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The Integrated Children’s Community Nursing (iCCN) Service

The Integrated Children’s Community Nursing (iCCN) Service

The Integrated Children’s Community Nursing (iCCN) Service is provided by Solent NHS Trust to provide care to Children/Young People across Portsmouth, Fareham & Gosport and SE Hampshire.

The service aims to provide a high quality in reach and outreach nursing service and to enable early, safe planned discharge from hospital and to prevent unnecessary admissions. These services are a link between primary and secondary care and support and encourage the development of partnership working.

The iCCN service works in partnership with Acute and Community Paediatricians, GP’s, Clinical Nurse Specialists, Therapists, Health Visitors, School Nurses, Schools, Children’s Services and voluntary organisations to help the children and young people achieve their full potential and live as full a life as possible.
This care is delivered in the community location that is the most appropriate for that child or young person e.g. home, school, community clinic or respite centre

The iCCN service also provides nursing support into 3 special schools – The Mary Rose Academy in Portsmouth, St Francis School in Fareham and Rachel Madocks School in South East Hampshire.

The iCCN service has a clear vision is to provide seamless care to children with a nursing need, including those who have
• Complex health needs,
• Chronic illness or conditions,
• Life limiting/threatening conditions,
• Palliative care needs
• End of life care needs
• Short term care – such as Wound care & Intravenous antibiotics
• Urgent care (COAST) to support acutely unwell children with one of the 7 commissioned conditions to be cared for in their own homes.

Eligibility Criteria and working hours

Community Childrens Nursing (CCN)
0 – 19 years with a long or short term health condition/need requiring nursing care/input who are registered with a GP in Portsmouth city, Fareham & Gosport and SE Hampshire and have been referred by a GP, Hospital Consultant or Nurse Specialist.

Service Hours
Monday – Friday 8.30am – 5pm
24/7 Support to named children requiring end of life care

The service provides nursing support for children with identified health needs attending both mainstream and specialist educational settings across the city, including colleges. The team will act as the main contact for educational settings, support the development and review of personalised care plans, facilitate an agreed comprehensive training and education package for schools, organise clinical visits where required and act as link between parents and schools.  To access this service, please contact the Integrated CCN Service.

Specialist School Nurse (Across: Mary Rose Academy, St. Francis and Rachel Madocks Schools)

The Specialist School Nurse (SSN) service aims to support children with Severe/ Profound and Multiple learning difficulties and Complex Health Needs to access specialist education regularly alongside the Local Education Authority. The SSN team work within the schools, but are employees of Solent NHS Trust. The SSNs are able to offer the school staff training, clinical expertise and some hands on clinical care, whilst providing health promotion to those who are on the school roll. The service aims to improve school attendances, provide a network of support with wider health service team, and improve overall quality of life and outcomes for children and young people attending these schools.

Service hours

Monday – Friday: Term-Time Only. We are available during school hours. Please seek school opening hours from the appropriate school

Urgent care / Children’s Outreach Assessment & Support Team (COAST)
0 -16 years old who are registered with a GP in Portsmouth, Fareham & Gosport and SE Hampshire. Who have been clinically assessed by a GP/Nurse Practitioner or Hospital Doctor and requires on-going review and assessment with one of the following conditions:
1. Bronchiolitis
2. Gastroenteritis
3. Chest Infection
4. Viral induced wheeze
5. Exacerbation Asthma
6. URTI
7. Tonsilitis

Monday- Sunday 8am-8pm, excluding Christmas day

BH 8am-8pm

Children’s Community Asthma Nurse Specialist

The Community Children’s Asthma service aims to educate and empower children and their families in all aspects of asthma management. Through offering advice, support and education, the service aims to reduce hospital attendances and admissions and improve overall quality of life and outcomes for children and young people living with asthma.  This service accepts GP referrals within postcodes PO1-PO6, the only exception is children registered with the Portsdown group practice who may live between PO7-PO9.

Children’s Community Nursing team

The service aims to provide specialist, multi-disciplinary, high-quality assessment, diagnosis, treatment and management of continence problems (this covers the full spectrum of bladder and bowel dysfunction) in children aged up to 18yrs.  This is an appointment based service, accepting GP referrals within postcodes PO1-PO6, the only exception is children registered with the Portsdown group practice who may live between PO7-PO9.  The service works with School Nursing and Health Visiting, who provide Level One continence support, to ensure pathways are aligned and access to the specialist service where appropriate.

Provision of continence product provision.

Product provision is a contribution, children and young people who meet the criteria will be provided with 1 to 4 products per 24 hours, depending on their individual need.  A toilet skills assessment must have been completed prior to referral to this service for children over 5 years old.

Where the iCCN service is based?

Battenburg Child Development Centre,
Battenburg Avenue,
Portsmouth,
PO2 0TA

What the organisation provides – types of interventions and support:

The following are examples of the types of interventions to prevent children having to travel to, or be admitted into hospital ( this list is not exhaustive)
• Intravenous therapy
• Taking blood from central lines
• Provide support with gastrostomy feeding or nasogastric tube feeding
• Administration of injections
• Wound management
• Training for parents, carers and other professionals in a variety of care needs
• Tracheostomy care management
• Long term ventilation support
• Ongoing review and assessment of acute episodes of illness
• Care planning and evaluation
• Palliative and End of life care – Support to enable children to die at home if this is the chosen place to be

How can this service be accessed?

iCCN service will consider emailed referrals from a professional.
Telephone referral may be required to discuss the suitability of the referral and to ensure caseload capacity.
Parents/carers of children on the iCCN caseload can contact the team directly.

Who to contact if you are unhappy with the service or to make a complaint

We are always trying to improve our service and welcome any suggestions, comments or concerns.

In the first instance please bring them to the attention of the appropriate Team leader or Operational manager on 0300 123 6631
Alternatively speak or write to our Patient Advice and Liaison (PALS) and Complaints Service: 0800 0132 319

Email:

Where to find further information

ccnsadmin@solent.nhs.uk

Integrated CCN Service contact number: 0300 123 6631
Website: www.solent.nhs
Email:ccnsadmin@solent.nhs.uk

0-5, 6-16,
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