, Out Patients Department and a Tertiary Level Neonatal unit. PAU had a number of iterations before settling for the model which has now been in place since 2013. PAU takes referrals from GP’s, Emergency Department, Specialist nurses and Community Team with an operational policy in place for a decision to admit or discharge within 6 hours. They see around 5,500 attendances per year of children from 1 day to 16 years and to 18 years if still under the care of a Paediatric Consultant. The assessment unit is open 24 hours per day 7 days per week with resident medical cover at all times. Vanessa Brown RGN, RSCN, ENB 415, Diploma in Intensive Care Nursing of Children, ENB 998, ENB 970, BSc (hons) in Children’s Nursing Practice, Managing Health & Social Care (Masters Post Graduate Diploma), Nurse independent & Supplementary Prescribing.
Expected attendees
This online day is specifically designed for attendance by your unscheduled care MDT. We would expect attendance from, but not limited to:
Past attendee feedback
"Very interesting day with lots of informative talks. Good to see where our service sits with others. What we can improve or changes that may help"
Enhancing Paediatric Palliative Care, September 2019, Leeds
"Really thought-provoking. One of the best conferences I have attended. Already thinking about how my practice can change"
Supporting Children with SEN in Schools, January 2019, Birmingham
"The staff were exceptional. Really friendly and welcoming thank you! Very informative to hear about what our colleagues are doing in their own organisations"
Safeguarding Children and Young People in the NHS, September 2019, Birmingham
"Excellent opportunity to network with other paediatric day surgical areas and see other ways of working "
Benchmarking your Paediatric Day Surgery Service, October 2018, York
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But don't take our word for it. We have had some excellent feedback from attendees to the forums that have been held to date:
"Forum was managed extremely well, and very professional"
IAPT National Networking Online Forum 2021 - 21st January 2021
“I am sure like everyone else I was apprehensive with going online, not sure how we could network, the ability for all participant's to participate and the quality of the presentations - all my fears were diminished this turned in to be a great day, networking, leading and sharing still occurred and links still formed. The presentations were excellent and the quality of the forum and set up great and so easy to follow and timing excellent.”
Reduce Paediatric Emergency Attendance Online Conference – 8th October 2020
“The conference has been far more engaging than in a conference centre. This I think is because of the ability to participate in chat throughout and the use of the breakout discussions.” “Excellent day! Organisation was great - loved the break out rooms for chat. Virtual chat added another really useful way to interact during the day, which isn't available to us at the physical conferences.”
Leading Change in Clinical Coding Online Conference - 11th September 2020
"Very informative, lots of opportunity for discussions and very well organised virtually"
Providing Support for Children on Long Term Ventilation - Tuesday 9th March 2021
"I enjoyed the group chats networking listening to others experiences, I also like that there was a lead on each group so the chats were influenced and no awkward silences that can occur on web meets. I thought the larger talks were really good and easy to listen to."
Modernising Outpatient Services Online Conference – 16th September 2020
“This is my first experience of an online conference and thoroughly enjoyed it. Wasn't sure what to expect. Would recommend to colleagues to attend future events” “This has to be the best online conference I have been to, I really enjoyed the breakout rooms.”
Advancing Ulcer Care Management Online Forum – 29th September 2020