Common use of Imaging Clause in Contracts

Imaging. All services will be supported by a 3 tier imaging network (‘Delivering quality imaging services for children’ DH 13732 March 2010). Within the network: • It will be clearly defined which imaging test or interventional procedure can be performed and reported at each site • Robust procedures will be in place for image transfer for review by a specialist radiologist, these will be supported by appropriate contractual • and information governance arrangements • Robust arrangements will be in place for patient transfer if more complex imaging or intervention is required • Common standards, protocols and governance procedures will exist throughout the network. • All radiologists, and radiographers will have appropriate training, supervision and access to continuing professional development (CPD) • All equipment will be optimised for paediatric use and use specific paediatric software Wherever and whenever children undergo anaesthesia and surgery, their particular needs must be recognised and they should be managed in separate facilities, and looked after by staff with appropriate experience and training.1 All UK anaesthetists undergo training which provides them with the competencies to care for older babies and children with relatively straightforward surgical conditions and without major co- morbidity. However those working in specialist centres must have undergone additional (specialist) training2 and should maintain the competencies so acquired3 *. These competencies include the care of very young/premature babies, the care of babies and children undergoing complex surgery and/or those with major/complex co-morbidity (including those already requiring intensive care support). As well as providing an essential co-dependent service for surgery, specialist anaesthesia and sedation services may be required to facilitate radiological procedures and interventions (for example MRI scans and percutaneous nephrostomy) and medical interventions (for example joint injection and intrathecal chemotherapy), and for assistance with vascular access in babies and children with complex needs such as intravenous feeding. Specialist acute pain services for babies and children are organised within existing departments of paediatric anaesthesia and include the provision of agreed (hospital wide) guidance for acute pain, the safe administration of complex analgesia regimes including epidural analgesia, and the daily input of specialist anaesthetists and acute pain nurses with expertise in paediatrics. *The Safe and Sustainable reviews of paediatric cardiac and neuro-sciences in England have noted the need for additional training and maintenance of competencies by specialist anaesthetists in both fields of practice.

Imaging. All services will be supported by a 3 three tier imaging network (‘Delivering quality imaging services for children’ DH 13732 March , Department of Health, 2010). Within the network: ; • It will be clearly defined which imaging test or interventional procedure can be performed and reported at each site site. • Robust procedures will be in place for image transfer for review by a specialist radiologist, ; these will be supported by appropriate contractual • and information governance arrangements arrangements. • Robust arrangements will be in place for patient transfer if more complex imaging or intervention is required required. • Common standards, protocols and governance procedures will exist throughout the network. • All radiologists, radiologists and radiographers will have appropriate training, supervision and access to continuing professional development (CPD) . • All equipment will be optimised for paediatric use and use specific paediatric software software. Wherever and whenever children undergo anaesthesia and surgery, their particular needs must be recognised and they should be managed in separate facilities, and looked after by staff with appropriate experience and training.1 training. All UK anaesthetists undergo training which provides them with the competencies to care for older babies and children with relatively straightforward surgical conditions and without major co- morbidity. However those working in specialist centres must have undergone additional (specialist) training2 training and should maintain the competencies so acquired3 *acquired. These competencies include the care of very young/premature babies, the care of babies and children undergoing complex surgery and/or those with major/complex co-co- morbidity (including those already requiring intensive care support). As well as providing an essential co-dependent service for surgery, specialist anaesthesia and sedation services may be required to facilitate radiological procedures and interventions (for example MRI scans and percutaneous nephrostomy) and medical interventions (for example joint injection and intrathecal chemotherapy), and for assistance with vascular access in babies and children with complex needs such as intravenous feeding. Specialist acute pain services for babies and children are organised within existing departments of paediatric anaesthesia and include the provision of agreed (hospital wide) guidance for acute pain, the safe administration of complex analgesia regimes including epidural analgesia, and the daily input of specialist anaesthetists and acute pain nurses with expertise in paediatrics. *The Safe and Sustainable reviews of paediatric cardiac and neuro-sciences in England have noted the need for additional training and maintenance of competencies by specialist anaesthetists in both fields of practice. • GPAS Paediatric anaesthetic services. RCoA 2010 ▇▇▇.▇▇▇▇.▇▇.▇▇ • CCT in Anaesthesia 2010 • CPD matrix level 3 The age profile of children and young people admitted to specialised CAMHS day/in- patient settings is different to the age profile for paediatric units in that it is predominantly adolescents who are admitted to specialised CAMHS in-patient settings, including over-16s. The average length of stay is longer for admissions to mental health units. Children and young people in specialised CAMHS day/in- patient settings generally participate in a structured programme of education and therapeutic activities during their admission. Taking account of the differences in patient profiles the principles and standards set out in this specification apply with modifications to the recommendations regarding the following • Facilities and environment – essential Quality Network for In-patient CAMHS (QNIC) standards should apply (▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇.▇▇.▇▇/quality/quality,accreditationaudit/qnic1.aspx) • Staffing profiles and training, essential QNIC standards should apply. • The child/ young person’s family are allowed to visit at any time of day taking account of the child / young persons need to participate in therapeutic activities and education as well as any safeguarding concerns. • Children and young people are offered appropriate education from the point of admission. • Parents/carers are involved in the child/young persons care except where this is not in the best interests of the child / young person and in the case of young people who have the capacity to make their own decisions is subject to their consent. • Parents/carers who wish to stay overnight are provided with accessible accommodation unless there are safeguarding concerns or this is not in the best interests of the child/ young person.

Imaging. All services will be supported by a 3 tier imaging network (‘Delivering quality imaging services for children’ DH 13732 March 2010). Within the network: •  It will be clearly defined which imaging test or interventional procedure can be performed and reported at each site •  Robust procedures will be in place for image transfer for review by a specialist radiologist, these will be supported by appropriate contractual • and information governance arrangements •  Robust arrangements will be in place for patient transfer if more complex imaging or intervention is required •  Common standards, protocols and governance procedures will exist throughout the network. •  All radiologists, and radiographers will have appropriate training, supervision and access to continuing professional development (CPD) •  All equipment will be optimised for paediatric use and use specific paediatric software software. Wherever and whenever children undergo anaesthesia and surgery, their particular needs must be recognised and they should be managed in separate facilities, and looked after by staff with appropriate experience and training.1 All UK anaesthetists undergo training which provides them with the competencies to care for older babies and children with relatively straightforward surgical conditions and without major co- co-morbidity. However those working in specialist centres must have undergone additional (specialist) training2 and should maintain the competencies so acquired3 *. These competencies include the care of very young/premature babies, the care of babies and children undergoing complex surgery and/or those with major/complex co-morbidity (including those already requiring intensive care support). As well as providing an essential co-dependent service for surgery, surgery specialist anaesthesia and sedation services may be required to facilitate radiological procedures and interventions (for example MRI scans and percutaneous nephrostomy) and medical interventions (for example joint injection and intrathecal chemotherapy), and for assistance with vascular access in babies and children with complex needs such as intravenous feeding. Specialist acute pain services for babies and children are organised within existing departments of paediatric anaesthesia and include the provision of agreed (hospital wide) guidance for acute pain, the safe administration of complex analgesia regimes including epidural analgesia, and the daily input of specialist anaesthetists and acute pain nurses with expertise in paediatrics. *The Safe and Sustainable reviews of paediatric cardiac and neuro-neuro- sciences in England have noted the need for additional training and maintenance of competencies by specialist anaesthetists in both fields of practice.