Clinical Senates

1. Children and Young People Enjoy Good Health and Wellbeing Clinical Senates

2. Health &Wellbeing Strategy / Operating Plan Overall Aims Delivery Impact Areas Aims Childhood Obesity By 2012/13 the growth in the percentage of children recorded as obese at ages 5 and 11 will have stopped and from 2013/14 levels of childhood obesity at age 11 will have reduced by 0.5% a year for the next 5 years A range of age appropriate schemes and literature will be available to promote healthy choices and lifestyles Health Visitors An additional 3.5 wte health visitors will be employed by end March 2012 Looked After Children By the end of March 2012 a revised model of health care management will be in place for looked after children CAMHS Aclear plan of service change and redesign will be in place for Child and Adolescent Mental Health Services by the end of 2012/13

4. Childhood Obesity

5. Childhood Obesity

6. Health Visitor Projection Figures

7. Health Visitors

8. Looked After Children

9. Emotional Health and Wellbeing Strategy Objectives • To strengthen social and emotional resilience • To promote emotional health and wellbeing especially for vulnerable groups • To promote good parenting skills • To ensure parents, young people and professionals know where to go for assessment, intervention and support • To commission services that are able to respond quickly and appropriately to need

10. Ensure awareness of emotional health and wellbeing is embedded in all service provision for children and young people Provide easy access to early intervention when required Create performance dashboard Redesign existing services and pathways to maximise outcomes from existing resources Emotional Health and Wellbeing Strategy – Key Actions • Encourage self help and peer support • Facilitate earlier identification of need for support and intervention • Ensure parents’ and young people’s voices are heard in planning services • Improve communication between professional groups • Ensure greater availability of targeted and universal parenting programmes

11. Emotional Wellbeing Performance Dashboard – • Improvements in overall emotional health • Parents and carers more confident in nurturing their child’s emotional health • Childcare and learning environments are attractive, supportive and safe • Better attendance, attainment, behaviour • Greater placement stability for looked after children • Better access to services when help is needed • Staff more confident and competent in identifying and supporting children with emotional health needs 

12. CAMHS – Key Drivers for Change • Support and treat children and young people as near home as possible • Concerns regarding access and waiting times from stakeholder • Capacity in existing in community based services • Local inpatient unit does not meet required new national standards • Commissioning for impatient placement to move to Specialist Commissioning

13. Progress on CAMHS Review • Develop enhanced community CAMHS including intensive home treatment service • Multiagency steering group established across Hull and East Riding • Clinical reference group to be established • National Clinical Advisory Team to review • Engagement strategy to be developed

14. CAMHS - Key principles from model • Consultant-led multi-disciplinary single point of access • There is no such thing as an inappropriate referral • Clear maximum time from referral to assessment and treatment • Care co-ordinator identified for all referrals • Enhanced community service • Agreed evidence-based treatment pathways for most common mental health problems

15. Any referrer Single Point of Access Multi-disciplinary initial telephone/paper triage/assessment <7 days from routine referral NO Based on the information in the referral will a CAMH service be offered? YES Identify local care coordinator • SPA Worker or Care coordinator owns handover to: • Signposting to other services • No further action – GP/School/self/peer/parental support 24/7 Crisis Response (< 4 hours) Further Assessment <14 days from referral Treatment or intervention within 14 days from routine referral or 7 days for priority groups Following Treatment Pathways* for mild, moderate or severe: ADHD, conduct, self-harm, psychosis, anxiety, mood, depression, trauma, eating disorder, other *May include family as well as individual interventions and may have interdependencies with other pathways e.g. autism For inpatient treatment follow NHS North of England Protocol

16. CAMHS – Engagement Strategy • Establish clinical/professional reference group • Use existing involvement arrangements for children, young people and families e.g. through Youth Support Service • Young Minds to support targeted engagement with children, young people and families, especially those who have used local CAMHS recently • Seek views from key stakeholders, including children, young people and families, and people who work with them

17. Next Steps CAMHS

18. Safeguarding • Safeguarding children principles underpin all the work we undertake with children and families and is a prime consideration when working with adults who may have contact with children. • Key legislation and statutory guidance which support this includes: • Children Act 1989 • Children Act 2004 • Working Together to Safeguard Children • The Health and Social Care Act 2012 ensures that these statutory obligations will be transferred to the relevant successor organisations (e.g. from PCT to CCG