#ChildHealth stepping into the sun at #CNOSummit #NHSLongtermplan are you in #TeamChildHealth?

13/3/19
It’s feels like Child Health is stepping out of the shadows and into the sunlight and not a moment too soon Emma Rigby CEO of @AYPHcharity, Russell Viner @RCPCHPresident and Nigel Edwards @nedwards_1 would suggest from their recent report on Children and Young People’s health services ‘Sound the alarm, we must improve’ https://www.nuffieldtrust.org.uk/news-item/sound-the-alarm-we-must-improve-our-young-people-s-health-services If we are to improve child health outcomes we must speak up, look out and take action.
This week Child Health took its place at the table with #TeamCNO at Chief Nursing Officer Ruth May’s @RMayNurseDir first #CNOSummit.
For those that weren’t in the room, here are slides from the session by Wendy Nicholson, Angela Horsley and the @NHSYouthForum they give us a focus on challenges and opportunities ahead.
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As we bring the #NHSLongtermplan to life, will we as child health champions and as ambassadors for childhood grasp this golden opportunity and run with it to put child health in the spotlight locally, regionally and nationally? Our personal contribution, energy and impact whether as a health care assistant, nursing associate, nurse, play specialist, doctor, AHP, manager, commissioner will matter if we are to have an impact on child health outcomes. Importantly we need to work with children, young people, young adults, parents/carers, siblings, communities, professionals, local councillors and politicians if we’re to change the future of child health. 
So what are the things that we can focus on as we step up to this leadership challenge?
  1. Do we know our patch, what are our challenges?

Child Health profiles for 2019 have just been published, have you had a look at your patch and seen the challenges faced?

I’ve downloaded my local ones in the East London Health and Care Partnership, our local Sustainability and Transformation Partnership (STP).

Signing up for the CHIMAT bulletins from PHE is well worth it https://fingertips.phe.org.uk/profile/child-health-profiles as it helps us secure access to up to date information like this.

2. Are we up to date with national policy?

The National Children’s Bureau (NCB) summarises the changes proposed by the NHS Long Term Plan, with a particular focus on commitments most relevant to children and young people.  It reviews the overarching changes – sets out the overall direction of NHS reform as it affects all service users (pp2-5) Explores commitments relating specifically to children and young people (pp6-7) and sets out specific commitments of relevance to the sector including maternity services, support for carers and vulnerable families, public health and health inequalities (pp8-10) https://www.ncb.org.uk/resources-publications/resources/nhs-long-term-plan

The Association of Young People’s Health @AYPHcharity have also published their take on the NHS Longterm plan too http://www.youngpeopleshealth.org.uk/wp-content/uploads/2019/01/What-does-the-NHS-Long-Term-Plan-say-for-young-people-10-24.pdf
3. What’s the part of the pathway that you work in, matters most to you and the children, young people and families that you serve? How can you share your insight and expertise?
For primary care, IPSOS MORI who run NHS England’s GP Survey, lowered the age of feedback on GP Services to 16 this year, the survey results highlighted that young people wanted easier appointment making processes, better communication with professionals and support for mental health needs and better support in primary care when they have Long Term Conditions https://www.ipsos.com/ipsos-mori/en-uk/gp-patient-survey-experiences-young-patients-aged-16-24-years-old

We know from the Care Quality Commission Children’s Survey https://www.cqc.org.uk/news/releases/national-survey-shows-most-children-young-people-report-good-experiences-hospital-care that we can do more to improve how we communicate with children and young people.

We have areas of great practice in some parts of the country that we need to spread for example the development of @CYPMeFirst a resource to help us improve our communications with children and young people https://www.mefirst.org.uk/

And ‘We Can Talk’ programme which builds the confidence of staff when they are working with children and young people experiencing mental health distress https://wecantalk.online/

4. What are the pressing issues that you see day in, day out in Child Health that need attention?

Some of the areas that keep me awake at night include: Special Educational Needs and Disability (SEND); Safeguarding; Mental Health; Neonatal care; Intensive care/high dependency care; Prevention/keeping well; Primary/Urgent Care/integrated models of care; Learning Disabilities; Long term conditions; Cancer; Transition/Young Adult Care; End of Life Care/Bereavement Care; Young Carers. Along with of course addressing Workforce (especially in ensuring we can keep care closer to home), data and digital opportunities and quality improvement agendas. There issues are complex and wicked, but cannot remain in the too difficult box. Can you invite senior leaders and influencers to come and ‘walk the patch’ to share the challenges you see?
5. How can we work with children, young people and families to ensure improvements focus on what matters most and have the biggest impact? 
Experience, Voice, participation and engagement are key issues in how we drive improvement, over the years the @NHSYouthForum have developed a range of amazing resources to help us ensure we’re working with young people to improve services https://www.england.nhs.uk/participation/get-involved/how/forums/nhs-youth-forum/

It was wonderful to have Amy and Curtis of the @NHSYouthForum at the #CNOSummit, they were given such a warm welcome and they did a wonderful job of chairing the session.

At the Session we identified lots of good stuff happening….

And lots of asks for help too….
So a challenge, are you going to be part of #teamChildHealth as we go forward? How can we collaborate with other health services, voluntary services, education, local authorities and police to secure better health outcomes? We can only improve when we work together across organisations, challenge, ideas and insight welcomed.….

Author: @kathevans2

I’m a Children’s Nurse who is passionate about improving healthcare and life with people who use services. I love getting out in the countryside or to the seaside to promote my mental health and well-being. On a journey to doing 100 marathons (slowly!) & part of team #NHS1000miles (new members always welcome!) I also love charity shopping, cooking and healthy eating too 😉 Sharing thoughts on a range of things that interest me. Comments, challenge, links to further thinking and research are most welcome. Learning and thinking together is always more fun!

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