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Hospital Provision & Medical Outreach

PRH

 

Princess Royal Hospital Telford

Who do we teach?

Wards 19 and 20 are paediatric wards based at Princess Royal Hospital Telford (PRH) and are part of the Shrewsbury and Telford Hospital Trust (SATH).

Term-time educational provision is available from a dedicated TMBSS Specialist Teacher (0.5) and a Telford and Wrekin Specialist Teacher (0.2).

The school roll changes daily.

Ward 19:  is a 34-bed general paediatric ward for patients aged 0-16 years. Admissions are generally unplanned and can be short and long-term. Longer term patients may have complex medical conditions or be those awaiting transfer to a tier 4 mental health provision. Recurrent patients may have a planned admission for treatment.

Ward 20: is a 3 bed paediatric Oncology and Haematology unit. Patients on this ward have a cancer diagnosis or require haematology treatment, they are recurrent and have both planned and unplanned admissions.

Patients are generally registered with Shropshire, Telford and Wrekin or Powys schools and may attend mainstream and specialist provision or Elective Home Education

 

Where do we teach?

Ward 19 has a small schoolroom where patients can receive their teaching 1:1 or in small groups. The room is accessible to both wheelchairs and beds.

Ward 20 patients are unable to attend the schoolroom due to infection risks and are taught either in the ward 20 communal play area or family room.

There is also flexibility to teach at the patient’s bedside when this is the most suitable option.

What do we teach?

Teaching sessions are arranged to accommodate medical procedures and treatment.

Initial contact includes introductions to the service for parents/carers and patients and the opportunity to understand the impact that a patient’s medical condition and treatment may have upon their educational attainment.

For recurrent or long-term patients their usual school setting is contacted for information. This includes academic achievements, safeguarding concerns, attendance and to request the provision of appropriate academic work, if the patient has none with them. A patients’ school curriculum and the programmes of study provided by the school are our main focus for the delivery of teaching and learning. However for short term patients or those who are without work from their usual setting, work is provided that provides a suitable challenge and an opportunity for progression from a bank of resources.

TMBSS assessments can be used as required and staff have access to the whole service resources and can request support from TMBSS curriculum specialists.

Patients follow a flexible, personalised learning programme that can encompass the whole curriculum. It should not only encourage academic development but reflect their changing medical and mental health needs.

How do we support our patients & promote wellbeing?

Staff allocate time with patients, parents and carers, especially those admitted to oncology, to develop a positive relationship based on respect, listening, supporting and trust so that patients and staff can quickly build relationships to enhance their learning experience.

Patients' emotional wellbeing can fluctuate and they may appear highly anxious, frustrated and low in their mood. Staff recognise this and respond appropriately with a highly flexible bespoke approach that encourages a sense of normality and nurture.

Staff are aware that those patients who are admitted as a result of experiencing poor mental health require an especially nurturing approach that helps develop their self-esteem and confidence.

For those patients transitioning back into school after an extended absence staff liaise closely with school and medical staff to ensure a smooth transition. This not only acknowledges the challenges the patient faces, but also motivates and nurtures their self-esteem and confidence.

How do we communicate, review and report?

Staff complete a daily record of the intent, implementation and the impact of lessons. This reflects the patients’ emotional and social impact as well as the academic outcomes. Attendance is recorded on an electronic register. A weekly return is completed summarising contact with patients which is shared with the Senior Leadership Team at TMBSS and ward managers.

Contact with the usual school setting is ongoing throughout the admission for long term and recurrent patients. A report on education delivered and the patients’ achievements can be produced for home school and medical staff upon discharge if required.

As the school roll changes daily, communication with other ward staff is a priority. The ward handover sheets, which include medical, social and safeguarding information are reviewed at the start of each day with input from the Play Specialist Team and members of the medical team who have attended a ward handover. This helps identify those whose learning needs are a priority. Each patient has a named nurse who staff can approach for further information prior to contact with a patient.

The two PRH teachers meet for a handover on a Monday and Thursday each week to share information and updates.

Staff attend a weekly Multi-Disciplinary Team Meeting with the Oncology Team for medical, psychological and safeguarding updates on all Oncology patients.

Teaching staff work with the Oncology MDT to plan a regular professionals meeting for school staff working with children with a cancer diagnosis. Staff also support schools to provide appropriate medical home tuition for oncology patients.

A collaborative working partnership exists between TMBSS specialist teachers at RJAH and PRH hospitals with the sharing of good practice. Regular meetings are held between hospital teachers and TMBSS and include:

  • Half-termly meetings between hospital teachers, TMBSS Line Manager & TMBSS Head of Service.                 
  • Half-termly meetings between RJAH teacher and PRH teacher.                                                                                       
  • Fortnightly Huddle meetings via Teams between RJAH teacher and PRH teacher.                                                 
  • Attendance at TMBSS Personal Development, Welfare & Behaviour Working Party.

Teachers not only liaise closely with home schools to provide a personalised programme but also with other agencies and professionals that are involved with patients for example The Sensory Team, SEN Team and Social Care.

The TMBSS Hospital Teacher oversees medical outreach teaching within TMBSS and there can be an overlap between patients in the hospital and those receiving outreach support from TMBSS.

Safeguarding

Both teachers are Designated Safeguarding Leads and receive regular training updates.

Ward safeguarding procedures are followed and any safeguarding concerns are reported to the Named Nurse for Safeguarding Children. After the initial event or disclosure, TMBSS staff will follow up to ensure the procedures and ongoing support are effective.

TMBSS safeguarding procedures are followed as appropriate and staff have access to CPOMS to share information if the patient is on TMBSS roll.

A central electronic register (Child Protection Information Sharing, CPIS) is used on the ward which alerts staff to key information such as whether a child is subject to a child protection plan or is a looked after child.

Staff share safeguarding information in handover and via the handover sheet, it is also recorded in patient files on admission.