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Innovation in Children’s Services:
Partners in Paediatrics and Dudley
Tim Horsburgh, Lead Clinician, PiP and Children’s Lead
Commissioner, Dudley CCG/MCP
Steve Cropper, Academic Advisor, PiP and Keele
University
http://www.partnersinpaediatrics.org
What is PiP?
• An association of organisations with
responsibility for children’s health services
– Initiated 1997; formalised as subscription
association 1998-9; still going!
• Membership: 18 subscribing organisations in
the West Midlands
• Budget and staffing: very small
• Strong and broad clinical engagement in work
streams
The point of PiP
• Improve quality & accessibility of care for children
• Facilitating collaborative work arrangements and
learning about new models of health care
– Managed clinical networks/Integrated care
– Local experimentation and development work
– Sharing knowledge/collaborative professional
development and educational provision
– Listening, watching, advising and advocating
Work past and current …
• Local service
development and
shared learning
 Childhood
constipation
 GP engagement
& confidence
 EWTD
 Eg Dudley
Vanguard…… the
continuing
purpose of PiP
• Wide area
paediatric
networks
 General surgery
 Anaesthetics
 Diabetes
 Gastroenterology
 Rheumatology
 Child Sexual
Abuse
• Paediatric
workforce
• Education and
shared resources
 Region-wide
Clinical
Guidelines
 Education
events – linking
secondary,
community and
primary care
 Engagement
with Children
and Young
People
Dudley CCG - Vanguard Project 2015
Children and Young People’s Support Project
# You Only Life Once
Dr Tim Horsburgh - Clinical Lead
Dr Linda Cropper – Commissioning Manager
‘Our greatest natural resource is the minds
of our children’
Walt Disney
Aims / Outcomes
Life long learning
Healthy Life styles
Whole of Life care planning
Aims
Reduction in poverty
Enhanced Emotional Resilience
Better educational outcomes
Better employment prospects
Reduced LAC
Reduced hospital admissions
Enhanced transition into adulthood
Community motivators
• Children rooted in their community
• Equal Opportunities to educational achievement
• Preservation of social networks and peer support
• Greater opportunity for social interaction
• Access to third sector support
• Whole system life long care planning
Youth Voice
Youth Health Champions -
School engagement and Peer support
Community Groups
Carer Forum
PPGs
Healthcare Forum
PUBLIC VIEWS
Healthcare Forum
5th March 2015
Why ?
Marmot Review – 2010
Children and Families Act - 2014 :
Supporting and Involving YP
Promoting Integration
Five Year Forward View
Integrated approach to service provision
( Report of the Children and YP’s Health Outcomes Forum 2014/15 )
Supporting pupils at school with medical conditions - DoE
2014
National Framework for CYP’s Continuing Care – 2010 +
2015/16
Teaching for Life Project - Summers and Robinson –
archdischild – 2015 -308599.43
Strategic Changes
Health and Well - Being Board – CPY Alliance
Pooled CYP Budgets
Shared assets
Shared IT assets - Improved Data
Working at scale
Local Developments :
Early Help Hub
All Age Emotional Health and Well – being service
MASH
Whole of Life Disability Service
Extension of Troubled Families and FNP
Partnership Working :
How – the MDT approach
Health
GP
DWMH
DGFT
BCPFT
Education
Primary
Secondary
FE
Special
Schools
Local Authority
Social Care / CDT
Public Health - SHA
Friends Family Community
YP
Voluntary Sector
Pilot site
5 Localities in Dudley
Pilot - one locality :
GP Surgeries
Primary Schools
Secondary School (s)
Social Care offices
Disability specific - ASD / CF / DM
Aims / Outcomes
Life long learning
Healthy Life styles
Whole of Life care planning
Outcome Measures
Educational stats
Employment placement
Emotional Health
Hospital Admission stats
Use of Primary Care services data
Personal feedback
Audit of pathways / care plans / reviews
Safeguarding / LAC outcomes
Crime stats
‘An investment in knowledge pays the best
interest’
BenjaminFranklin
Any Questions?

