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Integrating Health Services for Young People in Northumberland

Explore successes, challenges, and future steps of the Northumberland Teenage Health Demonstration Site, focusing on integrated multi-agency services for young people's health in the region. Learn about the history, strategies, and participatory approaches in delivering valued and resilient health services.

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Integrating Health Services for Young People in Northumberland

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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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