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Brighton & Hove Integrated Children’s Services

Brighton & Hove Integrated Children’s Services. 3 December 2012. History. 2006 Children and Young People’s Trust: Council’s Children, Families and Schools Directorate with South Downs NHS Trust’s Children and Families Service

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Brighton & Hove Integrated Children’s Services

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  1. Brighton & Hove Integrated Children’s Services 3 December 2012

  2. History • 2006 Children and Young People’s Trust: Council’s Children, Families and Schools Directorate with South Downs NHS Trust’s Children and Families Service • Section 75 (NHS Act 2006) commissioning agreement between the PCT and the Council • Section 75 provider agreement between South Downs and the Council • Separate but aligned budgets • Children and Young People’s Trust Board • Small, unitary LA with coterminous PCT and health provider

  3. Now • Three commissioners: CCG, NHS England Area Team, Public Health within the LA • Still have a provider Section 75 agreement • Sussex Community Trust – covers both West Sussex and Brighton and Hove • National Health Visiting specification • Increase of 15 HVs by 2015 (22% increase) • 12 Children’s Centres (originally 15) • 14,343 children under 5, 28% BME

  4. Integrated Children’s Centres • Integrated, citywide service led by health visitors who are seconded into the Council and based in CCs • HVs register parents at the new birth visit • HVs assess all children under Healthy Child Programme – increasing ante natal, 1 and 2 year reviews • Use the health visiting levels of service: • community • universal • universal plus • universal partnership plus (includes CAF, CP, LAC) • HVs directly supervise Council CC staff • Shared data and aligned reporting procedures but two IT systems

  5. Integrated CCs continued • HVs act as the lead professionals for CAFs for children under 5 • Directory of evidence based interventions • Health Visitors trained in, deliver and supervise Council staff to deliver parenting programmes • Training passports for health and council staff • Family Nurse Partnership based in and managed as part of the CC service • Early Parenting Assessment Programme – for mothers at risk of losing babies based in a CC

  6. Children’s Centre Areas 5 8 7 4 6 10 2 1 13 3 12 11 9

  7. Children’s Centre Team Structure Chart

  8. Pathway for a Universal Partnership Plus family – 2 children with complex needs requiring multi-agency support Visits to GP with baby due to illness 1 year health review GP check 1-1 Appointments / home visits EYV programme of visits over time with regular HV review HV/GP liaison Follow up by HV Review CAF action plan New Birth Visit Immunisations HV/GP liaison 6 wks 8 wks 12 wks 16 wks 1 Yr Birth 2 wks Healthy Child Clinic Triple P parenting CAF and action plan BF drop-in Children’s Centre services Baby and You Protective Behaviours Sibling offered funded nursery place

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