Service Provision for Children and Young People with Complex Needs in a Community Setting from The Perspectives of Nursing and Allied Health Professionals

DescriptionThis report provides a picture of the key issues facing nurses and allied health professionals in the provision of services for children with complex needs across Scotland. It draws on data from four health board areas and links together information from workforce development plans, a survey practitioners and interviews with practitioners and managers.
ISBN978 0755975501
Official Print Publication DateJune 2009
Website Publication DateJune 08, 2009

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James Law, Dolly McCann, Fiona O'May, Cathy Smart, James Buchan, Queen Margaret University, Edinburgh
ISBN 978 0 7559 7550 1 (Web only publication)
This document is also available in pdf format (992k)

CONTENTS

ACKNOWLEDGEMENTS

GLOSSARY

EXECUTIVE SUMMARY

CHAPTER ONE: INTRODUCTION
STRUCTURE OF THE REPORT
BACKGROUND
AIM AND OBJECTIVES
WHO HAS COMPLEX NEEDS?
WHO WORKS WITH CHILDREN AND YOUNG PEOPLE WITH COMPLEX NEEDS IN THE COMMUNITY?
METHODOLOGY

CHAPTER TWO: THE SCOTTISH CONTEXT
INTRODUCTION
THE REVIEW OF THE LITERATURE
WORKFORCE PLANNING IN SCOTLAND
WORKFORCE TRENDS - NURSING STAFF
THE COMMUNITY NURSE
WORKFORCE TRENDS - ALLIED HEALTH PROFESSIONALS ( AHPS)
THE CASE STUDY SITES
SUMMARY

CHAPTER 3: INTEGRATION WITHIN AND BETWEEN SERVICES
INTRODUCTION
SERVICE OVERVIEW
PARTNERSHIP WORKING
WORKING WITH OTHER PROFESSIONALS
SKILL MIX
RECRUITMENT AND RETENTION ISSUES
RESOURCES
FUNDING
SUSTAINABILITY OF SERVICES
SERVICE ORGANISATION
MODELS OF SERVICE PROVISION
MODELS OF CARE
KEY POINTS

CHAPTER 4: SERVICE CAPACITY AND CAPABILITY
INTRODUCTION
WORKING WITH CHILDREN AND YOUNG PEOPLE WITH COMPLEX NEEDS
DEVELOPING AND MAINTAINING KNOWLEDGE AND SKILLS
EDUCATION, SKILLS AND COMPETENCIES
RECENT/FUTURE ROLE CHANGE
SUSTAINING AND DEVELOPING CLINICAL PRACTICE
EDUCATION AND TRAINING
STAFF CAPACITY
CURRENT WORKFORCE FACTORS
EDUCATION AND TRAINING OF CARERS AND OTHERS
IMPACT OF POLICIES
KEY POINTS

CHAPTER 5: EQUITY OF SERVICE PROVISION
INTRODUCTION
GAPS IN SERVICE PROVISION
PROVIDING SERVICES FOR MINORITY GROUPS
DISCHARGE PLANNING
RESPITE CARE
PALLIATIVE CARE
OUT OF HOURS SUPPORT
TRANSITIONS
KEY POINTS

CHAPTER 6: COMMUNICATION AND INFORMATION SHARING
INTRODUCTION
INFORMATION TRANSFER: OPPORTUNITIES AND CHALLENGES
COMMUNICATION
ADVOCACY
POLICIES
ADHERENCE TO CLINICAL GOVERNANCE
KEY POINTS

CHAPTER 7: SUMMARY AND MAIN FINDINGS
INTRODUCTION
INTEGRATION WITHIN AND BETWEEN SERVICES
SERVICE CAPACITY AND CAPABILITY
EQUITY OF SERVICE PROVISION
COMMUNICATION AND INFORMATION
LIMITATIONS TO THE INTERPRETATION OF THE REPORT FINDINGS
CONCLUSIONS

ANNEX 1: REVIEW OF THE LITERATURE
ANNEX 2: INTERVIEW SCHEDULE FOR TELEPHONE INTERVIEWS WITH MANAGERS
ANNEX 3: QUESTIONNAIRE SENT TO PRACTITIONERS
ANNEX 4: TOPIC GUIDE FOR FOCUS GROUPS

The views expressed in this report are those of the researcher and
do not necessarily represent those of the Department or Scottish Ministers.

This report is available on the Scottish Government Social Research website only
www.scotland.gov.uk/socialresearch.

Page updated: Friday, June 05, 2009