Archived decisions

1. Respondent

Sue Smith

Julia Graham

Diana Heatly

1. Designation

Superintendent Paediatric Physiotherapist

Physiotherapy Team Leader

Superintendent IV Paediatric Physiotherapist

1. Organisation

Blackwater Valley and Hart PCT

North Hampshire Hospitals NHS Trust

Southampton City NHS PCT

2.1 a. Children's speech & language therapy services are managed by

Primary care trust

Acute Trust

Primary Care

2.1 b. Specify if other

2.2 Which PCTs commission S&LT services

Blackwater Valley and hart PCT, Guildford PCT & Waverley and surrey Health area working PCT

North Hampshire PCT

Southampton City, New Forest and Eastleigh, Test Valley South PCTs

3.1 Which education authority does your service cover

Hants and surrey

North Hampshire

Southampton and Hampshire

3.2 What is the child population 0-19 for your PCT area

???,000

57,000

Soton 49,312

NF 27,106

Eastleigh 15,803

TOTAL: 92,221

3.3 a) Qualified therapist staffing levels

13 (Not Hants only) 4 in virtual Hants team

8.3

8.3

b) Assistant staffing levels

2.53 (1 Virtual Hants team)

Shared Post (2 Days)

0.5

c) Qualified therapists (fixed funding)

0

0

d) Admin support adequate

No

Yes

No

e) comments

Increased requests for reports has placed secretarial support under pressure

3.4 a) Qualified therapists vacancies

1.5

None

0

b) assistant vacancies

8

None

0

c) Qualified therapists (fixed funding) vacancies

None

0

d) comments

0.5 is Vacant Head of Service Post

3.5 Where is the service delivered

See Below

See Below

See Below

3.6 How is the level of service to these localities delivered

See Below

See Below

See Below

3.5 Comments

Treatment level calculated from matrix devised internally

3.7 a. Groups of children you are not able to provide a service to

Children with emotional and behavioural disorders, Neonates

Children with dysphagia, Neonates, Children over 16 years of age

3.7 b. Comments

EBD not requested

All children referred to service will be assessed and treated according

No funded service for children with arthritis, or HIV, or Obesity. Largely Inpatient service provision. Limited outpatient availability for respiratory outpatients

3.8 a. Training to which education staff in last 2 years

SENcos, Learning Support Assistants

SENcos, Learning Support Assistants; Treatment of children with CF, Individual training, moving and handling training

Learning Support Assistants

3.8 b. Comments

Postural management, DCD, Programmes for individual children

Physiotherapy programmes, Manual handling related therapy programmes

4.1 Do you have written criteria for entry to your service

Yes

Yes

Yes

5.1 a)waiting times for assessment of urgent referral

Urgent 0-4 weeks

Routine 6-9 months

Urgent 0-4 weeks

Routine 6-12 weeks

Urgent 0-4 Weeks

Routine 1-2 Years

5.2 following assessment is there a waiting time for treatment

No

No

No

6.1 a)Successful funding bid in last 2 years

No

Health Authority permanent 10 w/c/s

b) comments

Funding promised via PEC but offer withdrawn due to overspend

Joint venture with PCT ( Wheelchair service)

None in physiotherapy

7 Barriers impacting service delivery

Resources for developing service to monitor low birth weight babies, Delay in building Aldershot centre for health which will house Children's services

Lack of treatment space in locality areas. Lack of IT support. Lack of knowledge base of LSAs Working with children who have disabilities - no formulised training

No increase in funding for three years for equipment, no further funding for physiotherapy provision to match need, No extra funding to follow from education or health, inequity of service delivery between PCTs for hosted services, Increasing need for support for children with respiratory difficulties

8 Any other comments

Inclusion has meant resources have to be spread over more schools and to liaise with more SENcos, LSA and Head teachers compete for treatment space at each site. This dilution to resources, Advising on the structural changes diverts resources from therapy. Funding for equipment for hants children is limited , compared to Surrey. Funding from health has been tortuous. Surrey has a fully funded ICES

3.5 Where is the service delivered

3.6 How is the level of service to these localities allocated

Service Level Agreement

Individual Clients/ Client groups, with special needs

Rationalised through use of clinical priorities

Historical levels of service

Acute Hospital

2, 3

3

2, 3

2, 3

3

Regional Centre

1, 3

3

3

1, 3

1, 3

Out patient Clinics

1, 2, 3

3

2, 3

1, 2, 3

3

Child Development Centre

1, 3

1, 3

1

General Practices

Early Years Centres

2, 3

2

2, 3

Play Groups/ Nurseries

1, 2, 3

2

1, 2, 3

Sure Start

Education Action Zones

Health Action Zones

Specialist pre-school units

1, 2, 3

2

1, 2, 3

Special Schools

1, 2, 3

2

1, 2, 3

Mainstream Schools

1, 2,

2

1, 2, 3

Mainstream Specialist unit

2, 3

2

2, 3

Respite Facility

2, 3

2

2, 3

Patient's Home

1, 2, 3

2

1, 2, 3

Other