Sutton Health & WellBeing Board 23 March 2020 Childrens Review - - PowerPoint PPT Presentation

Sutton Health & WellBeing Board

23 March 2020

Children’s Review

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Agenda Item 6

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 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

Origins and Structure

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• 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.

• 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 criteria are ready for school.

Children’s Review

What do we know….

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Support for families is invariably multi-agency encompassing:

• Midwives
• GPs
• Health Visitors
• 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

• utcomes and efficiency is our collective challenge.

Children’s Review

Multi-agency context….

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• Our challenges are complex and

built amongst shifting sands.

• To address this we have used a strategic

problem-solving approach with staff:

• Define the problem
• Conduct root cause analysis
• Develop alternative strategies, compare & select
• Create an implementation plan
• Create an evaluation plan

Children’s Review

Best Start in Life - Methodology

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• 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,

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
• ffered by the NHS and the council.

Children’s Review

Best Start in Life - 5 workstreams

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Cycle of improvements....

Children’s Review

Best Start in Life...where are we going

MATERNITY, HEALTH VISITING & EARLY YEARS COMMUNITY ENGAGEMENT PILOT with VOL SECTOR PARTNERS PILOT ACCESSIBLE PARENTING SUPPORT OPTIONS SCHOOL READINESS in SUTTON PILOT CAMPAIGN VIRTUAL CHILD DEVELOPMENT TEAM PILOT

Sutton Ambitious for Children

Helping Early

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• 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

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 Emotional & Mental Health

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Vestibulum congue tempus

Children’s Review

Young People’s MH Outcome Framework

INFORMATION EARLY SUPPORT SPECIALIST SUPPORT TRANSITION ACCESS STIGMA

Young People’s Priorities 2020-21

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Milestones Timeline Workstream Development Feb - June 2020 Pilots commence June 2020 Initial pilot evaluations November 2020 Integration proposals January 2021

Children’s Review

Next Steps….

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