Transcript Director’s Business Forum March 2013

Developments in Children’s
Services in Nottinghamshire
Anthony May
Corporate Director, Children Families and Cultural Services,
Nottinghamshire County Council
Dr Kate Allen, Public Health Consultant
Overview
• CFCS Vision and Operating Model
• Integrated Commissioning Hub (ICH) for
children’s health services in Nottinghamshire
Guiding Principles
• We will target our resources where they are
needed most
• We will integrate and align our services in
localities, and make accessing them as easy
as possible
• We will help children and families as early
as possible, to deliver better outcomes for
them
• We will keep children together with their
families where it is safe to do so
• We will help and support families to achieve
their potential
Public Health Integration
• Remodelling Children’s Centre/early years
provision to ensure greater integration with the
Public Health Nursing community
• Aligned commissioning priorities across
Nottinghamshire’s Early Help offer
• Joint development of a One Plan for children
with Special Needs and Disabilities covering
health, education and social care
CFCS New Draft Operating Model
Channel Shift
MASH
Early Help,
SEBD and
Inclusion
SEND
Access to
Education
Mansfield and
Ashfield
Bassetlaw and
Newark & Sherwood
Central Specialist Services
Broxtowe, Gedling and
Rushcliffe
Central Support Services
Frontline Provision
Integrated Locality Teams
Access Hubs
Workforce Development
Integrated Management Information and
Quality Assurance
First Point of Contact:
Customer Services Centre
Integrated Commissioning Hub
(ICH) for children’s health services
in Nottinghamshire
Post 1 April 2013:
Commissioning responsibilities
CCGs
NHS England: public health
Children’s healthcare services
Public health services for children from pregnancy
to age 5 (Healthy Child Programme 0-5), HV, FNP,
Child Health Information Systems (responsibility due to
transfer to LAs in 2015)
Maternity Services (and routine new-born
services)
Immunisation programmes
CAMHS
Public Health in local authorities
Healthy Child Programme for school-age
children, including school nursing
Contraception (over and above what GPs
provide), testing, treatment of STIs, sexual health
advice, prevention and promotion
Population level interventions to reduce and
prevent birth defects (with PHE)
National Screening programmes
NHS England: healthcare
Primary medical services commissioned under the GP
contract
All health services for children, young people in
custodial settings ( young offender institutions, juvenile
prisons, secure children’s homes, etc)
Specialised and highly specialised services
Nottinghamshire Integrated
Commissioning Hub (ICH) for children’s
health services
• Rationale
– Complexity
– Fragmentation of commissioning
– Multiple interfaces
– Safeguarding, statutory duties
– Poor health outcomes for children in this county
– National drivers
Nottinghamshire Integrated
Commissioning Hub (ICH)
• Benefits
– Whole system planning
– Clear processes for engaging with children, young
people and their families
– Reduced duplication
– Better value, better quality
– Focus on outcomes
– Integrate prevention
– Clear accountability
The Vision of the ICH
‘We want Nottinghamshire to be a place where
children are safe, healthy and happy, where
everyone enjoys a good quality of life and where
everyone can achieve their potential.
Through integrated commissioning, we will work
together with children, young people and their
families and use a whole systems approach to
improve the planning and commissioning of services
for children, young people and their families.’
Scope and purpose of ICH
SCOPE
•
Public health services for children 0-5breast feeding, Healthy Start
•
Public health services for children and
young people 5-19
•
CAMHS Tiers 1/2/3
•
Health services for Looked After Children
•
Community services for children with
disabilities and SEN
•
Elements of community paediatrics
(relating to safeguarding, LAC and
adoption)
•
Teenage pregnancy
•
Substance use services for young people
•
Health services for young offenders in the
community
PURPOSE
•
•
•
•
•
•
•
Needs assessment
Review services
Seek patient views
Decide priorities
Design services
Capacity planning
Shape structure of
supply
• Manage performance
and quality
Current position
• Sign up and approval from the Children’s Trust
Board and the Health& wellbeing Board
• Recruiting to team, developing links with other
commissioners and providers of health services
• Developing a memorandum of Understanding
with CCGs
• Work/projects underway
Integrated Commissioning Hub: Accountability
Health &
Wellbeing
Board
Director of Children’s,
Families and Cultural Services
Children’s Trust
Board
Clinical Commissioning
Groups
ICGs
•Disability/ SEN
•Teenage
Pregnancy
•CAMHS
Children’s Health
Services
ICH
Director of
Public Health
Questions?