Janet Lewis Providing community healthcare in London and the Home Counties
CLCH – who are we? CLCH is London’s largest stand -alone community NHS Trust Community Services is our core business – deliver Children’s Services across 9 boroughs Track record at redesigning clinical pathways to ensure better integration for children and parents Quality is at the heart of everything – cycle of continuous improvement Experienced at successfully transforming new services – Brent / Richmond / Hounslow School Nursing keeping the services local Central London Community Healthcare 2
CLCH footprint 3
CLCH 4,5,6 Model CLCH -4,5,6 Model 4 Levels of service Safeguarding Quality 5 Universal Robust information health reviews sharing Integrated/ partnership 6 High impact working areas 4
Client feedback PREM Focus Patient groups Stories Client feedback Social Comment cards Media User Groups 5
Antenatal Pathway 6
Healthy 2 year olds & school readiness Integrated 2 year review with early years providers Children’s Centres ASQ-3 High Impact assessments Area Leads 2 year places in early years Joint Funded Senior Parenting Integration support Manager for 2 programmes year review Clear referral pathways to SLT, child development services
Using Technology Recognising the wide variety of ways needed to support parents Health Matters our website to support school aged children, to be developed as a digital support for 0 to 19 Links to other web sites including LA and vol sector eRedbook to make it easier for parents to access their Childs information Seeking innovation opportunities e.g. interoperability 8
Health Matters https://www.healthmatters.clch.nhs.uk/home/ 9
eRedbook ered book 10
Digitally transforming the 0-19 pathway 11
Enabling Connectivity Health eRedbook Vault Maternity NSC Adapter Adapter Adapter Internet NHS N3 Local Active Screening Maternity Directory Clinical data store GP CHIS 12
Challenges • Getting all partners together and working to same priorities • Cutting through ‘red tape’ • Financial climate • Changing commissioning landscape • New electronic clinical record 13
Tips for success • Set out your vision and set a direction • Press the flesh/do the leg work • Go round or push through obstacles • Find like minded partners to create a wave of momentum • Always keep the child in sight
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