Chelsea & Westminster HospitalNHS FT Accounts Payable2nd Floor East WingWest MiddlesexUniversity HospitalMiddlesex, TW7 6AFTel:
The LSEBN Operational Delivery Network is a managed, clinical network and clinicians play a key role in the work of the network. We have a small dedicated Network Team
The LSEBN publishes burn care guidelines and guidance for health care professionals, including referral and treatment guidelines
We have a comprehensive work programme and this is supported by Network Clinical Lead and the three professional leads for nursing, therapies and psychosocial care.
The network professional leads work with their colleagues across the whole network and have developed a number of professional forums.
The LSEBN works closely with NHS England and other networks to prepare and manage a response to above normal levels of referrals and activity. This work includes the burns service and networks response to a rapid surge in referrals
All specialised burn services are working to a national service specification and nationally agreed standards
LSEBN Initial management of burns (2018)
LSEBN Guideline on Initial Management of Cold Burns (Frost Bite)
LSEBN Guideline on initial management of ocular burns (Opthalmic)
LSEBN Initial management of SEVERE burns (revised 2020)
LSEBN Burns Depth Assessment
LSEBN Burns Referral Criteria
LSEBN How to Refer
LSEBN Burns Transfer Form
LSEBN Infant Burn Acceptance Guideline
LSEBN Burns First Aid Guideline (2018)
LSEBN Oedema Management
LSEBN Post Burn Care
Face Care Leaflet (2020)
Face Care Flowchart (2020)
LSEBN Burn Blister Deroofing Guideline
LSEBN Burns Blister Management / Burn Blister Guideline References
LSEBN Burns First Aid and Prevention
LSEBN Minor Burn Adult
LSEBN Minor Burn Paediatric
Bobby has a burn - leaflet
Bobby Wears Pressure Garments - leaflet
LSEBN Hydrogel Position Statement
Aquacel® Ag Hydrofiber® Dressing in Burn Wound Care
Enzymatic Debridement of Burns with NexoBrid
Flammacerium Cream in Burn Wound Care booklet
Flamazine® 1% Cream in Burn Wound Care
LSEBN Assessment with the Laser Doppler Imager
LSEBN Having a tissue expander (Adult)
LSEBN Burn Care Advisor Leaflet June 2018
Chelsea & Westminster Hospital patients
Queen Victoria Hospital patients
The LSEBN Senior Nurse Forum is one of a number of advisory sub-groups to the LSEBN Operational Delivery Network Board. The aim of the Forum is to provide expert, professional advice to the ODN Board on matters related to nursing care across the whole pathway of burn care. The Forum works alongside the network Therapy and Psychotherapy Groups, in order to deliver a patient-focused, high-quality and consistent service across the network.
LSEBN Senior Nursing Forum is concerned with aspects of nursing care for individuals who have suffered a burn injury. The Forum provides a platform for sharing ideas and practice, an opportunity for burn nurses to network with colleagues, maintain communication and collaboration specifically related to the delivery of nursing care to burn-injured patients and to promote issues relevant to burn nursing.
The Forum consists of the senior, lead nurses (covering both adult and paediatric care) and the Burn Care Advisors from each of the designated burn care providers in the network. The Forum Lead is Nicole Lee, Network Lead Nurse, based at the Chelsea & Westminster Hospital.
The objective of the Forum is to develop and deliver a project-based work programme, focussing on the need to constantly seek improvements in patient care and standards and to seek consistency in the delivery of burn nursing care across the whole network.
LSEBN Senior Nursing Forum Resources:
The London and South East Burns Network Therapy Group includes Physiotherapists, Occupational Therapists, Dieticians and other Physical Therapists working in the designated Burns Services across the region. The group is currently led by Lead Therapist Rachel Wiltshire. The aim of the group is to contribute to the continuing improvement of specialist burns services. This is achieved by close working between experienced specialists from each burn service provider within the London and South East Burns Network.
The group works alongside the Nursing and Psychotherapies Groups, working towards goals agreed by the network operational delivery board. The work plan for the Therapy Group includes professional, organisational and clinical projects. The Lead Therapist represents the Therapy Group at network and national level.
The Therapy Group meets four times a year, hosted by one of the burns services, to deliver network projects, undertake research and audit, provide specialist training, staff development and peer support to all physical therapy professionals within the burns network.
Recent projects completed by the group include writing agreed Competency Packages for Physiotherapists and Occupational Therapists working in Burns (specific to each banding), Competency Pack for On Call Physiotherapy for Adults with Burn Injuries and Competency Pack for On Call Physiotherapy for Children with Burn Injuries.
A burn injury may affect both the physical and psychosocial wellbeing of the individual affected and people close to that individual. Therapists have a unique role to play in the care and management of burn injured people.
