Children and Young People's (CYP) Programmes of work

The NHS Institute has a team of professionals who have been supporting the NHS in improving services for children, young people and their families, the team are committed to championing of the needs of children, young people and families, during a period of major policy and organisational transformation.

There are a number of specific programmes of work and more generic programmes of work relating to Children and Young People at the NHS Institute.

Children and Young People’s Emergency and Urgent Care - A Whole System Approach to Improving Emergency and Urgent Care for Children and Young People High Volume Pathways Children and Young People Emergency and Urgent Care Lesson Plan
Safer Care: Paediatric Early Warning Score (PEWS) tool

Situation, Background, Assessment and recommendation (SBAR) communisation tool

Paediatric Trigger Tool

Improvement Leader

Patient Safety Leader

Productive Series

Productive Ward

Productive Community Services

Productive Leader

There is a clear demand for service improvement support and expertise within paediatrics and child health. The NHS Institute to date has been able to offer not only effective processes but support from professionals who are knowledgeable and experienced of the context of children’s services.

The team at the NHS Institute compromising of managers and clinicians with expertise in Children’s services have established links and networks with:

  • Royal College of Paediatrics and Child Health
  • Royal College of Nursing 
  • Association of Chief Children’s Nurses 
  • Royal College of GPs
  • CHiMAT Child Health and Maternity Information
  • DoH Children & Families division and Chief Nurses Office

Programmes of support are available at national, regional and local levels and we would be pleased to discuss any specific requirements you may have. Email contact:

Team Members

Kath Evans

RGN, RSCN, MSc (Nursing), PG Dip (Education), BSc (Hons), PG Dip (Management).
Kath is a Children’s Nurse who has managed acute and community children’s services. Kath is the Programme Lead for the Children’s and Young People’s Emergency and Urgent Care, assisting organisations to implement system wide care for Children and Young People. Kath is an active member of the Association of Chief Children’s Nurses (ACCN).

Dr Melanie Clements

Melanie is a consultant paediatrician working day to day in a District General Hospital. Melanie works with Kath as the clinical lead for the children’s and Young People’s Emergency and Urgent Care programme.

She is passionate about improving services and systems for children and has experience of change and service improvement at a local level within her own hospital and within the East of England and also nationally with the NHS Institute work.

Nicola Davey

BPharm, MPhil, MRPharmS
Nicola is a pharmacist and has specialised in service improvement over the past 4 years leading on developing Improvement Capability. Since joining the NHS Institute she has led the co-production of the Paediatric Trigger Tool, developed the Institute’s structured communication tool products centred around SBAR, and overseen the PEWS project. She works closely with Peter Lachman and Sue Chapman in the delivery of paediatric service improvement.

Sue Chapman

RN (Adult), RN (Child), MSc (Paediatric Critical Care), ENB 100 Sue is a Nurse Consultant at Great Ormond Street Hospital and an associate for safer care (paediatrics) with the NHS Institute for Innovation and Improvement. Sue’s interest is in improving the care of the deteriorating hospitalised child, particularly through the use of tools like the Paediatric Early Warning System (PEWS) and SBAR. Her work at the Institute concentrates on whether improvement methodology can help clinical staff to develop PEWS and SBAR that have a rapid impact on clinical practice.

Sue is currently studying for her PhD and her research is focused improving recognition of clinical deterioration in children.

Dr Peter Lachman

Peter was a 2005-2006 Quality Improvement Fellow at the Institute for Healthcare Improvement in Cambridge Massachusetts, sponsored by the Health Foundation. His current position is Associate Medical Director for Patient Safety and Consultant in Service Redesign and Transformation Great Ormond Street Hospital for Children NHS Trust where he led the transformation programme. He is a Consultant Paediatrician at the Royal Free Hospital Hampstead NHS Trust where his clinical commitments are in chronic care, complex neurodisability and transition to adult care. Recently he took up the role of Designated Doctor for Safeguarding in Camden.

Previously he was Deputy Medical Director and Clinical Director for Children Services at North-West London Hospitals NHS Trust. His interests are in transforming health services to provide safe and highly reliable care This requires the development of clinical leaders; developing future leaders at an early time in their careers; management of complex conditions and understanding the political environment needed for change.