Improving outcomes for children and young people Susan Otiti Assistant Director of Public Health haringey.gov.uk
Focus on prevention • NHS Five Year Forward View • “Fair Society, Healthy Lives“ – The Marmot Review • Our Children Deserve Better: Prevention Pays – Chief Medical Officer haringey.gov.uk
What does the data tell us? • • Infant and child mortality rates are similar to the Children and young England average people under the age of • The level of child poverty is worse than the 20 years make up England average with 24.4% of children aged 24.4% of the under 16 years living in poverty population of Haringey • The rate of family homelessness is worse than • 80.1% of school the England average children are from a • Children in Haringey have worse than average minority ethnic group levels of obesity: 10.8% of children aged 4-5 • The health and years and 23.1% of children aged 10-11 years are wellbeing of children in classified as obese Haringey is mixed • The teenage pregnancy rate is similar to the compared with the England average. In 2014/15, 23 teenage girls gave birth which represents 0.6% of women England average giving birth. This is lower than the England average. haringey.gov.uk
What do Haringey young people tell us? Schools Health Education Unit (SHEU) ‘Check up’ survey 2014 lifestyle and behaviour survey 2015 • Increase use of technology: being • Sex and relationships education was useful however they able to book appointments online, asked for information on local services access test results and sending • Good levels of physical activity - an increase from 2013. results via email However there is a drop in the levels in girls as they get • Communication with young people: older clearer system of complaints for • young people, mystery shopping for There is a ‘miss - match’ in young people’s understanding Pharmacies, training for reception of ‘what is overweight’ and the importance of ‘healthy staff. weight’ • Youth friendly health information • 72% of pupils report they are in general ‘quite a lot’ or and clearer information ‘a lot’ satisfied with their life at the moment • Dental Services: confusion around • 79% of pupils reported enjoying at least half of their dental treatment prices school lessons • 89% of Year 10 pupils said they want to continue in full- time education after Year 11. This is higher than the 73% from the wider SHEU sample. haringey.gov.uk
Place based planning Prevention and early intervention is at the heart of the strategic approach along with collaboration and integration across agencies to improve the health of the population. • Organisations work together to govern the common resources available for improving health and care in their area. • System leadership and a shared vision developed with and based on the needs of local population haringey.gov.uk
Opportunity ?? Transformation programmes at scale and with pace haringey.gov.uk
Health visiting Commissioning responsibility transferred from the NHS to local authorities in October 2015 Provided the opportunity to: - move from a targeted to a universal service - develop families resilience and - potentially reduce pressure on secondary care Public Health working with Whittington Health NHS Trust on an ambitious transformation programme haringey.gov.uk
Transformation programme Three elements: 1. Workforce; recruitment and skill mix 2. Integration; children’s centres and early help 3. Changing ‘day to day’ practice; phased implementation of the Healthy Child Programme haringey.gov.uk
Workforce Haringey is utilising the different skills of the health visiting workforce to deliver a universal service haringey.gov.uk
Integration Following consultation the health visiting team mirrors the Early Help localities in Haringey haringey.gov.uk
Changing practice haringey.gov.uk
Enablers 1. Training , comprehensive programme for the early years workforce and the health visiting service 2. Mobile working , ‘one - off’ funding from the Public Health Grant 3. Communication • Monthly newsletter for all professionals involved in early years • On-going communication with health visiting teams (weekly updates, presentations at their forum) • Representatives from all health visiting teams involved in working groups and ‘task and finish’ groups haringey.gov.uk
Expected outcomes • Earlier identification of; parents’ vulnerabilities leading to early intervention/early help, developmental/behavioural/attachment issues and of safeguarding issues • Increase in; breastfeeding rates and uptake of healthy start vitamins • Reduced; parental smoking and social isolation as parents will meet other parents during the ante natal period • Reduction in sudden unexpected deaths in infancy (messages re: prevention will be reinforced) • Improved; information sharing between professionals, access to children’s centres and uptake of immunisations haringey.gov.uk
The future Strategic approach • Haringey Council’s Corporate • Integration Plan, Priority 1 ‘Enabling • Haringey and every child and young person Islington to have the best start in life, with high quality education’ Partnership • The Health and Wellbeing • North Central Strategy; priorities 1 and 3 (childhood obesity and London Strategic mental health). Transformation • Clinical Commissioning Plan Group’s operational plan haringey.gov.uk
The ask? • How fast can we go with integration? • How do we bring maternity services and health visiting services closer together? • How do we help/engage with practices? haringey.gov.uk
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