Respiratory nurse specialist for children and young people with asthma and cystic fibrosis

This criteria specifically refers to the new service being developed for children and young people (CYP) who have Asthma and/or Cystic Fibrosis living within the Lincolnshire geographical boundaries.

Due to the service being in its infancy, acceptance for referrals will be targeted to certain groups of children and young people who have Asthma and/or Cystic Fibrosis. As the service grows and develop, expansion will occur to involve other categories of CYP living with Asthma and/or Cystic Fibrosis. The service is Trust wide with delivery from Boston, Grantham and Lincoln Hospitals.

Inclusion Criteria

The following criteria will be considered at triaging when referral to service is made.

A child or young person aged 0-19 years who has:

• Uncontrolled and difficult to treat asthma despite all necessary general paediatric clinic input have been implemented but not successful
• Recurrent attendances and/or admissions to accident and emergency, children’s assessment units and the children’s ward two or more in 12 months despite all necessary general paediatric clinical input have been implemented but not successful
• Have required a high dependency admission or intravenous treatment
• Challenging social background where appropriate escalations and interventions by child’s consultant have been unsuccessful
• Specialist nursing monitoring and intervention for cystic fibrosis in the home/ community setting

Referrals will be accepted from children’s assessment units, neo-natal services and inpatient children’s wards as well as tertiary centres.

Referrals to be sent to all email: [email protected]

Exclusion Criteria

Referrals from the GP service.

Specialist respiratory nurse intervention in the following categories: Long term ventilation, well controlled simple asthma, chronic lung, oxygen dependant babies.