Paediatric home nursing scheme in Gateshead.

Integrated Working for Enhanced Health Care in English Nursing Homes

BACKGROUND The increasingly complex nature of care home residents' health status means that this population requires significant multidisciplinary team input from health services. To address this, a multisector and multiprofessional enhanced healthcare programme was implemented in nursing homes across Gateshead Council in Northern England. STUDY AIMS To explore the views and experiences of pr...

Better at home? Benefits of case management for children with complex needs.

Care at home for children with complex health needs is recommended in health policy and advocated by professionals and voluntary organisations. Measuring benefits for the child and family is difficult and burden is known to be high for the family, especially when support for home care is inadequate. Case examples are used in this article to demonstrate the clinical and cost effectiveness of hom...

Care management in social and primary health care: the Gateshead Community Care Scheme

How do children express their spiritual needs?

Abstract experiences of life including religious and spiritual beliefs to make sense of life events and to cope with crises. They will have a range of preconceived ideas, fears, concerns and fantasies which are usually linked to their stage of cognitive development and prior experiences. This article provides examples of expressions of spiritual beliefs across childhood, related to a discussion...

Home is where the care is?

This article describes how a children's home care service operates as part of a general paediatric service within an acute NHS trust. Although a debate exists about whether a home care service should be set up as part of a community or acute trust, there are advantages and drawbacks for staff within either system. The authors believe that children benefit regardless of where the service is based.