Introduction to Community Paediatrics

Dr.Renu Jainer

18/05/2012

Paediatrician

Has skills for assessing, diagnosing and treating a child.

Should be able to identify when a child is ill or well

Have good communication skills

Child health

Physical Behavioural Emotional Social Educational

Why Community Paediatrician?

Right person Right place Right time

Primary

Secondary

Tertiary

Four main domains

Neurodisability including palliative care Neurobehavioral Social –Safeguarding and children in care Prevention –Health promotion including

immunisation

Community Paediatrician

Secondary care service Different settings Children (0-18 years) Contribute to the multidisciplinary service Multiagency working Prevention role

Other services involvedAim to provide seamless integrated care

Acute paediatricians Neurology Genetics ENT and Ophthalmology CAMHS School nursing Health visitor GP Therapists

Other agencies

Education Authority Social care Police Court

Statutory requirement as bound by legislations Education act 1996 Special educational needs and disability

act 2001 Disability and Equality act 2010 Academy act 2010 Children's act 2004 Adoption and fostering act 2002

Case 1.

Neonatal encephalopathy

Cerebral palsy

Impaired vision

Dislocated hip

Epilepsy

Poor weight gain

Professionals involved

Neonatologist /GP Orthopaedic surgeon Ophthalmologist Physiotherapist Occupational therapist Speech and language therapist Dietician

Continued..

School nurse Teachers Educational psychologist Social care -Children's disability team ?Respite ?Neurologist ?Geneticist

Key role

Responsible for overall care Coordinates care with all professionals Represents health in multiagency

meetings and prepares report. Teaching and research Leads service development and

organisation

Any questions?