Transcript Presentation Title - Lancashire.gov.uk

NHS Central
Lancashire – The
Commissioner
10th June 2010
Jane Cass
Strategic Plan Goals
• Increase life
expectancy
• Reduce health
inequalities.
• Reduce Cardio
Vascular Disease
mortality by
commissioning more
effective
interventions.
• Diagnose chronic
obstructive
pulmonary disease
and asthma sooner
and treat it more
effectively.
• Improve mental
health & dementia
services.
Cont.
• Reduce incidence of preventable
cancers and catch common cancers
early.
• Reduce infant mortality
• Reduce risk taking behaviours.
Process for Achievement.
• Gain an overview of the current status and
challenges.
• Population demographics and health needs
• Prioritise the health needs
• Engage with Partners, public and patients.
• Commission the activity.
• Monitor and evaluate against set objectives
and targets.
Commissioning Structure
• Commission services from:
– Lancashire Teaching Hospitals Trust
– Southport and Ormskirk Hospitals Trust
– NHS Central Lancashire Provider Services
(community services)
– Lancashire Care Trust
– Specialised Services
– Community Contracts – Other.
My Role
• Provide the link between the Commissioning
arm of the PCT and the Children's Trust (Duty
to cooperate partner).
• Ensure that the intelligence on health need
reflects the local picture.
• Guide and shape the achievement of the
health related targets.
• Work in partnership to contribute to achieving
the Children's Trust Action plan
• To make a difference.
NHS Central
Lancashire –
Provider
Children & Family
Services
10th June 2010
• Children and Family Services
• CAMHS
NHS Central Lancashire
Children & Families
Head of
Operations
Children &
Families
LYNNE
BRALEY
ISM
(West Lancs)
ISM
( C & S R)
ISM
(Preston)
Safeguarding
Lead
Richard
Whittaker
Jan
Tipping
Caroline
Waterworth
Sarah
Barr-Frost
NHS Central Lancashire
Children & Families
Head of
Specialist
Services
Shaun Kenny
ISM
CAMHS
Paul
Anderton
ISM
Learning
Disability
(Adults)
Other
services
Including
Estates
West Lancashire
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CAMHS
0-19 Teams
Community Children’s Therapy Team
CDC – Ormskirk
Safeguarding Team
CAMHS – Tiered Approach
• Tier 1 – Primary Care - health
(Universal)
• Tier 2 – Uni-disciplinary (Targeted)
• Tier 3 – Multi – disciplinary (Specialist)
• Tier 4 – Specialist (Highly specialised/
Supra
district)
• Paediatric Liaison
• Learning disability / Complex Needs
(ASD)
What is CAMHS
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Multi-disciplinary multi agency team
Covers Central Lancashire by GP
0 – 16 (end of year 11)
Referral by CAF (mostly GP) (2,000 /150)
Part of the emotional, mental health and
wellbeing agenda
• Single point of access
• Direct /Indirect work (Consultation , SAP,
Solihull)
Targets
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16 / 17 year old services
24 / 7 agenda
Learning disabilities
Routine Outcome Measures
18 week waiting time
Manage demand effectively
NHS Central
Lancashire
Children’s Therapies
Children’s Therapies
• Children’s Therapies consist of children’s
physiotherapists, occupational therapists and
speech and language therapists
• Children seen in a variety of community
settings to promote inclusion and optimise
child’s full developmental potential.
• Team works closely with all agencies with the
child and family at the centre of their care.
Children’s Therapies
• Range of conditions seen from mild
developmental problems to complex needs
• Work with children from birth to 18 years or
19 years of age if in special school
• Aim to empower child and carer to manage
the child’s condition through a variety of types
of intervention designed specifically for each
child
Children’s Therapies
• Intervention evidenced based
• Team committed to ongoing service and
professional development
• Actively seek feedback from our children and
families to deliver the service that meets the
changing needs of our children and families
within Central Lancashire
0-19 teams
West Lancs
Locality
Health Visitors,
School Nurses,
Community Nursery
Nurses &
Healthcare Support
Workers
• 3 teams led by a Team Coordinator
• West Lancs West – Ormskirk,
Burscough and Old Skelmersdale
• West Lancs North – Tarleton, Hesketh
Bank, Croston, Eccleston, Coppull &
Adlington
• West Lancs East – Skelmersdale
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0-19 teams provide universal and targeted services for pre-school and
school aged children. Universal services include routine health
screening for all children from birth onwards by a qualified Specialist
Practitioner and is aimed at monitoring growth and development and
delivering a comprehensive childhood immunisation programme (to
include HPV ).
