This document discusses involving children and young people in health and social care research. It provides context on policies supporting their involvement. Benefits include research being more relevant and findings more accessible, while challenges include logistics, ethics, and ensuring meaningful participation. Principles for effective involvement include planning at all stages, obtaining informed consent, providing training and support, and evaluating impact. Creative methods and involving youth in evaluation can help overcome challenges.
Barry Percy-Smith_Presentation to PRWE forum_201113Louca-Mai Brady
This document discusses issues, challenges, and possibilities regarding meaningful participation of children. It notes that while children have a right to participate according to the UNCRC, there are still many challenges. Participation is often done on adult terms rather than children's terms. Effective participation involves children having influence at all stages of decision making, not just being consulted. For participation to be embedded, organizations must become learning organizations that reflect on their practices and involve all stakeholders, including children and practitioners, in ongoing learning and change. Examples provided show how participation can be embedded by creating spaces for dialogue, reflection, and inquiry between children and adults.
The Centre for Children and Young People’s Participation, University of Central Lancashire. Presentation for seminar Series 2014, Children and Social Justice, May 2014
'Embedding children and young people’s participation in health services and research'
This document discusses challenges involving young people in a research study and developing alternative models of participation. The original plan was to recruit an advisory group of 10-12 young people who used drug and alcohol services to actively engage throughout the project. However, some challenges emerged such as gatekeepers not passing on information, difficulties with location and commitment to meetings. As a result, an alternative Plan B was developed using a smaller, more flexible advisors group with one-off workshops, telephone meetings, and an online space to communicate. The document poses questions about challenges recruiting "hard to reach" youth, inclusiveness of current participation models, and how to best involve young people in health research beyond just youth advisory groups.
This document provides information about a networking event for those involved in involving children and young people in health and social care research. The event aims to allow participants to share experiences and learn from each other. Background information is provided about the author, including their experience in embedding children and young people's participation in services and research. Key definitions around public involvement in research from INVOLVE are also summarized.
APA 2015_LM Brady involving cyp in research_03.15Louca-Mai Brady
This document discusses children and young people's involvement in research. It defines key terms like consultation, participation, and involvement. It explores models of involvement from being research subjects to collaborators. Practical and ethical considerations for involving children and young people are discussed. Examples of children's advisory groups for health research are provided. The document challenges myths about young people's ability to be involved and provides tips for planning their involvement.
Ysbnt ppi involve conference_11.14_slideshareLouca-Mai Brady
This document describes a study testing the feasibility of adapting Social Behaviour and Network Therapy (SBNT) to treat substance abuse in young people aged 14-18. Researchers involved 10 young people who received substance abuse treatment in providing input. The young people helped adapt SBNT, reviewed materials, shared their treatment experiences, and piloted study questionnaires. Their involvement informed key aspects of the intervention and highlighted challenges in engaging underrepresented youth. A flexible, local model of engagement worked better than a traditional advisory group.
This document discusses involving children and young people in health and social care research. It provides context on policies supporting their involvement. Benefits include research being more relevant and findings more accessible, while challenges include logistics, ethics, and ensuring meaningful participation. Principles for effective involvement include planning at all stages, obtaining informed consent, providing training and support, and evaluating impact. Creative methods and involving youth in evaluation can help overcome challenges.
Barry Percy-Smith_Presentation to PRWE forum_201113Louca-Mai Brady
This document discusses issues, challenges, and possibilities regarding meaningful participation of children. It notes that while children have a right to participate according to the UNCRC, there are still many challenges. Participation is often done on adult terms rather than children's terms. Effective participation involves children having influence at all stages of decision making, not just being consulted. For participation to be embedded, organizations must become learning organizations that reflect on their practices and involve all stakeholders, including children and practitioners, in ongoing learning and change. Examples provided show how participation can be embedded by creating spaces for dialogue, reflection, and inquiry between children and adults.
