Early versus Late Parenteral Nutrition in Critically Ill Children

Tom Fivez, M.D., Dorian Kerklaan, M.D., Dieter Mesotten, .et al.
Engl J Med 2016; 374:1111-1122 March 24, 2016

NHS_UCLH MATERNITY LABOUR 98-11484
Image source: NHS Photolibrary

Recent trials have questioned the benefit of early parenteral nutrition in adults. The effect of early parenteral nutrition on clinical outcomes in critically ill children is unclear.

Full text here

Child health services

models of careThe Nuffield Trust has published The future of child health services: new models of care. This briefing describes the current state of child health and quality of care in the UK, including problems around increasing use of hospitals to treat conditions that could be dealt with in other settings; capacity issues in primary care; and the often disjointed care provided between hospitals and the community. It then looks some examples of new models of care which have been emerging both within the Vanguard scheme and inspired by it and how they are responding to these issues.

The future of child health services: new models of care

Kossarova, L. et al. Nuffield trust. Published online: 8 February 2016

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Image source: Nuffield Trust

This report highlights what the problems are in current health care services for children and young people, and investigates how emerging new models of care could provide an opportunity to address these.

‘The future of child health services: new models of care’ sets out examples of emerging new ways of delivering care for children and young people.

The report describes the current state of child health and quality of care in the UK, including problems around increasing use of hospitals to treat conditions that could be dealt with in other settings; capacity issues in primary care; and the often disjointed care provided between hospitals and the community. It then looks some examples of new models of care – which have been emerging both within the Vanguard scheme and inspired by it – and how they are responding to these issues.

future child health2Image source: Nuffield Trust

The report is based on a workshop run by the Nuffield Trust, as well as on presentations, discussions, case study materials submitted by representatives of the new models who attended the workshop, and published literature. It is the first report in our new series ‘The future of…’, which is looking at the future of service delivery in various specialisms within the health service.

Read the full report here
Read the related blog post here

 

 

 

Children and young people’s continuing care national framework

 

framework children
Image source: gov.uk

This guidance is for clinical commissioning groups when assessing the needs of children and young people (0 to 17 years) whose complex needs cannot be met by universal or specialist health services.

The ‘Decision support tool’, which should be used with the framework, provides a structure to help in reaching a decision.

The guide for young people and parents is for use by local health organisations who can add their own contact details.

A network has also been established on NHS Networks for anyone working in this field, to share information, good practice, or seek advice on difficult issues from colleagues. Once you have registered, request to join on the children and young people’s continuing care network page (click on ‘join this network’ when on the page).

The updated framework follows a public consultation. Comments and suggestions received in the consultation are reflected in the new framework.

Read the full guidance via Department of Health