COVID-19: Our New Ways of Working (Complex Medical Needs Team)

As the news of COVID-19 continues to develop, we have been working hard to create the safest possible environment for our children and families as well as staff in these difficult times.

We have now finalised these plans and want to tell you about our new ways of working.
As a service, we aim to  work jointly with you and your child to offer a comprehensive package of care. We are continuing to work in partnership with parents/carers, providing education, therapy and specific advice on feeding, positioning, sleeping, physical development and learning.

A Case Lead will be allocated for your child and they will be responsible for individually adapting the CMN process in order to best meet the needs of your child.

Our new process:

  1. When your child’s referral has been accepted they will be placed on a waiting list and taken off in date order; at which point they will be allocated a member of the CMN team who will act as your case lead. The case lead will contact you to take a detailed developmental history of your child. If it is agreed that the CMN team is right for your child then the case lead will contact the individual professionals in the team in order for them to start their assessments.
  2. Starting your child’s assessment: Clinicians are following a virtual first approach, which means initially parents will be contacted to book an assessment appointment either by telephone or video call. If you have not used video calls before please do not worry as it will be explained to you clearly before the appointment. The case lead will book a date with you for the Multi-Disciplinary Team (MDT) assessment. This team may include a Paediatrician, Physiotherapist, Occupational Therapist, Speech and Language Therapist and Specialist Teacher from the Specialist Inclusion Support Service (SISS) and other disciplines if appropriate. If clinical reasoning indicates that a face-to-face assessment is required, we have a number of safety measures in place for families attending appointments. These will be discussed with you in full before you attend. 
  3. The MDT Assessment: On the day before your appointment you will be contacted to ask a number of questions to check if you or any of your household are displaying any symptoms of Covid-19 (e.g. high temperature, new continuous cough or change to your sense of smell/taste). This will be repeated on arrival for your appointment. If on arrival you are displaying symptoms you will not be permitted to enter the building and we will make contact with you to rearrange the appointment. Please be aware that we can only allow one person to attend with your child. If other family members arrive they will not be able to enter the building. The Case Lead will coordinate, compile and distribute an MDT assessment and feedback report including next steps. 
  4. Intervention and Review: Each clinician will decide on the most appropriate method of on-going intervention for your child following the virtual first approach; telephone, video or face-to-face if clinically indicated. An MDT review will take place every 6-8 months. The meeting will take place either in person or via video call. Following the review the Case Lead will coordinate, compile and distribute a report.
  5. Transition from CMN Team to Community Health Services: When the time comes for your child to move on from the CMN team your Case Lead will discuss the next steps with you and coordinate onward referrals to the relevant services. You will receive a report detailing the discharge process.

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