Integrated working successes challenges and next steps
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Integrated Working Successes, challenges and next steps. Dr Gill Turner Consultant Paediatrician Chair of RCPCH Young People’s Health SIG. Young People’s Health Policy Strategy Specific needs of YP acknowledged Psychosocial and physical Prevention, resilience Services

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Integrated WorkingSuccesses, challenges and next steps

Dr Gill Turner

Consultant Paediatrician

Chair of RCPCH Young People’s Health SIG


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  • Young People’s Health

    • Policy

    • Strategy

    • Specific needs of YP acknowledged

    • Psychosocial and physical

    • Prevention, resilience

    • Services

    • never been a better time


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  • 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


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Outline“Getting it together”

  • Northumberland

    • Background

    • Teenage health demonstration site

    • What we’ve learned

  • Challenges

  • Current context

  • Next steps


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“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


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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


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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


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Northumberland Teenage Health Demonstration Site

  • People

    • specialist “adolescent” nurse practitioner

    • GP

    • Consultant Paediatrician

    • many others

  • Time

  • Focus

  • Co-ordination


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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


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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


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Participation

  • Meaning? Meaning? Meaning?

  • Health / LA / schools / youth work / VCS

  • Which young people?

  • Which issues?

  • Which arena?

  • Style

  • Control and honesty


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The Journey

  • Vision

  • Strategy

    Attitudes, attitudes, attitudes

  • Implementation


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Turning up the Volume

  • Participation Strategy Group

  • Participation Operational Group

  • Children and young people

  • Parents

  • Communities


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Implementation of Strategy

  • Annual reporting to FACT Board

    • representation of VCS,

      Northumberland Strategic Partnership,

      child health commissioner

  • Six monthly troubleshooting to FACT leadership team


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What’s worked?What have we learned?

  • Shared vision

  • Relationships

  • Trust

  • Local integrated teams

  • Management

  • Leadership


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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


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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


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Challenges- young people

  • Politically disenfranchised

  • “Vulnerable” / “at risk of poor outcomes”

  • Support vs. punishment

  • Participation

    • all young people

    • honesty

    • timescale


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Challenges to real change- from narrow to eliminate the gap!

  • Going for BIG change raises BIG issues

  • Inequality

  • Poverty

  • Power

  • Control


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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


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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


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Next Steps

  • Children’s Trusts

    • creating and keeping a focus on young people

  • Young people’s participation

  • National indicator set

  • Tell us survey


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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


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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


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Young People’s HealthWhere are we now?

  • We have the vision

  • We have the strategies

  • Local implementation

    • relationships

    • trust

    • doing it together

    • persistence


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Thank you

www.yphsig.co.uk

[email protected]


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