Children and Young People (CYP) are over a third of our population but 100% of our future. Children and their families face a number of issues which Covid has exacerbated. We are seeing a large rise in mental health issues and obesity. There is high degree of fragmentation, variation in access to services, and high attendance at emergency departments. Yet sadly they are often forgotten in policies and resources.
In London we are trying to address this by setting up a Collaborative to implement new models of care for CYP to improve the integration of services across the capital and improve long term outcomes. We wish to roll out existing models of integrated child health, such as Connecting Care for Children, the Childs Health programme, the Well Centre and Healthspot.
Recent work supports this such as the Fuller review, the development of Integrated Neighbourhood Teams, Family Hubs and Core20PLUS5 as well as a London report Beyond Boundaries on early years integration, but teams were still struggling to get it on the agenda as the focus is often on frail elderly.
Following engagement with young people and families, and Integrated Care Systems (ICS) children’s leads it was decided we needed to raise the profile of integrated children’s health in a practical way. From here, we developed a resource pack to get business cases through organisations to support the implementation of Fuller for children and young people.
The Resource Pack is designed to provide guidance to organisations and teams within Integrated Care Boards, ICSs, Place Based Partnerships and primary care networks, as they develop business cases for the implementation, spread and adoption of new integrated service models for children and young people. It is designed around each of the main components of a business case and is a tool to support organisations as they consider next steps and implementation following the Fuller Stocktake report and recommendations on integrated primary care and how best to meet the needs of London's children and young people and their families.
In practice, each ICS will have their own templates for business case submission and so the content contained in this guidance will need to be adapted accordingly. The guide is accompanied by a repository of documents including published articles, national reports, and case study material, offering a range of examples and learning as models are tested and implemented.
The resource pack will be developed, adapted, expanded and improved in collaboration with stakeholders and as experience with strategic commissioning for these new service models develops. It has been shared widely across the capital and is available to download from the Future NHS site: https://future.nhs.uk/connect.ti/London_BCYP_TP/view?objectID=42864272. It has had 287 views on the NHS Futures platform since its launch in July.
The pack has recently been endorsed by senior regional leads in NHS England - London: Jane Clegg, Chief Nurse and SRO, London Babies, Children and Young People’s Transformation team; Will Huxter, Director, Primary Care and Public Health Commissioning Primary care team, and Agatha Nortley-Meshe, Regional Medical Director, Primary Care, Primary care team.
Suggestions for improving, updating and/or expanding the content should be sent to: [email protected].
FabAwards23-Primary-care-resource-pack-final-64f8daee74d7c.pdf
You can find the resource pack HERE
Click on the image below to download resources
