Children's Community Nursing (CCN)
To support children,
young people
and their families in their own homes and other community settings offering specialist skills to increase their quality life.
A team of highly skilled specialist children’s nurses, who visit children and young people with a range of complex needs and disabilities, and their families at home, to give nursing care and support.
Assessment of the child or
young person’s needs to
develop a package of care.
Support and teaching for parents
and other carer’s.
Hands-on nursing care, ensuring provision of necessary supplies
and equipment.
Liaison with schools and
other agencies.
To be an advocate for the
child and family.
Where Are We
Based at ‘The Den’ at
Chesterfield Royal Hospital
and can visit children who have
a North Derbyshire family doctor (GP).
The service is available Monday to Friday – 8am to 7pm. An on-call service is available 24 hours a day for urgent nursing advice.
Who is in our team?
We are a team of Paediatric Clinical Nurse Specialists.
There are 7 qualified nurses in the team, 5x Band 6's and 2x Band 7's.
Michelle Tait is a band 7 Lead Clinical Nurse Specialist in Renal complex needs and disabilities and Team leader for the team.
Michelle has a Nurse Specialist Community Qualification and as well as being Team Leader is the lead for facilitating support for families and carers at home called ‘Home Based Support’. Home Based Support is an organisation where carers are hired and trained to care for children with complex needs and disabilities.
Michelle supports Amanda Smith a band 6 nurse employed at ‘Fair play’, who co-ordinates the Home Based Support Service and facilitates a monthly support group for siblings.
Michelle takes the lead for children with complex renal conditions and also holds a caseload of children with complex needs and disabilities.
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Tracy Twyman is a band 7 Lead Clinical Nurse Specialist.
Tracy has a background in Cardiac oncology palliative care and is the lead for Paediatric Oncology, Palliative Care and Complex Cardiac Conditions and complex needs and disabilities. Part of her work requires Tracy to give chemotherapy agents and supportive drugs by central venous access devices. Tracy also holds a case load of children with complex needs and disabilities
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Jenny Abbott is a band 6 Clinical Nurse Specialist.
Jenny has a background of school nursing and working on an acute paediatric ward. Jenny holds a caseload of children with complex needs and disabilities and also takes the lead on complex bladder and bowel conditions and caring for cardiac babies and looks after children with IV central venous lines and port access.
Laura Wilson is a band 6 Clinical Nurse Specialist.
Laura has a background of deputy ward sister on an acute paediatric ward. Laura holds a caseload of children with complex needs and disabilities. Laura takes the lead on babies discharged from hospital on home oxygen and supports Louise with the rheumatology team and works alongside Dr Helen more at chesterfield royal hospital and the Rheumatology from Sheffield children's hospital.
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Lisa Bailey is a band 6 Clinical Nurse Specialist. She has a background of ward sister from our children's ward and she covers children's complex needs and disabilities, supports Laura with home oxygen babies and as taken on link or endocrine and metabolic children. She has also taken on children with food aversions and works closely on this with the SLT and dietician Team and Tracy has advocated for our families around food aversions. Lisa is also the link nurse for Cystic Fibrosis children. Lisa is the LEM- learning environment manager-. She supports families with neurodiverse children, such as having a child with ASD/ADHD. Lisa is an advocate for families.
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Amanda Smith is a band 6 Clinical Nurse Specialist.
Amanda works as a nurse specialist at Fair play in Chesterfield, Fair play supports children and young people with disabilities and additional needs, and their families, across North Derbyshire.
Katy Rodgers is a band 6 Clinical Nurse Specialist.
Katy has a background as a previous CCN specialising in neurology and complex needs. Katy is building up her caseload of children with complex needs and disabilities ad children with neurodivergence Caseload. Katy is also a good advocate for children and families with ASD/ADHD.
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Lucy Goucher is a band 2 housekeeper/administration assistant.
Lucy supports the children’s community nursing team by co-ordinating medical equipment and supplies that go out to our families and all other administration duties.
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Masie is our newest member to the CCN team and our new band 6 clinical nurse specialist previously worked in our children's outpatients and was very popular at taking children's blood. Masie has worked as a QMC and is currently building up her case load with children of complex needs and disabilities.
We cover north Derbyshire areas covering Alfreton, Creswell up to the Mansfield boarder up to new mills/ high peak areas and Sheffield boarders depending on the GP the child and young person may be registered with.
