Step down services

  • The Children's Trust provides a nurse-led service for children and young people aged 0-18 who are technology-dependent, some of whom have a brain injury and/or associated complex health needs. This includes children who:
    • have a tracheostomy
    • require artificial ventilation
    • are fed via parenteral nutrition
    • need central line management or intravenous medication.
    A dedicated inter-professional team works to meet the needs of each child, young person and their family using individually tailored programmes. These include:
    • step down care from hospital to home
    • residential rehabilitation for children who are technology-dependent as the result of a brain injury
    • short breaks
    • education for technology-dependent children with Profound and Multiple Learning Difficulties (PMLD)
    • round-the-clock nursing support
    • individual packages of care for babies and children with complex health needs from across the UK
    • a welcoming home-from-home environment
    • training for parents and the local care team
    • an understanding of the child's long-term needs
    • age-appropriate play activities
    Enquiries are welcomed from any individual who feels that a child may benefit from our services, including clinicians, social works and family members. To make a referral or to find out more about The Children's Trust's services for technology-dependent children, please contact the Placements & Commissioning Team.
    The Children's Trust
    Tadworth Court
    Surrey KT20 5RU
    Telephone: 01737 365 080
    Fax: 01737 365084
  • The Children's Trust's step down care service was established in 2006 and aims to help children and young people who are technology dependent to make the transition from hospital to home. For children and young people who have a tracheostomy and/or are dependent on long-term ventilation and are unable to return home straight away from a hospital or clinical setting, The Children's Trust provides a homely and friendly environment. Support is offered around the clock. This service not only delivers positive outcomes but can also relieve pressure on acute specialist hospital beds. Close links are maintained with the referring hospital and consultant. The service aims to:
    • Maximise each child or young person's potential
    • Offer specialist therapy and education input where appropriate
    • Enhance quality of life with access to play and leisure activities
    • Develop an understanding of the child's long-term needs
    • Manage and support a child or young person's transition home
    • Provide training for families and community teams
    • Prevent secondary problems developing
    There are opportunities for therapy, education, leisure and age-appropriate activities and trips which may not be available within a hospital setting, as well as access to on-site facilities including a hydrotherapy pool. After assessment, an individual package of care and therapy is developed. It focuses on the child or young person's medical, physical, emotional, social, therapeutic, psychological, cognitive and educational needs. Download our guide to our services for technology-dependent children

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