Integrated Care Programme for Children Programme for Health Service Improvement Workshop 13th September 2017

Agenda Agenda Item Introduction Model of Care for Paediatrics and Neonatology Framework for implementation Workshop on two elements of the Framework Wrap up

The National Model of Care for Paediatric Healthcare Services in Ireland The development of an integrated network for paediatric services nationally, with the new children’s hospital as the hub and the regional and local paediatric unit as well as community services as the spokes. The network must apply some fundamental principles: Care should be provided as close to the child’s home as possible, depending on their needs Care should be provided within the network at the appropriate level, in order to use resources efficiently Where clinically appropriate, ambulatory care should be provided in preference to inpatient care The sickest children and young people have better clinical outcomes if treated in a tertiary / quaternary hospital An integrated care pathway for children and young people that enables them to move from primary to secondary to tertiary care as required, and back again, is the cornerstone of the national model of care for paediatrics.

Model of Care Journey

Model of Care Vision

Integrated Care Programme for Children – Framework for Implementation 1 . Establish governance structures 2. Undertake population planning for children 3. Map local resources 4. Develop new ways of working Interdisciplinary teamwork Care pathways Healthy child 6. Growing up healthy Vulnerable child w/ social needs Active & healthy Education Safe and protected from harm Parental support Child w/ single long term condn. 8. Monitor & evaluate Child w/ complex health needs 5. Child and family centred care planning & service delivery Acutely mild to mod. unwell child Acutely severely unwell child Adolescent health Develop workforce (training & recruitment) Information systems & eHR Finance & funding Communications 7. Enablers & Dependencies Adapted from Harnett & Kennelly, ICPOP (2017)

Population planning for children: patient segments Healthy child Advice and prevention e.g. Immunisation, screening, surveillance, healthy eating, exercise Vulnerable child with social needs e.g. Safeguarding issues, self harm, child protection Child with single long-term condition e.g. depression, asthma, constipation, eczema, coeliac disease, diabetes Child with complex health needs e.g. severe neurodisability, Down syndrome, multiple food allergies, child on long term ventilation Acutely mild-to-moderately unwell child e.g. upper respiratory tract infection, viral croup, otitis media, tonsillitis Acutely severely unwell child e.g. trauma, head injury, surgical emergencies, meningitis, sepsis, drug overdose Adolescent health e.g. transition, adolescent mental health Adapted from RE Klaber et al. Arch Dis Child 2017;102:5-7

Framework priority actions Considering the ‘Integrated Care Programme for Children – Framework for Implementation’ from the perspective of where you work, what actions should take place for: Establishing governance structures (10 mins) Mapping local resources (10 mins) And what’s already happening that will support implementation?

Next steps Any additional information? Want to be involved? Contact Grace Turner – grace.turner@hse.ie 087 1714454