The Health and Wellbeing of London’s Looked After Children NCB Conference 23 rd  February 2010 Promoting the health and we...
Amy Wilkinson  Health and Well-being Policy Lead Government Office for London Shirley Ayres Consultant to GoL (Health of L...
How are our Looked after children in London? <ul><li>8070 Looked after children living in London ( 1 in 6 of England’s loo...
The London Challenge <ul><li>High numbers of children in care outside of authority with corporate parenting responsibility...
What have we done for our LAC? <ul><li>The London Pledge </li></ul><ul><li>8 Specific ‘Be Healthy Pledges’ </li></ul><ul><...
Messages from the Scoping Review Shirley Ayres
“ A hundred years from now it will not matter what my bank account was, the sort of house I lived in, or the kind of car I...
Integrated Working ~ the big challenge <ul><li>Sharing information and resources  </li></ul><ul><li>requires: </li></ul><u...
Aims of the Scoping Review <ul><li>The Scoping Review was commissioned to identify emerging </li></ul><ul><li>practice aro...
Methodology  <ul><li>Qualitative and quantitative methods were designed to gather data from across the broad areas of LAC ...
Online Survey <ul><li>The questions were developed to gain an awareness and understanding of  </li></ul><ul><li>emerging p...
Communicating the key messages and themes <ul><li>the online survey,  </li></ul><ul><li>meetings and discussion </li></ul>...
The London Pledge for Children and Young People in Care <ul><li>Are you aware of the London Pledge for Children and Young ...
The special needs of children in care <ul><li>Does your Health Services Contract specify any training </li></ul><ul><li>or...
Access to health data <ul><li>How are immunizations and vaccinations tracked  </li></ul><ul><li>and monitored for children...
Child and Adolescent Mental  Health Service (CAMHS) <ul><li>There is a particular issue about access to the  </li></ul><ul...
Effective Communication <ul><li>Does the Family Information Service include a local  </li></ul><ul><li>directory of CAMHS ...
Choice and Control <ul><li>“ Children want to be able to choose who  </li></ul><ul><li>they relate to and who they trust, ...
Key Themes  <ul><li>Focus on the needs of the child or young person in care </li></ul><ul><li>Leadership and Vision </li><...
 
Big ideas for improving health services for London’s Looked after Children <ul><li>Involving Children and Young People </l...
Make a difference today  <ul><li>Link up and share emerging practice and insights with colleagues here today, in your loca...
If children live with criticism, they learn to condemn. If children live with hostility, they learn to fight. If children ...
Contact Details <ul><li>Amy Wilkinson Health and Wellbeing Policy Lead Children and Learner's Division Government Office f...
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NCB London Seminar GoL Presentation The Health Of Looked after Children February 2010

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Shirley Ayres, Amy Wilkinson, the health of children in care, NCB, scoping review, learning from emerging practice, final report, GoL, promoting good practice, integrated working, be inspired

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  • I have an unusual background in social work and marketing. My consultancy is focused on knowledge management and communications. I work with children and adult services in the public private and not for profit sectors. This gives me unique perspectives about the challenges and opportunities across the care sector. Fundementally people relate to people not organisations
  • Whilst awareness of the London Pledge was high ~ it is less clear how the Pledge commitments have been communicated to Looked after Children. It is difficult to find the Pledge on most Local Authority websites. How many people here can confidently assert that every young person in care in their Children’s Trust has received a copy of the Pledge?
  • There are a number of different and separate information systems across local authorities and the PCT’s. At least six different database systems were identified as being in use across Local Authorities and PCT’s. Related to this are the differing purposes for which data is collected, which have an impact on the consistency and comparability of the data “ This is a timely process to keep these up dated due to high number of young people living out of borough”
  • The capacity of parents and carers to promote health and well being is affected by the access they have to good, local information, advice and services.
  • NCB London Seminar GoL Presentation The Health Of Looked after Children February 2010

