hub and spoke placement categories and

HUB AND SPOKE PLACEMENT CATEGORIES AND EXAMPLES

ADULT NURSING Hub Placement Category

Placement Allocation Examples

Placement Spoke Category examples (please note that some of these are also used as Hub placements)

Medicine Specialist and general medical wards

Specialist nurse in diabetes, haematology outpatients, head and neck cancer nurses, infection prevention and control, neuro/oncology specialist nurses, palliative specialist nurses, peritoneal dialysis nurses, discharge management team

Surgery Specialist and general surgical wards

Colorectal specialist nurse, infection prevention control, gynae specialist nurses, gynae cancer nurse, spinal injuries outreach nurse, upper GI cancer nurses, palliative specialist nurses, falls and osteoporosis services, endoscopy, gastroenterology nurses, vascular specialist nurses, pre-assessment, pain management service

Critical Care Adult Intensive care units, generic high dependency units, trauma units

Critical care outreach team, Theatres

Care Closer to Home

Community hospitals, nursing homes, GP practices and primary care networks, hospices, outpatients departments, minor injuries and walk-in centres

FAST response team, intermediate care, spinal injuries outreach, tissue viability specialist nurses, neurology specialist nurses, heart failure specialist nurses, continence services

Care in the Home Community Matrons, Community Nurses, District Nurses, Rapid Response Teams

Community heart failure specialist nurse, specialist community palliative care teams and McMillan nurses, stoma care advisory service, community respiratory service, nursing homes (although this has been categorised as care closer to home to differentiate from district nurse placements)

PREFERRED OPTIONS (ADULT)

Placement Category

Category Definition Placement Allocation Examples

Cardio/Respiratory

Caring for People with Cardiovascular and/or Respiratory Health and Nursing Care Needs

Oxygen service, angiography, specialist cardiac nurses, cardiac rhythm management nurses, cardiac catheter labs, respiratory services, heart failure nurses, acute cardiac care, COPD nurses,

Challenging Behaviour

Working with people who have challenging behaviour

Specialist schools, 24 hour care, integrated community teams, independent hospital care, LD community teams, assessment and treatment services

Dermatology / Tissue Viability

Caring for People Receiving Care within Dermatology and/or Tissue Viability Health Care and Nursing Care Services

Specialist skin services, tissue viability services, dermatology OPD, dressing clinics

Eating Disorders Inpatient or community based, working with people with disordered eating

Specialist teams, CAMHS, specialist inpatient units

Endocrinology

Caring for People Receiving Care within Endocrinology Services (includes Diabetes Services)

Diabetes centres, rapid assessment units, infectious disease units

Health Improvement Health Improvement

Clinical research units and nurses, cross speciality nurses, organisational development, patient safety nurses, smoking cessation

Integrated Care Integrated Care Specialist integrated teams, supported living units

National/International Placement


Prison Healthcare

Caring for people with long term conditions and drug, alcohol and substance misuse

HMP prison healthcare teams

Neurological Caring for People with Neurological Health and Nursing Care Needs

Inpatient pain team, neuro-oncology specialist nurses, acute pain team, stroke units, neurology units

Reproductive Medicine / Sexual Health

Caring for People accessing Reproductive Medicine and/or Sexual Health Care Services

Reproductive medicine units and services, sexual health services

Pharmacy

Understanding the role of pharmacy within self-care, minor ailments, medicine management, health promotion advice sign posting

Pharmacy 365, whitworth chemist

Urological / Renal

Caring for People with Urological and/or Renal Health and Nursing Care Needs

Dialysis units, peritoneal dialysis nurse, renal units, continence advisory services

Women's Health Women's Health Care Services

Diagnostic gynaecology and colposcopy services, gynae outpatient departments, gynae surgical wards

Paramedic Placement

Paramedic Placement (this is an observational placement)

North East Ambulance Service and Yorkshire Ambulance Service

CHILDRENS NURSING Hub Placement Category



Fundamental Paediatric Wards

Children’s Wards and SCBU

Emotional and mental wellbeing, early help, early interventions, youth offenders, Bernardo’s, NSPCC, speech and language therapy, specialist schools, nutritional nurses

Fundamental Care Closer to Home

Health visitors, school nurses, looked after children’s services, youth provision, pupil referral units, early years care, local authority children’s services

GP, looked after children’s services, youth provision, pupil referral units, early years care, local authority children’s services, children’s continuing care, walk-in centres

Enhanced Paediatric Wards

A&E, paediatric day unit, neonatal unit, paediatric intensive care unit, paediatric day surgery unit, paediatric high dependency unit

