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Integrating Children's Health and Wellbeing in the West Midlands: A Call to Action

This agenda, presented by Adrian Phillips, Director of Public Health Birmingham, addresses the urgent need for a focused approach to children's health and wellbeing in the West Midlands. Amidst significant demographic and cultural shifts, it emphasizes the importance of early intervention, prevention, and a life-course perspective on care. Key issues such as child poverty, obesity, and infant mortality are highlighted, alongside the necessity of evidence-based and scalable services. This framework aims to foster integration for better outcomes, enhancing the safety, health, and wellbeing of children in the region.

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Integrating Children's Health and Wellbeing in the West Midlands: A Call to Action

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  1. FROM FRAGMENTATION TO INTEGRATION Children’s Health and Wellbeing in the West Midlands Setting an Agenda Adrian Phillips Director of Public Health Birmingham

  2. 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

  3. 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

  4. WHAT ELSE? • Prevention • Infant mortality • West Midlands remains an outlier (apart from Hereford) • Obesity • It is a real issue across the region

  5. 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?

  6. 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?

  7. 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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