The Centre for Children and Young People’s Participation, University of Central Lancashire. Presentation for seminar Series 2014, Children and Social Justice, May 2014
'Embedding children and young people’s participation in health services and research'
This document discusses challenges involving young people in a research study and developing alternative models of participation. The original plan was to recruit an advisory group of 10-12 young people who used drug and alcohol services to actively engage throughout the project. However, some challenges emerged such as gatekeepers not passing on information, difficulties with location and commitment to meetings. As a result, an alternative Plan B was developed using a smaller, more flexible advisors group with one-off workshops, telephone meetings, and an online space to communicate. The document poses questions about challenges recruiting "hard to reach" youth, inclusiveness of current participation models, and how to best involve young people in health research beyond just youth advisory groups.
This document provides information about a networking event for those involved in involving children and young people in health and social care research. The event aims to allow participants to share experiences and learn from each other. Background information is provided about the author, including their experience in embedding children and young people's participation in services and research. Key definitions around public involvement in research from INVOLVE are also summarized.
APA 2015_LM Brady involving cyp in research_03.15Louca-Mai Brady
This document discusses children and young people's involvement in research. It defines key terms like consultation, participation, and involvement. It explores models of involvement from being research subjects to collaborators. Practical and ethical considerations for involving children and young people are discussed. Examples of children's advisory groups for health research are provided. The document challenges myths about young people's ability to be involved and provides tips for planning their involvement.
Ysbnt ppi involve conference_11.14_slideshareLouca-Mai Brady
This document describes a study testing the feasibility of adapting Social Behaviour and Network Therapy (SBNT) to treat substance abuse in young people aged 14-18. Researchers involved 10 young people who received substance abuse treatment in providing input. The young people helped adapt SBNT, reviewed materials, shared their treatment experiences, and piloted study questionnaires. Their involvement informed key aspects of the intervention and highlighted challenges in engaging underrepresented youth. A flexible, local model of engagement worked better than a traditional advisory group.
Dan Moxon: Using youth led research to create change in the NHS Louca-Mai Brady
Over 6 years, Peopledialoguechange.org delivered numerous youth engagement projects with partners to involve young people in health services. Initially, they used a youth forum model with 8-150 young people providing democratic representation. However, this model faced tensions regarding priorities and limitations. Peopledialoguechange.org then shifted focus to using paid young researchers conducting youth-led research projects involving 100-1000+ young people generating knowledge to influence health policy and services. This research model was found to be most effective for creating change within commissioning environments.
The document provides information about the Children and Young People's Improving Access to Psychological Therapies (CYP IAPT) Programme in the UK. It discusses (1) the high costs of mental illness in children and the benefits of evidence-based practice, (2) how CYP IAPT aims to transform child mental health services (CAMHS) through expanding the workforce's skills in evidence-based practices, increasing collaborative and outcomes-focused care, and transforming participating services, and (3) some of CYP IAPT's achievements so far including developing national curricula for therapies and supervision, empowering young people, and linking service improvements to better adoption of evidence-based practices.
Using Feedback and Clinical Outcome Tools to Improve Collaborative Practice a...CYP MH
CYP IAPT 2014 National Conference
This workshop will explore how the use of feedback forms and clinical outcome measures can be used to improve collaborative practice and shared decision making in CAMHS, and how the information can be used to enhance clinical supervision. The workshop will set out some of the uses and evidence base for the use of feedback and outcome forms, explore the uses of the information in clinical practice and in supervision, and draw on delegates’ own experiences and ideas of using feedback and outcome forms to improve clinical practice
This document summarizes a maternal, newborn and child health summit. It identifies gaps in healthcare delivery such as lack of trained healthcare workers, poor working conditions, and lack of access points. Projects from various organizations aim to address these gaps. There are also issues with maldistribution of healthcare workers and incentives. The document emphasizes not overanalyzing problems and copying solutions from others. Coordination between different levels of government is key. It identifies priority areas and populations to focus on and asks if stakeholders are committed to improving healthcare.
