Transcript Role of Community Paediatricians

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
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Child health
Physical
 Behavioural
 Emotional
 Social
 Educational
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Why Community Paediatrician?
Right person
 Right place
 Right time
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Primary
Secondary
Tertiary
Four main domains
Neurodisability including palliative care
 Neurobehavioral
 Social –Safeguarding and children in care
 Prevention –Health promotion including
immunisation
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Community Paediatrician
Secondary care service
 Different settings
 Children (0-18 years)
 Contribute to the multidisciplinary service
 Multiagency working
 Prevention role
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Other services involved
Aim to provide seamless integrated care
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Acute paediatricians
Neurology
Genetics
ENT and Ophthalmology
CAMHS
School nursing
Health visitor
GP
Therapists
Other agencies
Education Authority
 Social care
 Police
 Court
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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
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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
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Continued..
School nurse
 Teachers
 Educational psychologist
 Social care -Children's disability team
 ?Respite
 ?Neurologist
 ?Geneticist
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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
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Any questions?