Unclear healthcare delegation
Weak and unclear guidance on the delegation of healthcare responsibilities within schools, leading to insufficient clarity.
5 items
1 source
1 inquiry
Source spread
Where this theme appears
Unclear healthcare delegation has been flagged across 1 independent accountability source:
5 inquiry recs
This theme has been identified in one data source. As more data is added, cross-references may emerge.
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Inquiry Recommendations (5)
IHRD-20 — Consultant-Led Ward Rounds
Recommendation: Children's ward rounds should be led by a consultant and occur every morning and evening.
Gov response: Consultant-led ward rounds implemented in children's wards.
Accepted
IHRD-15 — Consultant Notification on Admission
Recommendation: A consultant fixed with responsibility for a child patient upon an unscheduled admission should be informed promptly of that responsibility and kept informed of the patient's condition, to ensure senior clinical involvement and leadership.
Gov response: Protocols implemented for consultant notification on unscheduled paediatric admissions.
Accepted
IHRD-12 — Senior Paediatric Responsibility
Recommendation: Senior paediatric medical staff should hold overall patient responsibility in children's wards accommodating both medical and surgical patients.
Gov response: Arrangements in place for senior paediatric oversight in children's wards.
Accepted
IHRD-21 — Nurse Attendance at Clinical Interactions
Recommendation: The accountable nurse should, insofar as is possible, attend at every interaction between a doctor and child patient.
Gov response: Guidance issued on nurse attendance during clinical interactions with child patients.
Accepted
No update 2+ yrs
IHRD-19 — Senior Lead Nurse in Children's Wards
Recommendation: To ensure continuity, all children's wards should have an identifiable senior lead nurse with authority to whom all other nurses report. The lead nurse should understand the care plan relating to each patient, be visible to both patients and staff …
Gov response: Senior lead nurse roles established in children's wards across Trusts.
Accepted