Sutton Health & WellBeing Board 23 March 2020 Children’s Review Page 19 Agenda Item 6
Children’s Review Agenda Item 6 Origins and Structure The Children’s Review is joint work between the LBS, Sutton CCG and partners in health and the voluntary sector. The review builds on Ambitious for Sutton, Health and Care Plan Page 20 priorities and learning from the Fairness Commission. The review has looked in depth at: • Making the Best Start in Life - including support for SEND • Improving Emotional Wellbeing and Mental Health services for young people • The work has been supported by production of the Children’s JSNA
Children’s Review What do we know … . • Sutton has a 0 to 5 pop. of 17,106 • 2,642 live birth in Sutton (2017) of which 47.3% were non-UK parents and 35% for Black, Asian and Minority parents. Page 21 • The first 1000 days of life is crucial. Health Visitors play a key role and 78.2% of eligible children are reviewed at 2 to 2.5 years. • Reception class (age 5) Good Level of Development scores reveal 72.7% meeting the standard, but only 56.8% of children who meet FSM Agenda Item 6 criteria are ready for school.
Children’s Review Agenda Item 6 Multi-agency context … . Support for families is invariably multi-agency encompassing: • Midwives • GPs • Health Visitors Page 22 • Therapists - OTs, Physios and Speech and Language • Paediatricians • Children’s Social Care • Voluntary Organisations • Psychiatrists • Early years pre-schools, nurseries and childminders Improving integration , collaboration and communication to strengthen outcomes and efficiency is our collective challenge.
Children’s Review Best Start in Life - Methodology • Our challenges are complex and built amongst shifting sands. • To address this we have used a strategic Page 23 problem-solving approach with staff: • Define the problem • Conduct root cause analysis • Develop alternative strategies, compare & select • Create an implementation plan Agenda Item 6 • Create an evaluation plan
Children’s Review Agenda Item 6 Best Start in Life - 5 workstreams ● Data Sharing - looking at the delays arising when personal data is not easily being shared between agencies and recording systems. How to achieve the ambition of a ‘seamless service’. ● Being a Parent - how can support for parenting be made more easily available to families? ● School Readiness and Early Identification - how children can be better prepared for school, Page 24 particularly in some of the more deprived communities in Sutton. ● Early Intervention, Complex Needs and SEND Coordination - drawing up proposals integration with the energetic commitment of Epsom and St Helier Hospital. Piloting a Sutton ‘Child Development Centre’ is an exciting idea under consideration. Work is carefully coordinated with Fiona Phelps, Assistant Director for SEND to align with the work of the High Needs Block Review (HNBR). ● Community Outreach and Engagement - why are some residents unable to take advantage of support offered by the NHS and the council.
Children’s Review Best Start in Life...where are we going Cycle of improvements.... PILOT ACCESSIBLE PARENTING SUPPORT OPTIONS SCHOOL MATERNITY, READINESS in HEALTH Page 25 SUTTON VISITING & PILOT EARLY YEARS CAMPAIGN Sutton Ambitious for Children Helping Early COMMUNITY Agenda Item 6 VIRTUAL CHILD ENGAGEMENT DEVELOPMENT PILOT with VOL TEAM SECTOR PILOT PARTNERS
Children’s Review Agenda Item 6 Young People’s Emotional & Mental Health • Mental Health in Schools Trailblazer - Sutton has 4 Well-Being Teams supporting all of the borough’s secondary schools and 50% of primary schools. ● Young People’s Priorities - based on extensive consultation this led to the Page 26 development of the Sutton Young People’s MH Outcomes framework and 3 leading initiatives. ● Commissioning Intentions for targeted MH support - reported in a separate report to the HWBB. ● Skilling up school & social care workforce - to provide a better informed initial response to emotional wellbeing needs ● Integrating mental health teams into schools - improving collaboration and inter-agency relationships
Children’s Review Young People’s MH Outcome Framework Vestibulum congue tempus EARLY SUPPORT ACCESS STIGMA Young People’s Page 27 Priorities 2020-21 SPECIALIST INFORMATION SUPPORT Agenda Item 6 TRANSITION
Children’s Review Agenda Item 6 Next Steps … . Milestones Timeline Workstream Development Feb - June 2020 Page 28 Pilots commence June 2020 Initial pilot evaluations November 2020 Integration proposals January 2021
Page 29 Agenda Item 6
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