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HUB AND SPOKE PLACEMENT CATEGORIES AND EXAMPLES
ADULT NURSING
Hub Placement Category Placement Allocation Examples Placement Spoke Category examples (please note that some of these are also used as Hub placements) Medicine Specialist and general medical wards Specialist nurse in diabetes, haematology outpatients, head and neck cancer nurses, infection prevention and control, neuro/oncology specialist nurses, palliative specialist nurses, peritoneal dialysis nurses, discharge management team Surgery Specialist and general surgical wards Colorectal specialist nurse, infection prevention control, gynae specialist nurses, gynae cancer nurse, spinal injuries outreach nurse, upper GI cancer nurses, palliative specialist nurses, falls and osteoporosis services, endoscopy, gastroenterology nurses, vascular specialist nurses, pre-assessment, pain management service Critical Care Adult Intensive care units, generic high dependency units, trauma units Critical care outreach team, Theatres Care Closer to Home Community hospitals, nursing homes, GP practices and primary care networks, hospices, outpatients departments, minor injuries and walk-in centres FAST response team, intermediate care, spinal injuries outreach, tissue viability specialist nurses, neurology specialist nurses, heart failure specialist nurses, continence services Care in the Home Community Matrons, Community Nurses, District Nurses, Rapid Response Teams Community heart failure specialist nurse, specialist community palliative care teams and McMillan nurses, stoma care advisory service, community respiratory service, nursing homes (although this has been categorised as care closer to home to differentiate from district nurse placements)
PREFERRED OPTIONS (ADULT)
Placement Category Category Definition Placement Allocation Examples Cardio/Respiratory Caring for People with Cardiovascular and/or Respiratory Health and Nursing Care Needs Oxygen service, angiography, specialist cardiac nurses, cardiac rhythm management nurses, cardiac catheter labs, respiratory services, heart failure nurses, acute cardiac care, COPD nurses, Challenging Behaviour Working with people who have challenging behaviour Specialist schools, 24 hour care, integrated community teams, independent hospital care, LD community teams, assessment and treatment services Dermatology / Tissue Viability Caring for People Receiving Care within Dermatology and/or Tissue Viability Health Care and Nursing Care Services Specialist skin services, tissue viability services, dermatology OPD, dressing clinics Eating Disorders Inpatient or community based, working with people with disordered eating Specialist teams, CAMHS, specialist inpatient units Endocrinology Caring for People Receiving Care within Endocrinology Services (includes Diabetes Services) Diabetes centres, rapid assessment units, infectious disease units Health Improvement Health Improvement Clinical research units and nurses, cross speciality nurses, organisational development, patient safety nurses, smoking cessation Integrated Care Integrated Care Specialist integrated teams, supported living units National/International Placement National/International Placement Prison Healthcare Caring for people with long term conditions and drug, alcohol and substance misuse HMP prison healthcare teams Neurological Caring for People with Neurological Health and Nursing Care Needs Inpatient pain team, neuro-oncology specialist nurses, acute pain team, stroke units, neurology units Reproductive Medicine / Sexual Health Caring for People accessing Reproductive Medicine and/or Sexual Health Care Services Reproductive medicine units and services, sexual health services Pharmacy Understanding the role of pharmacy within self-care, minor ailments, medicine management, health promotion advice sign posting Pharmacy 365, whitworth chemist
PREFERRED OPTIONS (CHILD)
Placement Category Category Definition Placement Allocation Examples Challenging Behaviour Working with people who have challenging behaviour Specialist schools, 24 hour care, integrated community teams, independent hospital care, LD community teams, assessment and treatment services Children & Young People Caring for Children and Young People in Hospital and/or Community Health and Nursing Care Services Health visiting services, children’s complex needs teams, epilepsy nurses, community children’s nurses, hospices, paediatric outpatients, school nurses Children's Community Services/Specialist Nurses Working with children who have long-term conditions or complex health needs Children’s community home care nurses, children’s community school setting nurses, community children’s nurses Children's Hospices Providing respite services for children with life limiting conditions Zoes Place, Butterwick Children’s Hospice Eating Disorders Inpatient or community based, working with people with disordered eating Specialist teams, CAMHS, specialist inpatient units Health Improvement Health Improvement Clinical research units and nurses, cross speciality nurses, organisational development, patient safety nurses, smoking cessation Health Visiting Health Visiting Health visiting teams Hospital Outpatients Hospital Outpatients Departments (South Tees Hospitals NHS Trust, CDDFT NHS Trust, North Tees & Hartlepool NHS Trust) Specialist outpatient departments, medical outpatient departments, surgical outpatients, discharge management teams, ambulatory care Infection, Prevention & Control Infection, Prevention and Control Nursing Services Trust infection, prevention and control teams Integrated Care Integrated Care Specialist integrated teams, supported living units LD & Complex Needs (Physical Disabilities) Working with people who have Learning Disabilities and Complex Needs (Physical Disabilities) Supported living, enhanced community services, complex needs day services, integrated teams LD CAMHS Learning Disability CAMHS LD children, adolescent mental health teams MH CAMHS Mental Health CAMHS Child, adolescent, mental health teams National/International Placement National/International Placement Paediatric Critical Care Paediatric Critical Care Special care baby units,, paediatric intensive care units, paediatric A&Es, neonatal units Paediatric Day Units Paediatric Day Units Day units, surgical and medical Palliative Care Caring for People Receiving Palliative Care Hospices, Marie Curie, specialist palliative care teams
