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

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

3. 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.

4. Model of Care Journey

5. Model of Care Vision

6. 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)

7. 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

8. 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?

9. Next steps Any additional information? Want to be involved?
Contact Grace Turner –