|Title:||Special Referral to Child Health Services|
|Document ID:||Operational Directive OD 0617/15|
|Date of issue:||Thursday, 9 July 2015|
|Description:||OD outlines the process for informing child health services of any known newbom and/or family risk factors in the antenatal or postnatal period Included is the updated referral form to be utilised by services requiring a paper based process.|
|Applicable to:||Matemity and neonatal service providers.|
|Period of effect:||from 28 January 2015 to 28 January 2020|
|Review date:||28 January 2020|
|Authorised by:||Professor Bryant Stokes, A/Director General, Department of Health WA, 08-May-2015|
|Print version:||View print version|
Special Referral to Child Health Services
Ensuring transition of care between maternity services and child health services is important in improving health outcomes for children and providing support to new parents.
A system has been established to ensure the effective transfer of information from maternity hospitals and neonatal services to child health services for families with known newborn or family risk factors identified in the antenatal or postnatal period.
This process complements the existing Stork perinatal database which produces a special child health referral form which sends an automated email to centralised accounts in child health services. The current Stork database scope is limited to referrals for the birth episode therefore neonates transferred following birth or readmitted require a paper based referral system, as do referrals from maternity services without Stork.
The SPECIAL REFERRAL TO CHILD HEALTH SERVICES form has been updated according to feedback obtained through an audit of users and to align with the Australian Council on Health Care Services Standard 6.
RESPONSIBILITIES OF HEALTH STAFF
This document outlines the roles and responsibilities for staff working across maternity, neonatal and child health services. This document is to be read in conjunction with the Guidelines for Protecting Children 2015 located at: http://www.health.wa.gov.au/mandatoryreport/home/guidelines.cfm and the Operational Directive OD 0389/12 Information Security Policy which is located at: http://www.health.wa.gov.au/CircularsNew/circular.cfm?Circ_ID=12892
It is important that maternity staff (midwives, doctors, allied health professionals), neonatal intensive care staff (midwives, nurses, doctors) and child health staff (child health nurses, Aboriginal health workers) work together to ensure a continuum of care across this transition period for families with newborns.
The Special Referral Form to Child Health Services can be completed at any time in the antenatal or postnatal period when there are identified newborn and/or family risk factors however it is the responsibility of the discharging maternity/neonatal unit to ensure that the form has been completed.
The referral form contains a checklist of evidence based criteria for referral. Information in the form complements clinical judgment and expertise in assessing if the mother/family or newborn has identified health needs and would benefit from early support from child health services.
Maternity Services utilising Stork
Upon completion of the discharge summary on Stork, the system sends an automated email to centralised email accounts in child health services across the state.
Maternity and Neonatal Services NOT utilising Stork
On completion of the form, the discharging staff member should:
Child Health Services
Area Health Services are required to provide secure administration processes for managing the receipt of referrals and are responsible for forwarding the form to the appropriate service based on the demographic details provided. Upon receipt of the form the child health nurse should consider the identified risk factors and prioritise contact with the family to ascertain their needs. The nurse will use the information provided and professional clinical judgement to develop a management plan which may include ongoing support and or referral to specialised staff.
Professor Bryant Stokes
This circular last updated: Thursday, 9 July 2015 at 11:21am