1. Delivering High Quality Services for Children in Highland ‘Individuals and organisations responsible for the future development of children’s services need to learn from the past… only through widespread active collaboration, driven be a real desire to continually improve will we achieve better health for future generations of children and young people’.[1][1] [1] Modelling the Future 111 Safe and Sustainable integrated health services for infants children and young people. Royal College for Paediatrics and Child Health 2009

2. Delivering High Quality Services for Children in Highland National Drivers: oQuality Framework oReview of Community Planning oIntegration of health and social care oReview of Regional Planning oChildren and Young People’s Bill

3. Delivering High Quality Services for Children in Highland National drivers specific to child health oCEL 19 (2011) reaffirm Child Health Commissioner role oEarly Years Taskforce oParenting oLooked After Children oEarly assessment of need oImprovement approach to child health services: o Mental Health: CAMHS HEAT target/ CAMHS role for 16-18 year olds oA+E HEAT Target oScottish Patient Safety Initiative oWorkforce challenges child health workforce oOn going scrutiny of Specialist Children’s Services Review oEmbedding GIR in process and practice (CEL 29 (2009) o Integrated Inspection of Children’ services: scrutiny and improvement focus

4. Delivering High Quality Services for Children in Highland Highland Quality Approach to Commissioning -Needs led -Underpinned by user views and experiences -Specifying of services and outcomes Highland Partnership Agreement Improve the design and delivery of services and outcomes for individual children and young people Emergent themes from Scottish Government -Assets based -Rights led -Culture and practice

5. Delivering High Quality Services for Children in Highland Commissioning Child Health Health and Social Care Partnership Highland Council (Lead Agency Children and Young People Argyll and Bute CHP

6. Delivering High Quality Services for Children in Highland Universal Early Years Services: Midwives GPs Public Health Nurse (Health Visitors) Early Years (learning and support) Parents Performance Management Ante natal HEAT Target Highland/Argyll and Bute Practice Model (GIR) Allocation of Health Plan Indicator Handover protocol Infant feeding 6-8 weeks Immunisation Rates

7. Delivering High Quality Services for Children in Highland Long Term Conditions CEN (Children with Exceptional Needs) GPs Paediatricians General Paediatricians Specialists Community/Specialist Nurses Rural General Hospitals AHPs Additional Needs Education Social Work Parents Performance Management Referral to treatment (NHS and Lead Agency) Highland/Argyll and Bute Practice Model (GIR) Allocation of Health Plan Indicator NDP Specialist Services Outcomes measures Pathways of care: identification/assessment/review CAG process and joint funding of care packages

8. Delivering High Quality Services for Children in Highland Looked After Children Midwives GPs Public Health Nurse (Health Visitors) Paediatricians Social Work Parents Performance Management Ante natal HEAT Target Referral to treatment (NHS and Lead Agency) Highland/Argyll and Bute Practice Model (GIR) LAC Health Assessments Allocation of Health Plan Indicator Immunisation Rates Placement changes

9. Delivering High Quality Services for Children in Highland Mental and Psychological Well Being GPs Rural General Hospitals Public Health Nurse (Health Visitors/School Nurses) Education Primary Mental Health Workers Additional Support Needs Youth Services Parents Performance Management Ante natal HEAT Target Referral to treatment (NHS and Lead Agency) Highland/Argyll and Bute Practice Model (GIR) Pathways of care: identification/assessment/review NOS CAMHS Tier 4 Service