    1. 1. The Health and Wellbeing of London’s Looked After Children NCB Conference 23 rd February 2010 Promoting the health and well being of looked after children: Implementing the guidance in London
    2. 2. Amy Wilkinson Health and Well-being Policy Lead Government Office for London Shirley Ayres Consultant to GoL (Health of Looked after Children)
    3. 3. How are our Looked after children in London? <ul><li>8070 Looked after children living in London ( 1 in 6 of England’s looked after children) </li></ul><ul><li>89% had up to date routine immunizations, a dental health and an annual health check in the previous year (DCSF Stat returns July 2009) </li></ul><ul><li>2 nd best performing region in the country </li></ul>
    4. 4. The London Challenge <ul><li>High numbers of children in care outside of authority with corporate parenting responsibility </li></ul><ul><li>Wide range of diversity of ethnic groups, and unaccompanied asylum seekers </li></ul><ul><li>A significant rate of socio economic and health inequalities </li></ul><ul><li>A dense urban environment </li></ul><ul><li>Local areas with the highest numbers of looked after children in the country </li></ul>
    5. 5. What have we done for our LAC? <ul><li>The London Pledge </li></ul><ul><li>8 Specific ‘Be Healthy Pledges’ </li></ul><ul><li>Mobility work : CAMHS passport for Children in Care </li></ul><ul><li>Scoping study </li></ul><ul><li>Emerging Practice Guide </li></ul>
    6. 6. Messages from the Scoping Review Shirley Ayres
    7. 7. “ A hundred years from now it will not matter what my bank account was, the sort of house I lived in, or the kind of car I drove… but the world may be different because I was important in the life of a child.”   Forest E. Witcraft American Scholar, Teacher and Scout Leader (1894 – 1967
    8. 8. Integrated Working ~ the big challenge <ul><li>Sharing information and resources </li></ul><ul><li>requires: </li></ul><ul><li>Conversations </li></ul><ul><li>Relationships </li></ul><ul><li>Connections </li></ul>
    9. 9. Aims of the Scoping Review <ul><li>The Scoping Review was commissioned to identify emerging </li></ul><ul><li>practice around the health of Looked after Children in London </li></ul><ul><li>The study was initially focused on annual health assessments and </li></ul><ul><li>health plans, immunisation and vaccination rates and school </li></ul><ul><li>attendance. </li></ul><ul><li>After consultations the study was broadened to include the London </li></ul><ul><li>Pledge, commissioning health services for looked after children, </li></ul><ul><li>access to CAMHS, well being initiatives, supporting young women </li></ul><ul><li>in care who become pregnant and sexual relationship education. </li></ul>
    10. 10. Methodology <ul><li>Qualitative and quantitative methods were designed to gather data from across the broad areas of LAC health and well being </li></ul><ul><li>Literature Review </li></ul><ul><li>Review of Children and Young Peoples Plans </li></ul><ul><li>Discussions with stakeholders to identify key issues for consideration </li></ul><ul><li>Identifying emerging practice and meetings with local authorities </li></ul>
    11. 11. Online Survey <ul><li>The questions were developed to gain an awareness and understanding of </li></ul><ul><li>emerging practice which was supporting the health and well being of </li></ul><ul><li>Looked after Children and Young People </li></ul><ul><li>Invitations to complete the survey sent to over 500 named contacts. </li></ul><ul><li>responses were received representing 24 London Boroughs, 9 Primary </li></ul><ul><li>Care/Mental Health Trusts and 12 Voluntary Sector and Independent </li></ul><ul><li>Organisation’s. </li></ul>
    12. 12. Communicating the key messages and themes <ul><li>the online survey, </li></ul><ul><li>meetings and discussion </li></ul><ul><li>October 2009 conference attended by over 120 participants from the care and health sectors </li></ul><ul><li>two publications: Promoting the Health and Well Being of London’s Children in Care – Sharing Emerging Practice and Scoping Review Final Report </li></ul><ul><li>articles on a number of websites tweets, and LinkedIn groups </li></ul>
    13. 13. The London Pledge for Children and Young People in Care <ul><li>Are you aware of the London Pledge for Children and Young </li></ul><ul><li>People in Care? </li></ul><ul><li>  </li></ul><ul><li>Yes 84.4% </li></ul><ul><li>No 14.1% </li></ul><ul><li>Not sure 1.6% </li></ul><ul><li>“ We will only promise you things that we know we can do” </li></ul>
    14. 14. The special needs of children in care <ul><li>Does your Health Services Contract specify any training </li></ul><ul><li>or competence requirements for Doctors and Looked </li></ul><ul><li>after Children Nurses which relate to the special needs </li></ul><ul><li>Of children in care? </li></ul><ul><li>Yes 40.4% </li></ul><ul><li>No 11.5% </li></ul><ul><li>Not sure 48.1% </li></ul>
