Innovation in Children’s Services: Partners in Paediatrics and Dudley

Tim Horsburgh, Lead Clinician, PiP and Children’s Lead Commissioner, Dudley CCG/MCP

Steve Cropper, Academic Advisor, PiP and Keele University

http://www.partnersinpaediatrics.org

What is PiP?

• An association of organisations with responsibility for children’s health services – Initiated 1997; formalised as subscription

association 1998-9; still going! • Membership: 18 subscribing organisations in

the West Midlands • Budget and staffing: very small • Strong and broad clinical engagement in work

streams

The point of PiP

• Improve quality & accessibility of care for children

• Facilitating collaborative work arrangements and learning about new models of health care – Managed clinical networks/Integrated care – Local experimentation and development work – Sharing knowledge/collaborative professional

development and educational provision – Listening, watching, advising and advocating

Work past and current …

• Local service development and shared learning Childhood

constipation GP engagement

& confidence EWTD Eg Dudley

Vanguard…… the continuing purpose of PiP

• Wide area paediatric networks General surgery Anaesthetics Diabetes Gastroenterology Rheumatology Child Sexual

Abuse • Paediatric

workforce

• Education and shared resources Region-wide

Clinical Guidelines

Education events – linking secondary, community and primary care

Engagement with Children and Young People

Dudley CCG - Vanguard Project 2015

Children and Young People’s Support Project

# You Only Life Once

Dr Tim Horsburgh - Clinical Lead Dr Linda Cropper – Commissioning Manager

‘Our greatest natural resource is the minds of our children’

Walt Disney

Aims / Outcomes

Life long learning

Healthy Life styles

Whole of Life care planning

Aims Reduction in poverty

Enhanced Emotional Resilience

Better educational outcomes Better employment prospects

Reduced LAC Reduced hospital admissions

Enhanced transition into adulthood

Community motivators • Children rooted in their community • Equal Opportunities to educational achievement • Preservation of social networks and peer support • Greater opportunity for social interaction • Access to third sector support • Whole system life long care planning

Youth Voice

Youth Health Champions - School engagement and Peer support

Community Groups

Carer Forum PPGs

Healthcare Forum

PUBLIC VIEWS

Healthcare Forum 5th March 2015

Why ? Marmot Review – 2010

Children and Families Act - 2014 :

Supporting and Involving YP Promoting Integration

Five Year Forward View

Integrated approach to service provision ( Report of the Children and YP’s Health Outcomes Forum 2014/15 )

Supporting pupils at school with medical conditions - DoE

2014

National Framework for CYP’s Continuing Care – 2010 + 2015/16

Teaching for Life Project - Summers and Robinson –

archdischild – 2015 -308599.43

Strategic Changes Health and Well - Being Board – CPY Alliance

Pooled CYP Budgets Shared assets

Shared IT assets - Improved Data Working at scale

Local Developments :

Early Help Hub All Age Emotional Health and Well – being service

MASH Whole of Life Disability Service

Extension of Troubled Families and FNP

Partnership Working :

How – the MDT approach

Health GP

DWMH DGFT BCPFT

Education Primary

Secondary FE

Special Schools

Local Authority Social Care / CDT Public Health - SHA

Friends Family Community

YP

Voluntary Sector

Pilot site 5 Localities in Dudley

Pilot - one locality :

GP Surgeries

Primary Schools Secondary School (s)

Social Care offices

Disability specific - ASD / CF / DM

Aims / Outcomes

Life long learning

Healthy Life styles

Whole of Life care planning

Outcome Measures

Educational stats Employment placement

Emotional Health Hospital Admission stats

Use of Primary Care services data Personal feedback

Audit of pathways / care plans / reviews Safeguarding / LAC outcomes

Crime stats

‘An investment in knowledge pays the best interest’

BenjaminFranklin

Any Questions?