Physical, functional, psychological and aesthetics rehabilitation must be commenced immediately post burn in order to achieve optimal outcome. The ultimate goal of burn rehabilitation is to assist the individual in their return to pre injury status. The nature of some burn injuries may make this impossible and in such cases, the focus is on returning the individual to as near their pre-morbid status as possible. For some individuals, in particular those who have sustained major burns or who have complex additional needs, the entire rehabilitation process may last for many years.
It is essential that burn rehabilitation is multi-disciplinary, co-ordinated, individualised and holistic. The affected individual will require the services of a team of highly specialised, dedicated healthcare professionals. Burns Care is a specialised service.
The Physiotherapist and Occupational Therapist will often work closely together with some overlapping of their roles. The Occupational Therapist or Physiotherapist may be referred to as the Burns Therapist.
The Burn Therapist plays a vital role throughout the recovery from Burn Injury and the emphasis will change throughout the rehabilitation process. Therapists working in Burns Services will have specific training and experience in the care of people with burns and so are able to provide the best possible care.
Physiotherapists and Occupational Therapists work in all burns settings from critical care, rehabilitation, outpatients and in the community providing outreach services.
The therapist will carry out detailed assessments and provide a range of treatments tailored to the needs of the patient. Treatments may include-
The therapist plays an important role in providing information to the patient and carers about the recovery process and expected outcomes.
All therapists working in Burns work to the National Burn Care Standards and also there is a published document on Occupational and Physiotherapy specific standards available via the link below:
Standards of Physiotherapy and Occupational Therapy in the Management of Burn Injured Adults and Children
The following documents are available on request;
- Working with Burn Injured Children
-Burns Therapy Competencies Occupational Therapy and Physiotherapy Band 5,6 and 7.
- Physiotherapy for Burn Injured Adults On Call Pack
- Physiotherapy for Burn Injured Children On Call Pack
Contact Us: Victoria.Dudman@nhs.net
The LSEBN Psychosocial Forum is one of a number of advisory sub-groups to the LSEBN Operational Delivery Network Board. The aim of the forum is to provide expert, professional advice to the ODN Board on matters related to psycho-social care across the whole pathway of burn care. The objective of the Psychosocial Forum is to develop and deliver a project-based work programme, focussing on the need to constantly seek improvements in patient care and standards and to seek consistency in the delivery of care across the whole network. Membership is drawn from all professional groups within the psychosocial care team, including social workers, psychologists, psychotherapists, counsellors, psychological therapists and health play specialists from each of the designated burn care providers in the network, covering both adult and paediatric care.
The Psychosocial Forum Lead is currently Lisa Williams, Principal Clinical Psychologist, based at Chelsea and Westminster Burns Service. Members will meet several times each year as a specific group and as part of larger meetings of the LSEBN.
5.1 Documentation, guidelines and policies
To review the existing guidelines and policies related to psychosocial burn care. This will include review of existing documentation, and where appropriate, agreeing a consistent policy and approach across the whole network or cluster
5.2 Psychosocial training and education
Continue to implement the delivery of training and education for members of the burns MDT
5.3 Activity and Reporting
To review and develop a minimum dataset for psychosocial care, to be included in the Network Annual Report
Psychosocial teams are involved in the training and education of their MDT colleagues in order to ensure that they provide good quality psychosocial care as part of their core professional duties, e.g. nursing, medicine, physiotherapy, occupational therapy and dietetics. This training generally follows a specific programme that was designed in conjunction with Changing Faces for those MDT members working with either adult patients or with children and their families. The adult training has 5 modules and should be delivered according to the level of psychosocial care required within the individual’s professional role. For example non-clinical staff such as receptionists and domestic staff (Tier One) should only complete modules 1 & 2. The majority of clinical staff (Tier Two) should complete modules 1-4 and only those professionals whose core role involves psychosocial treatment and assessment (Tier Three) undertake module 5. The paediatric training is suitable only for those working clinically with children and families (Tier Two and above).
Different psychosocial teams deliver their training in different ways. Some offer full or half-day workshops, others provide single modules and there is also a self-study option available. Each team has agreed to make their training available to professionals from other burns services within the LSEBN network. The table below will show any upcoming face-to-face training. In order to secure a place on the training events please click on the name of the tutor and send them a request. You are not confirmed on the training and should not attend until you have received a confirmation email back from them, which will contain all the relevant training details.
Should anyone wish to explore the self-study option then please go to the Documentation section and you will be able to download the training manuals for all versions of the training package and the accompanying audiovisual material.
The Psychosocial teams are now in the process of creating new Refresher Training for those staff who completed their initial training more than a year ago. In response to feedback from the burns multi-disciplinary teams they will create a series of shorter case-study related presentations for teams to work through. These case studies will highlight specific challenging or recurring issues seen in adult and paediatric services. This initiative will be included in the 2017-2018 Work Plan.
