Health Update January

Shielding and Protecting Extremely Clinically Vulnerable People 

Updated government advice regarding shielding and protecting those who are Clinically Extremely Vulnerable (CEV) was published on 7.1.21 and the full guidance can be found here: 

https://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19 

The guidance applies to everyone in England who has been identified as CEV. There are two ways that you are identified as being CEV. Either a clinician/GP has added you to the Shielded Patient List (SPL) based on their clinical judgment because they deem you to be at high risk of serious illness if you catch the virus or if you have one of the following conditions which means you are automatically classed as CEV:

  • solid organ transplant recipients
  • people with specific cancers:
    • people with cancer who are undergoing active chemotherapy
    • people with lung cancer who are undergoing radical radiotherapy
    • people with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment
    • people having immunotherapy or other continuing antibody treatments for cancer
    • people having other targeted cancer treatments that can affect the immune system, such as protein kinase inhibitors or PARP inhibitors
    • people who have had bone marrow or stem cell transplants in the last 6 months or who are still taking immunosuppression drugs
  • people with severe respiratory conditions including all cystic fibrosis, severe asthma and severe chronic obstructive pulmonary disease (COPD)
  • people with rare diseases that significantly increase the risk of infections (such as severe combined immunodeficiency (SCID), homozygous sickle cell disease)
  • people on immunosuppression therapies sufficient to significantly increase risk of infection
  • problems with your spleen, for example splenectomy (having your spleen removed)
  • adults with Down’s syndrome
  • adults on dialysis or with chronic kidney disease (stage 5)
  • women who are pregnant with significant heart disease, congenital or acquired

As someone identified as CEV, you will get priority access to vaccination against COVID-19 before the general population. However, even when you have received both doses of the vaccine, you should continue to shield until further notice.

CEV children and young people should not attend school or other educational settings because the risk of exposure to the virus in the community is now very high. Instead, your school or college will make appropriate arrangements for you to be able to continue your education at home.

As part of the national lockdown, all children and young people are required to learn remotely until February half term, except children classed as vulnerable eg. those with an EHC plan and the children of critical workers, who may still attend school.

 

Commissioners are working with local providers to continue the delivery of services, taking all guidelines and local needs into consideration.

As you may appreciate, this means that there are potentially changes on a regular basis and so we would suggest that for the most up to date information on the individual service offers and how to access services then to refer to the following websites.

https://www.nwbh.nhs.uk/st-helens-child-health-services

http://www.sthk.nhs.uk/

https://www.sthelensccg.nhs.uk/local-services/

 

Government guidance relating to SEND was updated on 7 January 2021 as part of the ‘Actions for schools during the coronavirus outbreak’ guidance. The full guidance can be found here:

https://www.gov.uk/government/publications/actions-for-schools-during-the-coronavirus-outbreak?utm_source=7%20January%202021%20C19&utm_medium=Daily%20Email%20C19&utm_campaign=DfE%20C19

In terms of SEND, the key message is that services should carry on with ‘business as usual’ and this applies to the submission of health advice as part of the Education Health and Care Needs Assessment process (6 weeks statutory timeframe remains in place) and also in terms of delivery of full health provision in plans. There are no current plans to modify SEND legislation and ‘reasonable endeavours’ do not currently apply.

Within the ‘Restricting attendance during the national lockdown: schools’ document, health services have been alerted to the following:

Accommodating visiting specialists

‘…accommodating visiting specialists, Schools should ensure that appropriate support is made available for pupils with SEND, for example by deploying teaching assistants and enabling specialist staff from both within and outside the school to work with pupils in different classes or year groups.’

Special Educational Needs

‘Where a pupil has provision specified within their EHC plan, it remains the duty of the local authority and any health bodies to secure or arrange the delivery of this in the setting that the plan names. However, there may be times when it becomes very difficult to do so, for example, if they are self-isolating. In this situation, decisions on how provision can be delivered should be informed by relevant considerations including, for example, the types of services that the pupil can access remotely, for example, online teaching and remote sessions with different types of therapists. These decisions should be considered on a case by case basis, avoiding a one size fits all approach.’

In addition, government guidance that was published on 30.12.20, which can be found here:

https://www.gov.uk/government/publications/guidance-for-full-opening-special-schools-and-other-specialist-settings/guidance-for-full-opening-special-schools-and-other-specialist-settings

Shielding and Protecting Extremely Clinically Vulnerable People

Updated government advice regarding shielding and protecting those who are Clinically Extremely Vulnerable (CEV) was published on 7.1.21 and the full guidance can be found here:

https://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19

The guidance applies to everyone in England who has been identified as CEV. There are two ways that you are identified as being CEV. Either a clinician/GP has added you to the Shielded Patient List (SPL) based on their clinical judgment because they deem you to be at high risk of serious illness if you catch the virus or if you have one of the following conditions which means you are automatically classed as CEV:

  • solid organ transplant recipients    
  • people with specific cancers:
    • people with cancer who are undergoing active chemotherapy
    • people with lung cancer who are undergoing radical radiotherapy
    • people with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment
    • people having immunotherapy or other continuing antibody treatments for cancer
    • people having other targeted cancer treatments that can affect the immune system, such as protein kinase inhibitors or PARP inhibitors
    • people who have had bone marrow or stem cell transplants in the last 6 months or who are still taking immunosuppression drugs
  • people with severe respiratory conditions including all cystic fibrosis, severe asthma and severe chronic obstructive pulmonary disease (COPD)
  • people with rare diseases that significantly increase the risk of infections (such as severe combined immunodeficiency (SCID), homozygous sickle cell disease)
  • people on immunosuppression therapies sufficient to significantly increase risk of infection
  • problems with your spleen, for example splenectomy (having your spleen removed)
  • adults with Down’s syndrome
  • adults on dialysis or with chronic kidney disease (stage 5)
  • women who are pregnant with significant heart disease, congenital or acquired

As someone identified as CEV, you will get priority access to vaccination against COVID-19 before the general population. However, even when you have received both doses of the vaccine, you should continue to shield until further notice.

CEV children and young people should not attend school or other educational settings because the risk of exposure to the virus in the community is now very high. Instead, your school or college will make appropriate arrangements for you to be able to continue your education at home.

As part of the national lockdown, all children and young people are required to learn remotely until February half term, except children classed as vulnerable eg. those with an EHC plan and the children of critical workers, who may still attend school.

The guidance is expected to be updated over the forthcoming weeks and months.

As Mentioned in our last update Dr Ajay Upponi has now started in St Helens he brings so much experience with her we are delighted to have him on board. Some patients will be aware we have started a new diagnostic testing in the service for ADHD which is an objective electronic test for children, this is used alongside observations and school reports etc. Despite us being in another lockdown all appointments are going ahead as face to face, however parents are encouraged to ring the department if they have any concerns and we can accommodate that.

We welcome two new nurses onto the team Vicky Taylor, Rosie Beckett, both senior nurses come with years of experience from the acute Hospital and have settled in straight away, the feedback we have had from parents is amazing already! Appointments and home visits are going ahead, however if parents are concerned about visitors into the home, speak directly with the nurses to decide what is best for your children. All staff wear full PPE of course.

We are welcoming Hannah Boughey back from Maternity leave this week, what a year off to have at home with a new baby! There is a Nurse vacancy in this team too, so we hope to recruit someone very soon. Feedback from the bedwetting clinics with the Specialist Nursery Nurses has been excellent, and parents and children have been very happy.

All three services are part of the Lowe House Children’s Hub which has been very successful currently on Wednesday, with many children’s clinical service located there; from Whiston Paediatricians, Community Paediatricians, Continence, Children’s blood service, Children’s GP, Speech and language, Audiology, ADHD Nurse, Nursing assistants and Children’s Mental Health services.

St Helen’s Clinical Commissioning Group has provided one-off funding to support addressing the current waiting list for ADOS assessments for Children and Young People progressing through the Neurodevelopmental Pathway (NDP).. We will be commissioning Clinical Partners to undertake additional ADOS assessments alongside our local services.. They will be undertaking ADOS-2 and ADOS-4 assessments which will allow us to reset the waiting list we currently have. We have also commissioned Clinical Partners to support with a limited number of Autism Spectrum Disorder (ASD) assessments as part of the pathway provision. The pathway co-ordination Team alongside Clinical Partners will be contacting identified families shortly via telephone.

Please find the advertisement for the Online Speech and Language Therapy Training Offer for Jan-March 2021 below.

SALT Online Training Jan - Mar 21

Please share the attachment with all the educational settings, parent groups or other stakeholders who may benefit for attending any of our training sessions. 

The new year started in a different way. The decisions announced on the 4th of January meant that we all had to work together changing plans and being as positive as possible. We are pleased to share that the St Helens Paediatric Speech and Language Therapy Team continues the implemented business continuity plans in support of COVID-19.

The team still offers face to face appointments at Lowe House, FingerPost Clinic, Newton Hospital, sc.

We are still seeing children and young people who attend educational settings adhering to COVID related restrictions. We continue working with schools to communicate where a child has a scheduled appointment and may need to be collected from school in order to go home and access their virtual session.

Based on risk assessing each individual case home visits are also considered.

The clinicians are offering online sessions on an ongoing basis. We are working closely with educational provisions and settings as well as parents and carers to ensure the any EHCP plans and SEND needs are met and adhered to.

Virtual sessions are offered in lieu of face to face clinic and / or school appointments and are treated as standard appointments.

We are continuing to adapt our resources to support virtual sessions and we have had success with these over the past ten months.

We risk assess our workplace on a monthly basis, wear PPE to ensure that the service users as well as the clinicians are protected.

The team is offering online training to parents and professionals: For more information please visit our social media page below.

We will continue to offer these over the coming as required.

We are committed to providing a quality service whilst keeping our patients, their families and our staff safe and as a team we are confident that this is the most effective way to run our service moving forward.

For most up to date information please follow us:

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The purpose of the Local Offer is to enable parents and young people to see more clearly what services are available for children with special educational needs and disabilities in their area, and how to access them.

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