Continence in Children and Young People House of Lords 19th May 2009 Dr Sheila Shribman National Cli - PowerPoint PPT Presentation


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Continence in Children and Young People House of Lords 19th May 2009 Dr Sheila Shribman National Cli


Continence in Children and Young People. House of Lords. 19th May 2009. Dr Sheila Shribman ... Children's Plan sets out the vision for children & young people, ... – PowerPoint PPT presentation

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Title: Continence in Children and Young People House of Lords 19th May 2009 Dr Sheila Shribman National Cli

Continence in Children and Young People House of
Lords 19th May 2009 Dr Sheila Shribman National
Clinical Director Children, Young People and
Maternity Services
The Childrens Plan Building brighter futures
  • Childrens Plan sets out the vision for children
    young people, and trailed development of a
    Child Health Strategy.
  • Governments 2020 ambition for all children and
    young people is to
  • Secure the wellbeing and health of children and
    young people
  • Safeguard the young and vulnerable
  • Achieve world class standards in education and
  • Close the gap in educational achievement for
    children from disadvantaged families
  • Ensure young people are participating and
    achieving their potential to 18 and beyond
  • Keep children an young people of the path to

(No Transcript)
Every Child Matters Change for Children (2004)
  • Be healthy
  • Stay safe
  • Enjoy and achieve
  • Make a positive contribution
  • Achieve economic well-being

Childrens NSF Standards (2004)
  • Core Standards (Standards 1-5)
  • Promoting health
  • Supporting parents/carers
  • Child and family-centred services
  • Growing up
  • Safeguarding
  • Standards 6-11
  • Ill Child
  • Hospital services
  • Disabled child
  • Mental health and psychological well-being
  • Medicines
  • Maternity services

Healthy lives, brighter futures is a joint
A healthy childhood is critically important
  • Children and young people are healthier than ever
  • Supported by medical, technological, social and
    economic advances
  • Helped by more information and support for
    parents and more skilled professionals
  • The past decade has seen continued improvements
  • To address inequalities, current trends and
    public concern
  • But we need to do more to become world-class

The Strategy cements our standards and ambitions
  • Improving children and young peoples physical
    and psychological health, by investing in
    childrens health from the early years, through
    childhood and adolescence, will benefit children,
    families, society and the NHS.

The Strategy reflects the concerns people raise
The Strategy is informed by extensive engagement
with children, young people, parents and
practitioners through a range of events across
Children and Young People
Parents and Carers
Realising these ambitions will require partnership
Four principles underpin how we will improve
users experience of services from birth to 19
Continued improvement to services to support
families from pregnancy onwards
System Level Transformation
Commitments to strengthen support in pregnancy
and the early years
Commitments to strengthen support for school-age
Commitments to strengthen support for young people
Children with acute or additional health
The right help to cope with sudden, short-term
physical or mental illness long-term or complex
medical conditions disabilities and with
palliative and/or end-of-life care.
We are working to ensure high quality, timely and
accessible support is available for children and
young people with acute or additional health
needs and their families
Commitments to strengthen support for children
with acute or additional health needs
Supporting local partners jointly to set out and
deliver a local offer that reflects local needs
Making it happen system level transformation
  • Accessible information from Childrens Trust
    partners about what child health services, advice
    and support are available locally
  • Effective joint leadership and strengthen local
    accountability arrangements for childrens health
  • Working together to safeguard children and ensure
    all organisations are fulfilling their statutory
    responsibilities for safeguarding children
  • Building on the strengths and expertise of GPs
    in Childrens Trusts
  • Stronger joint commissioning for childrens
  • Promote better use of data to inform
    commissioning and delivery
  • Strengthen the child health workforce
  • Further promote the voice of children and young

Child Health Strategy Improvements
  • easier access to health services to support
    childrens psychological as well as physical
  • better information about what services are
    available locally for families.
  • better links between health and childrens
    services - the strategy notes that frontline
    staff want help to overcome barriers to providing
    excellent, integrated health services that they
    know children and families need.

Child Health Strategy Commitments
  • for school-age children and their families, there
    will be a core health programme, the Healthy
    Child Programme
  • to set out clearly what services should be
    available to parents, children and young people
    from 5 to 19
  • supported by 21st Century Schools with a focus on
    pupils health and wellbeing.

Child Health Strategy Commitments (cont)
  • by 2010 all children with complex health needs
    have individual care plans to support
    co-ordinated care
  • there will be an update of joint guidance on
    Managing Medicines in Schools
  • supported by a new awareness-raising campaign
  • to include guidance relating to children with
    complex health needs as well as clear statements
    of expectations of different partners, including
    schools and PCTs.

Child Health Strategy and datasets will
  • Promote better use of data, including development
    of minimum child health datasets and models for
    the planners and commissioners of services, for
    example to improve local authorities and PCTs
    understanding of the complex relationship between
    child health spend and childrens health
  • This will include, for example, how much PCTs
    spend on child health, and greater information
    about the long-term outcomes of interventions,
    particularly those relating to complex health
  • Develop a model to build commissioners
    understanding of the relationship between
    healthcare spend on children and the resulting

The Child Health Strategy looks to
  • Publish best practice on data collection as
    part of the Aiming High for Disabled Children
    programme, in order to draw on what works to help
    local areas improve their knowledge of local
    populations, to put in place workable data
    collection frameworks and to use data and
    evidence more effectively.
  • Develop a stronger information base for
    monitoring the impact of future developments in
    terms of equalities with better information to
    help create greater transparency within the
    system with regard to the costs and use of

Important developments include
  • A new NHS national standard community
    contract, with accompanying guidance, that
    includes components on services for children and
    young people, including the Healthy Child
    Programme, urgent care, complex needs and child
    and adolescent mental health services.
  • The ongoing piloting of childrens community
    tariffs, and development of metrics and measures
    for benchmarking services. These will help
    provide a mechanism for identifying the costs of
    out-of-hospital services, so that those services
    are more transparent and commissioning of them is
    more robust efficiencies can be identified and
    high quality care can be properly rewarded.

Child Health Strategy and strengthening the
child health workforce
  • through work that will help SHAs assess the
    roles, skills and capacity they need in their
    local childrens workforce, for example whether
    there are sufficient health visitors to help
    expand their trained paediatric workforce,
    including community childrens nurses and
    paediatricians and through work on extending GP
    training being led by the Royal College of
    General Practitioners.

PCTs and LAs to make strategy a reality through
joint leadership and commissioning
  • Strong local partnerships new Childrens Trusts
    Boards, with GP representation
  • Effective needs assessments engaging children,
    young people and families
  • Clear, transparent local plans set out in
    jointly owned CYPP and LAAs
  • Review transparency of local offer including to
    deliver NHS Operating Framework priorities and
    this strategy
  • Improve access to short breaks for disabled
    children, building on new funding
  • Improved experiences of services for children
    with acute or additional needs
  • High quality Healthy Child Programme,
  • Your Welcome standards
  • Effective CAMHS services
  • Services to reduce teenage pregnancies, including
    contraceptive services
  • Workforce skills and capacity SHA strategic
    workforce plans and PCT local workforce plans to
    support the service offer

Where you can find more detail online
  • Healthy lives, brighter futures pdf
  • Executive summary
  • Presentation slides
  • 1 page what the strategy means for …
  • Securing better health for children and young
    people through world class commissioning
  • Commissioning support programme