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Wolverhampton Information Network

Local Offer Feedback 2016

Continence Pad Deliveries - October 2016

Submitted: 06.10.2016

My son's pad delivery never arrived, when I phoned they had run out of the type and size of pad but not realised.

They were going to re-stock but it would take two weeks.  I wasn't told where I could buy them from; I wasn't given any other options like a different type of size.  In the end I had to go online, find a supplier and buy three packs.

So, in those two weeks other parents would have been affected, I can't believe they expected our incontinent children to go a fortnight without pads.

The thing is, they have strict monitoring they know how many pads a child is allocated a day, low long these will last.  As you are given a date on delivery slip, and you can't re-order before that date so it should never have happened.

Where can I find information about the service and the number of pads issued?

Response: 29.11.2016

Thank you for your query. It would appear there has been a recent blip in the system where stock was low in August due to an imminent change in suppliers (New supppliers began in September 2016).

Staff as the continence products delivery department were unaware of anyone being left without products as they thought they had offered alternative products to parents who had contacted the department and stock was not available for their precipitation. There is also an option at the distribution centre for parents/patients to buy products directly from them. We are sorry that there appears to have been a communication error in this instance and have put measures in place to prevent this occurring again. 

From September 2016, the change to the new supplier has meant that an improved software system has been installed which will result in superior stock control. Administration staff will now be located close to clinical staff to ensure that any issues similar to the one brought up which may occur in the future will be managed in an efficient manner and ensure suitable alternative products will be suggested or made available.

With regards to the service currently the maximum number of pads provided is 3 per day although if the professional undertaking the comprehensive assessment can demonstrate there is a clinical need for additional provision this clinical need will be met. Also, if families phone the department earlier than expected due to running out of pads, as a result of clinical need changing, a reassessment will be arranged. Products can also be collected form Bentley Bridge by prior arrangement. 

If you would like to contact the service directly the contact details are:

The Continence Care Service
Pendeford Health Centre
Whitburn Close
Pendeford
Wolverhampton
WV9 5NJ

Email: rwh-tr.continence-team@nhs.net
Telephone: 01902 444503

Or if you would like to address your concerns with an independent department please contact either:

Patient Experience Team
Wolverhampton
Royal Wolverhampton NHS Trust
New Cross Hospital
Zone C, location C2
Wolverhampton Road
WV10 0QP
Telephone: 01902 695368 / 695362 or 07880 601085
Email: rwh-tr.pals@nhs.net
 
Healthwatch
Regent House
First Floor
Bath Avenue
Wolverhampton
WV1 4EG
Telephone: 0800 470 1944
Email: info@healthwatchwolverhampton.co.uk

Augmented Communication - September 2016

Submitted: 09.09.2016

With regards to augmented communication such as makaton and PECS, would it be a joint programme of shared responsibility between teachers at a mainstream school and the NHS speech therapy team to ensure its effective delivery?

If staff have not encountered this methodology previously from whom can they request specialist training to be provided?

Who should fund the resources and training - NHS, LA or school or academy?

Could schools employ their own in-house speech and language therapy assistants? Might schools set up a shared area to disseminate SALT advisory charities, pool their resources and promote the skill set of their teams to support others? Should schools advertise their talents and expertise in SALT as part of their Sen policy online?

Response: 17.10.16

Thank you for your questions.

With regards to augmented communication such as makaton and PECS, would it be a joint programme of shared responsibility between teachers at a mainstream school and the NHS speech therapy team to ensure its effective delivery? 

The NHS speech therapy team identify the child/young person's communication needs and abilities and advise how to maximise their communicative effectiveness. Augmentative and Alternative Communication (AAC) could incorporate PECS, Makaton or high tech interventions.  Without support from the school staff, the Speech and Language therapy team would not be able to be effective in addressing the child/young person's communication needs.  All schools have access to a designated speech and language therapist in Wolverhampton. 

If staff have not encountered this methodology previously from whom can they request specialist training to be provided?

Wolverhampton AAC assessment and support team offer a specialist service that includes

  • Training
  • Supplying appropriate equipment
  • Supporting individuals and schools with developing and integrating AAC
  • When individualised, specialist equipment is recommended, training is offered by suppliers.

