Hospital and hospice services

View Hospital and Hospice services

There are two main hospitals in Cheshire East – Macclesfield District General Hospital and Leighton Hospital.

Macclesfield Hospital

The children’s outpatients’ service is delivered from a child friendly and welcoming department. Children are seen by consultant paediatricians who work as part of a team of professionals including experienced children’s nurses, play specialists, allied practitioners, support workers and clerical staff.

Apart from general paediatric clinics, there are various other speciality clinics with visiting consultants from tertiary centres, phlebotomy (blood testing) clinics and specialist immunisation services. All of the specialist services are based at Macclesfield Hospital on the Children’s Ward. There is also a quieter, separate area with toys, books and DVDs just for younger patients in the Accident and Emergency Department.

Macclesfield Hospital holds several awards for their outstanding care of people with autism. See the open to Autism page on the NHS website 

Leighton Hospital

Krishnan Chandran Children's Centre  is a friendly dedicated Children's Outpatient Department, which sees children from 1 day old to 19 years of ageGeneral Paediatric Clinics are held here and there are a number of specialist clinics running within the Department from visiting consultants from both Alder Hey Children's Hospital and the Royal Manchester Children's Hospital, as well as in-house specialist clinics such as diabetes, cystic fibrosis and immunisations.

Hospice Service Provision across Cheshire

There are 4 Hospices that provide end of life and palliative care services for children and young people across Cheshire. These hospices provide support for children with life limiting conditions, their families and siblings, as well as antenatal and neonatal support. There hospices offer respite for children and young people along with a range of emotional support for them and their families. This document includes a detailed view of the hospices, localities that they cover, and the services offered.

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Hospice Service Provision across Cheshire
  Claire HouseHope House Dougie Mac(donna Louise) Francis House 
Location Wirral Oswestry Stoke-on-Trent South Manchester
Where do you accept patients from West and South Cheshire (Would accept from other areas if suitable) All of Cheshire East and South Cheshire All of Cheshire
Ages of patients accepted (Up to day of birthday) 0-25 accepted 
<18 years: new referrals accepted for palliative and end of life care only
0 - 18 Children 0 -18 0 - 18 (can be flexible)
Antenatal and Neonatal Support  Designated and commissioned perinatal service for C&M Yes Yes Often not needed due to local services
Eligibility Criteria Life limiting or life-threatening condition - considered at a monthly referral panel to identify eligibility for group 4 and child and family needs. Service offer will be planned respite or planned day care or groups. All perinatal and urgent referrals for end of life care are accepted Under 18 Accept life limiting condition, not going to reach adulthood.  Don’t accept invasive ventilated children at any time but will accept non-invasive. Start transition process 14 – 18 Children's - Accept life limiting condition and not likely to reach adulthood Young adults – complex disabilities Life limiting or life-threatening condition. No Upper age limit – stay with as long as needed.
Hospice Beds  8 beds – 5/6 planned and 2/3 unplanned 6 beds pre planned respite 1 complex or end of life 8 for children
5 for young adults

2 houses for children and young adults

14 beds in total (7 for children and 6 for young adults, 1 specially equipped room)

Residential Respite (Short Breaks)  14 nights per year in blocks of 3 or 4 nights as well as unplanned emergency respite Young Adults – 2 weekends per yea Yes Young adults only one weekend a month Yes
Day Respite (Short Breaks)  Yes Yes Yes Yes
Step Down Care Offered As long as they meet the eligibility criteria yes Would consider step down care if resource allowed  No
Hospice at Home /Domiciliary Care 7 days a week 8 - 5 No Provide respite in home but not on a 24/7 basis, only 9am – 5pm Can offer 5 days over 7 – flexible hours to work with other services
24/7 end of life  (Home based) Rapid Response Team led by nurse consultant No
Work with community team to support with this subject to commissioned service
No
Work with community team to support with this subject to commissioned service
No
Work with community team to support with this
24/7 end of life (Hospice based) Yes Yes Yes Yes
Emotional and practical support, including advocacy Clinical Psychologist (from June 23) Offer to whole family Offer to whole family Offer to whole family Offer to whole family
Bereavement support Offered at home and in Hospice Setting. Dedicated Butterfly team to support families both at hospice and at home post death for 7 days, incl. specialist cooling equipment Yes Yes Bereavement support, Emotional Support and Psychotherapy Support available to existing families
Parent Support Services / Counselling services Yes Yes Yes Yes
Parent Support Groups Yes Yes Yes Yes
Sibling support services/groups Yes Yes Yes Yes
Activities and Play (for child) Yes Yes Yes Yes
Complementary Therapy Yes: 2.4 Comp therapists provide a range of services for all care and family support services hospice/ home No For children, young adults and families No
Physiotherapy Yes Yes Yes Yes
24 Hour Medical/Nursing Support Hospice and 24 hour symptom management and end of life access via Rapid response team Nurse consultant/ Nurse specialist support 24/7

