Integrated Working Successes, challenges and next steps

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Integrated WorkingSuccesses, challenges and
next steps

• Dr Gill Turner
• Consultant Paediatrician
• Chair of RCPCH Young Peoples Health SIG

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

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• 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

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OutlineGetting it together

• Northumberland
• Background
• Teenage health demonstration site
• What weve learned
• Challenges
• Current context
• Next steps

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HealthyWhat 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

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Northumberland - History

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

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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

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Northumberland Teenage Health Demonstration Site

• People
• specialist adolescent nurse practitioner
• GP
• Consultant Paediatrician
• many others
• Time
• Focus
• Co-ordination

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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

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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

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Participation

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

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The Journey

• Vision
• Strategy
• Attitudes, attitudes, attitudes
• Implementation

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Turning up the Volume

• Participation Strategy Group
• Participation Operational Group
• Children and young people
• Parents
• Communities

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Implementation of Strategy

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

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Whats worked?What have we learned?

• Shared vision
• Relationships
• Trust
• Local integrated teams
• Management
• Leadership

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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

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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

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Challenges- young people

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

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Challenges to real change- from narrow to
eliminate the gap!

• Going for BIG change raises BIG issues
• Inequality
• Poverty
• Power
• Control

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Current Context

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

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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

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Next Steps

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

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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

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Association of Young Peoples Healthgetting it
together

• Childrens Trusts
• focus on young people
• Young peoples participation
• Achieving excellent services
• Commissioning
• Outcome measures

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Young Peoples HealthWhere are we now?

• We have the vision
• We have the strategies
• Local implementation
• relationships
• trust
• doing it together
• persistence

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Thank you

• www.yphsig.co.uk
• GillTurner_at_nhs.net