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Integrated Working Successes, challenges and next steps

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Integrated Working Successes, challenges and next steps Dr Gill Turner Consultant Paediatrician Chair of RCPCH Young People s Health SIG Young People s Health ... – PowerPoint PPT presentation

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Title: Integrated Working Successes, challenges and next steps


1
Integrated Working Successes, challenges and
next steps
  • Dr Gill Turner
  • Consultant Paediatrician
  • Chair of RCPCH Young Peoples Health SIG

2
  • Young Peoples Health
  • Policy
  • Strategy
  • Specific needs of YP acknowledged
  • Psychosocial and physical
  • Prevention, resilience
  • Services
  • never been a better time

3
  • Young Peoples Health
  • The only thing that really makes a difference to
  • large numbers of young people is local
  • implementation - multi-agency and integrated.
  • never been a more challenging time

4
Outline Getting it together
  • Northumberland
  • Background
  • Teenage health demonstration site
  • What weve learned
  • Challenges
  • Current context
  • Next steps

5
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6
Healthy What are we aiming for?
  • Valued
  • Respected
  • Resilient
  • Emotionally intelligent
  • Skilled and confident in
  • finding solutions
  • relationships
  • conflict resolution
  • Enthusiastic and excited about challenge and
    change

7
Northumberland - History
  • CYP Strategic Partnership
  • Northumberland Young Peoples Health Project
    relationship with schools
  • Community Health Trust
  • Care Trust
  • Family and Childrens Trust 2006

8
Northumberland
  • Integrated teams
  • school nurses, HVs, EWO, SW etc
  • Large, varied county
  • Strong locality identity
  • Urban south east, Blyth, Ashington
  • West, rural Hexham, Haydon Bridge
  • North, rural Berwick, Alnwick

9
Northumberland Teenage Health Demonstration Site
  • People
  • specialist adolescent nurse practitioner
  • GP
  • Consultant Paediatrician
  • many others
  • Time
  • Focus
  • Co-ordination

10
Northumberland Teenage Health Demonstration Site
  • Clinical
  • nurse outreach into residential and secure unit
  • health drop-in at FE college
  • community paediatric 12-19 years YP clinics
  • Participation
  • Rural
  • Peer support (healthy schools)
  • Emotional wellbeing and mental health
  • Substance misuse services

11
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12
Working together? Participation of young people
  • Empowering young people umbrella group
  • public health, youth work, paediatrics, LA
  • began 1997
  • FACT monthly leadership group
  • FACT weekly leadership and management team

13
Participation
  • Meaning? Meaning? Meaning?
  • Health / LA / schools / youth work / VCS
  • Which young people?
  • Which issues?
  • Which arena?
  • Style
  • Control and honesty

14
The Journey
  • Vision
  • Strategy
  • Attitudes, attitudes, attitudes
  • Implementation

15
Turning up the Volume
  • Participation Strategy Group
  • Participation Operational Group
  • Children and young people
  • Parents
  • Communities

16
Implementation of Strategy
  • Annual reporting to FACT Board
  • representation of VCS,
  • Northumberland Strategic Partnership,
  • child health commissioner
  • Six monthly troubleshooting to FACT leadership
    team

17
Whats worked? What have we learned?
  • Shared vision
  • Relationships
  • Trust
  • Local integrated teams
  • Management
  • Leadership

18
Shared Vision
  • We can make things better together
  • Young people deserve
  • respect
  • confidentiality
  • choice
  • to participate and influence
  • support wherever they choose to access it
  • no wrong door vs. referral

19
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20
Challenges - Northumberland
  • Organisational change
  • Unitary authority April 09
  • Public health becoming North of Tyne
  • World class commissioning
  • Economic climate
  • anxiety
  • attention to service provision rather than
    prevention
  • narrower focus rather than partnerships

21
Challenges - young people
  • Politically disenfranchised
  • Vulnerable / at risk of poor outcomes
  • Support vs. punishment
  • Participation
  • all young people
  • honesty
  • timescale

22
Challenges to real change - from narrow to
eliminate the gap!
  • Going for BIG change raises BIG issues
  • Inequality
  • Poverty
  • Power
  • Control

23
Current Context
  • Every Young Person Matters
  • Aiming High for Young People
  • Childrens Trusts
  • Duty of schools / PCTs to co-operate
  • Childrens workforce development

24
Current Context
  • Integrated services for young people and targeted
    youth support
  • Healthy lives, brighter futures Strategy for
    children and young peoples health
  • World class commissioning
  • 14 19 strategy, LSC funding to LAs
  • Local community involvement

25
Next Steps
  • Childrens Trusts
  • creating and keeping a focus on young people
  • Young peoples participation
  • National indicator set
  • Tell us survey

26
Next Steps
  • Commissioning
  • understanding of multi agency YPs services
  • prevention, resilience
  • emotional wellbeing
  • Excellent services for young people as assessed
    by young people
  • Youre Welcome quality criteria

27
Association of Young Peoples Health getting it
together
  • Childrens Trusts
  • focus on young people
  • Young peoples participation
  • Achieving excellent services
  • Commissioning
  • Outcome measures

28
Young Peoples Health Where are we now?
  • We have the vision
  • We have the strategies
  • Local implementation
  • relationships
  • trust
  • doing it together
  • persistence

29
Thank you
  • www.yphsig.co.uk
  • GillTurner_at_nhs.net
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