The overall objective of PPLOG
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To set standard guidelines for oxygen within children services
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To establish standard guidelines for oxygen weaning within tertiary and community settings
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To streamline the discharge process for children on home oxygen therapy
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To facilitate educational programmes for hospital staff preparing to discharge a child on home oxygen therapy
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To support the families with evidence-based information on how to care for their child on home oxygen therapy
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To set a platform and create a Pan London Oxygen protocol for education and management of all children on oxygen therapy within tertiary and community settings
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The PPLOG to audit every setting using the set guidelines/pathways annually through staff, parents and children satisfaction feedback
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Guidelines and pathways to be reviewed every three years or earlier if advised of new evidence-based practices
Challenges
PPLOG has ensured that the content delivered at the study days or workshops does not conflict with current local practices and policies.
PPLOG has worked closely with CCG, NHS London, Neonatal Network, Contract Management Board and all relevant professionals within London and outside London to gain critical feedback of the document and its use within hospital & community settings. The study day and workshop ensure that state that any changes in practice should be done through local clinical governance groups.
In order to manage the group, we have developed a constitution (annual review) and terms of reference.
Key Roles
In England, current practices of caring for children with oxygen therapy within the tertiary and community settings were identified by a group of health professionals as not evidence-based.
In 2016, a Respiratory Nurse with a link to all of the Children’s Services in London encouraged as many Children’s Nurses including Community Neonatal Nurses to share their concerns and find solutions to make the transition from hospital to the home of every child on oxygen therapy seamless.
Once PPLOG was established, it played a role in leading the initiative of the Discharge bundle through the knowledge and experience of Respiratory Nurses, Community Children’s Nurses and Community Neonatal Nurses. Its implementation was delivered through PPLOG study days as part of bringing a set of standard guidelines that will ensure the management of children on oxygen therapy is safe and uniform within the London region.
Members
Neonatal Outreach Lead
Bart’s Health NHS Trust, London.
Evelina, London.
Guys and St Thomas’ Hospital, London.
Children's Community Nurse Team Lead
Central London Community Healthcare NHS Trust.
Bart’s Health NHS Trust, London.
Barking, Havering and Redbridge University Hospital NHS Trust.
Imperial College Hospital Healthcare NHS Trust.
University College London Hospital, London.
PPLOG Administrative Director
Caroline Lock (RETIRED)
Air Liquide – London region
Tendai Nzirawa (former Chair)
Eastern AHSN
Abigail Beddow (former Secretary)
Barts Health NHS Trust, London
Tyree Rawsthorne
Meadway Health Centre, Manchester
Alison Camden
Queen Marys Hospital, Sidcup, Kent,
Oxleas NHS Foundation Trust
Miri Osinibi
Kings College Hospital
PPLOG South West England key stakeholder
Debbie Roots (RETIRED)
Cardiorespiratory Nurse Consultant
Adult Cardiorespiratory Enhanced and Responsive Service (ACERS)
Homerton University Hospital
It was difficult to only state the key contributors because each person has contributed greatly to how PPLOG has developed bringing different skills and knowledge. All PPLOG members are involved in different elements of the Discharge bundle, facilitate PPLOG study days, develop and review pathways/guidance.