Pee Paediatric Services

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We looked for evidence that staff involved people in decisions about their care and treatment and provided them advice and support. Staff regularly reviewed people’s care and worked with other services to achieve this.

This is the first inspection for this service since its registration with CQC. This key question has been rated as Good.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Feedback from people using the service was positive. Parents who gave feedback said they felt involved in any assessment of their children’s needs. The nurse practitioner checked people’s health, care, and wellbeing needs during health reviews.

The nurse practitioner demonstrated that they considered the holistic needs of children, for example they advised parents on informing the child’s school to ensure they were supported.

The service planned and delivered people’s care and treatment with them and/or their carer, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. We saw that the policy document ‘Clinical Guideline for Paediatric Overactive Bladder (OAB) and Nocturnal Enuresis’ referenced NICE and British National Formulary for Children guidelines.

The service worked well across teams and services to support people.

The nurse practitioner had access to the information they needed to appropriately assess, plan, and deliver people’s care, treatment, and support. They worked with other services to ensure continuity of care. For example, they liaised with patients’ GPs, including sending them a letter following initial assessment. They sometimes referred patients on to other services such as private consultant paediatric urologist.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The nurse practitioner provided advice on healthy eating and drinking, and that the new hydration habits developed through treatment needed to be adopted for life. They also signposted parents to advice for constipation.

The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

The nurse practitioner told us they recorded outcomes including what stage a patient was at when they were discharged (for example dry, ongoing issues, referred to consultant, medication) and how many visits it had taken to get them to that point.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment.

The nurse practitioner told us they obtained verbal consent from parents for uroflowmetry, and the parent was present during testing. They had never been asked to see a young person without a parent but would said they would see a 14-15 yr old alone if they were assessed as Gillick competent and wished to be seen without a parent or guardian.