The document summarizes the work of Calgary Urban Project Society (CUPS), a non-profit organization that provides integrated health, education, and housing services to help vulnerable Calgarians overcome poverty. It describes CUPS' proposed CUPS Coordinated Care Team, which would provide intensive case management and transitional support to vulnerable patients presenting at Emergency Departments, with the goal of improving health outcomes, reducing healthcare costs, and decreasing homelessness and substance abuse rates. The team would be funded by the Green Shield Canada Foundation through a two-year pilot project at the Foothills Medical Centre.
This document discusses a partnership between Klinic Community Health Centre and the Public Health Agency of Canada to develop Klinic into a trauma-informed organization. The project aims to 1) create a strategy to make Klinic trauma-informed, 2) develop a decision tool addressing social determinants of health, 3) create a framework using trauma-informed and social determinants principles, and 4) share learnings. Trauma-informed care shifts focus to a person's experiences rather than what's wrong with them. It involves trauma-informed staff, spaces, and organizational policies and procedures. The partnership benefits both organizations by strengthening public health capacity and allowing Klinic to integrate knowledge of trauma and social determinants into its practices
Nick Goodwin: making a success of care co-ordinationThe King's Fund
Nick Goodwin, Chief Executive at the International Foundation for Integrated Care, looks at how care could be better co-ordinated around people with complex needs, and the challenges around delivering joined-up care.
Learning Disabilities: Share and Learn Webinar Thursday 27 October 2016Paul Goulding
Topic one: What helps makes a successful Care and Treatment Review?
Guest speakers:
Anne Webster, Clinical Lead, Learning Disability Programme, NHS England
Gavin Harding, MBE, Learning Disability Advisor, Learning Disability Programme, NHS England
Maggie Graham, Learning Disability Programme, NHS England
The presentation focused on everyone’s role in a Care and Treatment Review and explored the vital role of the chair of the panel, the expert advisers and also people who attend a panel, for example the role of an advocate at a CTR.
The presentation was also provided an update on the policy refresh, what is happening and when, and a discussion about the role of the learning disability advisers in the programme.
Topic Two: Guidance for TCPs in relation to Children and Young People
Guest Speaker: Phil Brayshaw, NHS England
The presentation considered how Transforming Care Partnerships can plan and deliver local support and services for children, young people and their families. This is ahead of the publication of “Developing support and services for children and young people with learning disabilities and/or autism” later this year (November).
The presentation also considered each of the 9 principles of the Service Model: Supporting people with a learning disability and/or autism who display behaviour that challenges, including those with a mental health condition: Service model for commissioners of health and social care services, how they relate specifically to children and young people and what this will mean in terms of local commissioning intentions going forwards.
You can view the webinar recording below.
This hour long webinar with Helen Wheatley will provide an insight into the development of the NICE guideline "Transition from children's to adult's services". It will outline key recommendations from the guideline as well as providing an overview of good practice in transitions.
Aimed at: Frontline practitioners working with children and young people and their families
The document discusses issues and opportunities around student health services at UNSW. It notes that student visits have increased in recent years. Mental health issues represent 12-15% of visits but services are constrained. It advocates for better integration of mental health services on campus and with other student support services. Sexual health issues are also a concern, with high STD rates, and improving access and education is suggested. The challenges of meeting diverse student needs with limited resources are discussed. Models from other universities and integrated, team-based approaches are presented as best practices.
Your opportunity to feedback on stakeholder thinking to date.
Identify opportunities and any challenges in the proposed new ways of working.
To be confident we can bring about the proposed changes by ensuring we have expert views from all those who have a role to play in supporting the implementation.
