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Child Health Guideline Identifier

Responsibility of Care

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To ensure that all children admitted to Starship have a nominated care team and that there is a process for assigning a primary consultant to children who require long term follow up.


At any time during an inpatient admission there will be one team managing the patient and the "managing team" will have responsibility for

  • Day to day care
  • Overall communication especially with parents
  • Making referrals


The managing team will make any referrals as needed and will be explicit as to whether the referral is for advice or to take over management. If advice is requested then the managing team rather than the advising team should action the advice.

Primary Consultant

Patients under long term ongoing follow up should have a primary consultant who is responsible for the overall care of the patient.

If the inpatient managing team does not include the primary consultant, then the primary consultant's role is advisory only during that admission.

Any additional care or treatment not related to the current admission should be negotiated through the managing team.

Allocation of Managing Team in Acute Admissions

Decision is made by admitting registrar in consultation with CED and on call consultant (if needed). It is expected that the managing team will be the team (if any) providing any ongoing ambulatory care for the presenting or related problem.


The managing team for patients in PICU will be PICU. All patients in PICU will also have a "specialist inpatient team". The specialist inpatient team will provide consultation as required and take responsibility for the children after discharge from PICU.

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Document Control

  • Date last published: 18 October 2017
  • Document type: Clinical Guideline
  • Services responsible: General Paediatrics
  • Author(s): Greg Williams
  • Editor: Greg Williams
  • Review frequency: 2 years

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