    15. 15. Access to health data <ul><li>How are immunizations and vaccinations tracked </li></ul><ul><li>and monitored for children in care? </li></ul><ul><li>The PCT has a database 20.0% </li></ul><ul><li>The local authority has a database 11.4% </li></ul><ul><li>They are recorded on both the PCT and local authority database 48.6% </li></ul><ul><li>Not sure 20.0% </li></ul>
    16. 16. Child and Adolescent Mental Health Service (CAMHS) <ul><li>There is a particular issue about access to the </li></ul><ul><li>CAMHS service for looked after children placed </li></ul><ul><li>outside their home borough, looked after </li></ul><ul><li>children in transition and care leavers. </li></ul><ul><li>Mobility work : CAMHS passport for Children in Care </li></ul>
    17. 17. Effective Communication <ul><li>Does the Family Information Service include a local </li></ul><ul><li>directory of CAMHS for children in care available to </li></ul><ul><li>referrers in all agencies, staff and families? </li></ul><ul><li>Yes 39.4% </li></ul><ul><li>No 9.1% </li></ul><ul><li>Not Sure 51.5% </li></ul>
    18. 18. Choice and Control <ul><li>“ Children want to be able to choose who </li></ul><ul><li>they relate to and who they trust, and rely </li></ul><ul><li>on that person to act as lead professional </li></ul><ul><li>communicating on their behalf with the </li></ul><ul><li>other professionals involved – as parents </li></ul><ul><li>generally do for their children”. </li></ul><ul><li>Care Matters: Time to deliver for children in care </li></ul>
    19. 19. Key Themes <ul><li>Focus on the needs of the child or young person in care </li></ul><ul><li>Leadership and Vision </li></ul><ul><li>Recognise that Health and Well Being are at the interface of a number of different services </li></ul><ul><li>A whole systems approach </li></ul><ul><li>The importance of Integrated Working linked with Training, Consultancy and Support </li></ul><ul><li>Commissioning Services ~ outputs and outcomes </li></ul><ul><li>Accountability and Monitoring </li></ul><ul><li>Developing and Sharing Good Practice </li></ul>
    20. 21. Big ideas for improving health services for London’s Looked after Children <ul><li>Involving Children and Young People </li></ul><ul><li>Ask children and young people in care what makes them happy </li></ul><ul><li>Annual Health Assessment </li></ul><ul><li>A national template for health assessments and plans </li></ul><ul><li>Communications and Promotion </li></ul><ul><li>National up to date database of Looked After Children’s Nurses </li></ul><ul><li>and services for LAC so we can access these for our out of </li></ul><ul><li>borough children. </li></ul><ul><li>Health </li></ul><ul><li>Develop screening tool for 0-3 years as SDQ is not validated or </li></ul><ul><li>appropriate for this age group . </li></ul>
    21. 22. Make a difference today <ul><li>Link up and share emerging practice and insights with colleagues here today, in your local area, across London, nationally and internationally. </li></ul><ul><li>Read the GoL Reports and find out what else is happening across London   </li></ul><ul><li>Ensure that every child and young person in care with your authority has their own copy of the Pledge </li></ul><ul><li>Ask your Children’s Trust to hold an annual Partnership Working event which focuses on the needs of children in care.   </li></ul><ul><li>Join the Network for Professionals working with children and young people in care on LinkedIn. Send me an email and I will send you an invitation </li></ul>
    22. 23. If children live with criticism, they learn to condemn. If children live with hostility, they learn to fight. If children live with ridicule, they learn to be shy. If children live with shame, they learn to feel guilty. If children live with encouragement, they learn confidence. If children live with tolerance, they learn to be patient. If children live with praise, they learn to appreciate. If children live with acceptance, they learn to love. If children live with approval, they learn to like themselves. If children live with honesty, they learn truthfulness. If children live with security, they learn to have faith in themselves and others. If children live with friendliness, they learn the world is a nice place in which to live. Children Learn What They Live. Copyright 1972/1975 by Dorothy Law Nolte
    23. 24. Contact Details <ul><li>Amy Wilkinson Health and Wellbeing Policy Lead Children and Learner's Division Government Office for London 157-161 Millbank, London SW1P 4RR </li></ul><ul><li>[email_address] </li></ul><ul><li>www.younglondonmatters.org </li></ul><ul><li>Shirley Ayres ~ Consultant to GoL (Health of looked after Children) </li></ul><ul><li>[email_address] </li></ul><ul><li>www.shirleyayresconsulting.co.uk </li></ul><ul><li>LinkedIn: http://uk.linkedin.com/in/shirleyayres Twitter: http://twitter.com/shirleyayres </li></ul><ul><li>Skype: shirley_ayres </li></ul><ul><li>With special thanks to Kwai Yu ~ Founder of the Leaders Cafe 2020 for sharing the quote and poem. </li></ul><ul><li>  </li></ul>

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