The team from ACT (Accessing Communication Technology) at Selly Oak may provide additional Support if they have provided the equipment. There are staff in certain schools who are registered to deliver training such as Makaton.  The Speech and Language Therapy Service would offer some training to schools in respect of individuals using specific equipment. Training for whole school staff can be provided by the Speech and Language Therapy Service but this may incur a cost. 

Who should fund the resources and training. NHS, LA or school or academy?

Currently the school tends to fund this programme from the funding they receive to support the young person and their additional needs.  However, a charge is not always made for these courses.

Could schools employ their own in house speech and language therapy assistants? Might schools set up a shared area to disseminate SALT advisory charities, pool their resources and promote the skill-set of their teams to support others? Should schools advertise their talents and expertise in SALT as part of their Sen policy online?

There are some schools that already employ communication workers with some of the special schools already having speech and language therapy support practitioners in place.  However, these staff do need to work under the direct supervision of qualified speech and language therapy staff.   Support staff cannot make recommendations about assessments and interventions for children and young people; these can only be made by qualified Speech and Language therapy (SALT) staff.  Schools could only advertise their expertise in SALT if they employed a Speech and Language therapist however, they could identify that they have many children and young people with communication difficulties and liaise closely with the NHS SALT service including the models of practice that the school use.

Orthontics - September 2016

Submitted: 14.09.2016

It would be helpful to have some information on here regarding Orthotics. My daughter has to attend this clinic regularly and it is always a stressful experience especially if she is having new splints.

No information or help is given by members of staff regarding purchasing shoes to fit over splints. A helpful guide would be very useful and a list of shops  which sell the most suitable shoes.

Staff are also very rude and are not sensitive to children needs. The waiting time for essential equipment   such as footwear is ridiculous.  My daughter has been waiting for 8 weeks now for her splints and boots with no help as to what she should wear on her feet while we are waiting.  If we have to attend the clinic at New Cross you end up seeing different people who don't know the needs of your child. After attending this clinic my daughter always has major meltdowns.

Thank you.

Response: 19.09.2016

Thank you for your question.

Following this feedback form, it was apparent that due to an oversight there was no information on the Local Offer regarding the Orthotics service that is available.  This is now in the process of being rectified and the information will be uploaded in the near future.  The department have put together a comprehensive information sheet about purchasing shoes to fit over AFOs (splints) and this is currently going through the process of being ratified at the Royal Wolverhampton NHS Trust.  Once this is complete the information sheet will be given to any parent/carer or child where splints have been prescribed.  Once agreed these forms will also be available on the local offer website.

Currently the waiting times for routine appointments is 4 weeks.  The service has recently changed their footwear supplier to improve delivery times of paediatric footwear and they now have a guaranteed delivery time of 5 days as opposed to 14-21 days as it was from the previous supplier.  This change in supplier is as a result of concerns raised about the delay in waiting for paediatric footwear, which have now been addressed.

All orthotic patients have the right to see the same orthotist throughout their treatment and there are several posters up in the orthotics department and clinic rooms advising patients of this. However, at the Gem centre where some clinics occur, once or twice a week, this is not the case as the room is not solely used for orthotics.  However, the clinic at the Gem centre is run by the same orthotist unless they are on sick or annual leave.

The orthotic department are keen to address any issues which their patients have with the service they receive and would value these concerns being raised directly with the department so the concerns can be addressed.  These can be raised with Nicola Eddison, Orthotics Service Manager/Principal Orthotist on 01902 307 999    ext.8568

Or if you would like to address your concerns with an independent department please contact either:

Patient Experience Team

Royal Wolverhampton NHS Trust
New Cross Hospital
Zone C, location C2
Wolverhampton Road
Wolverhampton
WV10 0QP
 
Telephone - 01902 695368 / 695362 or 07880 601085
Email rwh-tr.pals@nhs.net
 
or
 
Healthwatch Wolverhampton
Regent House
First Floor
Bath Avenue
Wolverhampton
WV1 4EG
 
Telephone - Tel: 0800 470 1944
E mail info@healthwatchwolverhampton.co.uk
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