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