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Integrated Working Successes, challenges and next steps

Integrated Working Successes, challenges and next steps. Dr Gill Turner Consultant Paediatrician Chair of RCPCH Young People’s Health SIG. Young People’s Health Policy Strategy Specific needs of YP acknowledged Psychosocial and physical Prevention, resilience Services

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Integrated Working Successes, challenges and next steps

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  1. Integrated WorkingSuccesses, challenges and next steps Dr Gill Turner Consultant Paediatrician Chair of RCPCH Young People’s Health SIG

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

  3. Young People’s 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 we’ve learned • Challenges • Current context • Next steps

  5. “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

  6. Northumberland - History • CYP Strategic Partnership • Northumberland Young People’s Health Project – relationship with schools • Community Health Trust • Care Trust • Family and Children’s Trust 2006

  7. 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

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

  9. 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

  10. 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

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

  12. The Journey • Vision • Strategy Attitudes, attitudes, attitudes • Implementation

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

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

  15. What’s worked?What have we learned? • Shared vision • Relationships • Trust • Local integrated teams • Management • Leadership

  16. 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

  17. 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

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

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

  20. Current Context • Every Young Person Matters • Aiming High for Young People • Children’s Trusts • Duty of schools / PCTs to co-operate • Children’s workforce development

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

  22. Next Steps • Children’s Trusts • creating and keeping a focus on young people • Young people’s participation • National indicator set • Tell us survey

  23. Next Steps • Commissioning • understanding of multi agency YP’s services • prevention, resilience • emotional wellbeing • Excellent services for young people as assessed by young people • You’re Welcome quality criteria

  24. Association of Young People’s Health“getting it together” • Children’s Trusts • focus on young people • Young people’s participation • Achieving excellent services • Commissioning • Outcome measures

  25. Young People’s HealthWhere are we now? • We have the vision • We have the strategies • Local implementation • relationships • trust • doing it together • persistence

  26. Thank you www.yphsig.co.uk GillTurner@nhs.net

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