For some years now child development team meetings (CDT) have been held monthly in each of the Gwent boroughs. Since 2010, one point of access for referrals to the CDT has existed in the Caerphilly area. This is known as ISCAN – Integrated Service for Children with Additional Needs. This has successfully provided a managed referral process for children with two or more developmental needs.
The ISCAN service is now operating across Gwent in all 3 children centres.
ISCAN North, based at Nevill Hall Children’s Centre, will take referrals for Blaenau Gwent, North Monmouthshire and North Torfaen. ISCAN South, based at Serennu Children’s Centre, will take referrals for Newport, South Monmouthshire and South Torfaen and ISCAN West will continue to take referrals for Caerphilly. Each ISCAN sector will be managed by a co-ordinator and supported by an administrator.
From October 2016 it is also the referral management point for all children with suspected developmental delay including Autistic Spectrum Disorder or Attention Deficit/Hyperactivity Disorder.
Any professional from Health education or social care can refer to the ISCAN. GP’s should never have to refer on behalf of another agency.
Referrals to each ISCAN sector can be made via letter or the ISCAN template referral form which indicates the information that enables the team to discuss, make decisions and arrange appropriate assessments. We are working to develop an e-referral option and e advice line and are currently reviewing the letter template.
Referrals will be accepted for children / young people aged 0 – 18 years of age with or without an existing diagnosis who are displaying concerns in two or more elements of their development. This includes referrals for children / young people with or without a diagnosis of ASD / ADHD who previously would have been referred to the CAMHS service.
When a referrer feel that multidisciplinary assessment is required for developmental concerns refer to the local ISCAN outlining clearly the child / young person’s difficulties and full background information. Up to date reports will be required to enable the team to make an informed decision about the next steps in managing the child / young person’s care. If this information is only available from other professionals, the contact details of these professionals are requested. It is essential that the children and family are aware that the information will be discussed in a multiagency and multi-agency meeting that includes professionals from education and social service disability teams. This must be confirmed in the referral. A template consent letter is available for use.
1. A framework for assessing the sustainability of GP practices has been in place since April 2015. Whilst the sustainability assessment framework has provided for a consistent decision making process, concerns have been expressed by some GP practices about the effectiveness of delivery.
2. The revisions to the sustainability assessment framework streamlines the process to enable a GP practice request for support to be reviewed on a more effective and efficient basis.
The updated Directed Enhanced Service specifications and addendums have been published and may be downloaded using the following links:
Press release 7 April 2017
Medical Charities’ Portal launched to highlight financial help available to struggling doctors
We are a group of five medical charities that all offer financial assistance to doctors, as well as dependant members of their family. Our mission is to reach out to every doctor in the UK and make them aware that there is confidential help for doctors who are struggling.
With support from NHS England, we have worked together to launch the ‘Help me, I’m a Doctor’ Portal, which acts as a single access point for doctors searching for financial help. It will also be a useful sign-posting tool for colleagues and organisations who may be trying to help a doctor access support.
In 2016 the five charities supported doctors, and their dependent families, with charitable grants and loans totalling over £1.3 million.
Doctors all too often experience loneliness and isolation, even though working in an extremely busy, stressful work place – whether a hospital or practice setting. Dedicating their time to helping others, while putting their own needs to one side, doctors can often find it difficult to admit they have a problem, to their colleagues or even to their own family. Often they are concerned that admitting they have a problem will impact upon their Fitness to Practice.
The Portal will offer an effective way to attract those who are in distress and have a real need for financial help and money advice.
There has been a lack of knowledge about the differences between each of the charities and how they operate. By completing a very simple questionnaire on the Portal, the result will highlight which of the charities may be able to offer financial help.
The ‘Help me, I’m a Doctor’ Portal will also signpost doctors to other confidential support, including the new GP Health Service.
Please help us spread the word about the Portal and the financial help available?
All applications are considered in confidence.