Project PARTNER (Partnering with Adolescents to Ready The Newest Engaged Rese...YTH
The intersection of community engagement, research, and interactive technology is an innovative way for youth to develop leadership and 21st century skills. The California Adolescent Health Collaborative and community health clinic partners, Livingston Community Health and Asian Health Services, developed Project PARTNER, where youth in rural and urban communities learn critical thinking, problem solving, and collaborative processes through researching community health issues. \n\nYouth and adult allies from the health clinics were recruited to be members of a cross-generational and cross-regional community advisory board and were trained in research methodology. The online educational technology platform Kahoot!, and the mobile app Kahoot!, were utilized in training members on research fundamentals. The advisory boards then developed community surveys through Google Forms and utilized its mobile app feature to canvas neighborhoods to obtain community data. With data collected, they will develop research questions and participate in collaborative cross-site activities to support their research.
Learning Disabilities: Share and Learn Webinar – 29 June 2017NHS England
Topic One : Violence or behaviour that challenges in children with learning disabilities and autism – how you can help to make a difference
Guest speaker: Yvonne Newbold, World Health Innovation Summit Ambassador - Learning Disabilities, Autism and their Families
Around 25% of children who are diagnosed with a learning disability or autism will develop violent and challenging behaviour yet there is very little understanding or awareness of this issue. This means that affected families, who are already coping with frightening and dangerous situations every day at home, are often met with disbelief, judgement and blame from the people they turn to for help. Yvonne Newbold talks through some simple strategies that could make all the difference.
Topic Two : Positive Behaviour Support – Supporting people with behaviours of concern in their communities
Guest speaker: Tom Evans, PBS Development Lead, British Institute of Learning Disabilities
This webinar focuses on Positive Behaviour Support and how it can support children and adults who are at risk of being excluded or experiencing restrictive practices because they have behaviours that are considered to be challenging or concerning.
This document summarizes an event about health equity held in Charlottetown, PEI on April 9, 2013. It provides background on the organizing partners, including the National Collaborating Centre for Determinants of Health (NCCDH) and the Public Health Association of NB-PEI. The agenda for the day is outlined, including a video, presentations on promising practices and leadership for health equity, and a showcase of PEI health equity work. The goal of the event was to increase understanding of social determinants of health and how public health practitioners can address the root causes of inequities.
The document discusses mental health issues affecting young people aged 12-25 and proposes a new service model called headspace to address these issues. Some key points:
- 14-27% of young people experience mental health problems each year, with 75% of issues emerging before age 25. Up to 50% of substance abuse is preceded by mental health issues.
- The headspace model proposes bridging gaps between services, providing early intervention, and making services accessible, youth-friendly and tailored to local needs.
- It involves co-locating and integrating services, capacity building, and meaningful youth participation to help the large portion of young people affected by mental health and substance use issues.
Guest speakers: Siobhan Gorry and Sarah Jackson - NHS England and Carl Shaw and David Gill – Learning Disability advisors
Understand about unnecessary admission to hospital and avoid lengthy stays, ensuring treatment has clearly defined outcomes, planning for discharge from admission (CTR policy)
Learn about specific pathways that will enable children and young people to remain with or near to family and get the support they need aligned to the service model
Hear about innovative ideas to be tested/evaluated of supporting CYP and families through a grants process
Understand how children and young people with LD and/or autism can leave school with a good education, health and care plan or other transition plan that supports their transition to adulthood leading to better outcomes for them and their families.
This document describes a case study of efforts in Winnipeg, Canada to increase awareness and action around health equity internally within the Winnipeg Regional Health Authority (WRHA). It outlines challenges faced in developing common ownership of health equity, finding necessary evidence and resources, maintaining leadership motivation, determining roles, establishing priorities, and overcoming competing budgets. Strengths included cross-sector involvement and endorsement from senior WRHA management. Outcomes to date included incorporating health equity into regional planning and strategic public health plans focused on community need.
