Post on 16-Dec-2015
Integrated WorkingIntegrated WorkingSuccesses, challenges and Successes, challenges and
next stepsnext steps
Dr Gill TurnerDr Gill TurnerConsultant PaediatricianConsultant Paediatrician
Chair of RCPCH Young People’s Health SIGChair of RCPCH Young People’s Health SIG
Young People’s HealthYoung People’s Health– PolicyPolicy– StrategyStrategy– Specific needs of YP acknowledgedSpecific needs of YP acknowledged– Psychosocial and physicalPsychosocial and physical– Prevention, resiliencePrevention, resilience– ServicesServices
– never been a better timenever been a better time
Young People’s HealthYoung People’s Health
The only thing that really makes a difference toThe only thing that really makes a difference to
large numbers of young people is local large numbers of young people is local
implementation - multi-agency and integrated.implementation - multi-agency and integrated.
– never been a more challenging timenever been a more challenging time
OutlineOutline“Getting it together”“Getting it together”
NorthumberlandNorthumberland– BackgroundBackground– Teenage health demonstration siteTeenage health demonstration site– What we’ve learnedWhat we’ve learned
ChallengesChallenges Current contextCurrent context Next stepsNext steps
““Healthy”Healthy”What are we aiming for?What are we aiming for?
ValuedValued RespectedRespected ResilientResilient Emotionally intelligentEmotionally intelligent Skilled and confident in Skilled and confident in
– finding solutionsfinding solutions– relationshipsrelationships– conflict resolutionconflict resolution
Enthusiastic and excited about challenge and Enthusiastic and excited about challenge and changechange
Northumberland - HistoryNorthumberland - History
CYP Strategic PartnershipCYP Strategic Partnership Northumberland Young People’s Health Northumberland Young People’s Health
Project – relationship with schoolsProject – relationship with schools Community Health TrustCommunity Health Trust Care TrustCare Trust Family and Children’s Trust 2006Family and Children’s Trust 2006
NorthumberlandNorthumberland
Integrated teamsIntegrated teams– school nurses, HVs, EWO, SW etcschool nurses, HVs, EWO, SW etc
Large, varied countyLarge, varied county Strong locality identityStrong locality identity
– Urban south east, Blyth, AshingtonUrban south east, Blyth, Ashington– West, rural Hexham, Haydon BridgeWest, rural Hexham, Haydon Bridge– North, rural Berwick, AlnwickNorth, rural Berwick, Alnwick
Northumberland Northumberland Teenage Health Demonstration SiteTeenage Health Demonstration Site
PeoplePeople– specialist “adolescent” nurse practitionerspecialist “adolescent” nurse practitioner– GPGP– Consultant PaediatricianConsultant Paediatrician– many othersmany others
TimeTime FocusFocus Co-ordinationCo-ordination
Northumberland Northumberland Teenage Health Demonstration SiteTeenage Health Demonstration Site
ClinicalClinical– nurse outreach into residential and secure unitnurse outreach into residential and secure unit– health drop-in at FE collegehealth drop-in at FE college– community paediatric 12-19 years YP clinicscommunity paediatric 12-19 years YP clinics
ParticipationParticipation Rural Rural Peer support (healthy schools)Peer support (healthy schools)
Emotional wellbeing and mental health Emotional wellbeing and mental health Substance misuse servicesSubstance misuse services
Working together?Working together? Participation of young people Participation of young people
““Empowering young people umbrella group”Empowering young people umbrella group”– public health, youth work, paediatrics, LApublic health, youth work, paediatrics, LA– began 1997began 1997
FACT monthly leadership groupFACT monthly leadership group FACT weekly leadership and management FACT weekly leadership and management
teamteam
ParticipationParticipation
Meaning? Meaning? Meaning?Meaning? Meaning? Meaning? Health / LA / schools / youth work / VCSHealth / LA / schools / youth work / VCS Which young people?Which young people? Which issues?Which issues? Which arena?Which arena? StyleStyle Control and honestyControl and honesty
The JourneyThe Journey
VisionVision StrategyStrategy
Attitudes, attitudes, attitudesAttitudes, attitudes, attitudes
ImplementationImplementation
Turning up the VolumeTurning up the Volume
Participation Strategy GroupParticipation Strategy Group Participation Operational GroupParticipation Operational Group
Children and young peopleChildren and young people Parents Parents CommunitiesCommunities
Implementation of StrategyImplementation of Strategy
Annual reporting to FACT BoardAnnual reporting to FACT Board– representation of VCS, representation of VCS,
Northumberland Strategic Partnership, Northumberland Strategic Partnership,
child health commissionerchild health commissioner
Six monthly troubleshooting to FACT Six monthly troubleshooting to FACT leadership teamleadership team
What’s worked?What’s worked?What have we learned?What have we learned?
