Partnerships for Children Families and Maternity Launch of

Partnerships for Children, Families and Maternity Launch of Association of Young People’s Health – Taking Action 6 th February 2008 “A perspective from the Department of Health” Dr Sheila Shribman National Clinical Director, Children, Young People and Maternity Services.

Partnerships for Children, Families and Maternity Every Child Matters – Change for Children • • • Be healthy Stay safe Enjoy and achieve Make a positive contribution Achieve economic well-being

Partnerships for Children, Families and Maternity What is the NSF for children, young people and maternity services? A ten year programme (2004 -2014), aimed at raising standards of children’s health services focusing on: • Health promotion, prevention and early intervention • From pre-conception & maternity to adulthood • Specific standards for priority groups

Partnerships for Children, Families and Maternity NSF Standards • Core Standards (Standards 1 -5): Ø Promoting health Ø Supporting parents/carers Ø Child and family-centred services Ø Growing up Ø Safeguarding • Standards 6 -11 Ø Ill Child Ø Hospital services Ø Disabled child Ø Mental health and psychological well-being Ø Medicines Ø Maternity services

Partnerships for Children, Families and Maternity

Partnerships for Children, Families and Maternity Public Health • Teenage pregnancy, (reduce the under 18 rate by 50% by 2010. ) • Sexual health, (reduce the incidence of STIs. ) • Alcohol, (reduce consumption amongst children and young people. ) • Smoking, (Prevention and Cessation. ) • Healthy eating, (Obesity and eating problems). • Harm caused by illegal drugs.

Partnerships for Children, Families and Maternity

Partnerships for Children, Families and Maternity

Partnerships for Children, Families and Maternity

Partnerships for Children, Families and Maternity You’re Welcome

Partnerships for Children, Families and Maternity You’re Welcome - Criteria The quality criteria cover ten topic areas: • • • Accessibility Publicity Confidentiality and consent The environment Staff training, skills attitudes and values Joined-up working Monitoring and evaluation, and involvement of young people Health issues for adolescents Sexual and reproductive health services Child and adolescent mental health services (CAMHS)

Partnerships for Children, Families and Maternity How are we doing?

Partnerships for Children, Families and Maternity Socio-economic deprivation • Emergency admission rates, ages 0 -18, are strongly correlated with level of social deprivation. • Number of emergency admissions per 1, 000 population with asthma in the 20% most deprived areas is more than twice the rate in the 20% least deprived areas. • For sickle-cell disorders the emergency admission rate is over 9 times higher in the 20% most deprived regions than in the 20% least deprived regions.

Partnerships for Children, Families and Maternity Strategy • Develop effective commissioning • Ensuring workforce deliver • Supporting developments by, and across, partners to improve outcomes • Developing accountability and governance • Telling the ‘story’ and demonstrating progress • Working with front line, partners and stakeholders • Commissioning Service Improvement through CSIP • Making all levers for change and programmes join up and deliver for our client groups • Communicating effectively with coherent and relevant messages

Partnerships for Children, Families and Maternity NHS Operating Framework 2008/09 Sets out the specific business and financial arrangements for the NHS and describes the priorities including specific areas on: • National priority for 2008/09 – keeping children well, improving their health and reducing inequalities in health and maternity services; • identifying actions and setting local targets for improving the experience and range of services for children with disabilities and complex health needs; • extending coverage and depth of services for disabled children including a significant increase in the range of short breaks; • improving quality/experience of palliative care services, access to therapies and supporting effective transition to adult services.

Partnerships for Children, Families and Maternity A Child Health Strategy Purpose of Child Health Strategy • Reinforces and capitalises on the vision and policy that already exists on child health • Profiles current policy commitments and activity over CSR period and how impacts of this will be maximised • Identifies additional work needing development over the next few years to underpin delivery of the long term vision set out in the Children’s Plan and the National Service Framework for Children, Families and Maternity • Speaks to parents and families while also providing mechanism for delivery

Partnerships for Children, Families and Maternity A Child Health Strategy contd. Scope is being developed as are the key issues: • Prevention and early intervention? • significance of early years and parenting? and mechanism to support delivery • information and data (to support commissioning and benchmarking)? • Workforce? • Regulation? • information systems and info sharing? • community provision ?

Partnerships for Children, Families and Maternity What would success look like? Prevention and health promotion • Community based information and services • Health professionals supporting parents • Evidence-based early intervention and prevention • Outreach services • Sustainable and integrated children’s services Specialist health interventions • Support for clinical networks • Incentives for best practice standards • Reconfiguration to support safer services Health support • Better treatment of long-term conditions • Targeted support for at risk families • Services closer to home • PCTs’ plans linked to strategic plans • Stronger role for primary care in child community health • Better knowledge of local services

Partnerships for Children, Families and Maternity The Review is underpinned by the largest locally-led engagement in the history of the service There are clinical pathway groups in nine regions across the country • Staying healthy • Maternity & newborn • Children’s health • Planned care • Mental health • LTCs • Acute care • End-of-life care Scale of engagement in the Review ✓ More than 1, 500 clinicians, social care staff and others involved across the country ✓ Eight clinical pathway groups in each SHA, a total of 74 nationwide ✓ Most groups have met 3 -4 times; many members attended an international clinical summit in November ✓ Hundreds of policy submissions being considered from open call for ideas

Partnerships for Children, Families and Maternity Transitions • Published Transition: getting it right for young people in 2006 • Published a DVD made by young people recounting their experience of transition • Set up a network of health champions (20) • Published a web based compendium of good practice for health professionals • With DCSF Published a Guide to Transition for all professionals Transition Planning Guide for Health Professionals being published early 2008 • • RCPCH producing an e-learning tool for practitioners on communicating with young people next year