No

24 hour access to telephone support/advice Medical support not available 24 hours

No

Nursing support and advice for children available. No medical support 24 hours (CAU at local trust if medical is needed)

24 hour nursing and GP support
24 hour Telephone Advice Services Yes Yes Yes Yes
Access to Equipment (any issues?) Specialist equipment normally through charitable donations Support to get access to equipment Yes Support to get access to equipment
Access to pharmacy This is done through local hospital and SLA This is done through local hospital and SLA Order stock drugs from local hospital. SLA with acute trust   Pharmacy visits twice a week and on call service
24 hour Access to spiritual care? Yes Yes Yes Yes
Provision of specialist education and training to families Yes Provide some training and support to families Bespoke training for families if required No
Provision of specialist education and training to professionals Yes By request Yes No
Bereavement Suite Butterfly suite (post death care/ support) Snowflake Room and cool blanket and cuddle cot Bereavement suite in Garden Room and post death support 3 Bereavement Suites (Rainbow Rooms) – can stay until funeral
Symptom Management Yes Yes Yes Yes
Respite for NonInvasive ventilation Yes Yes Yes Yes
Respite for Invasive Ventilation Yes No Yes Yes
Other •  Joint Palliative Care Consultant with Alderhey
• All nurse verification of death
13 beds separate residential house for young adults whose parents can no longer care for them
Referral Process
Hospice Process  Notes
Claire House Online Referral Form: https://www.clairehouse.org.uk/parents/referralform/

Or Contact
Referrals: Clairehouse.referrals@nhs.net
Urgent referrals: 07717 888604 
Accept referrals from healthcare or self-referrals from family/family member. Urgent referrals are made through the Rapid Response Team
Hope House Phone/Email for referral form on details below:
care@hopehouse.org.uk 01691 671999 
Accept referrals from healthcare or self-referrals from family/family member 
Dougie Mac  Phone/Email for referral form on details below: childrenfamilysupport@dmhospice.org.uk 01782 654440  Accept referrals from healthcare or self-referrals from family/family member
Francis House Online Referral Form:
https://www.francishouse.org.uk/referrals/make-areferral/
Accept referrals from healthcare or self-referrals from family/family member

Contact details

Contact details
Name Address  TelephoneEmail Website 
Claire House Clatterbridge Road Bebington Wirral, CH63 4JD 0151 334 4626 Clairehouse.referrals@nhs.net   https://www.clairehouse.org.uk/parents/ 
Hope House Nant Lane, Morda, Oswestry, SY10 9BX 01691671999 care@hopehouse.org.uk https://www.hopehouse.org.uk/
Dougie Mac Douglas Macmillan Hospice Barlaston Road Stoke-on-Trent ST3 3NZ  01782 654440 childrenfamilysupport@
dmhospice.org.uk

post@dmhospice.org.uk – Senior Receptionist will forward query on
Children and Young Adult Care - Dougie Mac
Francis House  Francis House Children's Hospice 390 Parrswood Road Didsbury Manchester
M20 5NA 
0161 434 4118  karen.smail@francishou se.org.uk – PA will direct query where relevant  Francis House Children's Hospice

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Page last reviewed: 03 November 2023

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