CHILDREN AND YOUNG PEOPLE’S HEALTH OUTCOMES FORUM DISCUSSION SLIDEPACK

1. CHILDREN AND YOUNG PEOPLE’S HEALTH OUTCOMES FORUMDISCUSSION SLIDEPACK First Version – to be updated regularly

2. CHILDREN & YOUNG PEOPLE’S HEALTH OUTCOMES FORUM: ROLE • The Forum, jointly chaired by Christine Lenehan and Professor Ian Lewis was launched on 26 January and will be reporting to the Government with independent advice later this year on: • the health outcomes that matter most for children and young people • how well these are supported by the NHS and Public Health Outcomes Frameworks • how the different parts of the health system will contribute and work together in the delivery of these outcomes

3. WHY WE ARE TALKING TO YOU • The Government has asked the Children and Young People’s Health Outcomes Forum to engage and hear views from children, young people, parents as well as those involved with their care. • The Forum’s work will inform the development of the Children & Young People's Health Outcomes Strategy to be published in the summer. • The Strategy will ensure that the outcomes measured are the ones that matter most to children, young people, their families and the professionals responsible for their care.

4. THE HEALTH REFORMS NHS commissioners supported by a new NHS Commissioning Board will authorise CCGs, commission some services including primary care, and host clinical networks and senates Most NHS care commissioned by Clinical Commissioning Groups All NHS providers to become Foundation Trusts A stronger role for local authorities in shaping services, with new responsibility for local population health improvement New Health and Wellbeing Boards within each higher tier local authority area

5. Public Health England (Local health improvement in LAs) THE NEW SYSTEM FOR CHILDREN AND YOUNG PEOPLE Department of Health NHS NHS Commissioning Board Monitor (economic regulator) CQC (quality) HealthWatch Clinical Commissioning Groups Providers Localauthorities (via health & wellbeing boards) Local HealthWatch

6. HOW DO OUTCOMES STRATEGIES FIT? Government’s Mandate to NHS Commissioning Board: Will set out the strategic national policy priorities and levels of ambition for NHS Outcomes Framework Outcomes Strategies: Will set out how the NHS, Public Health and adult social care will contribute to outcomes in each of the national Outcomes Frameworks – developed by coalition of interested parties Commissioning OutcomesFramework: Will set out the outcomes that the NHS commissioners need to achieve – translating NHS outcomes Framework to local level & holding CCGs to account for improving broader health and well-being outcomes locally Children & Young People’s Outcomes Strategy: Will set out the health outcomes that matter most to Children & Young People Joint Strategic Needs Assessments & Joint Health and Well-being Strategies: Will set out how Local Authority and NHS commissioners intend to meet the identified needs

7. CHILDREN & YOUNG PEOPLE’S HEALTH OUTCOMES FORUM: ROLE • Between now and the summer the Forum will be identifying and reporting to the Government with independent advice on: • the health outcomes that matter most for children and young people • how well these are supported by the NHS and Public Health Outcomes Frameworks • how the different parts of the health system will contribute and work together in the delivery of these outcomes

8. CHILDREN & YOUNG PEOPLE’S HEALTH OUTCOMES FORUM: MEMBERSHIP • The Membership of the Forum is made up of patient and public representatives, doctors, nurses and other health professionals selected for their expertise and experiences. • A list of members is available at http://healthandcare.dh.gov.uk/category/children/ • The Forum is chaired by Professor Ian Lewis and Christine Lenehan

9. CHILDREN & YOUNG PEOPLE’S HEALTH OUTCOMES FORUM: ENGAGEMENT • The Forum is organised by the following themes and leads: • Public Health and Prevention: Ann Hoskins & Barbara Hearn • Acutely Sick Children: Carol Ewing & Eric Kelly • Mental Health: Lisa Christensen & Margaret Murphy • Long Term Conditions: Colin Green & Gillian Baird • From February to end of April, the Forum will gather views from children, young people, parents, carers, doctors, nurses and other professionals involved in providing care to children on the current outcomes and test emerging recommendations. • The Forum will report back to the Government and publish their recommendations in the summer.

10. ‘NO DECISION ABOUT ME WITHOUT ME’ Life Course Premature/ LBW Early Years School child Teenager Young Adult Key Themes Promoting Health Acute illness Long term condition Disability Palliative Care Mental Health Looked after children Cross cutting Issues Integrating services General Practice Safeguarding Choice Transition to adult services Technology Information and data Education & Workforce development Clinical leadership Aligning NHS, PH and care outcomes Levers of funding – PbR / CQuiNs Networks – local / hub; specialised; national

11. HOW ARE WE ENGAGING CHILDREN YOUNG PEOPLE, PARENTS AND PROFESSIONALS? National Children Bureau’s work to gather evidence on the views of children & Young People National, regional and local events Visits (e.g. schools, services and children centres) Focus Groups looking at specific issues and communities Children, Young People and parent and carer networks Online feedback via http://healthandcare.dh.gov.uk/category/children/ Engagement materials (slidepack and feedback form) to support groups to run their own consultation and send back to childrensoutcomesforum@dh.gsi.gov.uk

12. WHAT IS THIS ENGAGEMENT ABOUT • We are at a crucial stage in ensuring we seize the opportunities the health reforms present for children and young people. • We want to hear your views on two key questions: • How can the NHS and Public Health Outcomes Frameworks develop further to reflect the outcomes that matter most to children, young people and their families? • What will give you confidence that the emerging elements of the new system have the needs of children and young people firmly in mind?

13. WHAT IS THIS ENGAGEMENT NOT ABOUT Changes to the principles and legislative framework underpinning the health reforms. Identifying problems without solutions.

14. HAVE YOUR SAY • Attend or host an event – there are events across the country for representatives of professional, children, young people and other service user groups • Post your views on our website at http://healthandcare.dh.gov.uk/category/children/ • Download a feedback form from our website at http://healthandcare.dh.gov.uk/category/children/and send it to childrensoutcomesforum@dh.gsi.gov.uk • Please provide us with your feedback by 31 May 2012.

15. NEXT STEPS YOU • Having your own conversations at your own meetings or on-line events and feeding back to childrensoutcomesforum@dh.gsi.gov.uk THE FORUM • Feeding back information received from you into the wider Children & Young People’s Health Outcomes Forum. • Sharing with you the Forum’s final report and recommendations to the Government.

16. DISCUSSION QUESTIONS • In your view, where is the health service falling short for children & young people, what is our weakest link and what can we do to improve things to make sure it makes a real difference to the lives of children & young people? • With so many different parts of the health system in place, what do they need to focus on and improve to make sure they each work together to deliver the best possible health service for children & young people? • The NHS and Public Health Outcomes Frameworks both propose key areas of focus: making sure everyone lives healthy lives for longer, addressing inequalities, enhancing quality of life for people with long term conditions, helping people recover from ill health or following an injury, ensuring people have a positive experience of care, treating and caring for people in a safe environment and protecting them from harm. Are these the right priority areas in relation to children & young people’s health outcomes? Is there anything missing? • Is there anything else you would like to tell us?

17. KEY CROSS -THEME QUESTIONS • How can the health reforms help to reduce health inequalities and support children and young people in making healthier choices? • How can we ensure that children and young people are routinely consulted and engaged in identifying their needs and related services? • How can we ensure that all children & young people, parents and carers have access to information so that they can participate in improving their health and well-being? • How do we achieve effective and successful transition from children services to adult services?

18. THANK YOU