Tim Horsburgh, Lead Clinician, PiP and Children’s Lead Commissioner, Dudley CCG/MCP and Steve Cropper, Academic Advisor, PiP and Keele University talk about innovation in children’s services. They describe Partners in Paediatrics and Dudley.
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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
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
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