Targeted services involve identifying need and making referrals to
other professionals and agencies according to need. HVs and School
Nurses have additional training in Child Protection and Safeguarding
and family support and may take a lead professional role in complex
care cases. The service has close links with the Police specifically
information sharing re Domestic Violence incidents
The service acts as a source of advice and information for families and
other key partners on a range of health and social care issues
The service’s main objectives are focussed on improving outcomes for
children and their families by providing early intervention to health
advice, information and support and facilitating access to a range of
services.
CDC Ormskirk
• Complex Needs Nurse/CDC Coordinator Provision of a specialist nursing service to
children and young people with special needs
and their families.
• Community Paediatrics - This is a team of
paediatricians (doctors who specialise in child
health) based within the community, who offer
specialist advice on children’s health issues.
• Epilepsy Specialist Nurse
SAFEGUARDING & PROTECTING
CHILDREN,
YOUNG PEOPLE & ADULTS TEAM
Central Lancashire
Safeguarding
Children & Young
People Team
ROLES, RESPONSIBILITIES &
ACCOUNTABILITIES
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NHS Central Lancashire
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NHS Central Lancashire Chief Executive bears responsibility for ensuring that
the health contribution to child protection is discharged
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Ensure staff are trained to know how to act upon their concerns in line with
the Local Safeguarding Children Board and NHS Central Lancashire
Safeguarding Procedures
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Have a Named Doctor and Nurse who take the professional lead within the
Trust on safeguarding children matters
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Ensure that all staff who come into contact with children are Criminal Record
Bureau (CRB) checked
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Ensure all effective Clinical Governance systems are in place
DESIGNATED & NAMED
PROFESSIONALS
• Designated Professionals have overarching child protection
responsibility. Their role is primarily strategic.
• Responsibility for co-ordinating the Health Service response to
Serious Case Reviews.
• Liaise with NHS Legal Advisors as necessary.
• Named Professionals take the professional lead within the Trust
on all safeguarding matters.
• Be a source of knowledge and advice regarding child health and
development, maltreatment and local arrangements for
safeguarding.
• Promote good practice within the Trust.
• Assist NHS Central Lancashire to understand their safeguarding
responsibilities.
• Performance manage appropriate staff.
• Training for all staff.
Jean Rollinson
Associated Director Safeguarding
Commissioning/Development
Sara Bar-Frost
Safeguarding Lead
Provider Services
Maria Coll
Named Nurse
Safeguarding Children
and Young People
Jo Counsell
Lead Nurse for Sudden &
Unexpected Death in Infancy &
Childhood (SUDC)
Fiona Rowlands
Designated Nurse for CLA
Shona Cornthwaite
Designated Nurse for CLA
Jane Jones
Safeguarding Nurse
(Chorley & South Ribble
Locality)
Jo Naylor
Safeguarding Nurse
(Preston Locality)
Vacant
Safeguarding Nurse
(West Lancs Locality)
Tina Woods
Specialist Nurse Sudden &
Unexpected Death in Infancy &
Childhood (SUDC)
Other services across PCT
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Paediatric Liason
Parenting
Breastfeeding
HPV
Contact details
• Richard Whittaker – Integrated Services Manager
(ISM) Children and Families 01695 588199
• Amy Bamber – Clinical Manager (0-19 Teams, CDC)
01695 588199
• Debbie Curran – Clinical Manager Therapies 01772
644540
• Sarah Barr-Frost - Safeguarding Team – 01772
777220
• Paul Anderton ISM CAMHS – 01772 777344
• www.centrallancashire.nhs.uk