1. Sharing the journey thus far in the transformation of the East Sussex Schools Public Health Service, including the recent implementation of Lancaster model and HAPI portal Stephanie Cooper – Acting Area Clinical Manager Sarah Barber – School Nurse

2. January 2015 53 staff in total May 2018 50 staff in total
SCPHN
Staff Nurse
Nursery Nurse
Admin
LCM
TCs PT SN
17.77
9.63
4.79
2.83
January 2015
53 staff in total
SCPHN
Health Improvement Specialists
Staff Nurses
Nursery Nurses
Health Improvement Assistants
School Nurse Assistant
Admin
1 LCM
3 TCS
1 SG
1 PT
6 SN
2 HV 14
3.77
2.6
7.59
2.04
3.05
1.74
1.8
5.97
2.38 B2
1.8 B3
0.45
May 2018
50 staff in total

3. Jan 2015
Named Nurses for schools Attendance at all Safeguarding meetings regardless of need Blurring between the School Staff Nurse role and the School Nurse role Secondary school drop-ins at some schools
Named Nurse for Schools – Particularly difficult to ensure equity in service provision between schools – Part time staff/availability of allocated school nurse
Attendance at safeguarding meetings and seeing every CP child on a termly basis

4. Jan 2018
Corporate caseload management. School Health One Point – SCPHN available 8:30-17:00 mon-fri Priority Access Team to coordinate safeguarding workload Attendance at safeguarding meetings dependent on an identified School Health need All secondary schools have either a weekly or fortnightly drop-in – plus a termly health promotion event All Further Education Colleges have 2 health promotion events a term All Primary schools are offered a termly health promotion session CHAT health confidential text messaging service for year olds Communication agreements completed with all schools.
Corporate caseload – all schools offered the same service, improved equity of caseload distribution and utilising skill mix
SHOP – A SCPHN is always available to receive calls into the service from one central location
Safeguarding – Robust HNA completed ideally prior to ICPC or within a 4 week period to ascertain if any SH need – outcome – either made inactive and reports provided for RCPC/active and a package of care identified and allocated to SSn or NN (with oversight form SCPHN)

5. April 2017
Introduction of Health and Development Reviews; the Lancaster model (TLM)
School Entry (online questionnaire) launched first and response to date –
Year 6 completed in school by pupils – A member of the School Health Team attends school to support the process. Schools have been exceptionally responsive to enabling SH to facilitate this as they are aware the information obtained by completing will inform us of identified need on an individual basis/School basis/Community basis. Once the data has been collected this will be made available to contribute to School Action Plans (Ofsted).

6. TLM enables The School Health Service to adopt a universal approach in completing Health and Development Reviews at Key Transition Points (School Entry, Year 6, Year 9 and Post 16 years). Health and Development Reviews assess universal health, risk and protective factors, family health, emotional health & wellbeing, Lifestyle choices, lifestyle Behaviour and services. School Health Profiles Using the Health and Development reviews – school level data is used to inform profiles to enable the schools to meet the specific public health needs of their school community

7. Pre and Post launch
Work with Communications to produce a flyer for parents of Year R
Attendance at all Designated Safeguarding Lead meetings across the county.
Engaged with County Council colleagues such as the health improvement team to support the launch
Regular contact with the schools via on the run up to launch
Schools sent /text to let parents know the Health and Development reviews were coming
Flyers given to schools to go home in bookbags and request for /text to alert parents to look.
Reminder via schools after the Easter holidays
Zero return schools – offered playground session and/or facilitated completion

8. HAPI portal and alerts
The HAPI portal is a secure computer based system that collates returned Health and Development Reviews. Alerts received under the headings universal health, risk and protective factors, family health, emotional health & wellbeing, Lifestyle choices, lifestyle Behaviour and services enables the SCPHN to make a clinical decision and respond accordingly e.g Discharge/Swift Response/Reassign/Package of Care. Managing the HAPI Portal Worked as a County wide SCPHN team on a rota Worked from within SHOP to provide protected time away from teams
County Wide Team as opposed to SCHPN being responsible for one locality – the benefit of this is that every SCPHN will have oversight of the needs across county

9. Challenges Time due to being a new process and system
Confidence/experience of staff navigating through the alerts
Managing the reassigning of Alerts alongside our current allocations process to ensure equity and skill mix utilised
Communicating with families and making every contact count when alerts triggered and no support required - Letter to parent – time consuming, requires a vast amount of administration support.
Automatic reply once form submitted

10. The Next Steps
Administration support to be in place to aid SCPHN’s and ensure alerts are managed timely
Robust SCPHN rota (protected time) for the next Academic Year to ensure diary commitments are in place
To implement designated School Terms for each cohort of Health and development Reviews – this will aid managing alerts received
To continue raising the profile of Health and Development Reviews to maximise return rate and strive for Early Intervention in line with identified needs across the continuum
To launch the Post 16 Health and Development Reviews