Improving children’s and families’ health and wellbeing in Southwark Jodie Adkin Strategy, Planning and Performance Children’s and Adults’ Services

Southwark health and wellbeing board New statutory partnership board, established in April, to encourage integrated working “for the purposes of advancing the health and wellbeing” of local people Has statutory duty to develop and publish a joint strategic needs assessment and a joint health and wellbeing strategy Southwark health and wellbeing strategy developed for 2013/14, with further three-year strategy planned to build on initial priorities Development of this next strategy will include widespread consultation over winter and spring involving children, families, practitioners and local communities – more details to follow in due course

2013/14 Southwark health and wellbeing strategy Partnership has committed to work together to promote integration, improve outcomes and reduce health inequalities by: –Giving every child and young person the best start in life Covers key CYPP priority areas –Building healthier and more resilient communities and tackling the root causes of ill health Focuses on adult unhealthy behaviour and ill health like smoking, excessive alcohol or lack of exercise as well as long term conditions, and wider determinants such as employment or housing –Improving the experience and outcomes of care for our most vulnerable residents and enabling them to live more independent lives Focuses on more specialist care for frail elderly, children and adults with special education needs or disability, and looked after children

Children and Young People’s Plan Developed following extensive consultation and data analysis, including 1,000 Journeys work Focuses on three areas that evidence shows need transformation: –Best start – Children, young people and families access the right support at the right time, from early years to adolescence –Safety and stability – Our most vulnerable children, young people and families receive timely, purposeful support that brings safe, lasting and positive change –Choice and control – Children and young people with a special educational need or disability and their families access a local offer of seamless, personalised support from childhood to adulthood

Children and young people’s health Taking the ‘Best start’ priority, there are five key areas: –Provide high-quality advice and support services in the early years, and tackle inequalities in life chances for mothers, babies and toddlers –Help parents to raise their children successfully, particularly in troubled or neglectful families, and continue to keep children and young people safe and in stable homes –Keep more children physically and mentally healthy, a healthy weight and doing well in school –Support more young people to succeed into adulthood and education or employment –Identify and divert more vulnerable adolescents from risky behaviours or unhealthy choices, including unsafe sex or relationships, and involvement in crime Vulnerable groups including child protection, looked after children, SEN and disability fall within the third priority

Today’s session Two case studies highlighting typical issues facing our children and families, particularly in relation to their health and wellbeing In groups, identify what is important to these residents, and what could be done to improve their life chances and satisfaction Consider what activity in own organisation could be developed, extended or ‘tweaked’ to address an unmet need or overcome a barrier presented by the residents in the case studies These ideas will support implementation of the priorities in the current health and wellbeing strategy as well as development of next iteration

1: The Bayos The Bayos have recently moved to the borough from overseas, there are three children under five A recent visit to A and E resulted in GP registration; GP finds all children in general good health although some are over weight, and not meeting some developmental milestones The family lives in poor private housing and both parents work manual shifts The family has informal child care arrangements through their good community links with church Mum is recently pregnant again

2: Fatima Fatima – is 16, and experienced ongoing episodes of mental health She smokes and drinks heavily and has a poor social network, the friends she does have are not a positive influence on her Fatima has been previously been employed but found it difficult to sustain No family and who mostly died of cancer Sometimes loses her tenancy and spends periods of time homeless