Access to Health Professionals at home –
• All staff should have good communication skills to work with families
• Health Professionals should have a holistic approach – consider the whole family living with eczema
• Health Visitor is key to supporting family (guidance should include referral) & they should have specialist knowledge
• One Practice Nurse and at least one GP to have specialist eczema knowledge – other practice staff should know who to direct family to if they request eczema support or GP first seeing child should ask specialist GP to see family
At the first appointment with GP –
• GP should have specialist knowledge – 1 in 5 children have atopic eczema
• GP should have training in how to assess a child's physical, psychological & developmental needs– the needs of the whole family (impact of eczema)
• GP’s should assess all children with a standardised framework
• GP’s should have training in using the assessment framework and the treatment regimes
• Treatment regimes should have a time-line showing range/choice of treatments
• The GP treatment guidance should prompt/trigger GP to involve Health Visitor (+/- school nurse) for help with applying creams, general support etc
• Guidance should look at what support the child needs too – their whole well being for school, development, social skills etc
• Written information e.g. on applying creams, environment, correct room temperature etc should be available and appropriately given and discussed with family
• The GP should negotiate the family’s next review appt (according to guidance & with liasing with family) at this appointment
• The same GP for consistency and understanding should review the family at next appt, unless other specialist GP within practice – family should be referred to them and GP should liase with colleague
• Other advice on eczema management should be easily accessible & available in GP practice