Children’s Outpatients’ services prepare for move to their new home

NHS Lothian staff working across a number of Children’s Outpatient services at the Royal Hospital for Sick Children have been busy packing, ahead of the move of the first children’s clinical services to the new facilities at the Royal Hospital for Children and Young People.

This move is being delivered in a phased approach, and already a number of administration teams have migrated and settled into their new environment.

Alongside the provision of outpatient face to face appointments, NHS Lothian will continue to make use of video call technology ‘Near Me’ for a number of appointments, offering greater flexibility as well as reducing the need for families to travel to attend in person.

The move plan, which was agreed with the full involvement of clinical teams, is not only helping to free up space at the existing Royal Hospital for Sick Children site, but is enabling NHS Lothian to continue to deliver paediatric clinics in a way which fully adheres to and supports social distancing.

Susan Goldsmith, Finance Director and Executive Lead for the project, said: “It is exciting to see the first of our Children’s services move to their new home at the Royal Hospital for Children and Young People. We have reached a significant milestone in this project’s journey, which is important to acknowledge and celebrate. 

“While delays to the opening of the new facility have been well publicised, I hope that as each service moves and appointments commence; patients, visitors and staff will be able to see just how impressive the facilities really are.

“Reaching this stage in the project has required a tremendous amount of work from the contractors on site, as well as our own project and clinical teams and for that I would like to say a huge thank you.”

While the first outpatient services settle into their new home, work on the final stages of the remedial and enhancement work in other areas of the building continues. Once this has been completed, and following final commissioning, the second phase in the move of NHS Lothian’s Children’s services will take place.

At this point, those services still situated at the Royal Hospital for Sick Children site will also move to the new building.

 Lothian MSP Miles Briggs said: “It is terrific that staff are finally able to move across to the new facilities at the Royal Hospital for Children and Young People, based at little France.

“This move has been a long time coming and I wish all NHS Lothian staff the best at their new home.”

FAQs

How do I know where my child’s appointment will be?

Your appointment letter will tell you where your child’s appointment is being held. If it is to be held at the new Royal Hospital for Children and Young People, you will also receive a phone call to make sure you know where you are going. 

Is there parking available?

Parking is available on site. Parking stewards will direct you to the most appropriate car park. A small number of spaces are also bookable in advance, but these are reserved for patients with the greatest need, based on clinical priority.

My child has an appointment at the RHCYP, how do I find out the latest travel information?

For the latest travel information, including up to date details on parking facilities, we encourage you to visit the following website – https://www.nhslothian.scot/GoingToHospital/Locations/RIE/Pages/default.aspx

With COVID ongoing, is it safe to bring my child to hospital?

Yes. We have separate areas for patients who have tested positive for COVID-19 and for those who have not. There are also a range of enhanced infection control measures in place, such as staggered appointment times to limit the number of people in any one area of the building, physical distancing within waiting areas and enhanced cleaning in consulting rooms between each patient.

My child has an appointment in August, does this automatically mean it will be in the new building?

No. Although most outpatient services are moving over the coming weeks, some will remain at the Royal Hospital for Sick Children site at Sciennes, until the new building is ready to be opened to all services, including inpatients. This is because some services need access to other clinical support, which will not be moving until the whole building is open. Departments that will not be moving at this stage include, but are not limited to: Pain, Respiratory (asthma, allergy, CF), Cardiology, Haematology Oncology, Plastics and Plastics dressings clinic.

Does the move mean that the reported problems in the building have been fixed?

Our project team, as well as the contractors on site, are continuing to work on the final stages of the remedial and enhancement work. Once this has been completed, and following final commissioning, the second phase of the move will take place.

Why has everything not moved across to the new building?

Remedial and enhancement work is still taking place at the new building, which means that some services cannot move at this time.

If my child has an emergency, where do I go?

Children’s Emergency Services remain at the Royal Hospital for Sick Children at Sciennes. If you need to access this service, you should continue to do so at the old site. There are no Emergency Services at the new building within the Little France site at this time.

It has been reported that the RHCYP building will be opening in Autumn 2020, are things on track for then?

Our project team, as well as the contractors on site, are continuing to work on the final stages of required remedial and enhancement work. As part of this, we are due to imminently receive the final works programme. Once this has been received and discussed with the services involved, an opening date for the full building will be announced, alongside more detailed plans for the migration of the remaining Children’s services. 

St John’s Hospital children’s services: “no quick fix”

A report by clinical experts has recognised NHS Lothian’s commitment to restoring paediatric inpatient services at an NHS Lothian hospital as soon as possible, but warned there was no “quick fix”.

The review, carried out by the Royal College of Paediatrics and Child Health (RCPCH), highlighted the dedication of paediatric teams at St John’s Hospital in Livingston and commended the progress being made. It supported the health board’s decision to temporarily suspend inpatient services in order to maintain safe facilities for children and it said the service should only resume once the extra staff are recruited or trained.

Jacquie Campbell, Chief Officer of Acute Services, NHS Lothian, said: “We are working extremely hard to recruit additional senior staff so that we can reinstate 24/7 services at the site and we remain committed to the service. But so far we have been unable to provide sufficient staffing cover to ensure patients receive a safe service overnight.

“We know this is frustrating for patients and families, but the RCPCH has been explicit in their clinical and expert opinion that this decision was the right thing to do.

“Our overarching strategy remains a commitment to St John’s Hospital and the children’s ward and this has been demonstrated by the significant and on-going investment we have made into recruitment.”

The report was carried out after NHS Lothian invited the RCPCH to review progress following their first evaluation of children’s services overall in 2015.

At that time, the RCPCH said that inpatient children’s services should be retained on two sites – St John’s Hospital, Livingston, and the Royal Hospital for Sick Children, Edinburgh – and it was recommended that an additional eight consultants were recruited.

The 32 recommendations from the report were taken on board and wide-ranging rounds of recruitment began to help fill the gaps in the rota. However despite extensive campaigns, the required number of posts have not been filled.

The Paediatric Programme Board, which was appointed two years ago to oversee and decide how best to implement the findings of the original report, is now considering the recommendations from the follow-up report.

The RCPCH said that their initial assessment remains the same, but they understand the increasing difficulties in recruitment has caused the current situation.

The report said: “The report reaffirms that for the population of West Lothian the continued provision of inpatient paediatrics is the right model if it can be achieved with sustainable medical staffing.

“This is not a ‘quick fix’ as demonstrated by attempts to recruit paediatricians and advanced children’s nurses. Until sufficient trained medical and nursing staff are available to provide sustainable overnight care, the current daytime only paediatric assessment and decision-making service should be maintained and strengthened.

“Its opening times should be mapped more closely to activity and it should be supported with strengthened community and transport services.”

NHS Lothian is now developing a longer-term strategy to continue to deliver safe and sustainable services, and maintain and strengthen the current provision of the short stay paediatric assessment unit and review the possibility of extending the opening hours.

Ms Campbell added: “We will be looking at these recommendations very carefully in the context of how we can provide patient services safely.

“I would emphasise that parents are not being asked do to anything differently. Most of the children who currently attend the unit will continue to be cared for as normal. They will either be referred by their GP for an urgent medical opinion or attend with a pre-arranged appointment for treatment, assessment, tests or minor day surgery.”

Children will still be assessed and treated in the Emergency Department at St John’s Hospital at night and weekends.  A paediatric consultant will be available on-call 24/7. If a child needs to be admitted to hospital a transfer to the Royal Hospital for Sick Children, Edinburgh, will be arranged. Maternity and neonatal services at the hospital are unaffected.

The full report is can be read here Continue reading St John’s Hospital children’s services: “no quick fix”