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No consistency in children's services say RCN

There is a lack of consistency and availability among community children's services in England, the Royal College of Nursing (RCN) claims.

This is particularly the case for children with minor acute illnesses and long term conditions, as well as those needed continuing care and end of life support, the RCN said.

“Children requiring provision for end of life care should receive 24 hour community children's nursing care wherever and whenever this is required,” said RCN chief executive Dr Peter Carter.

He said: “Unfortunately, in many parts of the country this is not available and countless children die in hospital settings, rather than at home.”

Individual nurses should raise their concerns around safe staffing and skill mix, according to the Royal College of Nursing (RCN).

Workforce plans should be reviewed on an annual basis and in response to known pressures, the organisation claims.

Also a full risk assessment should be undertaken in cases where staffing and skill-mix 'deficiencies' continue.