Theatres, specialist nurses

Enhanced Care Closer to Home

Community children’s nurse outreach team, community children’s nurses complex needs, hospices, respite care, specialist school nurses, urgent care, specialist children’s nurses, outreach children’s nurses,

Community children’s nurse outreach team, community children’s nurses complex needs, hospices, respite care, specialist school nurses, urgent care, specialist children’s nurses, outreach children’s nurses,

PREFERRED OPTIONS (CHILD)

Placement Category





Children & Young People

Caring for Children and Young People in Hospital and/or Community Health and Nursing Care Services

Health visiting services, children’s complex needs teams, epilepsy nurses, community children’s nurses, hospices, paediatric outpatients, school nurses

Children's Community Services/Specialist Nurses

Working with children who have long-term conditions or complex health needs

Children’s community home care nurses, children’s community school setting nurses, community children’s nurses

Children's Hospices Providing respite services for children with life limiting conditions

Zoes Place, Butterwick Children’s Hospice





Health Visiting Health Visiting Health visiting teams

Hospital Outpatients

Hospital Outpatients Departments (South Tees Hospitals NHS Trust, CDDFT NHS Trust, North Tees & Hartlepool NHS Trust)

Specialist outpatient departments, medical outpatient departments, surgical outpatients, discharge management teams, ambulatory care

Infection, Prevention & Control

Infection, Prevention and Control Nursing Services

Trust infection, prevention and control teams

Integrated Care Integrated Care Specialist integrated teams, supported living units

LD & Complex Needs (Physical Disabilities)

Working with people who have Learning Disabilities and Complex Needs (Physical Disabilities)

Supported living, enhanced community services, complex needs day services, integrated teams

LD CAMHS Learning Disability CAMHS LD children, adolescent mental health teams

MH CAMHS Mental Health CAMHS Child, adolescent, mental health teams



Paediatric Critical Care

Paediatric Critical Care Special care baby units,, paediatric intensive care units, paediatric A&Es, neonatal units

Paediatric Day Units Paediatric Day Units Day units, surgical and medical

Palliative Care Caring for People Receiving Palliative Care

Hospices, Marie Curie, specialist palliative care teams

Paramedic Placement


Perioperative Care

Caring for People Receiving Perioperative Care (including Operating Theatres and/or Endoscopy Units)

Endoscopy, theatres, post- operative SDU, surgical admissions units, pre-assessment units, lead practitioners, bariatric nurse, bowel screening

Respite Care Working with people who require respite care

Health facilitation teams, supported living, nursing homes, hospital units

School Nursing School Nursing School nursing teams

Substance Misuse Substance Misuse Specialist support teams

Urgent Care Centres Urgent Care Centres A&E departments, urgent care centres

LEARNING DISABILITIES NURSING Hub Placement Category



Inpatient LD Trust inpatient treatment and assessment units, independent residential and private hospitals, NHS respite short break services - Adult and Child

Day centres, day units, care homes, adult and child acute medical wards, social services, residential placements, independent sector LD services

Care closer to home LD

Community LD teams, integrated LD teams, CAMHS and autism services, specialist schools, independent sector community services, health facilitation teams

Private, voluntary, charitable services, NSPCC, day services and centres, specialist schools, school nurses, speech and language services, dietitians, respiratory nurses, diabetes services, colorectal nurses, outpatients, health facilitation teams, GPs, psychologists, LD specialist nurses

Enhanced LD Forensic inpatient and community services, prisons, secure outreach teams, community forensic teams, specialist support teams, PIPS, specialist tertiary services, Profound and multiple LD services

Secure outreach, specialist schools, referral units, liaison psychiatric services, specialist LD and autism nurses and teams

PREFERRED OPTIONS (LD)

Placement Category


Access

A primary service, working with people and assessing their need for further services, or not

Specialist access teams, access and short term intervention teams

Affective Disorders

Working with people who may be experiencing diverse conditions, such as bipolar affective disorder and personality disorder

Specialist affective disorders teams, community mental health teams

CAMHS/ED CAMHS or Eating Disorder Teams

Specialist CAMHS teams, specialist eating disorder teams, specialist centres, specialist children and young people services

Cardio/Respiratory

Caring for People with Cardiovascular and/or Respiratory Health and Nursing Care Needs

Oxygen service, angiography, specialist cardiac nurses, cardiac rhythm management nurses, cardiac catheter labs, respiratory services, heart failure nurses, acute cardiac care, COPD nurses,







Children's Community Services/Specialist Nurses

Working with children who have long-term conditions or complex health needs

Children’s community home care nurses, children’s community school setting nurses, community children’s nurses

Children's Hospices Providing respite services for children with life limiting conditions

Specialist hospices caring for children

Colorectal / GI Caring for People with Colorectal and/or GI Health and Nursing Care Needs