Tuesday April 4th 2016 11 AM - 3 PM, MDT Room, Adult Burns, Fifth Floor, Chelsea & Wesminster Hospital, 369 Fulham Road, London SW10 9NH
Venue & Contact Details (click name to email tutor)
Adult - full day workshop
Paeds - full day workshop
Burns Psychosocial Teaching Pack Resources
Adult Tier One Training Pack for trainers
Adult Tier One Training Pack for students
Adult Tier Two Training Pack for trainers
Adult Tier Two Training Pack for students
Adult Tier Three Training Pack for trainers
Adult Tier Three Training Pack for students
Paediatric Training Pack for trainers
Paediatric Training Pack for students
Adult Pre-Training Questionnaire
Paediatric Pre-Training Questionnaire
Adult Post-Training Questionnaire
Paediatric Post-Training Questionnaire
Adult Training Certificate of Completion
QVH Trauma Assessment Questionnaire
Stoke Mandeville Adult Screen
Stoke Mandeville Paediatric Screen
C&W Adult - Time One
C&W Adult - Time One (without intention to follow-up in three months)
C&W Adult - Follow-up (3 month)
C&W Paediatric Time One 0-4 years
C&W Paediatric Time One (without intention to follow-up) 0-4 years
C&W Paediatric Follow-up (3 month) 0-2 years
C&W Paediatric Follow-up (3 month) 2-4 years
C&W Paediatric Time One 5-10 years
C&W Paediatric Time One (without intention to follow-up) 5-10 years
C&W Paediatric Follow-up (3 month) 5-7 years
C&W Paediatric Time One 11-15 years
C&W Paediatric Time One (without intention to follow-up) 11-15 years
C&W Paediatric Follow-up (3 month) 8-12 years
C&W Paediatric Time One 16+ years
C&W Paediatric Time One (without intention to follow-up) 16+ years
C&W Paediatric Follow-up (3 month) 13-18 years
Scaling and Scoring of Pediatric Quality of Life Inventory - PedsQL
Pathways and Referrals
QVH Paediatric Burns Referral Pathways
QVH Burns Referral Process
QVH Referral Codes
QVH Paediatric Referral Colour Flowchart
QVH Paediatric Referral
QVH Psychological Therapy Referral
QVH Referral Outcomes
Working with Self Injury
QVH Advice for HCAs
QVH Procedure for accepting a patient with self injuries
QVH Supervision Flowchart
QVH Guidelines for working with self injury in burns
QVH Burns and Major Tissue Loss Rehabilitation
QVH Psychological Therapy
QVH Psychological Therapy for children
QVH Psychological Support
QVH Reactions to Trauma
C&W Trauma Leaflet
Stoke Mandeville psychology leaflet paeds service
Stoke Mandeville psychology leaflet adult service
Working with Mental Health Professionals
QVH Psychiatry Referral
QVH Local guidelines for accessing AMHPs
QVH RMN role description
Sleep Diary Sheet
PCL 5 Checklist
Adult Psychosocial Burns Services (July 2015)
Paediatric Psychosocial Burns Services (July 2015)
The LSEBN is working with other burn care networks, NHS England and NHS Wales, to ensure a coordinated response to a significant incident or emergency which results in an increase in burn care activity across one or more Burn Care networks covering England and Wales.
NHS England have developed a new Mass Casualty Concept of Operations document (2017, updated in 2020).
The document provides details of NHS England’s arrangements for the response to mass casualty incidents and the requirements of those organisations that may support the NHS response.
The burns Annex describes the response to an incident involving burns casualties, where processes and timescales are different to the main document. The Annex provides the template for the national Major Incident Plan for burns
Management of surge & escalation in critical care services: Standard Operating Procedure (SOP) for Adult and Paediatric Burn Care Services in England and Wales (2021)
In 2015, NHS England published a standard operating procedure (SOP) for the management of surge and escalation in burns critical care. Because of the new EPRR Burns Annex, changes to the SOP were necessary, to reflect a small number of new processes and terminology. The SOP document sets out the processes and procedures that are to be followed by all specialised burn services, burns networks and the National Burns Bed Bureau, during periods of activity and referral pressures.
This new SOP was approved by the EPRR and Trauma CRGs in late 2019 and the new SOP was published in June 2021.
Specialised Burns SOP 2021 (Opens in new window)
Training resources (Microsoft Powerpoint): SOP - MUTUAL AID GUIDE v6 Final NOVEMBER 2020
Training resources (Adobe Acrobat PDF): DOS USER GUIDE v4 NOVEMBER 2020
The current (2019) Specialised Burns Specification (Adults and Children) can be seen here: NHS England D06 Burns Specification
Commencing in 2017, NHS England and the Major Trauma & Burns Clinical reference Group, began a review of the specification for burns.
This work has started with paediatric burn care and it is expected that a revised paediatric burns specification will be completed during 2021.
In November 2018, new, profession-led, national burn care standards and outcomes were written and published by the British Burns Association.
Published by the British Burn Association, the new BBA National Standards for Provision and Outcomes in Adult and Paediatric Burn Care 2018 will be used by NHS England to inform a new Specialised Burns specification for 2019.
Download a copy of the new standards document here: Burn Care Standards and Outcomes 2018