Welcome to the ACE service

Thank you for visiting the ACE service pages! The service was established by senior children’s doctors (consultant paediatricians) and experienced children’s nurses at Bradford Teaching Hospitals NHS Foundation Trust, alongside family doctors (GPs) from throughout Bradford. If you’re new to the service, please take a look at the short film to the right to find out more!

ACE stands for ‘Ambulatory Care Experience’. ‘Ambulatory’ means that care will be provided out of hospital and in your own home.

The service is run by specialist children’s nurses who are experts in caring for unwell children. Each ACE nurse works under the guidance of a consultant paediatrician based at Bradford Royal Infirmary (BRI). This means that your child will be looked after by a very experienced hospital team but in your own home. Your GP will be kept informed of how your child is  doing.

The ACE service, a finalist in the 2018 HSJ Awards, aims to provide the best possible care for your child while they are at home. For further information please take a look at our information leaflet for parents and carers or watch our film which tells Tahira’s story. Used the service already? We’d love to find out what we did well and where we can improve. Please complete our feedback form here. It only takes a minute!

Watch our short film and find out how ACE works


ACE37

How does the ACE nurse look after your child?

While under the care of the ACE service your specialist nurse will:

  • assess how your child is doing
  • ask you if you think your child is getting better, staying the same or getting worse
  • help you continue the treatment recommended by the GP, ANP or doctor who referred you to the ACE team
  • give you information and advice on signs to look out for that may mean your child is getting worse and needs more frequent nursing or medical input
  • tell you how to get more help if you need it during the day or night
  • provide advice on managing similar future illness
  • provide related advice if appropriate e.g. on smoking cessation
  • make recommendations to your family or hospital doctor if follow-up is required

The ACE team

Clinical leads and allied health professionals:

The clinical lead for the ACE service is consultant paediatrician Dr Mathew Mathai. Dr Mathai is based at Bradford Royal Infirmary.

Over the last ten years he has worked with GPs, community nurses and Accident and Emergency colleagues to develop better ways of looking after unwell children and young people in Bradford. The ACE team’s shared vision is that ‘the key to delivering effective emergency and urgent care is ensuring that the whole system is designed to support self-care and community care at home’.

The ACE project has been an exciting collaboration between general practice and secondary care that has been a springboard to bridging the gaps between home, community and hospital acute care.

Dr Mathai has worked with a team of nurses, doctors, educators, pharmacists, managers, communication professionals, clerical staff and commissioners to develop the new service.

Bradford Teaching Hospitals is currently looking to collaborate with other Trusts and hopes to develop stronger links across the region to promote the ACE service and high quality urgent care for children and young people.

  • Head of children’s nursing and lead for ACE clinical governance: Kay Rushforth
  • Children’s matron for community services: Emma Wilkinson
  • Project manager: Denise Stewart
  • Team administrator: Attia Gilani
  • Clinical educators: Tamlin Walker, Laura Deery and Clair-Marie Clarke
  • Training development: Dawn Hare
  • Specialty doctor in paediatrics: Anne Pinches
  • Pharmacist: Manrita Khatker
  • Clinical Commissioning Group lead for urgent care: David Tatham
  • Lead commissioners: Louise Atherton and Rashmi Sudhari
  • Pathway development: Dr Mathew Mathai, Dr Anne Pinches, Dr Uma Jegathasan, Dr Helen Berry, Dr Anil Shenoy, Dr Sumera Farooq and Dr David Tatham
  • Digital editor: Dan Webber  
Children's Community Team

Our community children’s nurses have a significant amount of experience of working with children and young people in different settings, including the A&E Department and Children’s Ward at Bradford Royal Infirmary, and Leeds’ Paediatric Intensive Care Unit (PICU).

The team leader is Jan Speak.

Meet our amazing ACE nursing team below.

  • Samantha Barrett

    • Children’s nurse with 16 years’ experience working on the Children’s Surgical Ward, children’s continuing care and the community
    • Special interest in oncology and palliative care
    • ACE communication and social media lead
  • Lesley Hannah

    • Children’s nurse with 15 years’ experience working on the Children’s Ward, and within the Bradford and Airedale communities
    • ACE Gastroenteritis and Bronchiolitis Pathway lead nurse
  • Hazel Harland-Capstick

    • Children’s nurse with four years experience working on the Neonatal Unit at Bradford Teaching Hospitals and Bradford community
    • Special interest in neonatal care
    • ACE Jaundice Pathway lead nurse
  • Cathryn Lansdell

    • Children’s nurse with 13 years’ experience working on the Children’s Ward at Bradford, Respiratory department and Bradford community
    • Special interest in childhood wheeze and asthma
    • ACE Wheeze Pathway lead nurse
  • Eve Malam

    • Children’s nurse with five years’ experience working on the Paediatric Intensive Care Unit in Leeds
    • Special interest in respiratory paediatrics
    • ACE Primary Care engagement lead nurse
  • Claire Moore

    • Children’s nurse with 10 years’ experience working on the Children’s Ward and within A&E in Bradford
    • Trainee advanced nurse practitioner
    • Special interest in asthma and health promotion
    • ACE Croup Pathway lead nurse
  • Claire Smith

    • Children’s nurse with 15 years’ experience working on the Children’s Surgical ward, Transition and in the community
    • ACE protocol and documentation lead nurse
  • Emma Wilkinson

    • Children’s Community Matron and children’s nurse with 19 years’ experience working on the Children’s Medical Ward, the Continuing Care Service and in the community
    • Special interest in clinical education
    • Trainee advanced nurse practitioner

The ACE service step-by-step guide. Zac was referred by his GP with wheeze (hover over each picture to follow his story).

1.)

This is Zac and his mum. When Zac becomes unwell and starts to struggle with his breathing, his mum takes him to his GP.

2.)

The GP examines Zac and diagnoses him with viral wheeze. Zac meets the criteria for referral to the ACE team, so his GP gives them a call.

3.)

While still in the surgery, Zac receives 6-10 puffs of inhaled salbutamol via a spacer device. Safety-netting information is given and Zac and his mum go home.

4.)

Zac is now under the care of the ACE team and the consultant paediatrician. Eve, one of the ACE nurses, gives Zac’s mum a call within two hours of his referral to arrange a same-day home visit.

5.)

Eve visits Zac and his mum at home and conducts a full assessment. A short and long-term management plan is put in place. Eve arranges a suitable follow-up – this may be a call later that day or a home visit.

6.)

The ACE nurse completes the wheeze care bundle. This includes checking inhaler technique and reviewing Zac’s wheeze management plan. The care bundle ensures consistency and supports health education and promotion.

7.)

Zac is discharged from the ACE service and avoids a hospital visit! A discharge letter is sent electronically to his GP.

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