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.

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 appointment is 18 weeks.
  •  Average wait to assessment - currently 39 weeks.
  •  Over 300 Autism assessments (BOSA) were delivered during August/September 2021.
  • High risk medication reviews are prioritised.

What is the cause of the delay?

  •  Appointments that take place over video/ telephone consultations, but require a face to face physical examination afterwards and has increased clinic time.
  • Some assessments require a face to face appointment after virtual consultation (dependent on clinical need).
  • A 63% increase in accepted referrals between June and August 2021 on the previous year.
  • Infection control measures increase the time between appointments: ie Personal Protective Equipment (PPE) and additional cleaning measures.
  • National and local shortage of Community Paediatricians.
  • Long term sickness of a Consultant Paediatrician has impacted on appointments.

What is the Service doing to help?

  • We have recruited a new part time Clinical Lead, Speciality Doctor, three Clinical Nurse Specialists and a Speech and Language Therapist.  We are also recruiting for interim medical post locum cover.
  • A Nurse is on call daily for parents/carers to access support for children under 5 who are already on our caseload or who are waiting for an appointment. A SEN Facilitator contacts families and offers support for children under 5 years old on the waiting list.
  • Specialist Nurses, Speech & Language Therapists and Clinical Psychologists facilitate ADHD medication reviews (non-complex) and diagnostic outcome appointments.
  • A pilot for the self-monitoring of blood pressure and pulse as part of ADHD management at home continues - 30 families have now been recruited.
  • A neurodiversity Diagnosis Support Pack (DSP) has been co-produced with families - see link below.
  • The service meets monthly with Parent Carer Forums to listen to feedback and share updates.
  •  Both Luton & Central Beds Local Authority Early Years SEN (Special Educational Needs) team now participate in triage of referrals.

Where can I go for help in the meantime?

  • Diagnosis Support Pack This pack includes information on Child and Adolescent Mental Health Services (CAMHS) and Holistic Advice.
  • PDRP Resources Section includes details of the Local Offer and Parent Carer Forum details available in your area. 
  • BOSA resources including a video have been developed or visit your Local Offer webpages.

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 34 weeks.
  • Over 300 Autism assessments (BOSA) were delivered during August/September 2021.
  • High risk medication reviews are prioritised.

What is the cause of the delay?

  • Appointments that take place over video/ telephone consultations, but require a face to face physical examination afterwards has increased clinic time.
  • Some assessments require a face to face appointment after virtual consultation (dependent on clinical need).
  • A 60% increase in accepted referrals between June and August 2021 on the previous year.
  • Infection control measures increase the time between appointments: ie Personal Protective Equipment (PPE) and additional cleaning measures.
  • National and local shortage of Community Paediatricians.
  • Long term sickness of a Consultant Paediatrician has impacted on appointments.

What is the Service doing to help?

  • We have recruited 3 locum Paediatricians,  a new Clinical Lead and three Specialist Nurses.
  • A Speech and Language therapist is also being recruited.
  • A daily advice line is in place (Monday to Friday).  See details for how to contact below.
  • Saturday clinics have been introduced to increase capacity and information about wait time has been added to letters and community resources.
  • Autism assessments (BOSA) continue to be delivered.
  • Specialist Nurses, Speech & Language Therapists and Clinical Psychologists facilitate ADHD medication reviews (non-complex) and diagnostic outcome appointments.
  • A pilot for the self-monitoring of blood pressure and pulse as part of ADHD management at home continues - 30 families have now been recruited.
  • A neurodiversity Diagnosis Support Pack (DSP) has been co-produced with families - see link below.
  • The service meets monthly with Parent Carer Forums to listen to feedback and share updates.
  • Both Luton & Central Beds Local Authority Early Years SEN (Special Educational Needs) Team now participate in triage of referrals

Where can I go for help in the meantime?

  • Diagnosis Support Pack This pack includes information on Child and Adolescent Mental Health Services (CAMHS) and Holistic Advice.
  • PDRP Resources Section includes details of the Local Offer and Parent Carer Forum details available in your area. 
  • BOSA resources including a video have been developed or visit your Local Offer webpages.
  • For advice and support our nurse led daily advice line on 01234 310271,is available from 09.30-11.30am Mon –Fri.

 

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

A COVID-19 phase 4 recovery plan (1st April 21 onwards) is in place and reviewed weekly, alongside a Quality Impact assessment.

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"Seen very quickly. The nurse was very understanding, approachable and empathetic"  - Luton community paediatrics