Improving Children’s Health and Wellbeing in the West Midlands
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Transcript of Improving Children’s Health and Wellbeing in the West Midlands
Improving Children’s Health and Wellbeing in the West Midlands
Feedback from survey
Present
To what extent did the JSNA really affect the priorities of the Health and Wellbeing Strategy?
• Mixed response• Where JSNA did affect the priorities– Clarity of link – Order of development– Having consistency of Officer involvement
• Challenges– Speed of development – Work in progress
How to improve the development of JSNA/ Health and Wellbeing strategy
• Wider consultation• Linking key health risks to key Marmot themes• Contract Monitoring to align service/team
impact to strategic priorities• Dynamic relationship between JSNA and
Outcomes frameworks
Best features of JSNAs
Data• Identifying the level of need in the population and Priority Neighborhood profiles• Level of Detail from overview to comprehensive data depending on their
individual requirements.• Comprehensive coverage of topics
Presentation• Dynamic website, • The way the information is presented in layers on website- Overview to allowing
visitors to a greater level of detail, maps, data, etc, depending on their individual requirements.
Process• Collaborative process, • Senior manager buy in
Possible additional priorities for the H&WB Strategy
• Qualitative indicators for child health• Increase scope to incorporate deprivation in a
wider context.• Focus on life course
• Some respondents requested a decrease in the number of priorities
How will the H&WB Strategy really direct the services commissioned?
• By governance through the HWBB • Focusing on the priorities • Having teeth and being part of the DNA of the LA• Encouraging joint commissioning• Assigning a Board member as "champion" for each of the
outcome areas.• Agreeing the monitoring process• Informing Public Health Priorities
Challenges• Public Health Priorities smaller list• Interface between professional and public/patient
Improving the Health and wellbeing strategy
• Having a Strategy• Wide spread consultation and engagement in
the Strategies development• Communicating Strategy to stakeholders/ Staff• Refreshing Strategy once Board members
established / board matures• More detail
Best aspects of Health and Wellbeing Strategies
• Clear Governance Structures in place• Identify work areas for priority• Consultation with key stakeholders• Links to other Strategies, Plans and priorities.• Evidenced based targeted on clear and validated
data• Short, easy to read, comprehensive• Whole system approach
Improving existing Governance arrangements
• Awaiting the Governance Structures for CCGs. • Alignment of local structures/governance• Ensuring all stakeholders are fully represented• Improved communication between Boards
Managing relationships across the complex system
• Health and Wellbeing Board critical role• Being Active rather than passive• Focus collaboration on specific themes/ Services• Ensuring strong collaborative relationships exist at all levels of
structure.– Regular contact, – Mutual trust and respect,– Transparency, – Genuine desire to work differently – Commitment to new arrangements.
• Strong links in place based on existing working relationships– relationship building between key individuals where these don’t exist
Strengths of current joint commissioning
• Health Visiting services working in Children's Centres– Family and Child Centred – Sharing skills and expertise
• Joint commissioning posts– Enables all perspectives to be afforded equal importance
• School nursing service– Regular meetings with commissioners from health & LA
Strengths of current joint commissioning (Cont)
• Multi Agency Panels– Multi-agency group – Single Focus. All three agencies fully committed.– Budget Holders– joint decision
Examples• Joint Solutions Panel
– Pooled Budget to support children with complex needs – Focus on sourcing better, cheaper, more local solutions to meet needs.
• Children and Young Person's Substance Misuse Group.– Comprehensive needs assessment process.
