From fragmentation to integration
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FROM FRAGMENTATION TO INTEGRATION. Children’s Health and Wellbeing in the West Midlands Setting an Agenda Adrian Phillips Director of Public Health Birmingham. WHY?. National focus on academic performance NHS focus on Adults Some political emphasis on Health Visitors

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FROM FRAGMENTATION TO INTEGRATION

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From fragmentation to integration

FROM FRAGMENTATION TO INTEGRATION

Children’s Health and Wellbeing in the West Midlands

Setting an Agenda

Adrian Phillips

Director of Public Health

Birmingham


From fragmentation to integration

WHY?

  • National focus on academic performance

  • NHS focus on Adults

  • Some political emphasis on Health Visitors

  • Child poverty losing appeal

  • BUT

    • Biggest demographic change

    • Large cultural change

    • Massive communication change


From fragmentation to integration

WHAT?

  • Early intervention

    • Adults who were looked after children comprise 25 – 40% of prison inmates

    • Looked after children are single biggest group of youth offenders

    • Children living in “abuse” or “violent” families are more likely to become a victim or perpetrator of abuse or violence


What else

WHAT ELSE?

  • Prevention

    • Infant mortality

      • West Midlands remains an outlier (apart from Hereford)

    • Obesity

      • It is a real issue across the region


Emerging evidence

Emerging Evidence

  • Real evidence

    • Dartington, Warwick, Bangor etc.,

  • Evidence can be applied at scale

    • USA

  • First check:

    • Are services evidence-based?

    • Are services applied at scale?

    • Are services getting the right children?

  • Then:

    • Are ineffective services being decommissioned?


Some interesting issues

Some interesting issues..

  • Infant Mortality

    • Why are we different?

    • Is it real?

  • What do the demographic and cultural changes mean?

  • Why has teenage pregnancy rates dropped? What else should we look at?

  • What are the long term effects of high youth unemployment?


Integration for better outcomes

Integration for Better Outcomes

  • Children to People

    • Life course care

    • Dependency of adults on their childhood

  • Safeguarding to Vulnerability

    • Safety and shelter

    • Partners and partnerships

  • Ill-health to Wellbeing

    • Disability

    • Healthy choices and behaviour

  • Theory to Practice

    • Practical interventions, esp CCGs

  • Information to Intelligence

    • Seizing opportunities of rapid change

    • Using local intelligence


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