LEM: Lisa Bailey - Contact us 01246 514563
We work closely and collaboratively with the Paediatric Epilepsy Team, the Paediatric Continence Team and the Children’s Community Nursing Training Team. This team now had 2 established band 7's.
Paediatric Epilepsy Nursing Team​
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Rachel Parker is a band 7 Lead Clinical Nurse Specialist for Paediatric Epilepsy. Rachel has a Nurse Specialist Community Qualification. Rachel is our team lead.
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John Hickey is a band 7 lead clinical nurse specialist.
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Both Rachel and John work closely with children community nurse team.
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Rachel and Jon hold a caseload of children and young people with a diagnosis of epilepsy, providing high level clinical care across the North Derbyshire region to children and young people with epilepsy, their parents or carers, and other professionals such as school teaching staff.
Rachel and Jon offer both home visits to children young people and their families and community visits to various settings. They work with Consultant Paediatricians and provide joint Epilepsy Clinics within the hospital setting.
Rachel and Jon both provide telephone support to families in between home visits and clinic appointments to discuss the child’s ongoing care, providing specialised information in line with NICE guidance.
Rachel and Jon offer counselling to children’ young people and their families on:
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Issues such as epilepsy type or syndrome including probable future prognosis.
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Management of preventative medications therefore improving seizure control and reducing untoward side effects. This in turn improves the patient’s compliance and adherence with their medications. Improved seizure control helps reduce the risk of physical injuries, emotional distress and lowers the risk of epilepsy related deaths. It also helps reduce both hospital and emergency department admissions, therefore reducing cost to the NHS.
Psychosocial aspects of care including information on lifestyles, hobbies, sports, jobs, behaviours, first aid, driving, alcohol, and safety around the home. Therefore maintaining or improving the child’s quality of life and reducing the associated stigma and misdiagnosis rates
Paediatric Continence Team
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Rebecca Wilks - Rebecca is a band 6 and she oversees the DCCNT team. This supports training with families for schools, nursery's, and other children provisions.
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Clare Faulkner is a band 7 Lead Clinical Nurse she is a Specialist for the Paediatric Continence Service for North Derbyshire, which is part of a Derbyshire county wide service. Clare has a team of 2 x band 6 nurses, Nicole Atkinson and Tracey Smith, a band 4 continence assistant Helen Smethurst and a clinic co-ordinator Julie Hall.
Clare has developed the service to provide nurse led clinics across North Derbyshire in health settings and special schools. The team provides continuous assessments, including nocturnal enuresis, constipation, daytime wetting and delayed toilet training.
Within the assessment they offer pre and post void bladder scans, issue enuresis alarms, prescribe medications and provide incontinence products as the condition dictates.
The team run joint clinics with school nurses and education staff within special schools to support children and young people to reach their continence potential.
However...
Unfortunately due to the nature of our work and high level of specialism much of your placement will be observational. You will be allocated to a practice assessor and supervisors but we hope you will have the opportunity to work with all members of the team so you can optimise your experience.
Your working hours will be Monday to Friday each week 9am-5pm, however if you have the opportunity to go on a visit with a CCN outside of these hours, you can take the time back on another day. You will be expected to wear your own clothes (not uniform) and these should be smart but casual (no jeans) and no open toed shoes or sandals.
If you have any questions prior to your placement please don’t hesitate to contact us on 01246 514563.
Children’s Community Nursing Training Team
Joanna Stout is a band 6 Clinical Nurse Specialist and is the Nurse Training Co-ordinator for the Training Team in North Derbyshire.
Amanda Young is the Administrative Training co-ordinator and organises the training programme for the year.
The Training Team provide specific training and education to parents, carers and education staff in caring for children with complex needs and disabilities in North Derbyshire.
The primary training sessions taught are:-
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Epilepsy Awareness and Emergency Medication
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Respiratory Awareness including oxygen delivery, suction and nebulisers/inhalers
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Trachesotomy Awareness
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Enteral Feeding – Gastrostomy/Jejunostomy Awareness
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Medicines Management and Safe and Accurate Administration
The Training team also provide bespoke training on:-
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Nasogastric Tube placement and feeding
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Epipen Awareness
Jo delivers the taught sessions and then follows up by going into the care setting to ensure carers’ competencies are checked.