• Women and Children's joint commissioning group – Includes council's and NHS Provider services
Future Priority areas For joint commissioning
• Social support in pregnancy and early years• Children's integration with adult
commissioning• CAMHS, • School nursing, • Health Visiting• 0-19 Healthy Child Programme
Examples of joint delivery that are working well
• JSNA• Triaging arrangement involving children's
social care, health and police.• Obesity• Targeted Youth Support Panel• Sexual Health Services• CAF
Areas for further integration of delivery
• Priorities within HWB strategy• Having an holistic approach to an individuals health and wellbeing.• 5-19 healthy child programme• Front line and preventative services
• Specific areas– School nursing, – Health visiting– CAMHS – Early years -Children’s centres, – Schools and colleges,– Youth services
Sharing best practice: Warwickshire County Council JSNA Website
Sharing best practice: Dudley’s Joint local protocol between adult drug and alcohol
treatment services and local safeguarding and family services. :
Link
http://safeguardingchildren.dudley.gov.uk/information-for-professionals/safeguarding-children-procedures/children-in-special-circumstances/?assetdet549=106104
Sharing best practice: • CAMHS
West Midlands– Warwickshire and Coventry Tier 2 Targeted Services for Mental
Health (TAMHS),– Wolverhampton Tier 3+– Worcestershire Service redesign
National• SE Scotland redesigned Tier 4 across 3 NHS Board areas (Lothian, Fife,
Borders)• Tendering of Tier 2, 3 and 4 services
Sharing best practice: Public Health (0-5)
– Family Nurse Partnership Programme (FNP)– Costs of the FNP are typically around £3200 per supported family per year
based on supporting a caseload of 100 families.– Stoke, Staffordshire, Telford & Wrekin, Walsall, Birmingham, and Dudley.
YP Substance misuse• National Treatment Agency Guidance and Best Practice
– http://www.nta.nhs.uk/young-people.aspx• London CAMHS Substance Misuse Specialist Service –(3 Las)• Stoke
– Outcomes Based Commissioning• Worcestershire
– payment by results– recovery based– outcome focused contract.
Sharing best practice: • Disabled Children’s Services and complex health needs
– Personalisation– http://
www.opm.co.uk/wp-content/uploads/2012/10/MIP-word-doc-of-pdf-final-Oct-2012.pdf
• Teenage pregnancy (and sexual health)– http://www.respectyourself.info/
Joint commissioning of sexual health services• Solihull and Birmingham (4PCTS)• London Sexual Health Programme
– http://www.londonsexualhealth.org/about-us.html• Yorkshire and Humber
– http://www.yorksandhumber.nhs.uk/what_we_do/improving_the_health_of_the_population/sexual_health/
•
Links to JSNABirmingham City Council http://bhwbb.net/wp-content/uploads/2012/09/New-One-JSNA-SUMM
ARY-2012-final.pdfCoventry City Council http://www.coventrypartnership.com/upload/documents/news/PIE%2
0GROUP/JSNA%202012.pdfDudley MBC http://www.dudleylsp.org/jsna/
Herefordshire Council http://www.herefordshire.gov.uk/factsandfigures/docs/Research/JSNA_2011_Key_points_and_Recommendations_(V1.2).pdf
Sandwell MBC
Shropshire Council http://shropshire.gov.uk/jsna.nsf/viewAttachments/JSHW-8WLCEF/$file/Shropshire_JSNA_SummaryDocument_2012.pdf
Solihull MBC http://www.solihull.gov.uk/akssolihull/images/att14595.pdf
Staffordshire Ccunty Councilhttp://www.staffordshire.gov.uk/health/PublicHealth/Staffordshire-Needs-Assessment-2012.pdf
Stoke-on Trent City Councilhttp://www2002.stoke.gov.uk/planning_uploads/Joint%20Strategic%20Needs%20Assessment%202011.pdf
Telford and Wrekin Council
http://www.telford.gov.uk/downloads/file/4286/discussion_1-priorities_and_new_ways_of_working_to_improve_the_health_and_wellbeing_in_telford_and_wrekin
Walsall Councilhttp://cms.walsall.gov.uk/observatoryindex/wpo-needs_assessments/wpo-jsna.htm
Warwickshire County Council http://jsna.warwickshire.gov.uk/
Wolverhampton City Councilhttp://www.wton-partnership.org.uk/UserFiles/File/JSNA%202009%20Update.pdf
Worcestershire County Council http://www.worcestershire.gov.uk/cms/pdf/JSNA-Summary-2012.pdf