You’re Welcome: raising the profile of young people and adolescent medicine

1. You’re Welcome: raising the profile of young people and adolescent medicine Anna Gregorowski – Consultant Nurse Nigel Mills – Clinical Nurse Specialist Young Person’s Forum

2. Young Person’s Forum at GOSH

3. Discussion • In pairs • what makes a service ‘young person friendly’?!

5. You’re Welcome DH 2011 Original 2007 Online self-assessment tool

6. 10 Quality Criteria 1 Accessibility 2 Publicity 3 Confidentiality and consent 4 Environment 5 Staff training, skills, attitudes and values 6 Joined-up working 7 Young people’s involvement in monitoring and evaluation of patient experience 8 Health issues for young people 9 Sexual and reproductive health services 10 Specialist child and adolescent mental health services

7. Accessibility • Location (public transport) • Opening hours • Referral (self) • Choice: • Where seen • Who they see (including gender) • Accompanying friend / partner • Who present in room • Opportunity to be seen alone

8. Publicity • Information about service (languages and formats) and other services • Explicit about confidentiality • Opportunity to be seen on own • Information accurate and kept up to date

9. Confidentiality and consent • Confidentiality • Consent • Safeguarding • how these are • implemented by staff • understood by service users. • supports and is supported by local safeguarding arrangements.

10. Environment • Safe and young person friendly (Safe) • Accessible • Staff who explain • Pain relief • Privacy and dignity • Access to appropriate food • Promotes being in touch with peers

11. Staff training, skills, attitudes and values • Understand, engage and communicate with young people and understand their health needs • Culturally appropriate ways of working • Equality and human rights issues • Make appropriate referrals • Support young people to make informed choices • Training, appraisal, supervision and support

12. Joined-up working • Co-location of services • Information provided about other services • Information about service to other services

13. Patient involvement in monitoring and evaluation • Young people's involvement in service development, monitoring and evaluation • Invite all service users to give feedback • Consult young people

14. Health Issues for Young People • Consultations support healthy lifestyles • Staff that ensure emotional psychological and spiritual needs are met • Clear pathway for YP with identified emotional and psychological needs • Transition to adult care • Complex needs • Information and support for parents

15. Sexual and reproductive health services • Applicable to sexual and reproductive health service only (GUM or GP) • Informed by relevant guidance • Signposting

16. CAMHS • Applicable to providers of specialist CAMHS • Based on evidence based practice • Signposting

17. Workshop You are a young person coming to your service • Does the service meet these criteria? • What changes could be put in place to ensure they are met? • Any other ideas for making your service more young person friendly? • think outside the box!

18. Challenging the barriers Are there any barriers preventing you from assessing your service against YW? How will you break down these barriers? Who can you approach to help you?

19. You’re Welcome at GOSH • Improve adolescent journey at GOSH • Assess GOSH -‘young people’ friendly? • Benchmark • Identify priorities for improvement • Improve engagement with young people • Raise profile of Adolescent Medicine Team

20. Adolescent Medicine at GOSH • 350 beds • Approximately 23% inpatients aged 11 or above • 36% including OPD • No dedicated adolescent ward • Adolescent medicine Team • Us!

21. You’re Welcome at GOSH • Included in CQUIN targets for GOSH 2012-13 • ‘Patient experience’ • Management backing • Financial incentive • Wide spread acceptance from all staff • Links with Trust vision to be one of the top children’s (and young people’s) hospitals in the world

22. Applying YW at GOSH • All areas to meet mandatory DH ‘YW’ quality criteria • Additional criteria to be met as appropriate • Outcomes: • YP seen on their own • Increased length of appointments • Clinic letters given to YP • More administrative support

23. YW at GOSH • Benchmark against other hospitals from outset • Pilot 2 areas by end May 2012 • Complete assessment of GOSH against YW criteria by end December 2012 • Identify top 5 priorities for improvement by February 2013 • YPF

24. YW at GOSH • Baseline audit • Meeting key staff to assess environment • Use patient experience • Re-assess services against baseline audit • Official validation by Adolescent and Transformation teams

25. YW at GOSH • 2 areas • Mental Health outpatient department • Inpatient surgical ward • Adolescent/ Transformation team met with key professional in identified service (1 hour) in service area

26. Auditing • To ensure consistency and avoid taking young people out of school/college/work inspections carried out by adolescent /audit teams (weekend inspections not suitable) • Member of Adolescent Medicine Team + member of Audit Team undertook surveys • 3rd member to ensure impartiality • All ward information (including web) examined

27. How young people were involved • Developing YW toolkit • Interview YP on wards and specialities as appropriate • YP Forum provided focus group for prioritising changes from findings

28. 5 YPF priorities • Transition to adult services • Age appropriate information • YP with disabilities and English as 2nd language • Improved age appropriate facilities • Increased involvement in service evaluation and development • Improved staff training

29. Transition • AMT leading CQUIN target for 2013-14 • Supporting teams • Education • In clinics • Developing supporting information

30. Raising the profile of young people and adolescent medicine • Using YW at GOSH has successfully raised the profile of young people • Staff awareness • Increased senior management awareness • YP health needs and adolescent medicine profile raised (and Adolescent Medicine Team!)

31. Underpinning documents