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Improvements                                           • Trust strategy to have an LD trained nurse on every
                                                                ward. Further recruitment planned
        • Continued long term secondment agreement (5
          years) for the Consultant LD nurse post              • Continued development of LD/ASC steering group
                                                                and parent/ child reference groups
        • Formation of LD/ASC liaison team which will include
          - Full time LD liaison nurse                         • Development of Alder Hey information pack for
          - Part-time play specialist                           children and families with LD/ASC in conjunction with
          - Part-time admin support                             Liverpool network
          - Part-time LD nurse contribution (across site,
                                                               • Continued roll out of hospital passport, a one page
           released from clinical areas) to team
                                                                profile, communication passport
        • 4 LD nurse appointments within the Trust across
                                                               • Continued attendance and benchmarking across
          clinical areas
                                                                Liverpool acute network and nationally re best
        • Established Learning Disability and Autistic Spectrum   practice
          Condition Steering Group
                                                               • Further implementation of risk assessment and
        • Established parent and child reference groups         reasonable adjustment tools across the Trust
          to support steering group and trust consultation
                                                               • Continued rolling programme of training across all
          (Millstead, Bank View and Redbridge schools)
                                                                clinical areas - bespoke training planned for clinical
        • Established partnerships with voluntary and           areas where requested
          independent sector organisations e.g. Contact a
                                                               • Implementation of toy library proposals - across site
          Family, Autism Together
                                                                access to sensory and specialist toys for all children
        • Ongoing participation in CCG hosted Liverpool Acute   with LD and additional sensory needs
          Liaison Network
                                                               • Continue development of LD champions and
        • Mandatory training LD awareness e-learning pack       resources
          rolled out
                                                               • Continue to support clinical areas in the development
        • Ongoing training – e.g. Learning disability and ASC   of specific pathways for children with LD/ASC
          awareness via induction training for all volunteers and
                                                               • Improve external communication with families e.g.
          nurses that is the pan-Liverpool LD health training
                                                                through electronic/media etc.
          pack (used in all acute sites in Liverpool – developed
          with Liverpool Mencap as part of the Liverpool Acute   • Develop further the use and availability of
          Liaison Network)                                      communication tools across areas to increase staff
                                                                awareness.
        • Ongoing risk assessment/ mental health first aid and
          Positive Behaviour Support (PBS) training across the   • Continued identification of research streams and
          trust (rolling programme available to all areas)      dissemination of best practice across professional
                                                                networks e.g. LD Consultant Nurse Network ,
        • Ongoing autism awareness training for all staff
                                                                Learning Disability Research Network.
          provided by Autism Together
                                                               3.3.13 Nurse Staffing
        • Developed LD indicator for easy LD identification on
          Meditech (Trust wide computer system)
        • Developed ‘LD champions’ training and new
          champions identified                                  Aims:
        • Developed LD resource pack and pilot in clinical      • To have zero nursing vacancies.
          areas - including pathways                            • To sustain a Nurse Pool to cover maternity leave
        • Pilot of hospital passport/ risk assessment and         and long term sick cover and fill ward/department
          reasonable adjustment tools as per Liverpool acute      vacancies.
          liaison Network strategy                              • To have a proactive recruitment campaign.
        • Developed academic and practice links across Edge     • To have a nursing workforce who have the right
          Hill University and Alder Hey children’s hospital to    skills and receive the right training for the job.
          support student journey/experiences and ultimately
          recruitment for the Trust.
                                                               Changes or deficiencies in the nursing workforce can
        Future Plans                                           have a detrimental impact on the quality of care. Patient
                                                               outcomes, and particularly safety, are improved when
        • Continued development of the five day acute liaison   organisations have the right people, with the right skills,
          service across site (LD nurse workload model and     in the right place at the right time.
          supervision)


        Alder Hey Children’s NHS Foundation Trust          141                          Annual Report & Accounts 2017/18
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