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dc.contributor.authorCallery, Peteren_UK
dc.contributor.authorKyle, Richard Gen_UK
dc.contributor.authorWeatherly, Helenen_UK
dc.contributor.authorBanks, Micheleen_UK
dc.contributor.authorEwing, Carolen_UK
dc.contributor.authorPowell, Peteren_UK
dc.contributor.authorKirk, Susanen_UK
dc.description.abstractObjective: To compare children's pathways to and through Community Children's Nursing Team (CCNT) care, and NHS costs, before and after relocation of inpatient services and extension of a paediatric Emergency Department and Observation and Assessment Unit (ED/OAU). Design: Case study. Routinely collected data on activity and staffing were provided by the CCNT. Parents completed questionnaires about their child's use of healthcare services and satisfaction with care preservice reconfiguration (n=221) or postreconfiguration (n=210). The cost of service use was compared prereconfiguration and postreconfiguration. Patients: Children referred to CCNT care. Main outcome measures: Healthcare service use and associated costs, satisfaction with CCNT care. Results: The mean number of services used before referral to the CCNT reduced from 2.8 to 1.6, and the proportion using only one service increased from 26% (n=58) to 61% (n=128). Inpatient admission during CCNT care reduced from 6% (n=13) to 2% (n=4), and ED attendance from 37% (n=79) to 16% (n=31). There was a considerable fall (25%) in the cost of CCNT care, and a sharp fall (55%) in the average overall NHS cost of care. CCNT care was rated ‘excellent' or ‘very good' by 85% of respondents both prereconfiguration and postreconfiguration. Conclusions: A CCNT provided an alternative to hospitalisation when acute general paediatric services were reconfigured to substitute for a relocated hospital. Children's pathways to CCNT care were shortened. The average cost of CCNT care and overall NHS cost were lower following reconfiguration. Satisfaction remained high throughout.en_UK
dc.publisherBMJ Publishing Groupen_UK
dc.relationCallery P, Kyle RG, Weatherly H, Banks M, Ewing C, Powell P & Kirk S (2014) Substituting community children’s nursing services for in-patient care: a case study of costs and effects. Emergency Medicine Journal, 31 (e1), pp. e55-e59.
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.titleSubstituting community children’s nursing services for in-patient care: a case study of costs and effectsen_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[15 Callery et al (2013) EMJ.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.citation.jtitleEmergency Medicine Journalen_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationUniversity of Manchesteren_UK
dc.contributor.affiliationHealth Sciences Health - Highland - LEGACYen_UK
dc.contributor.affiliationUniversity of Yorken_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
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorCallery, Peter|en_UK
local.rioxx.authorKyle, Richard G|en_UK
local.rioxx.authorWeatherly, Helen|en_UK
local.rioxx.authorBanks, Michele|en_UK
local.rioxx.authorEwing, Carol|en_UK
local.rioxx.authorPowell, Peter|en_UK
local.rioxx.authorKirk, Susan|en_UK
local.rioxx.projectInternal Project|University of Stirling|
local.rioxx.filename15 Callery et al (2013) EMJ.pdfen_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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