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dc.contributor.authorKyle, Richard Gen_UK
dc.contributor.authorBanks, Micheleen_UK
dc.contributor.authorKirk, Susanen_UK
dc.contributor.authorPowell, Peteren_UK
dc.contributor.authorCallery, Peteren_UK
dc.description.abstractBackground: 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.en_UK
dc.publisherBioMed Centralen_UK
dc.relationKyle 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).
dc.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 (, 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:
dc.titleAvoiding inappropriate paediatric admission: facilitating general practitioner referral to community children's nursing teamsen_UK
dc.typeJournal Articleen_UK
dc.citation.jtitleBMC Family Practiceen_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationHealth Sciences Health - Highland - LEGACYen_UK
dc.contributor.affiliationUniversity of Manchesteren_UK
dc.contributor.affiliationUniversity of Manchesteren_UK
dc.contributor.affiliationWest Suffolk Hospital NHS Trusten_UK
dc.contributor.affiliationUniversity of Manchesteren_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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