Hi52Hlth: Using Mobile Technology to Access Healthcare for TeensYTH
Hi52Hlth is a mobile application (app) created to engage adolescents and young adults in the search for resources in the Houston area. The app allows the user to search for locations of clinics and community organizations with directions, articles and videos on HIV/AIDS, ability to ask questions directly to health avatars ("Tiff" and "Ty"), PEP (Post-Exposure Prophylaxis) and PrEP (Pre-Exposure Prophylaxis) information, and a frequently asked questions section.
1) The Boyle McCauley Health Centre in Edmonton started with a small research position coordinating a longitudinal study and has expanded to conducting various research and evaluation projects to gather data for strategic planning, program implementation, and funding applications.
2) One project involved redesigning evaluation protocols for the Pathways to Housing Edmonton program, which included input from clients.
3) An analysis of electronic medical record data from the health centre identified the top 20 problems clients seek help with, such as finding employment, housing supports, and dealing with medication management.
Developing Performance Measures through a Consultative ProcessKate Powadiuk
This document summarizes the development of performance indicators to measure the impact of Ontario's Accessibility for Ontarians with Disabilities Act (AODA). It involved background research, consultation with stakeholders, and a priority sorting process. Twelve indicators across five domains (customer service, employment, information, transportation, public spaces) were recommended to capture changes in quality of life. The process highlighted that people with disabilities want to provide input and see the AODA taken seriously. It also showed that online surveys can effectively engage stakeholders if organizations represent populations.
UCSF CER - What PCORI Wants (Symposium 2013)CTSI at UCSF
This document summarizes a presentation about the Patient-Centered Outcomes Research Institute (PCORI). PCORI is funding patient-centered comparative effectiveness research. The presentation highlights two award winning projects, discusses some projects that were not funded, and outlines PCORI's funding priorities and challenges. PCORI wants to advance research that engages stakeholders, reflects patient variability, and focuses on important health outcomes without using cost-effectiveness as a funding criterion. Opportunities for PCORI include supporting real-world evidence generation and incorporating diverse stakeholder perspectives, but challenges include stakeholder burnout and operating in the current fiscal environment.
This document summarizes a gender-informed program called "What Were We Thinking" that aims to prevent postnatal mental health problems in women. It discusses the partnership between Monash University and Jean Hailes for Women's Health that generates and translates knowledge on this topic. It also provides information on prevalence of postnatal mental disorders, risk factors, existing prevention approaches, and describes the psychoeducational program components and evaluation through a randomized controlled trial. Translations for health professionals and consumers are discussed, along with strategies for sustainability.
Dan Moxon: Using youth led research to create change in the NHS Louca-Mai Brady
Over 6 years, Peopledialoguechange.org delivered numerous youth engagement projects with partners to involve young people in health services. Initially, they used a youth forum model with 8-150 young people providing democratic representation. However, this model faced tensions regarding priorities and limitations. Peopledialoguechange.org then shifted focus to using paid young researchers conducting youth-led research projects involving 100-1000+ young people generating knowledge to influence health policy and services. This research model was found to be most effective for creating change within commissioning environments.
The document provides information about the Children and Young People's Improving Access to Psychological Therapies (CYP IAPT) Programme in the UK. It discusses (1) the high costs of mental illness in children and the benefits of evidence-based practice, (2) how CYP IAPT aims to transform child mental health services (CAMHS) through expanding the workforce's skills in evidence-based practices, increasing collaborative and outcomes-focused care, and transforming participating services, and (3) some of CYP IAPT's achievements so far including developing national curricula for therapies and supervision, empowering young people, and linking service improvements to better adoption of evidence-based practices.
Using Feedback and Clinical Outcome Tools to Improve Collaborative Practice a...CYP MH
CYP IAPT 2014 National Conference
This workshop will explore how the use of feedback forms and clinical outcome measures can be used to improve collaborative practice and shared decision making in CAMHS, and how the information can be used to enhance clinical supervision. The workshop will set out some of the uses and evidence base for the use of feedback and outcome forms, explore the uses of the information in clinical practice and in supervision, and draw on delegates’ own experiences and ideas of using feedback and outcome forms to improve clinical practice
This document summarizes a maternal, newborn and child health summit. It identifies gaps in healthcare delivery such as lack of trained healthcare workers, poor working conditions, and lack of access points. Projects from various organizations aim to address these gaps. There are also issues with maldistribution of healthcare workers and incentives. The document emphasizes not overanalyzing problems and copying solutions from others. Coordination between different levels of government is key. It identifies priority areas and populations to focus on and asks if stakeholders are committed to improving healthcare.