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Tim Horsburgh and Steve Cropper: Partners in Paediatrics

  • 1. Innovation in Children’s Services: Partners in Paediatrics and Dudley Tim Horsburgh, Lead Clinician, PiP and Children’s Lead Commissioner, Dudley CCG/MCP Steve Cropper, Academic Advisor, PiP and Keele University http://www.partnersinpaediatrics.org
  • 2. What is PiP? • An association of organisations with responsibility for children’s health services – Initiated 1997; formalised as subscription association 1998-9; still going! • Membership: 18 subscribing organisations in the West Midlands • Budget and staffing: very small • Strong and broad clinical engagement in work streams
  • 3. The point of PiP • Improve quality & accessibility of care for children • Facilitating collaborative work arrangements and learning about new models of health care – Managed clinical networks/Integrated care – Local experimentation and development work – Sharing knowledge/collaborative professional development and educational provision – Listening, watching, advising and advocating
  • 4. Work past and current … • Local service development and shared learning  Childhood constipation  GP engagement & confidence  EWTD  Eg Dudley Vanguard…… the continuing purpose of PiP • Wide area paediatric networks  General surgery  Anaesthetics  Diabetes  Gastroenterology  Rheumatology  Child Sexual Abuse • Paediatric workforce • Education and shared resources  Region-wide Clinical Guidelines  Education events – linking secondary, community and primary care  Engagement with Children and Young People
  • 5. Dudley CCG - Vanguard Project 2015 Children and Young People’s Support Project # You Only Life Once Dr Tim Horsburgh - Clinical Lead Dr Linda Cropper – Commissioning Manager
  • 6. ‘Our greatest natural resource is the minds of our children’ Walt Disney
  • 7. Aims / Outcomes Life long learning Healthy Life styles Whole of Life care planning
  • 8. Aims Reduction in poverty Enhanced Emotional Resilience Better educational outcomes Better employment prospects Reduced LAC Reduced hospital admissions Enhanced transition into adulthood
  • 9. Community motivators • Children rooted in their community • Equal Opportunities to educational achievement • Preservation of social networks and peer support • Greater opportunity for social interaction • Access to third sector support • Whole system life long care planning
  • 10. Youth Voice Youth Health Champions - School engagement and Peer support Community Groups Carer Forum PPGs Healthcare Forum
  • 12. Why ? Marmot Review – 2010 Children and Families Act - 2014 : Supporting and Involving YP Promoting Integration Five Year Forward View Integrated approach to service provision ( Report of the Children and YP’s Health Outcomes Forum 2014/15 ) Supporting pupils at school with medical conditions - DoE 2014 National Framework for CYP’s Continuing Care – 2010 + 2015/16 Teaching for Life Project - Summers and Robinson – archdischild – 2015 -308599.43
  • 13. Strategic Changes Health and Well - Being Board – CPY Alliance Pooled CYP Budgets Shared assets Shared IT assets - Improved Data Working at scale Local Developments : Early Help Hub All Age Emotional Health and Well – being service MASH Whole of Life Disability Service Extension of Troubled Families and FNP
  • 15.
  • 16. How – the MDT approach Health GP DWMH DGFT BCPFT Education Primary Secondary FE Special Schools Local Authority Social Care / CDT Public Health - SHA Friends Family Community YP Voluntary Sector
  • 17. Pilot site 5 Localities in Dudley Pilot - one locality : GP Surgeries Primary Schools Secondary School (s) Social Care offices Disability specific - ASD / CF / DM
  • 18. Aims / Outcomes Life long learning Healthy Life styles Whole of Life care planning
  • 19. Outcome Measures Educational stats Employment placement Emotional Health Hospital Admission stats Use of Primary Care services data Personal feedback Audit of pathways / care plans / reviews Safeguarding / LAC outcomes Crime stats
  • 20. ‘An investment in knowledge pays the best interest’ BenjaminFranklin