The NHS Foundation Trust provides a range of Paediatric and Community Children’s nursing services for the local population. The service offers a range of clinics for children and young people from birth to 18 years old and depending on the clinic, a team of paediatricians, doctors, specialist nurses, speech and language therapists, community nurses or other members of the team are available.
Various clinics and interventions not limited to but include:
- diabetes
- epilepsy
- endocrine
- respiratory
- feeding
- general and urology surgery
- general paediatrics
- urinary tract infections
- constipation
- allergy
- gastroenterology
- neuro-disability
- dietetics
- neonatology
- cardiac echo screening
- BCG immunisations
- speech and language
- psychology for children and young people with diabetes
- blood sampling
There are several consultants from other NHS trusts who provide specialist clinics for immunology, hepatic conditions, cystic fibrosis, paediatric nephrology, neurology, genetic conditions, paediatric respiratory and muscle disorders. Initial consultant appointments are overseen by specialist nurses on an ongoing basis.
In Hartlepool this service is provided by North Tees and Hartlepool NHS Foundation Trust.
More information can be found at: https://www.nth.nhs.uk/services/childrens-outpatients
Community Eating Disorder Service
The Children and Young People’s Specialist Eating Disorders Service works with young people up to 18 years of age who have difficulties with eating. The Evergreen Centre is a consultant led, specialist 12 bed unit which provides an exceptionally high quality, caring environment for young people with eating disorders living in Northumberland, Tyne and Wear, County Durham, Tees Valley, and North Cumbria, who need inpatient care.
The team provides assessment and treatment of children and young people who are already undergoing assessment within tier 3 child and adolescent mental health services (CAMHS) for an eating disorder such as anorexia, bulimia or EDNOS (eating disorder not otherwise specified)
In Hartlepool this service is provided by Tees, Esk & Wear Valley NHS Foundation Trust.
More information can be found by visiting the following link:
https://www.tewv.nhs.uk/services/eating-disorder-glades-teesside/ or by calling CAMHS Eating Disorders Outpatient Service (Teesside) on 0300 013 2000 and selecting option 7.
Continence Services
Knowing when you need the toilet or not and having that bladder and bowel control differs in age, anywhere between 2 and 8 years old would be classed within the ranges of typical development. It can be hard to know where to start if your child has additional needs, especially if communication is difficult. Making a change can take time so be patient and consistent!
Below is a link to ERIC for additional needs and the NHS link offers more generic advice. ERIC has programmes, tips and motivation ideas all free and accessible to support toilet training for children with additional needs.
Try some of these ideas and if you are still struggling, ask your health visitor or school nurse for some support.
https://www.nhs.uk/conditions/pregnancy-and-baby/potty-training-tips
https://www.bbuk.org.uk/toilet-training-resources
There are different levels of intervention to provide continence support to Children, Young People and their families, responsibilities for the commissioning of services are placed with different authorities.
Level 1 is early intervention including, advice and guidance from the 0-19 Universal Services Team and provide support for toilet training, night time wetting, day time wetting and constipation. This is commissioned by the Local Authority Public Health Teams.
Level 2 is a nurse led service commissioned by the ICB and covers all aspects of continence and provision of products.
Level 3 is specialist care commissioned by the ICB and requires consultant input i.e. urological issues.
Level 2 and Level 3 Paediatric Continence Service covers all children from birth to 19 years old with continence problems, including children with learning difficulties and physical disabilities. Young adults between the age of 18 and 25 years old can receive continence services from the Continence Advisory Service which is delivered by the NHS Foundation Trust.
In Hartlepool this service is provided by North Tees and Hartlepool NHS Foundation Trust.
More information can be found at: Children’s Outpatients – North Tees and Hartlepool NHS Foundation Trust (nth.nhs.uk)
Drug, Alcohol and Substance Misuse Services
Drugs and alcohol often play a significant role in the lives of young people, whether that be curiosity, experimentation, recreational or problematic use and very infrequently, dependent use. Public Health has a role in ensuring the availability of appropriate services to support the identified needs of the local population.
These services support young people to recover from problematic substance use that is impacting on their day to day life and relationships with family. These services can be accessed via self-referral or another referral from any source. Duration of intervention is not time limited and is flexible and responsive to support the individual needs and preferences of the Children, Young People and their families.
In Hartlepool Foundations provides treatment service in partnership with Hartlepool Borough Council as part of the START (Supporting Treatment and Recovery Together) brand.
Foundations provides the clinical interventions including substitute prescribing where appropriate and Hartlepool Borough Council provides the assessment, recovery co-ordination PSI and other wraparound support. The two agencies work in partnership as START with nurses and Care Co-ordinators working together under the START umbrella to achieve the best results for service users.
More information can be found by calling 01429 285000 or emailing substancemisuse@hartlepool.gov.uk
Equipment Services
NHS North East North Cumbria Integrated Care Board (ICB) has worked with the local authorities in Middlesbrough, Redcar and Cleveland, Stockton and Hartlepool to commission a coordinated service to provide equipment for children across Tees.
Health professionals and social care teams now order equipment via Tees Community Equipment Service (TCES).
Once equipment has been ordered from TCES health or social care professionals will confirm this with parents/carers who, thereafter they will be able to liaise directly with TCES to understand delivery times and any issues or problems they experience once the equipment has been delivered.
For more information and support please contact TCES on 01642 224205. www.middlesbrough.gov.uk/adult-social-care/tees-community-equipment-service-tces/
Regional Communication Aids Service
The Regional Communication Aid Service is based at Walkergate Park, Newcastle upon Tyne and is a specialist Electronic Assistive Technology Service. The service aims to improve the independence of people of all ages who experience severe communication difficulties through the provision of specialised services for Alternative and Augmentative Communication (AAC) Aids.
They support local teams in working with individuals to understand their AAC needs and in providing specialised communication aids.
This service is provided by Northumberland, Tyne & Wear NHS Foundation Trust, it is a specialist service accessed through professional referral as required.
More information can be found at: https://www.cntw.nhs.uk/services/regional-communication-aid-service-neurological-service-walkergate/
