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Children’s Community Nursing

The Children’s Community Nursing Service provides nursing care and support to children and young people in Wiltshire who have life limiting and life threatening conditions from the ages of 0 – 18 years. We facilitate the promotion of health needs and the delivery of medical care and treatments for children with complex health needs.

How can we help?

We work in partnership with a range of other professionals to achieve the right outcomes for the children and young people who require our service.

We work with children and young people within their usual environment. By doing this, we are able to reduce the number of hospital stays/visits. This helps towards ensuring that the child or young person has access to the same care opportunities as those without additional needs.

We offer support to children and young people who require:

  • Co-ordination and monitoring of complex care and medical needs
  • Oxygen therapy and /or oxygen monitoring
  • Feeding management and support where needs include care of nasogastric and gastrostomy tubes
  • Cardiac anomalies
  • Palliative care

What conditions do we support?

Any child or young person who has a life limiting or life threatening condition who has a nursing need can be referred into the service. This is providing that the young person has been assessed as needing nurse intervention and support.

Conditions we support include:

Oxygen dependency

Which needs to continue in the home and community settings , nursery, school, respite services.

Enteral feeding

Nasogastric, gastrostomy, jejunostomy which needs to continue in the home and community setting.

Complex health care needs

For example; tracheostomy, home ventilation, cardiac anomolies and neuromuscular conditions

A child with complex care needs in preparation for discharge from hospital to home will need significant initial and ongoing nursing support from the CCN team.

Palliative care

The CCN team will liaise closely with all the professionals invoved in providing, medical, nursing, social, psychological support to enable a family to have quality time with their baby, child or young person receiving palliative care.

Oncology care

Salisbury Hospital provide shared care with the principal treatment centre at Southampton Hospital. The CCN role is to work closely with the named paediatrician at Salisbury Hospital to provide appropriate chemotherapy locally. The CCN team also monitor the patient’s health at home in between treatments with a minimum of weekly visits and/or telephone contact. The CCN role includes liaising between Sarum ward, the day assesment unit, the children’s outpatient department and Southampton Hospital to review the child’s progress.

Cystic Fibrosis

Salisbury Hospital provide shared care with the principle treatment centre at Southampton Hospital. The CCN role is to work closely with the named paediatrician at Salisbury Hospital to provide appropriate nursing and medical support locally. The CCN will provide support at home, nursery, school, in the outpatient and inpatient setting and liaise closely with the multi disciplinary team.

Who might my child see?

The Children’s Community Nursing teams are registered Children’s Nurses.

Your child may first meet a Community Nurse prior to discharge from a hospital setting, at home after referral to the service or in their school setting where nursing support and training has been requested.

How do I access the service?

To access the Children’s Community Nursing Service the young person will need to be registered with a Wiltshire GP.

Please complete the Request for support form and send to the Single Point of Access (SPA). See our SPA page for more information on sending a referral

After a referral has been accepted, a Children’s Community Nurse will make contact and an initial visit will be arranged at an appropriate location to determine the nursing care and support needed.

The nurse will then discuss the assessment process with you to formulate and agree a Health Care Plan.