Waiting Times for Luton and Bedfordshire Community Paediatrics

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In order to keep our families safe and minimise Covid-19 infection rates, the service continues to offer a blend of face to face, virtual and telephone appointments matched to the needs of each child and family.

Waiting Times (November 2022)
Luton Community Paediatrics Service - Edwin Lobo Centre, Redgrave Gardens, Luton

How long is the wait for the first appointment?
The services continues to increase the number of face to face appointments with video/telephone
consultations available when clinically appropriate. A clinical priority booking system remains in
place.

  • Target wait to first assessment is 18 weeks
  • Average wait to assessment is 34 weeks but can be up to 76 weeks (as of November 2022).
  •  High risk medication reviews are prioritised.

What is the cause of the delay

  • Increasing demand in referrals for children with complex needs; EHCP, and Children in Care (CIC) Initial Health assessments.
  • A 75% increase in accepted referrals on the previous year.
  • National and local shortage of Community Paediatricians.
  • Long term sickness in administration and clinical roles has limited both medical and non-medical appointments.
  • Appointment capacity between new appointments and follow up appointments.

What is the Service doing to help?

  • The service offers a blend of face-to-face, virtual and telephone appointments matched to the needs of children and families.

  • New specialist nurses have been successfully recruited and nurses have completed a prescribing course to improve the frequency of medication reviews. Recruitment is ongoing for administrative and clinical roles.

  • A community health/CAMHS link worker is under recruitment to provide post diagnosis support, a SEND facilitator, and an ASD Advisory teacher (Early Intervention) are in place to support children and families whilst waiting for ASD diagnostic assessment, and specialist nurses are in post to support families and children who have complex needs.

  • Our Health HUB is available daily (Monday to Friday).  See details for how to contact below.

  • Information about waiting times has been added to letters and community resources including where to seek support locally.

  • Staff members have completed their ADOS training to increase in capacity and face to face ADOS assessments will be re-starting when clinically safe to do so. Funding has been secured for additional BOSA assessments. Both ADOS and BOSA are assessments for Autism.

  • An ADHD resource pack has been updated with children and families, and a Diagnosis Support Pack has been launched - see details below.

  • Specialist Nurses facilitate ADHD medication reviews (non-complex) and diagnostic outcome appointments.

  • The pilot for the self-monitoring of blood pressure and pulse as part of ADHD management continues with results available in the autumn.

  • The service meets monthly with Parent Carer Forums to listen to feedback and share updates.

  • Both Luton and Central Beds Local Authority Early Years SEN (Special Educational Needs) Team now participate in triage of referrals. 

  • A clinical priority booking system is in place to consider urgent appointment requests.

Where can I go for help in the meantime?

  • Diagnosis Support Pack For families following a diagnosis of a neurodiversity, and contains information, resources and signposting in a variety of media.

  • Post Diagnosis Pack Resources Section Please see our online page, which includes details of local support services.

  • BOSA resources including a video have been developed or visit your Local Offer webpages.

  • For advice and support call our Children's Community Health HUB on 0300 555 0606 or email ccs.bedsandlutonchildrenshealthhub@nhs.net - this is available from 9am - 5pm Mon –Fri.

Bedfordshire Community Paediatrics Service - Child Development Centre (CDC), Kempston

How long is the wait for the first appointment?
The services continues to increase the number of face to face appointments with video / telephone
consultations available when clinically appropriate. A clinical priority booking system remains in place.

  • Target wait to first assessment is 18 weeks
  • Average wait to assessment is 32 weeks (as of November 2022) but can be up to 73 weeks.
  • High risk medication reviews are prioritised.

What is the cause of the delay?

  • Increasing demand in referrals for children with complex needs; EHCP, and Children in Care (CIC) Initial Health assessments.
  • A 19% increase in accepted referrals on the previous year.
  • National and local shortage of Community Paediatricians.
  • Long term sickness in administration and clinical roles has limited both medical and non-medical appointments.
  • Appointment capacity between new appointments and follow up appointments

What is the Service doing to help?

  • The service offers a blend of face-to-face, virtual and telephone appointments matched to the needs of children and families.

  • New specialist nurses have been successfully recruited and nurses have completed a prescribing course to improve the frequency of medication reviews. Recruitment is ongoing for administrative and clinical roles.

  • A community health/CAMHS link worker is under recruitment to provide post diagnosis support, a SEND facilitator, and an ASD Advisory teacher (Early Intervention) are in place to support children and families whilst waiting for ASD diagnostic assessment, and specialist nurses are in post to support families and children who have complex needs.

  • Our Health HUB is available daily (Monday to Friday).  See details for how to contact below.

  • Information about waiting times has been added to letters and community resources including where to seek support locally.

  • Additional BOSA assessments required will continue to be delivered.

  • An ADHD resource pack has been updated with children and families, and a Diagnosis Support Pack has been launched - see details below.

  • Specialist Nurses, facilitate ADHD medication reviews (non-complex).

  • The pilot for the self-monitoring of blood pressure and pulse as part of ADHD management continues with results available in the autumn.

  • The service meets monthly with Parent Carer Forums to listen to feedback and share updates.

  • Both Luton and Central Beds Local Authority Early Years SEN (Special Educational Needs) Team now participate in triage of referrals. 

  • A clinical priority booking system is in place to consider urgent appointment requests.

Where can I go for help in the meantime?

  • Diagnosis Support Pack for families following a diagnosis of a neurodiversity, and contains information, resources and signposting in a variety of media. 
  • Post Diagnosis Pack Resources Section Please see our online page, which includes details of local support services.
  • BOSA resources including a video have been developed or visit your Local Offer webpages
  • For advice and support call our Children's Community Health HUB on 0300 555 0606 or email ccs.bedsandlutonchildrenshealthhub@nhs.net - this is available from 9am - 5pm Mon –Fri.

Further information about our waiting times, for both areas, can be found here:  (www.cambscommunityservices.nhs.uk/beds-luton-community-paediatrics 

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