Improving outcomes for children and young people Susan Otiti - - PowerPoint PPT Presentation

Improving outcomes for children and young people

haringey.gov.uk

Susan Otiti Assistant Director of Public Health

Focus on prevention

• NHS Five Year Forward View
• “Fair Society, Healthy Lives“

– The Marmot Review

• Our Children Deserve Better:

Prevention Pays – Chief Medical Officer

haringey.gov.uk

haringey.gov.uk

What does the data tell us?

• Infant and child mortality rates are similar to the

England average

• The level of child poverty is worse than the

England average with 24.4% of children aged under 16 years living in poverty

• The rate of family homelessness is worse than

the England average

• Children in Haringey have worse than average

levels of obesity: 10.8% of children aged 4-5 years and 23.1% of children aged 10-11 years are classified as obese

• The teenage pregnancy rate is similar to the

England average. In 2014/15, 23 teenage girls gave birth which represents 0.6% of women giving birth. This is lower than the England average.

• Children and young

people under the age of 20 years make up 24.4% of the population of Haringey

• 80.1% of school

children are from a minority ethnic group

• The health and

wellbeing of children in Haringey is mixed compared with the England average

What do Haringey young people tell us?

‘Check up’ survey 2014

• Increase use of technology: being

able to book appointments online, access test results and sending results via email

• Communication with young people:

clearer system of complaints for young people, mystery shopping for Pharmacies, training for reception staff.

• Youth friendly health information

and clearer information

• Dental Services: confusion around

dental treatment prices

Schools Health Education Unit (SHEU) lifestyle and behaviour survey 2015

• Sex and relationships education was useful however they

asked for information on local services

• Good levels of physical activity - an increase from 2013.

However there is a drop in the levels in girls as they get

• lder
• There is a ‘miss-match’ in young people’s understanding
• f ‘what is overweight’ and the importance of ‘healthy

weight’

• 72% of pupils report they are in general ‘quite a lot’ or

‘a lot’ satisfied with their life at the moment

• 79% of pupils reported enjoying at least half of their

school lessons

• 89% of Year 10 pupils said they want to continue in full-

time education after Year 11. This is higher than the 73% from the wider SHEU sample.

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Place based planning

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Prevention and early intervention is at the heart

• f the strategic approach along with collaboration

and integration across agencies to improve the health of the population.

• Organisations work together to govern the common resources

available for improving health and care in their area.

• System leadership and a shared vision developed with and based
• n the needs of local population

Opportunity ??

Transformation programmes at scale and with pace

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Health visiting

Commissioning responsibility transferred from the NHS to local authorities in October 2015

Provided the opportunity to:

• move from a targeted to a universal service
• develop families resilience and
• potentially reduce pressure on secondary care

Public Health working with Whittington Health NHS Trust on an ambitious transformation programme

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Transformation programme

Three elements:

• 1. Workforce; recruitment and skill mix
• 2. Integration; children’s centres and early

help

• 3. Changing ‘day to day’ practice; phased

implementation of the Healthy Child Programme

haringey.gov.uk

haringey.gov.uk

Workforce

Haringey is utilising the different skills of the health visiting workforce to deliver a universal service

Integration

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Following consultation the health visiting team mirrors the Early Help localities in Haringey

Changing practice

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Enablers

• 1. Training, comprehensive programme for the early years

workforce and the health visiting service

• 2. Mobile working, ‘one-off’ funding from the Public Health

Grant

• 3. Communication
• Monthly newsletter for all professionals involved in early

years

• On-going communication with health visiting teams (weekly

updates, presentations at their forum)

• Representatives from all health visiting teams involved in

working groups and ‘task and finish’ groups

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Expected outcomes

• Earlier identification of; parents’ vulnerabilities leading to

early intervention/early help, developmental/behavioural/attachment issues and of safeguarding issues

• Increase in; breastfeeding rates and uptake of healthy start

vitamins

• Reduced; parental smoking and social isolation as parents will

meet other parents during the ante natal period

• Reduction in sudden unexpected deaths in infancy (messages

re: prevention will be reinforced)

• Improved; information sharing between professionals, access

to children’s centres and uptake of immunisations

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Strategic approach

• Haringey Council’s Corporate

Plan, Priority 1 ‘Enabling every child and young person to have the best start in life, with high quality education’

• The Health and Wellbeing

Strategy; priorities 1 and 3 (childhood obesity and mental health).

• Clinical Commissioning

Group’s operational plan

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The future

• Integration
• Haringey and

Islington Partnership

• North Central

London Strategic Transformation Plan

The ask?

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• How fast can we go with integration?
• How do we bring maternity services and

health visiting services closer together?

• How do we help/engage

with practices?