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Changes to School Nursing Service

Changes to School Nursing Service

Changes to School Nursing Service

27 Apr 2017

Dear colleagues,

This briefing paper is to inform you of some recent changes that have been made to the Camden School Nursing service.

Camden is fortunate to have one of the most comprehensive and well-resourced school nursing services in London, provided by Central and North West London NHS Foundation Trust. The service is funded by Camden Council, and in the last few years, the service has benefited from significant new investment from Camden Clinical Commissioning Group (CCG), as well as extra investment from Camden Council to increase support on promoting healthy weight and healthy lifestyles.

Due to Camden CCG’s facing significant financial pressures, the CCG has made a decision to reduce their level of investment in the service from 2017/18. This means the overall school nursing budget has been reduced by approximately 20%.

The service remains well funded, especially when benchmarked with most other London boroughs, and as you will see below, most of the core offer to schools will remain the same. The School Nursing Service remains one of Camden Council’s key universal preventative services to promote the health and wellbeing of children aged 5-19.

A revised service offer to schools will be put in place from the Summer Term in April 2017, with further changes taking effect in Term 1 in September 2017.

The details of the new Camden School Nursing offer are as follows:

Core offer

The following School Nursing core offer to schools will remain the same:

  1. The service will provide universal screening programmes such as the School Entry Health Review, Vision and Hearing Screening at reception, and National Childhood Measurement Programme (NCMP) for children in reception and year 6.

  2. The Camden Healthy Lifestyles Service, which provides follow up and individual support to all children who have been identified to be overweight or obese through the National Child Measuring Programmes, will continue as present.

  3. Delivery of the school-aged immunisation programme will continue. This includes Flu for years 1 – 3, HPV vaccine for year 8 girls and the 3-in-1 Teenage Booster (tetanus, diphtheria and polio) with Meningitis ACWY for all young people in year 10. We strongly encourage schools to engage with the service in the planning and delivery of immunisation sessions in order to ensure that agreed sessions are utilised to their maximum effectiveness.

  4. The school nurses’ clinical support for children with complex medical needs and special educational needs including contribution to, or management of individual care plans will continue. However, we would like to ask schools to please be mindful that this element of the service may be delivered by more than one nurse and that the duty desk can more easily respond to questions from individual schools or parents.

  5. Each school will continue to have a named school nurse, and some schools will be allocated a new member of staff, details will be circulated at the start of the Summary Term 2016/17. In order to manage the needs of young people across the whole Camden caseload; however, please note that face to face services may be provided by staff other than the school’s named nurse.

  6. The service will continue to provide a School Nurse Duty Desk, which is open Monday to Friday, 9.00 a.m. – 5.00 p.m. and is operational during term time and school holidays. The contact details for the duty desk are:

    Telephone: 0203 317 2304

    Email: camdenschoolnurses@nhs.net

    Callers will be able to speak directly to a nurse if needed and duty desk staff will have access to the clinical records of all young people known to the service. We strongly advise that schools start to utilise the duty desk as a single point of contact for the School Nursing Service from now.

  7. School nurses will continue to attend all initial Child Protection Conference meetings, and will attend subsequent conference meetings when there is a health need identified.

    What has changed?

  8. From April 2017, the provision of health promotion support to schools on mental health and wellbeing, oral health, alcohol and SRE to individual schools will be significantly reduced. School Nurses will share current teaching resources for health promotion and session plans for delivery by schools, but will not be able to provide a bespoke offer of training and support to each school on these topics. Camden Council commissions other services which could provide some support to schools in these areas and commissioners will be looking to see how we can best utilise the wider service offer to make sure there is still support for schools. This will include continuing to provide mental health support with sessions for parents, pupil workshops and staff INSET. Camden’s Health and Wellbeing Team can also provide support to schools on mental health, alcohol education and SRE.

From Term 1 September 2017, instead of providing individual schools with update training on health conditions such as anaphylaxis, asthma, diabetes, epilepsy, etc. the service is proposing to run a series of joint updates and workshops o at Health Centre sites open to all schools. The dates for the workshops will be publicised to schools

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