Medical nurse specialist, stoma advisory serfvice, colorectal specialist nurse, endoscopy departments, gastroenterology wards and services

Day Services Day services for people with Learning Disabilities

Specialist community teams, enablement centres, health facilitation teams, resource units



Elderly (LD) Working with older people with Learning Disabilities

Specialist nursing homes, specialist community teams, integrated care, health facilitation

Endocrinology

Caring for People Receiving Care within Endocrinology Services (includes Diabetes Services)

Diabetes centres, rapid assessment units, infectious disease units

Forensic Working with people with Learning Disabilities in Forensic environments

Specialist inpatient units

Health Visiting Health Visiting Health visiting teams

Integrated Care Integrated Care Day care services and units PMLD, community integrated care,

LD & Complex Needs (Physical Disabilities)

Working with people who have Learning Disabilities and Complex Needs (Physical Disabilities)

Supported living, enhanced community services, complex needs day services, integrated teams

LD & MH Working with people who have Learning Disabilities and Mental Health needs

Community teams, inpatient units in trust and independent sectors

LD CAMHS Learning Disability CAMHS Community and inpatient units, specialist schools,

LD Needs Working with People with Learning Disabilities

Trust inpatient units, community teams, supported living, enabling centres respite care trust and independent, residential care in the independent sector




Paramedic Placement








School Nursing School Nursing School nursing teams and specialist school nurses

Women's Health Women's Health Care Services

Diagnostic gynaecology and colposcopy services, gynae outpatient departments, gynae surgical wards

MENTAL HEALTH NURSING Hub Placement Category



Inpatient Mental Health

Trust inpatient, independent sector residential MH services Adult and Child

Medical/surgical wards, specialist community/crisis teams, personality and relational services, crisis assessment suits and psychiatry intensive care units.

Care Closer to Home mental health

Community MH teams, integrated MH teams, CAMHS, specialist services in schools, independent sector community services, health facilitation teams

Crisis teams, key stage 3 schools, community physical health services, LD services, charitable organisations such as MIND, Alzheimer’s society etc., improving access to psychological therapies

Enhanced Mental Health

Secure inpatient services, forensic outreach services, CAMHS, eating disorders inpatients, custody liaison diversion services, prisons

Forensic outreach service, liaison psychiatric services, specialist autism nurses, improving access to psychological therapies, eating disorders community services, custody nurses, crisis teams

Enhanced Care Closer to Home Mental health

Forensic outreach services, eating disorders community, improving access to psychological therapies, crisis teams

Crisis assessment suite, inpatient services, eating disorders inpatient units

PREFERRED OPTIONS (MH)

Placement Category








Crisis

A global team working for a time limited period with people experiencing a mental health period of crisis

CAMHS, specialist crisis resolution teams, home treatment teams



Forensic Working with people with Learning Disabilities in Forensic environments

Specialist inpatient units

Forensic MH Forensic Mental Health Trust specialist units and inpatient wards, Liaison & diversion teams, offender health teams



Health Visiting Health Visiting Health visiting services

Hospital Outpatients

Hospital Outpatients Departments (South Tees Hospitals NHS Trust, CDDFT NHS Trust, North Tees & Hartlepool NHS Trust)

Specialist outpatient departments, medical outpatient departments, surgical outpatients, discharge management teams, ambulatory care

Integrated Care Integrated Care Day care services and units, community integrated care,

LD & MH Working with people who have Learning Disabilities and Mental Health needs

Community teams, inpatient units in trust and independent sectors

Liaison Psychiatry

The liaison between general hospitals and mental health care services, such as assessing the needs of people in the emergency department following an episode of self-harm

Trust inpatient units, services and specialist nurses

MH CAMHS Mental Health CAMHS Specialist teams, children and young people services, eating disorders teams

MH Needs Caring for People with Mental Health Needs

Trust early intervention teams, intensive community liaison teams, access teams, affective disorders teams, psychosis teams, community mental health services for older people, independent care centres and nursing homes,



Neurological Caring for People with Neurological Health and Nursing Care Needs

Inpatient pain team, neuro-oncology specialist nurses, acute pain team, stroke units, neurology units

Older Persons Community Services

Working with older people with either an organic illness or a functional mental illness, including experiencing working in a memory clinic

Falls and osteoporosis services, care home liaison teams, community mental health teams for older people



Paramedic Placement



Psychosis

Working with people who have a diagnosis of psychosis, leading to them experiencing unshared perceptions, such as 'voices'

Early intervention teams, community psychosis teams, community mental health teams for adults, affective disorders






School Nursing School Nursing School nursing teams and specialist school nurses

Substance Misuse Substance Misuse Specialist support services

hub and spoke placement categories and

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