The document summarizes the work of Calgary Urban Project Society (CUPS), a non-profit organization that provides integrated health, education, and housing services to help vulnerable Calgarians overcome poverty. It describes CUPS' proposed CUPS Coordinated Care Team, which would provide intensive case management and transitional support to vulnerable patients presenting at Emergency Departments, with the goal of improving health outcomes, reducing healthcare costs, and decreasing homelessness and substance abuse rates. The team would be funded by the Green Shield Canada Foundation through a two-year pilot project at the Foothills Medical Centre.
This document discusses a partnership between Klinic Community Health Centre and the Public Health Agency of Canada to develop Klinic into a trauma-informed organization. The project aims to 1) create a strategy to make Klinic trauma-informed, 2) develop a decision tool addressing social determinants of health, 3) create a framework using trauma-informed and social determinants principles, and 4) share learnings. Trauma-informed care shifts focus to a person's experiences rather than what's wrong with them. It involves trauma-informed staff, spaces, and organizational policies and procedures. The partnership benefits both organizations by strengthening public health capacity and allowing Klinic to integrate knowledge of trauma and social determinants into its practices
Nick Goodwin: making a success of care co-ordinationThe King's Fund
Nick Goodwin, Chief Executive at the International Foundation for Integrated Care, looks at how care could be better co-ordinated around people with complex needs, and the challenges around delivering joined-up care.
Learning Disabilities: Share and Learn Webinar Thursday 27 October 2016Paul Goulding
Topic one: What helps makes a successful Care and Treatment Review?
Guest speakers:
Anne Webster, Clinical Lead, Learning Disability Programme, NHS England
Gavin Harding, MBE, Learning Disability Advisor, Learning Disability Programme, NHS England
Maggie Graham, Learning Disability Programme, NHS England
The presentation focused on everyone’s role in a Care and Treatment Review and explored the vital role of the chair of the panel, the expert advisers and also people who attend a panel, for example the role of an advocate at a CTR.
The presentation was also provided an update on the policy refresh, what is happening and when, and a discussion about the role of the learning disability advisers in the programme.
Topic Two: Guidance for TCPs in relation to Children and Young People
Guest Speaker: Phil Brayshaw, NHS England
The presentation considered how Transforming Care Partnerships can plan and deliver local support and services for children, young people and their families. This is ahead of the publication of “Developing support and services for children and young people with learning disabilities and/or autism” later this year (November).
The presentation also considered each of the 9 principles of the Service Model: Supporting people with a learning disability and/or autism who display behaviour that challenges, including those with a mental health condition: Service model for commissioners of health and social care services, how they relate specifically to children and young people and what this will mean in terms of local commissioning intentions going forwards.
You can view the webinar recording below.
This hour long webinar with Helen Wheatley will provide an insight into the development of the NICE guideline "Transition from children's to adult's services". It will outline key recommendations from the guideline as well as providing an overview of good practice in transitions.
Aimed at: Frontline practitioners working with children and young people and their families
The document discusses issues and opportunities around student health services at UNSW. It notes that student visits have increased in recent years. Mental health issues represent 12-15% of visits but services are constrained. It advocates for better integration of mental health services on campus and with other student support services. Sexual health issues are also a concern, with high STD rates, and improving access and education is suggested. The challenges of meeting diverse student needs with limited resources are discussed. Models from other universities and integrated, team-based approaches are presented as best practices.
Your opportunity to feedback on stakeholder thinking to date.
