Integrated Working Successes, challenges and next steps Dr Gill Turner Consultant Paediatrician Chair of RCPCH Young People’s Health SIG

 Young People’s Health – Policy – Strategy – Specific needs of YP acknowledged – Psychosocial and physical – Prevention, resilience – Services – never been a better time

 Young People’s Health The only thing that really makes a difference to large numbers of young people is local implementation - multi-agency and integrated. – never been a more challenging time

Outline “Getting it together”  Northumberland –Background –Teenage health demonstration site –What we’ve learned  Challenges  Current context  Next steps

“Healthy” What are we aiming for?  Valued  Respected  Resilient  Emotionally intelligent  Skilled and confident in –finding solutions –relationships –conflict resolution  Enthusiastic and excited about challenge and change

Northumberland - History  CYP Strategic Partnership  Northumberland Young People’s Health Project – relationship with schools  Community Health Trust  Care Trust  Family and Children’s Trust 2006

Northumberland  Integrated teams – school nurses, HVs, EWO, SW etc  Large, varied county  Strong locality identity – Urban south east, Blyth, Ashington – West, rural Hexham, Haydon Bridge – North, rural Berwick, Alnwick

Northumberland Teenage Health Demonstration Site  People – specialist “adolescent” nurse practitioner – GP – Consultant Paediatrician – many others  Time  Focus  Co-ordination

Northumberland Teenage Health Demonstration Site  Clinical – nurse outreach into residential and secure unit – health drop-in at FE college – community paediatric years YP clinics  Participation  Rural  Peer support (healthy schools)  Emotional wellbeing and mental health  Substance misuse services

Working together? Participation of young people  “Empowering young people umbrella group” – public health, youth work, paediatrics, LA – began 1997  FACT monthly leadership group  FACT weekly leadership and management team

Participation  Meaning? Meaning? Meaning?  Health / LA / schools / youth work / VCS  Which young people?  Which issues?  Which arena?  Style  Control and honesty

The Journey  Vision  Strategy Attitudes, attitudes, attitudes  Implementation

Turning up the Volume  Participation Strategy Group  Participation Operational Group  Children and young people  Parents  Communities

Implementation of Strategy  Annual reporting to FACT Board – representation of VCS, Northumberland Strategic Partnership, child health commissioner  Six monthly troubleshooting to FACT leadership team

What’s worked? What have we learned?  Shared vision  Relationships  Trust  Local integrated teams  Management  Leadership

Shared Vision  We can make things better together  Young people deserve – respect – confidentiality – choice – to participate and influence – support wherever they choose to access it – “no wrong door” vs. referral

Challenges - Northumberland  Organisational change – Unitary authority April 09 – Public health – becoming North of Tyne – World class commissioning  Economic climate – anxiety – attention to service provision rather than prevention – narrower focus rather than partnerships

Challenges - young people  Politically disenfranchised  “Vulnerable” / “at risk of poor outcomes”  Support vs. punishment  Participation – all young people – honesty – timescale

Challenges to real change - from narrow to eliminate the gap!  Going for BIG change raises BIG issues  Inequality  Poverty  Power  Control

Current Context  Every Young Person Matters  Aiming High for Young People  Children’s Trusts  Duty of schools / PCTs to co-operate  Children’s workforce development

Current Context  Integrated services for young people and targeted youth support  Healthy lives, brighter futures: Strategy for children and young people’s health  World class commissioning  14 – 19 strategy, LSC funding to LAs  Local community involvement

Next Steps  Children’s Trusts – creating and keeping a focus on young people  Young people’s participation  National indicator set  Tell us survey

Next Steps  Commissioning – understanding of multi agency YP’s services – prevention, resilience – emotional wellbeing  Excellent services for young people as assessed by young people –You’re Welcome quality criteria

Association of Young People’s Health “getting it together”  Children’s Trusts – focus on young people  Young people’s participation  Achieving excellent services  Commissioning  Outcome measures

Young People’s Health Where are we now?  We have the vision  We have the strategies  Local implementation – relationships – trust – doing it together – persistence

Thank you