Great Ormond Street Hospital (GOSH) entered into partnership with Kuwait Ministry of Health (MOH) in June 2010 to work in collaboration with the clinical team at NBK Hospital to design and deliver a programme that develops and enhances services for children and young people with cancer. The programme aims to support clinicians (doctors and nurses) in Kuwait to establish systems, processes and internal capability and capacity to ensure that children can receive safe and effective care in Kuwait, and remain in Kuwait, for more of their treatment and thus reduce the need to send significant periods of time receiving treatment overseas. In the longer term, children with cancer in Kuwait will have access to a world class, multi-faceted clinical service equivalent to that provided at GOSH.
GOSH provides NBK with a wide range of services including clinical advice, case management, diagnostic support, clinical visits and training and education for clinical professionals.
This model of service support is delivered in various forms:
- Consultancy via a ‘visiting consultant’ programme.
Specialist GOSH consultants visit NBK hospital to provide clinical support and training to doctors on the wards as well as a combination of formal lectures and workshops, enhanced by individual assessments of competence and knowledge. The continued delivery of the multi-modal education programme and increase in the number of GOSH visits per annum, provides clinical leadership and a programme that mirrors the GOSH clinical model. Visits are currently provided by haematology and oncology specialist consultants.
- Training and Education Modules
To develop multi-disciplinary team working, nursing practice and other professional group expertise, GOSH specialist staff deliver a pre agreed education programme that is evolving more towards advanced nursing knowledge for nurse specialists and continues to strengthen the leadership and management content delivered in the initial contract term. The focus is on very practical simulated learning as well as theory and includes head nurse leadership, management and development.
- On-going advice and remote support to the NBK team is provided from London via telephone, videoconference, email support and advice to ensure continuity to the team in Kuwait.
- On site attachments for Kuwait staff at GOSH provide the opportunity to observe how GOSHworks in practice. Visitors are supported by a professional mentor from their field of expertise. Wider exposure to haematology and oncology conditions, their treatment and management, processes and systems increase knowledge and skills. Attachments are available for all key staff groups including Medical Staff, Clinical Nurse Specialists, Clinical Pharmacists, Dieticians and Psycho-Social specialists.
- GOSH has carried out clinical service reviews in paediatric neurosurgery and paediatric BMT and presented a service development proposal to the MOH. In addition, GOSH experts in Infection, Prevention and Control, Pharmacy and Dietetics have reviewed the associated NBK service and presented a redevelopment programme to the MOH which GOSH will support when recommendations are implemented. The requirement for additional service reviews has been identified in clinical areas such as Paediatric Immunology and Paediatric Haemophilia.
- GOSH provides NBK with a diagnostic confirmation service for patients which includes slides, scans and samples. GOSH provides leading edge diagnostic capability to patients in Kuwait, through introducing Minimal Residual Disease (MRD) testing for children with leukaemia at NBK hospital.