Identify opportunities and any challenges in the proposed new ways of working.
To be confident we can bring about the proposed changes by ensuring we have expert views from all those who have a role to play in supporting the implementation.
Project PARTNER (Partnering with Adolescents to Ready The Newest Engaged Rese...YTH
The intersection of community engagement, research, and interactive technology is an innovative way for youth to develop leadership and 21st century skills. The California Adolescent Health Collaborative and community health clinic partners, Livingston Community Health and Asian Health Services, developed Project PARTNER, where youth in rural and urban communities learn critical thinking, problem solving, and collaborative processes through researching community health issues. \n\nYouth and adult allies from the health clinics were recruited to be members of a cross-generational and cross-regional community advisory board and were trained in research methodology. The online educational technology platform Kahoot!, and the mobile app Kahoot!, were utilized in training members on research fundamentals. The advisory boards then developed community surveys through Google Forms and utilized its mobile app feature to canvas neighborhoods to obtain community data. With data collected, they will develop research questions and participate in collaborative cross-site activities to support their research.
Learning Disabilities: Share and Learn Webinar – 29 June 2017NHS England
Topic One : Violence or behaviour that challenges in children with learning disabilities and autism – how you can help to make a difference
Guest speaker: Yvonne Newbold, World Health Innovation Summit Ambassador - Learning Disabilities, Autism and their Families
Around 25% of children who are diagnosed with a learning disability or autism will develop violent and challenging behaviour yet there is very little understanding or awareness of this issue. This means that affected families, who are already coping with frightening and dangerous situations every day at home, are often met with disbelief, judgement and blame from the people they turn to for help. Yvonne Newbold talks through some simple strategies that could make all the difference.
Topic Two : Positive Behaviour Support – Supporting people with behaviours of concern in their communities
Guest speaker: Tom Evans, PBS Development Lead, British Institute of Learning Disabilities
This webinar focuses on Positive Behaviour Support and how it can support children and adults who are at risk of being excluded or experiencing restrictive practices because they have behaviours that are considered to be challenging or concerning.
This document summarizes an event about health equity held in Charlottetown, PEI on April 9, 2013. It provides background on the organizing partners, including the National Collaborating Centre for Determinants of Health (NCCDH) and the Public Health Association of NB-PEI. The agenda for the day is outlined, including a video, presentations on promising practices and leadership for health equity, and a showcase of PEI health equity work. The goal of the event was to increase understanding of social determinants of health and how public health practitioners can address the root causes of inequities.
The document discusses mental health issues affecting young people aged 12-25 and proposes a new service model called headspace to address these issues. Some key points:
- 14-27% of young people experience mental health problems each year, with 75% of issues emerging before age 25. Up to 50% of substance abuse is preceded by mental health issues.
- The headspace model proposes bridging gaps between services, providing early intervention, and making services accessible, youth-friendly and tailored to local needs.
- It involves co-locating and integrating services, capacity building, and meaningful youth participation to help the large portion of young people affected by mental health and substance use issues.
Guest speakers: Siobhan Gorry and Sarah Jackson - NHS England and Carl Shaw and David Gill – Learning Disability advisors
Understand about unnecessary admission to hospital and avoid lengthy stays, ensuring treatment has clearly defined outcomes, planning for discharge from admission (CTR policy)
Learn about specific pathways that will enable children and young people to remain with or near to family and get the support they need aligned to the service model
Hear about innovative ideas to be tested/evaluated of supporting CYP and families through a grants process
Understand how children and young people with LD and/or autism can leave school with a good education, health and care plan or other transition plan that supports their transition to adulthood leading to better outcomes for them and their families.
This document describes a case study of efforts in Winnipeg, Canada to increase awareness and action around health equity internally within the Winnipeg Regional Health Authority (WRHA). It outlines challenges faced in developing common ownership of health equity, finding necessary evidence and resources, maintaining leadership motivation, determining roles, establishing priorities, and overcoming competing budgets. Strengths included cross-sector involvement and endorsement from senior WRHA management. Outcomes to date included incorporating health equity into regional planning and strategic public health plans focused on community need.
