Youre Welcome quality criteria: Selfassessment toolkit and process of assessment

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Youre Welcome quality criteria
Self-assessment toolkit and process of assessment

• Antonia Rich (Local Coordinator for Westminster)

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Youre Welcome quality criteria

• Accessibility
• Publicity
• Confidentiality and consent
• Environment
• Staff training, skills, attitudes and values
• Joined-up working
• Monitoring and evaluation, and involvement of
  young people
• Health issues for young people
• Sexual and reproductive health services (SRH)
• Child and adolescent mental health services
  (CAMHS)

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The purpose of the pilot self assessment
monitoring and development tool

• Engage 6 services as stipulated by the
  requirements of the DH pilot
• Gather completed self-assessments from services
  in line with deadline and ensure completion of
  feedback of the tool
• Identify services strengths and potential areas
  for development
• Build on existing work undertaken by the Borough

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Youre Welcome quality criteria Self assessment
regional pilot of process and materials

• Starting out / Score 1 point arrangements are
  either not in place to meet the criteria or
  arrangements that are in place are limited. There
  is no plan in place to improve the area or
  there is a plan that is not being acted upon.
• Getting there / Score 2 points some arrangements
  are in place and the service is well on the way
  to achieving the criteria. If arrangements are
  not in place, there is a robust, active plan to
  achieve the criteria.
• Meets YW / Score 3 points systematic arrangements
  are in place that meet the criteria. While not
  all criteria can be fully met at all times,
  there is an overall sense that the service is
  working at that level of provision.

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Youre Welcome quality criteria Self assessment
regional pilot of process and materials
Scores 7-11 Starting out 12-19 Getting
there 20-21 Meets YW
Add action

• Assess against criteria and
• note the score
• fill in the rating

Examples of what could be used as evidence of
compliance or lack of compliance
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Youre Welcome quality criteria Self assessment
regional pilot of process and materials
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Accessibility
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Youre Welcome quality criteria Self assessment
regional pilot of process and materials
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Youre Welcome quality criteria Self assessment
regional pilot of process and materials
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Youre Welcome quality criteria Self assessment
regional pilot of process and materials
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Youre Welcome quality criteria Feedback from
participating services
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Settings required

• Department of Health stipulated
• 2-4 primary care practices
• 1 Sexual or reproductive health service
• 1 Child and Adolescent Mental Health Service
  (CAMHS)
• Local abortion providers (both NHS and
  independent under NHS contract)
• Health service provided in youth or extended
  service setting

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Westminster Settings

• Primary care practices Harrow Road Health
  Centre and Marylebone Health Centre
• Sexual Health service Cont_at_ct at Victoria
  Clinic
• CAMHS Marlborough Centre
• Abortion service British Pregnancy Advisory
  Service
• Contraceptive service Westside Contraceptive
  Services
• Health service in youth or extended service
  setting ARC (Adolescent Resource Centre) _at_ The
  Stowe. This is a GUM outreach service hosted in a
  youth club

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Which settings were successfully engaged with,
which did not engage and why?

• All services approached participated
• Why?
• Personal relationship already established with
  most services
• Support to complete self-assessment
• Work previously undertaken in the Borough
• Reassurance that the purpose of pilot was to
  pilot the toolkit and their feedback would be
  incorporated i.e., purpose of exercise
  developmentally not to badge services

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Whats involved in the YW process?

• Services initially approached by email
• Support offered support required varied
• Emailed documentation
• Not one right way to complete YW toolkit
• - Local coordinator and service
• - Service lead and colleagues
• - Service lead on own

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What did the PCT learn from the self assessment
process?

• Settings
• In Westminster 5 services scored getting there
  and 2 scored starting out
• This masks huge variation in scores The 3 YP
  services scored much higher than generic services
  and all 3 were close to meets YW
• Services varied greatly in support required to
  complete toolkit and time they took to complete
  it

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What areas should the PCT focus on?

• Confidentiality and consent
• Staff training
• Monitoring and evaluation and involvement of
  young people
• Publicity

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Staff training, attitudes and values

• All staff who are likely to come into contact
  with young people receive basic training on
• communicating easily with young people
• promoting attitudes and values that are young
  people friendly
• meeting standards established in the current NHS
  Knowledge and Skills Framework
• working to current Department of Health guidance
  on confidentiality and consent and seeing young
  people on their own.
• In particular, reception staff had limited
  training in this area.

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Challenges.

• Challenge to engage with greater number of
  services particularly general practice
• Young peoples participation
• Capacity at PCT level needed to support services
  achieve YW status
• Buy in at strategic level, establishing YW in
  commissioning, engagement of YP, support for
  services, for example, publicity and training
• No resources allocated from DH

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Positives.

• Developing relationships with services
• Revealing commonalities across services thus
  identify where best to target resources
• Action plan completed to identify areas for
  develop
• Mechanism for rewarding those who are providing a
  young people friendly service

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Acknowledgements

• Services in Westminster
• Sharon Dodd
• Amy Wilkinson
• Contact Details
• Antonia.rich_at_westminster-pct.nhs.uk

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A services perspective

• Imelda OBrien (Cont_at_ct, Victoria Clinic)
• Dawn Wilkinson (ARC, St Marys)
• Amynta Cardwell (CAMHS)

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Question and Answer session

• Group work
• What is your immediate reaction to the issues
  raised?
• What opportunities and challenges would
  implementing YW bring to where you work?
• What do you think the needs of services/staff
  would be to implement YW?
• How can we overcome the challenges?
• What are you doing already?
• How can we involve YP in YW?