The clinical nurse specialist service: Information for parents and carers

Who is the leaflet for? What is its aim?

This leaflet provides information about the cleft lip and palate specialist nursing service which we hope you will find useful.

What is a clinical nurse specialist (CNS)?

The clinical nurse specialist is often the first member of the cleft team you will meet. We are a team of senior nurses, led by a lead nurse, who specialise in caring for children and families affected by cleft lip and palate.

The team combines the skills of paediatric and adult nursing, midwifery, health visiting and counselling. We work closely with health professionals from your local community, specialist hospitals and other members of the cleft team. We are available to support you throughout your child’s treatment.

Who is my clinical nurse specialist?

Your CNS will be introduced to you at, or soon after, your initial referral to the cleft service. They work within the geographical area in which you live and will maintain regular contact with you. At times, you may meet or come into contact with other members of the CNS team during your child’s treatment.

How do I contact my clinical nurse specialist?

When you first meet your CNS they will give you their mobile telephone number. We welcome calls from you between the hours of 08:00 and 16:00, Monday to Friday. If your nurse is unavailable, please leave a voice message, including your child’s name and your contact number. If your named CNS is on leave or it is not their normal working day, please leave a voicemail message or call the office directly to talk to another CNS. Out-of-hours or during periods of unavailability, the CNS team can be contacted via their secretary on 01223 596272. You will then be offered the telephone number for the CNS who is on-call for that period of time.

How can my clinical nurse specialist help me and my child?

We can help you:

• Understand and adjust to the news that your child has a cleft by providing support and counselling following diagnosis.
• Provide information and support your decision making at a pace you are comfortable with.
• Prepare for the birth of your baby if the cleft has been identified on an antenatal scan.
• Care for your newborn baby by assessing and supporting feeding after birth until they have completed their primary surgery.
• By co-ordinating with other health professionals including making referrals if your baby has additional needs.
• To cope with concerns about how others may react to your baby.
• Liaise with other professionals involved in your child’s care.
• To facilitate contact with other families who have had similar experiences.
• Support you in preparing for what will happen before, during and after your child’s surgery.
• Assess your child’s health and providing support and information around the time of your child’s surgery.
• Monitor health, growth and development at regular intervals.

The CNS team will continue to be present at your child's appointments as they grow and will support you and your child trough any further surgeries they may require on their palate or gums.

When will I see a clinical nurse specialist?

Every family and child will be visited regularly at home during the first year, or until the first operations (primary surgery/ies) are complete. The key times of contact are:

• Following an antenatal diagnosis.
• Between 32 and 35 weeks gestation to plan for the delivery of your baby.
• Following the birth of your baby and then as clinically needed until feeding is well established.
• Before and after surgery to repair the cleft.

A CNS will be available to you at most combined cleft clinic appointments or for further home visits as clinically indicated. If your child has further surgery we will offer telephone contact before and after surgery.

Confidentiality

All information that you share with us is treated confidentially unless there are concerns that someone’s safety is at risk.

Letters are exchanged between members of the team so that we can provide you with the best quality care. Copies of letters are also sent to you, your child’s GP (family doctor), health visitor, local paediatrician and other members of the cleft team. If there is information that you do not want to be shared with the rest of the team you can talk to your clinical nurse specialist about this.

Suggestions / comments

The staff are here to help and it is important for them to know if you have any comments or suggestions about the services you have received. If you wish to speak to a member of the cleft team please telephone us on: 01223 596272, Monday to Friday, 08:00 to 16:00.

Alternatively you can contact the Patient Advice and Liaison Service (PALS) on

Tel: 01223 216756

Email PALS

Contacts / Further information

Cleft Lip and Palate Association (CLAPA)
First Floor
Green Man Tower
332b Goswell Road
London, EC1V 7LQ
Tel: 0207 833 4883
Fax: 0207 833 5999
Email CLAPA
CLAPA Cleft Lip & Palate Association (opens in a new tab)

Cleft.NET.East
Box 46
Addenbrooke’s Hospital
Hills Road
Cambridge, CB2 0QQ
Tel: 01223 596272
Fax: 01223 274244
Cleft.Net.East

NHS Choices
The NHS website (opens in a new tab)

Changing Faces
The Squire Centre
33-37 University Street
London, WC1E 6JN
Tel: 0845 4500 275
Fax: 0845 4500 276
Email Changing Faces
Web: Changing Faces (opens in a new tab)

Information leaflets about our service will be made available to download from Addenbrooke’s Hospital website.

This leaflet has been based on the NorthWest Regional Service leaflet.