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
    Tadworth
    Surrey KT20 5RU
    Telephone: 01737 365 080
    Fax: 01737 365084
    Email:
  • We offer step-down placements supporting the transition from hospital to home for medically-stable children and young people aged 0 – 18 with complex health needs following neurosurgical procedures and prolonged stays in Intensive Treatment Units who might otherwise be staying long-term in hospital. We support children and young people with a range of degenerative and life-limiting conditions. We are also able to support babies who may need transitional support from neonatal intensive care to home. Children are supported on a step-down basis in our child and family-friendly setting, located in 24-acres of grounds located just south of London, in Surrey. Children receive round-the-clock specialist care in a beautiful home-from-home environment, supported by 24 hour nursing, care teams and daytime on-site medical provision. The service is enhanced by clinical assessment, a wide range of therapies, education and opportunities for play and family outings. We support children of all ages, from babies to teenagers, who have severe brain and spine injuries requiring complex neuro-disabilty management including:
    • Long-term invasive and non-invasive ventilation;
    • Tracheostomy management (including weaning to de-cannulation);
    • Severe/complex epilepsy;
    • Disorders of consciousness (e.g. minimally conscious);
    • Enteral feeding (e.g. gastronomy, jejunostomy);
    • Parenteral nutrition/TPN via a central line;
    • Dysphagia;
    • Major neurosurgical procedures;
    • Prolonged ITU stay for non-neurological conditions.
    Each child will be considered on an individual basis on our ability to meet their needs in a setting similar to home so this list is not exhaustive. The step-down service includes comprehensive training for parents or carers and a period of familiarisation for the community team who will take over care supported within our service. We have on-site family accommodation which means parent can stay close by and can play an active role in their child’s care and development as if they were at home. We work closely with local commissioners and funding bodies to secure funding for placements. As a charity our placements are part-subsidised by our fundraising income. For further information please download of step-down services leaflet or call +44 (0)1737 364325. DOWNLOAD: Step-down services from The Children's Trust

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