Child and Youth Services CDHB

1
Child and Youth ServicesCDHB

• Chief of Child Health Dr Nicola Austin
• On behalf of the Child Health Service and Allied
  Health Professionals

2
What do Children, Youth and their families want
in Canterbury?

• Improved health outcomes for all children who
  require secondary and tertiary services in
  Canterbury DHB
• How do we do this?
• Co-ordinate all secondary and tertiary health
  care in a Childrens Hospital.
• Strategic development committee with project
  management support.

3
What Population need services ?- data 2006
Canterbury
4
Births to 30 June 1995-2008
5

6
How should we provide services?

• Work actively with primary care providers to
  ensure all providers support children and their
  whanau/family to meet their needs in the
  community and hospital
• Improve equity of services.
• Provide services for children and youth that meet
  Sector Standards.
• Accommodation separate from adults

7

Northland
Waitemata
Auckland
Counties
Waikato

• Develop a strategy to improve secondary and
  tertiary services for children in the South
  Island with Christchurch as a Regional Planning
  Group
• Subspeciality services are planned as managed
  clinical networks in line with the Paediatric
  Society national initiative.

BOP
Lakes
Tairawhiti
Taranaki
Mid Central
Wanganui
Hawkes Bay
Wairarapa
Hutt
Capital Coast
NMDHB
Canterbury
West Coast
S Canterbury
Otago
Southland
8
What is the service activity in Canterbury for
0-14 ?
9
Service activity of Young people 16-21
10
Ward
CAA
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What we dont provide .

• Integrated Child Development Service
• Integration with Mental Health
• Integration with MOE and MSD
• Speciality clinics eg Cerebral Palsy Botox,
• Co-ordinated Child Protection Service
• Co-ordinated Youth services inpatient or
  outpatient.
• Cardiac surgery and PICU - ADHB
• Genetic services CCDHB regional service

12
Do we have support? Yes!

• Stakeholder acceptance that improving child
  health services within the CDHB requires a
  co-ordinated integrated approach within a
  Childrens Hospital.
• National support for CDHB to provide a Hub for
  the South Island.

13
What should child health services in Canterbury
look like in the future?

• One entry to ED CAA, Childrens ED, Childrens
  Bone shop in their own area ie near but
  separate?
• Increased HDU capabilities or a Paed ICU?
• CHOC unit, Young Persons Cancer centre, - where
  in relation to Adult Cancer services.
  Comprehensive Cancer Centre.

14
How do we get the right services in Canterbury?

• CDHB Board approval of a Childrens Hospital
  concept.
• Strategic development committee with project
  management support.
• Review of National models at Auckland Starship
  Childrens Hospital, Kidsfirst,
• South Island Consultation
• Consumer consultation
• Community engagement