Paramedic Placement Paramedic Placement (this is an observational placement) Perioperative Care Caring for People Receiving Perioperative Care (including Operating Theatres and/or Endoscopy Units) Endoscopy, theatres, post- operative SDU, surgical admissions units, pre-assessment units, lead practitioners, bariatric nurse, bowel screening Respite Care Working with people who require respite care Health facilitation teams, supported living, nursing homes, hospital units School Nursing School Nursing School nursing teams Substance Misuse Substance Misuse Specialist support teams Urgent Care Centres Urgent Care Centres A&E departments, urgent care centres LEARNING DISABILITIES NURSING Hub Placement Category Placement Allocation Examples Placement Spoke Category examples (please note that some of these are also used as Hub placements) Inpatient LD Trust inpatient treatment and assessment units, independent residential and private hospitals, NHS respite short break services
- Adult and Child Day centres, day units, care homes, adult and child acute medical wards, social services, residential placements, independent sector LD services Care closer to home LD Community LD teams, integrated LD teams, CAMHS and autism services, specialist schools, independent sector community services, health facilitation teams Private, voluntary, charitable services, NSPCC, day services and centres, specialist schools, school nurses, speech and language services, dietitians, respiratory nurses, diabetes services, colorectal nurses, outpatients, health facilitation teams, GPs, psychologists, LD specialist nurses Enhanced LD Forensic inpatient and community services, prisons, secure outreach teams, community forensic teams, specialist support teams, PIPS, specialist tertiary services, Profound and multiple LD services Secure outreach, specialist schools, referral units, liaison psychiatric services, specialist LD and autism nurses and teams
Endocrinology Caring for People Receiving Care within Endocrinology Services (includes Diabetes Services) Diabetes centres, rapid assessment units, infectious disease units Forensic Working with people with Learning Disabilities in Forensic environments Specialist inpatient units Health Visiting Health Visiting Health visiting teams Integrated Care Integrated Care Day care services and units PMLD, community integrated care, LD & Complex Needs (Physical Disabilities) Working with people who have Learning Disabilities and Complex Needs (Physical Disabilities) Supported living, enhanced community services, complex needs day services, integrated teams LD & MH Working with people who have Learning Disabilities and Mental Health needs Community teams, inpatient units in trust and independent sectors LD CAMHS Learning Disability CAMHS Community and inpatient units, specialist schools, LD Needs Working with People with Learning Disabilities Trust inpatient units, community teams, supported living, enabling centres respite care trust and independent, residential care in the independent sector National/International Placement Palliative Care Caring for People Receiving Palliative Care Hospices, Marie Curie, specialist palliative care teams Paramedic Placement Paramedic Placement (this is an observational placement) North East Ambulance Service and Yorkshire Ambulance Service Reproductive Medicine / Sexual Health Caring for People accessing Reproductive Medicine and/or Sexual Health Care Services Reproductive medicine units and services, sexual health services Respite Care Working with people who require respite care Health facilitation teams, supported living, nursing homes, hospital units School Nursing School Nursing School nursing teams and specialist school nurses Women's Health Women's Health Care Services Diagnostic gynaecology and colposcopy services, gynae outpatient departments, gynae surgical wards
MENTAL HEALTH
NURSING
Hub Placement Category Placement Allocation Examples Placement Spoke Category examples (please note that some of these are also used as Hub placements) Inpatient Mental Health Trust inpatient, independent sector residential MH services Adult and Child Medical/surgical wards, specialist community/crisis teams, personality and relational services, crisis assessment suits and psychiatry intensive care units. Care Closer to Home mental health Community MH teams, integrated MH teams, CAMHS, specialist services in schools, independent sector community services, health facilitation teams Crisis teams, key stage 3 schools, community physical health services, LD services, charitable organisations such as MIND, Alzheimer’s society etc., improving access to psychological therapies Enhanced Mental Health Secure inpatient services, forensic outreach services, CAMHS, eating disorders inpatients, custody liaison diversion services, prisons Forensic outreach service, liaison psychiatric services, specialist autism nurses, improving access to psychological therapies, eating disorders community services, custody nurses, crisis teams Enhanced Care Closer to Home Mental health Forensic outreach services, eating disorders community, improving access to psychological therapies, crisis teams Crisis assessment suite, inpatient services, eating disorders inpatient units PREFERRED OPTIONS (MH) Placement Category Category Definition Placement Allocation Examples Challenging Behaviour Working with people who have challenging behaviour Specialist schools, 24 hour care, integrated community teams, independent hospital care, LD community teams, assessment and treatment services Children & Young People Caring for Children and Young People in Hospital and/or Community Health and Nursing Care Services Health visiting services, children’s complex needs teams, epilepsy nurses, community children’s nurses, hospices, paediatric outpatients, school nurses Crisis A global team working for a time limited period with people experiencing a mental health period of crisis CAMHS, specialist crisis resolution teams, home treatment teams Eating Disorders Inpatient or community based, working with people with disordered eating Specialist teams, CAMHS, specialist inpatient units Forensic Working with people with Learning Disabilities in Forensic environments Specialist inpatient units
Psychosis Working with people who have a diagnosis of psychosis, leading to them experiencing unshared perceptions, such as 'voices' Early intervention teams, community psychosis teams, community mental health teams for adults, affective disorders Reproductive Medicine / Sexual Health Caring for People accessing Reproductive Medicine and/or Sexual Health Care Services Reproductive medicine units and services, sexual health services Respite Care Working with people who require respite care Health facilitation teams, supported living, nursing homes, hospital units School Nursing School Nursing School nursing teams and specialist school nurses Substance Misuse Substance Misuse Specialist support services
