1. Sheron Hosking Head of Children’s Health Joint Commissioning Team

2. Islington CCG Who we are and what we do Primary care practices
We are made up of 34 GP practices working in partnership with local providers and Islington Council
Local health services
We plan, buy and monitor hospital care, community health services, mental health and rehabilitation
Integrated care
Islington is an integrated care pioneer, meaning that the CCG and Islington Council work together to link services in health and social care

3. Joint working with Islington Council
Our four shared priorities are:
To prevent and manage long-term conditions to extend the length and quality of life, and reduce health inequalities
To provide high-quality, efficient services within the resources available
To make sure every child has the best start in life
To improve mental health and wellbeing
To help us provide the best service, we listen carefully to what local people tell us. We meet regularly with them so they can ask questions and tell us what concerns them about their care. The services we buy reflect their needs.

4. Mental health and wellbeing
Challenges
Children’s health
Mental health and wellbeing
Long-term conditions
Population
most densely populated UK borough and the 5th most deprived in London
high level of long-term conditions (such as diabetes) that will need a different kind of care over 10 years
13,000 children (34.5%) living in low income families
highest level of psychosis in England

5. Our plans for 2015/16 and beyond
Developing Islington’s health and social care workforce through our Community Education Provider Network
Building clinical leadership with insight from Islington’s GPs to drive commissioning in partnership with patients and service users
Working across north central London to jointly commission general practice to improve the quality of services and care for local people

6. Children’s Health Commissioning Team
Responsible for commissioning Health and Care services for CYP across Islington including service development
Delivery of our 5 year ‘Children’s Health Strategy’
Underpinned by engagement and co production of CYP and Parents / Carers

7. Our Vision
Our vision is to improve the health and wellbeing of children and young people in Islington from conception to adulthood and to reduce health inequalities by:
Promoting good health.
Making safe, high quality, affordable and coordinated health services available at, or close to home in partnership with children, young people, their parents and carers.
Supporting them to be in control of their own health where possible and to maximise their life chances as they grow up.

8. Principles
Prevention, early identification and intervention across all children and young people’s health services, from conception to adulthood, and other services which impact on children and young people’s lives.
Equal access for all to personalised, high quality services, where and when needed, free at the point of access and with choice where possible/appropriate.
Working in partnership with children, young people, parents, carers and their communities to be involved in the design of health services that promote good health and empower them to better manage their own health and wellbeing.
Services within, and outside of Health, working together to deliver care coordinated around and responsive to the child, young person and family.

9. Principles
Ensuring that safeguarding underpins all planning and delivery of health services to children and young people with the full commitment of all professionals.
Making the best use of resources in commissioning services based on population need and the best available evidence

10. Specific areas of work include..
Primary, Community and Acute Services
Strong focus on prevention and integration
Developing care closer to home models of care for paediatrics
Specialist services
CAMHS
SEND services
Services for vulnerable groups such YOS and CLA
Young Carers

11. 16/17 achievements… Re-procurement of young carers service
Procurement of ASD review which had strong input from Parent /Carers and service users via Ambitious about Autism. To consider the Assessment and Diagnostic Pathways and in particular current waiting times
Hospital at Home Model ongoing

12. 16/17 achievements…… Development of Mental Health Charter
Integrated health offer into the YOS
Crisis care plans for CAMHS services linked across with Acute Trusts.
Asthma in Schools Work

13. Working across different localities
Across Islington
Across Haringey and Islington
Across North Central London
Population based approaches where it makes sense to commission across different population areas

14. Haringey & Islington Wellbeing Partnership
A range of organisations are working together:
Haringey Council, Islington Council
Whittington Health, Islington Clinical Commissioning Group, Haringey Clinical Commissioning Group
Camden & Islington NHS Foundation Trust, Barnet, Enfield & Haringey Mental Health NHS Trust
Haringey GP Federation, Islington GP Federation
UCLH and NMH closely involved

15. So what will be different?
We see ourselves as sharing collective responsibility for meeting the health (mental and physical) and care needs of our population in the long term
Focus on preventing illness through a ‘population’ approach
Bring together resources of all the partners to improve health and care
Extend multi-professional teams (long term conditions, mental health) based around GP practices, and plugged into local networks and voluntary sector
Identify people putting their health at risk and prevent deterioration into statutory services
Take cost out by increasing efficiency (reducing admin and duplication) and improving outcomes

16. Questions/Discussion