Tn Policy audit form

Mcdonjez

Description

AUDIT OF TRANSITION POLICY AND PROCEDURES FOR THE TRANSFER OF YOUNG PEOPLE FROM PAEDIATRIC TO ADULT CARE The BCH Transition Policy is currently due to be/being developed in each specialty as recommended in the Children’s NSF with submission of final drafts requested by November 2004. To evaluate the policy, an audit at baseline and at least 12 months post implementation is required by each specialty. Data collected will assist in future service planning for transitional care. DATE OF AUDIT: __________________________________________________ NAME OF SPECIALTY/AREA: _______________________________________ NAME OF CONTACT PERSON: ______________________________________ (with contact details) I. STRATEGIC DEVELOPMENT OF TRANSITIONAL CARE YES NO DETAILS 1. Has a lead person been identified to develop transitional care in your specialty? (if yes, give details) 2. Has transitional care been incorporated into business case planning for the if yes, please give details)specialty? ( 3. Has transitional care been incorporated into discussions with commissioners? if yes, include documentary evidence) 4. Is ongoing care of 16+ year olds Always discussed with the clinical director? (please circle) Sometimes Rarely 5.Is there a local policy for 16+ year olds in your specialty? IF NO, GO TO Q7 6. Has this local policy for 16+ year olds been approved by the Senior management Forum ? (if yes, give month ...

Informations

• Publié par: Movong
• Nombre de lectures: 27
• Langue: English

Extrait

AUDIT OF TRANSITION POLICY AND PROCEDURES FOR THE TRANSFER OF YOUNG PEOPLE FROM PAEDIATRIC TO ADULT CARE The BCH Transition Policy is currently due to be/being developed in each specialty as recommended in the Children’s NSF with submission of final drafts requested by November 2004. To evaluate the policy, an audit at baseline and at least 12 months post implementation is required by each specialty. Data collected will assist in future service planning for transitional care. DATE OF AUDIT: __________________________________________________ NAME OF SPECIALTY/AREA:_______________________________________ NAME OF CONTACT PERSON:______________________________________ (with contact details) I. STRATEGIC DEVELOPMENT OF TRANSITIONAL CARE  YES NO DETAILS 1. Has a lead person been identified to develop transitional care in your specialty? ( if yes, give details ) 2. Has transitional care been incorporated into business case planning for the specialty? ( if yes, please give details) 3. Has transitional care been incorporated into discussions with commissioners? if yes, include documentary evidence) 4. Is ongoing care of 16+ year olds Always discussed with the clinical director? (please circle) Sometimes Rarely 5.Is there a local policy for 16+ year olds in your specialty? IF NO, GO TO Q7 6. Has this local policy for 16+ year olds been approved by the Senior management Forum ? ( if yes, give month and year )

II. DEVELOPMENT OF A TRANSITION POLICY YES 7. Is there a written policy in your specialty? ( if yes, please enclose; if in preparation, please give details of current status ) IF NO, GO TO Q14 8 (a). Has the transition policy been discussed with: …Young people 8(b)…Parents 8 c)…Multidisciplinary team members 8(d)…Key adult providers 8(e)…Key specialties at BCH with whom you regularly share patients 8(f)…Primary care 8(g)…Social services 8(h)…Other (give details) 9. Has the transition policy been disseminated to: 9(a)…All team members 9(b)…Outpatients 9© …Relevant ward areas 9(d)…Key specialties at BCH 9(e)…Key adult providers 9(f) …other ( please give details ) 10. Does every new team member (medical Always and AHP) receive a copy of the transition policy?( please circle ) Sometimes Rarely 11. Is the transition policy included in induction packages available in your department? 12. Is there a regular annual review process of your transition policy? 13 (a) If yes, does this include: a review of local policies? 13 (b) If yes, does this include: A review of national policies?

NO

DETAILS

III. TRANSITIONAL CARE YES 14. Does your specialty have a dedicated clinic for adolescents and/or transition? IF NO, GO TO Q15 14 (a) If yes: is it a general adolescent clinic? 14(b)If YES, is it a specific transition clinic? 14(c ) If YES, when does it occur? (eg  weekly, quarterly etc) 14(d)If YES, what age range does it include  15. Is there a named coordinator of transitional care in your specialty? ( if yes, give details) 16. At what age does the first discussion of transition tend to occur in your specialty? 17. Is a key worker identified for each patient? If yes who is this usually? 18. At what age does transfer to care to the adolescent service (if available) occur in your specialty? 19 At what age does transfer to care to the adult service occur in your specialty?

NO

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DETAILS

III. TRANSITIONAL CARE continued 20(a) Who discusses transition with young people in your department? …consultant ( please circle)

20 (b)…registrar ( please circle)

20 c)…CNS ( please circle)

20 (d)…AHP (please circle)

21. Is transitional care coordinated for patients under multiple consultants at BCH? ( please circle ). If yes, by whom usually?

22. Have target adult services been identified for your specialty? (If yes, give details) 23. Are preparatory visits to the adult service arranged for patients prior to transfer in your specialty?

