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Review of Maternal and Child Health Service

Review of Maternal and Child Health Service. Human Services Directors’ Forum 24 April 2013 Dr Ro Saxon, HDG Consulting Group. Aim.

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Review of Maternal and Child Health Service

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  1. Review of Maternal and Child Health Service Human Services Directors’ Forum 24 April 2013 Dr Ro Saxon, HDG Consulting Group

  2. Aim To maintain a high quality, evidence-based universal service for all children and families, while giving priority to, and improving outcomes for, vulnerable children and families. Objective To examine the various components that make up the MCH Service informed by the latest evidence, and identify options to enhance, refine or modify the planning, delivery and evaluation of the MCH service in response to existing and emerging challenges.

  3. Key concepts 3

  4. The MCH Service • Additional • Eg. ARACY nurse home visiting trial UNDER TRIAL • Enhanced MCHService • More intensive support for target group of families with children <1 yr • Target of 7,013 families to receive between 15-17 hours of service • Supported approx 13,000 clients in 2010-111 TARGETED SERVICES • Universal MCHService • Free universal service for children birth to school age • Structured as 6.75 hours over 10 key ages and stages • ~ 73,000 newborns and mothers in 2011-12 • 400,000 nurse consultations per year • 44,040 referrals2made TOTAL POPULATION 24 hour MCH Telephone Line - > 100,000 families supported 3 4

  5. Policy context

  6. Drivers • Respond to increasing pressures • Wellness approach, strength based, informed parents • Improve outcomes for children/families experiencing vulnerability • Strengthen progressive universalism (see over) • Improve service efficiency • Increase emphasis on integrated responses • Improve information management

  7. Elements Management Information 7 Outcomes and quality monitoring 1 6 2 Systems and arrangements supporting collaboration across different services and settings • Service delivery model • Structure & activities offered; • Interactions with other services provided MCH Services see all children & their families at every stage of a child’s development 5 3 Other policies and programs that support parents The funding model The workforce mix and competency framework 4 7

  8. Concepts • Progressive universalism • all children and families have access to services • a progressively greater level of support / intensity to be provided to those who need it • Integrated approaches • The multi-dimensional nature of vulnerability requires an integrated approach from a range of practitioners and sectors • Wellness, strength-based approach • Parents well informed, information and education • Capacity building, build on strengths (not deficit focus) • Flexible responses, choice, self-directed, family diversity • Increased focus on monitoring outcomes

  9. Consultation / Discussion Questions The aim is to maintain a high quality, evidence-based universal service for all children and families, while giving priority to, and improving outcomes for, vulnerable children and families. 9

  10. Question 1: What are the biggest challenges for local government in relation to engaging and supporting children/families experiencing vulnerability?e.g. from a systemic, policy, resourcing, service design, data or other perspective?

  11. Question 2: How could services, resources or supports could be allocated or arranged so that there is an increased level of support for children/families experiencing vulnerability? What would have the most impact?

  12. Question 3: How could a more flexible workforce (such as a multi-disciplinary team) be achieved?

  13. Question 4: What challenges and opportunities does this reform offer?Given the broad context of what might be possible, what would you suggest as priorities for the following time frames?- Short term (1-2 years)- Medium term (3-5 years)- Longer term (5-10 years)

  14. Other comments or suggestions? • Next steps • Survey • Thank you

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