Delivering youth-friendly primary care Dr Dick Churchill Associate Professor and Director of Clinical Skills University of Nottingham Medical School and Vice Chair of the RCGP Adolescent Task Group

Delivering Youth Friendly Primary Care Dick Churchill GP, Associate Professor of Primary Care, & Acting Chair RCGP Adolescent Task Group

Walk the Talk 19/3/2008 “I would that there were no age between ten and three and twenty, or that youth would sleep out the rest; for there is nothing in the between but getting wenches with child, wronging the ancientry, stealing, and fighting.” William Shakespeare, The Winters Tale act iii, scene iii

Walk the Talk 19/3/2008 “….the problems of youth are many- sided and compelling. To their solution medicine has a contribution to make: this is surely, above all, in the sphere of the family doctor”. Anonymous Editorial British Medical Journal 1954

Walk the Talk 19/3/2008 We ‘have been slow to give adolescence the same concentrated care that has gone into the study of the baby and the young child’. ‘If as a society we are to understand our adolescents instead of being estranged from them, we have to catch up fast on our ignorance of what life means to adolescents today, and what the world looks like through their eyes’ James Hemming (1960)

Walk the Talk 19/3/2008 The 1980s: Research begins  Unmet needs  The public health agenda  The young persons agenda  Perceived barriers to care  Access issues  Confidentiality  Communication breakdown  Mixed results from interventions

Walk the Talk 19/3/2008 “It’s not that he doesn’t listen..sometimes he doesn’t fully comprehend that he’s talking in a way you can’t understand..”

Walk the Talk 19/3/2008 The 1990s: Changing practice The RCGP Adolescent Working Party  Raising awareness  Changing attitudes  Training resources:  Getting It Right  Confidentiality Toolkit  Trust  HEAR

Walk the Talk 19/3/2008

The 2000s: Making a difference National Policy & Initiatives  Walk the Talk  ‘ You ’ re Welcome ’ Standards  Teenage Health Demonstration Sites  National Service Framework  Association for Young People ’ s Health  E-Learning Package for Adolescent Health

Walk the Talk 19/3/2008 Amy ’ s Story

Walk the Talk 19/3/2008 What Works? ACT A ppropriate access, awareness & attitudes C ommunication T rust & training

Walk the Talk 19/3/2008 The 2010s: Changing society  Today ’ s adolescents will be tomorrow ’ s adults.  Healthy young people will be healthier adults.  Health gains can multiply.  Practices that look after their young people well look after all of their patients better

Walk the Talk 19/3/2008 ACT now  Check out ‘ Walk the Talk ’ resources  Join the Association for Young People ’ s Health:  Watch out for the RCPCH E-Learning package on Adolescent Health  Visit  Get a copy of the HEAR DVD  Review your practice and make a change