Shared visionShared vision Relationships Relationships TrustTrust
Local integrated teamsLocal integrated teams ManagementManagement LeadershipLeadership
Shared VisionShared Vision
We can make things better togetherWe can make things better together Young people deserveYoung people deserve
– respectrespect– confidentialityconfidentiality– choicechoice– to participate and influenceto participate and influence– support wherever they choose to access itsupport wherever they choose to access it– “ “no wrong door” vs. referralno wrong door” vs. referral
Challenges - NorthumberlandChallenges - Northumberland
Organisational changeOrganisational change– Unitary authority April 09Unitary authority April 09– Public health – becoming North of TynePublic health – becoming North of Tyne– World class commissioningWorld class commissioning
Economic climateEconomic climate– anxietyanxiety– attention to service provision rather than preventionattention to service provision rather than prevention– narrower focus rather than partnershipsnarrower focus rather than partnerships
ChallengesChallenges- young people- young people
Politically disenfranchisedPolitically disenfranchised ““Vulnerable” / “at risk of poor outcomes”Vulnerable” / “at risk of poor outcomes” Support vs. punishmentSupport vs. punishment ParticipationParticipation
– all young peopleall young people– honestyhonesty– timescaletimescale
Challenges to real changeChallenges to real change- from narrow to eliminate the gap!- from narrow to eliminate the gap!
Going for BIG change raises BIG issuesGoing for BIG change raises BIG issues
InequalityInequality PovertyPoverty Power Power ControlControl
Current ContextCurrent Context
Every Young Person MattersEvery Young Person Matters Aiming High for Young PeopleAiming High for Young People Children’s TrustsChildren’s Trusts Duty of schools / PCTs to co-operateDuty of schools / PCTs to co-operate Children’s workforce developmentChildren’s workforce development
Current ContextCurrent Context
Integrated services for young people and Integrated services for young people and targeted youth supporttargeted youth support
Healthy lives, brighter futures: Strategy for Healthy lives, brighter futures: Strategy for children and young people’s healthchildren and young people’s health
World class commissioningWorld class commissioning 14 – 19 strategy, LSC funding to LAs14 – 19 strategy, LSC funding to LAs Local community involvementLocal community involvement
Next StepsNext Steps
Children’s TrustsChildren’s Trusts– creating and keeping a focus on young people creating and keeping a focus on young people
Young people’s participationYoung people’s participation National indicator setNational indicator set Tell us surveyTell us survey
Next StepsNext Steps
CommissioningCommissioning– understanding of multi agency YP’s servicesunderstanding of multi agency YP’s services– prevention, resilienceprevention, resilience– emotional wellbeingemotional wellbeing
Excellent services for young people as Excellent services for young people as assessed by young peopleassessed by young people– You’re Welcome quality criteriaYou’re Welcome quality criteria
Association of Young People’s Association of Young People’s HealthHealth
“getting it together”“getting it together”
Children’s TrustsChildren’s Trusts– focus on young peoplefocus on young people
Young people’s participationYoung people’s participation Achieving excellent servicesAchieving excellent services CommissioningCommissioning Outcome measuresOutcome measures
Young People’s HealthYoung People’s HealthWhere are we now?Where are we now?
We have the visionWe have the vision We have the strategiesWe have the strategies Local implementationLocal implementation
– relationshipsrelationships– trusttrust– doing it togetherdoing it together– persistencepersistence
Thank youThank you
www.yphsig.co.uk
GillTurner@nhs.net