NW Children, Young People and Maternal Health and Wellbeing Strategy -Ann Hoskins, June 2010 Healthier Horizons

Why?

• Commitment from 1 st Clinical Pathway Group • Leadership at all levels • Strengthen commissioning • Improve learning • Some improvements (disease/clinical and public health) but inequalities persist and sometimes widen • Children, young people and parents want greater improvements, faster • Demand

‘More for Less’

Better

Care

Better

Health

Better

Life

Developing the Strategy

• Sponsored by NW Children, Young People and Maternal Health Board • SHA Board ownership • Consultation with stakeholders including children young people and parents • Multi sector editorial and reference groups • DH support Better

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The Approach

There are 3 themed groups: • The life-course sections: preconception to birth; 0-5 yrs; 6-10; 11-18 years • Threads across the life course • Underpinning system and social issues Better

Care

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Health

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Life

Threads across the Lifecourse

• Emotional health & wellbeing • Acute Needs and Long Term Conditions • Disabilities and Learning Disabilities • Looked After Children • Youth Justice System • Lifestyle – including obesity, physical exercise, substance misuse, sexual health Better

Care

Better

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Life

Underpinning Themes

• Parenting & families • Workforce • Safeguarding • Commissioning and Provision • Engagement and Participation Better

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Strategy Priorities

Criteria for what’s in and what’s out

• NW position compared to England • Within region variation • Numbers of young people affected • What would it take to make an impact?

• Will there be an impact on health inequalities?

• Inclusion in current national / regional priorities Better

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Priority Setting Criteria

High Impact Low Regional Position Low Impact Better

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High Regional Position

Priority Areas in NW Children & Young People’s Plans NI51 - Effectiveness of CAMHS Obesity Teenage Pregnancy Dental Breastfeeding Hospital Adm issions (Injuries) Infant Mortality Sexual Health Substance / Alcohol Abuse NI50 - Em otional Health of Children NI58 - Em otional & Behavioural Health of Looked After Children LDD Children w ith Disabilities

Better

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Life NI56 - Obesity in Yr 6 Prim ary School Children Im m unisations Sm oking in Pregnancy Sm oking RTAs Health Inequalities Reduced Sm oking

Emerging Outcomes Priorities

1. Obesity 2. Risk Taking Behaviours - Alcohol Harm, Sexual Health (incl Teenage Pregnancy), Substance Misuse (esp tobacco) 3. Top 3 symptoms at A&E 4. EHWB – Suicides and Self Harm, Access/Waiting Times and Tier 4 5. Deaths – RTAs, Under 28 days 6. Oral Health • Note Early Years will cut across 4 of these Better

Care

Better

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Other Key Themes

• Strong focus on Early Years • Importance of supporting parents and families • Role of GP led Practice Based Commissioning Consortia (

emerging policy

) • Importance of working across health, education and social care Better

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Revising the Product

• Document will: • Describe regional picture • Identify best practice to tackle priority issues • Use Appreciative Enquiry approach • Be co-published with NW DCS • Continue to use Life Course approach • Support commissioning • Be underpinned by what children, young people and parents tell us Better

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Better

Health

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Life