Article published by Kate Dharmarajah on 16 January 2019
A superb seminar from Eugenia Lee (GP lead for children with HLP) on 09/01/19 Scary figures… but pulling people together from different disciplines, geography, backgrounds, experiences – all motivated to improve the lives of London’s children. Now is a fantastic time to make change – NHS 10 year plan highlighting children’s health like never before! https://www.longtermplan.nhs.uk/ Amongst PICH participants and mentors 2019 we agreed via a dragons den bid-off that we would prioritise the mental health of the next generation if…
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Article published by Kate Dharmarajah on 13 December 2018
Inspiring seminar by Michelle Heys: paediatrician, public health doctor and data guru, on 12th December. How can data really help us and influence change… see the graphic for more details! Graphic – How can data influence change?
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Article published by Kate Dharmarajah on 25 November 2018
Deepening our understanding of patient experience at this month’s PICH seminar. We had presentations from Bea (practice champion manager for CC4C connecting care for children), and Dr Heidi – Paed trainee at the Royal London and former research fellow for CC4C. Bea talked about collaboration of professionals and community members (on an equal platform) to meet needs of the local populations Heidi described how to involve patients meaningfully in research, and how is it relevant to recurrent wheeze. Key links:…
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Article published by Kate Dharmarajah on 27 September 2018
Such an exciting afternoon and evening launching PICH 2018/19 and hearing from last year PICH 2017/18s participants in the evening!
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Article published by Kate Dharmarajah on 26 September 2018
I began my PICH journey with enthusiasm, but little experience of leading QI projects. I firstly introduced a proforma to our ED to help standardise the acute care of wheezy children and improve the advice and education given at discharge. Several iterations of audit showed that we were making improvements to acute care and also discharge advice and education. Following this, I noted that many patients referred to paediatrics from our UCC were seen and sent home with few, if…
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Article published by Kate Dharmarajah on 25 September 2018
As part of my PICH Journey- I had the opportunity to sit in a Learning Together Clinic which in my opinion was a great example of delivering patient centred care. I worked towards setting up the clinic within the paediatric rota. After overcoming local barriers such as consultant provision, rota management, identifying stakeholders and approval from GP practice manager, I was able to establish the clinic within the paediatric training rota. A number of registrars have done this clinic with…
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Article published by Kate Dharmarajah on 24 September 2018
Definition: CSE involves those under 18 in exploitative situations, contexts and relationships where young people (or a third person or persons) receive something (for example, food, alcohol, cigarettes, affection, gifts) as a result of them and/or another or others engaging in sexual activities. It is an abuse of power by those exploiting by virtue of their age, gender, intellect, and physical strength and/or economic or other resources. 1 in 20 children in the UK have been sexually abused Sexual exploitation accounted…
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Article published by Kate Dharmarajah on 24 September 2018
Embarking on my journey in PICH, I have been overwhelmed by enthusiasm about how PICH is changing the world of Paediatrics. Paediatrics is soon going to be a place of continuity of care, so much closer to what I have envisaged as a clinician and parent. I gradually realised that the majority of my tertiary care colleagues would not immediately share this enthusiasm and it would take time, advanced leadership skills and data to convince them of the potential for…
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Article published by Kate Dharmarajah on 24 September 2018
I already have a background of being a GP. I have already tried examples of adult integrated health care which are useful examples. I have previously attempted integrated healthcare in paeds by means of GPSI (GP with specialist interest) clinics. I looked into examples of which other countries are doing it and evidence as to whether integrated care models work (they do – well at least in adults). I tried some of my own examples – but generally managed to…
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Article published by Kate Dharmarajah on 23 September 2018
I was really excited to design an integrated care project supporting training of professionals and the public. The aim was to improve the patient experience by empowering patients and families with knowledge and improving understanding of professionals involved in child health to allow more streamlined integrated care for children and young people. I created a stakeholder group by recruiting colleagues who shared my values of delivering high quality education to professionals and parents to enable better integrated care. Through collaboration…
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