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Sharing the journey thus far in the transformation of the East Sussex Schools Public Health Service, including the recent implementation of Lancaster model and HAPI portal Stephanie Cooper – Acting Area Clinical Manager Sarah Barber – School Nurse. January 2015. 53 staff in total. May 2018.
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Sharing the journey thus far in the transformation of the East Sussex Schools Public Health Service, including the recent implementation of Lancaster model and HAPI portalStephanie Cooper – Acting Area Clinical Manager Sarah Barber – School Nurse
January 2015 • 53 staff in total • May 2018 • 50 staff in total
Jan 2015 • Named Nurses for schools • Attendance at all Safeguarding meetings regardless of need • Blurring between the School Staff Nurse role and the School Nurse role • Secondary school drop-ins at some schools
Jan 2018 • Corporate caseload management. • School Health One Point – SCPHN available 8:30-17:00 mon-fri • Priority Access Team to coordinate safeguarding workload • Attendance at safeguarding meetings dependent on an identified School Health need • All secondary schools have either a weekly or fortnightly drop-in – plus a termly health promotion event • All Further Education Colleges have 2 health promotion events a term • All Primary schools are offered a termly health promotion session • CHAT health confidential text messaging service for 11-19 year olds • Communication agreements completed with all schools.
April 2017 • Introduction of Health and Development Reviews; the Lancaster model (TLM)
TLM enables The School Health Service to adopt a universal approach in completing Health and Development Reviews at Key Transition Points (School Entry, Year 6, Year 9 and Post 16 years). • Health and Development Reviews assess universal health, risk and protective factors, family health, emotional health & wellbeing, Lifestyle choices, lifestyle Behaviour and services. • School Health Profiles • Using the Health and Development reviews – school level data is used to inform profiles to enable the schools to meet the specific public health needs of their school community
Pre and Post launch • Work with Communications to produce a flyer for parents of Year R • Attendance at all Designated Safeguarding Lead meetings across the county. • Engaged with County Council colleagues such as the health improvement team to support the launch • Regular contact with the schools via email on the run up to launch • Schools sent email/text to let parents know the Health and Development reviews were coming • Flyers given to schools to go home in bookbags and request for email/text to alert parents to look. • Reminder via schools after the Easter holidays • Zero return schools – offered playground session and/or facilitated completion
HAPI portal and alerts • The HAPI portal is a secure computer based system that collates returned Health and Development Reviews. Alerts received under the headings universal health, risk and protective factors, family health, emotional health & wellbeing, Lifestyle choices, lifestyle Behaviour and services enables the SCPHN to make a clinical decision and respond accordingly e.g Discharge/Swift Response/Reassign/Package of Care. • Managing the HAPI Portal • Worked as a County wide SCPHN team on a rota • Worked from within SHOP to provide protected time away from teams
Challenges • Time due to being a new process and system • Confidence/experience of staff navigating through the alerts • Managing the reassigning of Alerts alongside our current allocations process to ensure equity and skill mix utilised • Communicating with families and making every contact count when alerts triggered and no support required - Letter to parent – time consuming, requires a vast amount of administration support. • Automatic reply once form submitted
The Next Steps • Administration support to be in place to aid SCPHN’s and ensure alerts are managed timely • Robust SCPHN rota (protected time) for the next Academic Year to ensure diary commitments are in place • To implement designated School Terms for each cohort of Health and development Reviews – this will aid managing alerts received • To continue raising the profile of Health and Development Reviews to maximise return rate and strive for Early Intervention in line with identified needs across the continuum • To launch the Post 16 Health and Development Reviews