24. Are patients offered an overlap visit to BCH following transfer to adult service?

25. Are there clinics held jointly with adult providers? (If yes, give details) 26. Is there information about key adult services available in your clinics? (If yes, give details) 27. Is there any evaluation of transitional care in your specialty? (If yes, give details)

YES NO All patients Most patients Some patients All patients Most patients Some patients All patients Most patients Some patients All patients Most Some Always Sometimes Rarely

Always Sometimes Rarely Always Sometimes Rarely

DETAILS

IV. STRUCTURED TRANSITION PROGRAMMES  YES NO 28. Is there a structured transition programme in your specialty? 29. Please list transition programme elements available in your service (eg leaflets, preparatory visits etc) for:(a) young person 29. Please list transition programme elements available in your service (eg leaflets, preparatory visits etc) for: (b) parent/guardian 30. Is there an evaluation of the transitional programme? (If yes, give details) V.USE OF INDIVIDUALISED TRANSITION PLANS 31. Are transition plan proforma used in All patients your specialty? (If yes, which transition plan proforma is used in your specialty)  Most IF NO, GO TO Q 38 Some 31 (a) If yes, which transition plan proforma is used in your specialty: …Diseasespecific (nationally developed) 31 (b) Diseasespecific (locally developed) 31 c) RCN template 31 (d) Other ( please give details) 32 (a). Are these transition plans (or copies) kept in the medical notes? 32(b) Are these transition plans (or copies) kept in the nursing notes? 32 ©. Are these transition plans (or copies) kept in the therapy notes? 32 (d) Are these transition plans (or copies) kept elsewhere? If so, where!? 33. Do young people receive a copy of their Always transition plan? ( please circle) Sometimes Rarely 34. At what age are individualised transition   plans developed with adolescents in your specialty? 35. Is there a regular review process for individualised transition plans for adolescents? (If yes, give details) 36. Are individualised transition plans developed for parents? (If yes, give details  if no, how are parental issues addressed during transition?)

DETAILS

V.USE OF INDIVIDUALISED TRANSITION PLANS continued  YES NO 37(a) Are the following areas covered in your individualised transition plans: …Selfadvocacy (inc disease education) 37 (b)…independent health care behaviour 37 ©…sexual health 37 (d)…psychological support 37 (e)…education and vocation 37 (f)…health and lifestyle 37 (g)…independence in activities of daily living 37 (h) ..differences between paediatric and adult specialty care VI. SPECIFIC TRANSITIONAL CARE ISSUES Always 38. Are adolescents seen independently (ie without their parents) in your service? Sometimes IF NO, GO TO Q41 Rarely 39. At what age can young people be seen  independently (ie without their parents) in your service? 40 (a). Are independent visits documented All the time in the medical notes? (please circle)  Mostly Only by chance rarely 40 (b). Are independent visits documented All the time in the nursing notes? (please circle)  Mostly Only by Chance rarely 40 c). Are independent visits documented in All the time the therapy notes? (please circle)  Mostly Only by chance rarely 41. How are young people informed of their Verbal rights to be seen alone? (please circle)  Poster leaflet

DETAILS

VI. SPECIFIC TRANSITIONAL CARE ISSUES continued  YES NO 42. How is confidentiality for young people Verbal assured in your specialty? (please circle )  Poster leaflet VII. CONTINUITY OF CARE DURING TRANSITION All the time 43. Are patients seen by the same Mostly professional at consecutive op visits during the transition period? (please circle) by Only chance rarely 44. Can patients request to see a particular All the time professional in clinic? (please circle)  Mostly Only by chance rarely 45. Can patients request to see a All the time professional of a particular gender in clinic? ( please circle ) Mostly Only by chance rarely VIII. SELFMEDICATION SKILLS TRAINING 46. Is selfmedication actively encouraged during adolescence in your specialty?   47. If yes, at what age is selfmedication

introduced to patients in your specialty? 48. Which professionals are involved in introducing the concept of selfmedication to young people? (please give details) IF NO, GO TO Q 50 49.Is there a structured programme for teaching young people to selfmedicate? (If so, give details)

DETAILS

IX. INFORMATIONAL RESOURCES FOR YOUNG PEOPLE YES NO DETAILS 50. Is there a poster for the Child and family information centre in the Clinic area used by adolescents in your specialty? 51. Is there an identified person responsible for the update of adolescent informational resources? (If yes, give details) 52. Are specific age and developmentally appropriate informational resources available for adolescents in your service? (If yes, give details) IF NO, GO TO Q 54 53. If yes, where are these resources made available to adolescents in clinic? Eg bookshelf, handed out by health professionals? ( please give details ) X. ADMINISTRATIVE ISSUES 54 (a). Is the concept of transition included in: A general leaflet about your department/specialty 54(b). Is the concept of transition included in: A specific leaflet about transition 54 ©. Is the concept of transition included in other informational resources? If Yes, give details: 55 (a). Are transitional care details documented in medical notes? 56 (b). Are transitional care details documented in nursing notes? 56 © Are transitional care details documented in therapy notes? 57. Is there a transfer summary proforma available in your specialty? (If yes, please enclose) 58. Do young people receive a copy of this All patients summary?  Some IF NO, GO TO Q 60 Few 59(a). If young people receive a copy of the transfer summary is it the same version as received by the GP? (if NO, give details)

X. ADMINISTRATIVE ISSUES continued  YES NO DETAILS 60. Do adolescent patients receive copy Every time clinic letters? Mostly Rarely 61. Do parents of adolescent patients Every time receive copy clinic letters?  Mostly  Rarely IF NO, GO TO Q 63 62. If yes, how is the prior consent of the young person obtained for this? ( please give details ) 63. Do young people receive clinic letters Every time specifically written for them rather than copies? Mostly Rarely Proposed date of next audit of policy in your specialty: THANK YOU ++ FOR YOUR COOPERATION WITH THIS AUDIT PLEASE FORWARD (i) Completed audit form (ii) Copy of transition policy (iii) Results of case note audit if available (iv) And other accompanying documents (v) TO: Dr Janet McDonagh Chair of BCH Adolescent Strategic Working Party Institute of Child Health Results of the audit across the hospital will be sent to you in due course JMcD150404