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People Group

People Group. FROM FRAGMENTATION TO INTEGRATION Children’s Health and Wellbeing in the West Midlands. Wendy Fabbro Strategic Director - People Services Warwickshire 4 December 2012. People Group. Common themes for Munro and Marmot.

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People Group

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  1. People Group FROM FRAGMENTATION TO INTEGRATION Children’s Health and Wellbeing in the West Midlands Wendy Fabbro Strategic Director - People Services Warwickshire 4 December 2012

  2. People Group Common themes for Munro and Marmot.. • Putting children, young people and their families at the heart of what happens • Acting early and intervening at the right time • Integration and partnership-Multi agency systems approach • Safe and sustainable services • Priority focus on early years • High quality workforce and training • Investment in programmes that work- evidence base • incentives

  3. People Group On a national level we know that.. • 45% of looked after children (and 72% in residential care) have a mental health disorder; • Two thirds of looked after children have at least one physical health complaint; • Almost half of young women leaving care become pregnant within 18 to 24 months; • 32% of young people leaving care report problems with drugs or alcohol a year later; and • Looked after children and care leavers are between four and five times more likely to attempt suicide in adulthood

  4. Attainment of FSM students at GCSE 5A-C =28% •The UK remains very low on international rankings of social mobility. Parental income continues to exert a very powerful influence on the academic progress of children •The influence of parental income on the income of British children is the strongest in the OECD and over 50% stronger than in Canada, Germany or the Netherlands (Sutton Trust) “ the best thing you can do for your childs health is to read to them” (Marmot) Attainment of non FSM students=59%

  5. People Group Does your Health and Well-being Board.. • Link effectively with the CTB, SCB, CCG • Have an agreed process to ensure children's issues receive sufficient focus • Contribute to early help offer • Make use of mechanisms to listen to children, YP and families • Analyse health needs for CYP • Factor in staff views • Have a method to engage with schools • Have a plan to use public assets to improve health outcomes for children • Embed the CAF in the local partnership

  6. People Group Dartington work programme • Aligning services better to the specific needs of children at the ‘edge of care’ • Developing community based alternatives to becoming looked after • Improving the ways in which we manage the looked after service • Supporting our staff in developing their practice in assessing needs and planning and delivering effective help to these vulnerable families.

  7. People Group • Public Health, NHS & CYP • Outcomes Frameworks • Improvements in measured outcomes for CYP is at a • slower rate in the UK • CYP Health outcomes strategy being developed, • Specific interventions in relation to pregnancy, early years • LAC routinely experience poor health outcomes AND • Their outcomes remain less positive than others • (impact of poverty, poor parenting, chaotic lifestyles and • abuse or neglect

  8. People Group CYP Health Outcomes Strategy identifies the need for • CCGs with their local authority partners to ensure sufficient clinical expertise and leadership for looked after children, including a designated doctor and nurse; • Directors of Children’s Services to be responsible for overseeing the overall quality and delivery of health and wellbeing for looked after children, leading to a measured reduction in their health inequalities; • All health organisations (including health watch) must demonstrate how they have listened to the voice of children and young people • Social workers to be responsible for ensuring LAC (and particualrly 18-25)are registered with GP

  9. People Group • The NHS CB only accepting GPs on the local performers list who can demonstrate competences set out in, Looked after children: knowledge, skills and competencies of healthcare staff (2012); • The NHS CB ensuring work to develop a tariff for the statutory health assessments for looked after children is implemented • Regulators to promote and prioritise the issue of integrated provision. • NHS number to be used!

  10. People Group • Public Health Outcomes Framework measures that can only be delivered through effective partnerships with children’s services • School readiness • Pupil absence • Infant mortality rates • 16-18 year olds not in education, employment or training • People with mental illness of disability in settled accommodation • Emotional wellbeing of looked after children • Smoking prevalence amongst 15 year olds • Under 18 conception rates • Chlamydia diagnosis (15 – 24 year olds)

  11. People Group People Group The integration word • Life course approach and • Pathways • Networks to bring together the fragmentation • Public health-Lead for training • Child health records accessible for patients and professionals • Needs of the CYP population in the JSNA, especially those with disabilities or ltc • Leadership- set out responsibilities, budget, national leadership required • Thematic reviews • Regulators working together

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