Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/11969
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Avoiding inappropriate paediatric admission: facilitating general practitioner referral to community children's nursing teams
Authors: Kyle, Richard G
Banks, Michele
Kirk, Susan
Powell, Peter
Callery, Peter
Contact Email: richard.kyle@stir.ac.uk
Issue Date: Jan-2013
Publisher: BioMed Central
Citation: Kyle RG, Banks M, Kirk S, Powell P & Callery P (2013) Avoiding inappropriate paediatric admission: facilitating general practitioner referral to community children's nursing teams, BMC Family Practice, 14 (4).
Abstract: Background: Children's emergency admissions in England are increasing. Community Children's Nursing Teams (CCNTs) have developed services to manage acutely ill children at home to reduce demand for unscheduled care. Referral between General Practitioners (GPs) and CCNTs may reduce avoidable admissions and minimise the psychosocial and financial impact of hospitalisation on children, families and the NHS. However, facilitators of GP referral to CCNTs are not known. The aim of this study was to identify facilitators of GP referral to CCNTs. Methods: Semi-structured interviews with 39 health professionals were conducted between June 2009 and February 2010 in three Primary Care Trusts served by CCNTs in North West England. Interviewees included GPs, Community Children's Nurses (CCNs), consultant paediatricians, commissioners, and service managers. Qualitative data were analysed thematically using the Framework approach in NVivo 8. Results: Five facilitators were identified: 1) CCN/CCNT visibility; 2) clear clinical governance procedures; 3) financial and organisational investment in the role of CCNTs in acute care pathways; 4) access and out of hours availability; 5) facilitative financial frameworks. Conclusion: GPs required confidence in CCNs' competence to safely manage acutely ill children at home and secure rapid referral if a child's condition deteriorated. Incremental approaches to developing GP referral to CCNTs underpinned by clear clinical governance protocols are likely to be most effective in building GP confidence and avoiding inappropriate admission.
Type: Journal Article
URI: http://hdl.handle.net/1893/11969
DOI Link: http://dx.doi.org/10.1186/1471-2296-14-4
Rights: © 2013 Kyle et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The electronic version of this article is the complete one and can be found online at: http://www.biomedcentral.com/1471-2296/14/4
Affiliation: HS Health - Highland
University of Manchester
University of Manchester
West Suffolk Hospital
University of Manchester

Files in This Item:
File Description SizeFormat 
Kyle et al (2013) BMC Family Practice.pdf201.8 kBAdobe PDFView/Open


This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.