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Pressures across BLMK on the systems with CYP presenting with acute symptoms – educational seminar

Thank you to those of you who attended the educational seminar on Saturday 10 October 2020.

The seminar covered important information on Covid-19 pathways for children alongside information on how to look after children presenting with fever and other respiratory conditions. Examining symptomatic children safely was also covered. The presenters included our GPs, community nursing teams and paediatricians.

We’d like to hear how you found this session, please download this feedback form to share your thoughts.

If you were unable to attend or would like to re-watch the presentation, please click here. Please note due to a technical issue, the recording is only for the first 40 minutes of the presentation. We apologise for this.

If you would like to download the slides presented, please click here.

For further information relating to pathways, please see below:

Covid19 pathways shared with schools in Luton

Covid19 pathways shared with schools in Central Bedfordshire, Bedford Borough and Milton Keynes

Questions asked:

  1. What patient / parents feedback do you get from NHS 111?

    Our NHS 111 providers run NHS friends and family like most providers. They will also have their own patient surveys throughout the year that they use to improve the quality of the service. Generally patient feedback is very good, particularly from parents who find the service very responsive.

  2. Aren’t we at risk of flooding the Red Zone with feverish children with winter surge? What is the surge safety net for the Bedford Red Zone?

    The Red Zone is well staffed and has capacity for increased appointment slots. To date this has not been an issue even during the peak of lockdown. We also have the community children services based at Kempston who are able to see children with potential COVID symptoms in Bedford Borough.

  3. Can the Red Zone be open longer than the current 6pm end as we are getting calls right up 6:30pm?

    Opening of the red site until 6.30pm would have to be discussed and agreed with the Commissioners.

  4. Is the MK Hot Hub 24/7?

    Yes the Hot in MK is run at the MKUCS and hence 24/7 and 365 days a year. Outside usual working hours for our CPCT (Children’s Primary Care Team), who currently run the Paediatric Hot Clinic children will be reviewed by our Clinicians at MKUCS by telephone first and then f2f is required and appropriate to do so.

  5. What is the criteria for rapid response referrals?

    Referral pathways will guide primary care clinicians on criterions for referring patients to our RR/CPCT or A&E Paediatric team.

  6. Have the Paediatric pathways been updated for Covid-19 to help GPs access remotely?

    Yes the pathways have been updated to reflect current restrictions.

  7. Is there an age limit for a child to have Covid-19 swab?

    There is no age limit for a child to have a swab, but the location where the swab is carried out may vary depending on the experience available in the swabbing team.

  8. Any advice on how to manage throat symptoms, particularly if had course of antibiotics and not improving?

    If not responding to antibiotics, it is most likely viral but without swabbing it would be difficult to distinguish between Covid-19 and non Covid-19.

  9. In what situation would Oxygen be administered from amber pts?

    Oxygen is usually administered if saturations below 93%.

  10. Would it be appropriate to refer a child through the pathway if the follow-up isn’t needed until the day after?

    Yes it would still be appropriate to refer the child.

  11. Would throat examinations be expected in general practice?

    Yes but the appropriate PPE and eye shields must be worn if carrying out a throat examination.