Hi52Hlth: Using Mobile Technology to Access Healthcare for TeensYTH
Hi52Hlth is a mobile application (app) created to engage adolescents and young adults in the search for resources in the Houston area. The app allows the user to search for locations of clinics and community organizations with directions, articles and videos on HIV/AIDS, ability to ask questions directly to health avatars ("Tiff" and "Ty"), PEP (Post-Exposure Prophylaxis) and PrEP (Pre-Exposure Prophylaxis) information, and a frequently asked questions section.
1) The Boyle McCauley Health Centre in Edmonton started with a small research position coordinating a longitudinal study and has expanded to conducting various research and evaluation projects to gather data for strategic planning, program implementation, and funding applications.
2) One project involved redesigning evaluation protocols for the Pathways to Housing Edmonton program, which included input from clients.
3) An analysis of electronic medical record data from the health centre identified the top 20 problems clients seek help with, such as finding employment, housing supports, and dealing with medication management.
Developing Performance Measures through a Consultative ProcessKate Powadiuk
This document summarizes the development of performance indicators to measure the impact of Ontario's Accessibility for Ontarians with Disabilities Act (AODA). It involved background research, consultation with stakeholders, and a priority sorting process. Twelve indicators across five domains (customer service, employment, information, transportation, public spaces) were recommended to capture changes in quality of life. The process highlighted that people with disabilities want to provide input and see the AODA taken seriously. It also showed that online surveys can effectively engage stakeholders if organizations represent populations.
UCSF CER - What PCORI Wants (Symposium 2013)CTSI at UCSF
This document summarizes a presentation about the Patient-Centered Outcomes Research Institute (PCORI). PCORI is funding patient-centered comparative effectiveness research. The presentation highlights two award winning projects, discusses some projects that were not funded, and outlines PCORI's funding priorities and challenges. PCORI wants to advance research that engages stakeholders, reflects patient variability, and focuses on important health outcomes without using cost-effectiveness as a funding criterion. Opportunities for PCORI include supporting real-world evidence generation and incorporating diverse stakeholder perspectives, but challenges include stakeholder burnout and operating in the current fiscal environment.
This document summarizes a gender-informed program called "What Were We Thinking" that aims to prevent postnatal mental health problems in women. It discusses the partnership between Monash University and Jean Hailes for Women's Health that generates and translates knowledge on this topic. It also provides information on prevalence of postnatal mental disorders, risk factors, existing prevention approaches, and describes the psychoeducational program components and evaluation through a randomized controlled trial. Translations for health professionals and consumers are discussed, along with strategies for sustainability.
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Population and Public Health Branch of Saskatoon Health Region deployed improvement methods to develop a comprehensive strategy to improve outcomes for small children ages 0 to 5. The Early Years Health and Development Strategy (EYHDS) team comprised of 5 front line staff and an improvement consultant worked intensively over three months (Feb, Mar, and April, 2012) to Define, Measure and Analyze the opportunity for improvement and generated 25 recommendations. The result was a set of related recommendations for health planners, governments and community organizations. The presentation will demonstrate how improvement methods can be used effectively in community based health promotion areas of health care.
Better Health
Mary Smillie; Dr. Julie Kryzanowski, Saskatoon Health Region
Holiday Hunger Research & Evaluation FrameworkRobin Beveridge
Greta Defayter's presentation of research into evaluation methodologies for holiday hunger programmes in the UK, as delivered to Holiday Hunger North East group on 22 Oct 14.
As health care and financing systems become more sophisticated, health care systems are increasingly using a process known as "risk tiering" to group patients with similar degrees of need for health care and care coordination services. Families and care providers of children with chronic and complex conditions should understand the risk tiering process, as it may affect access to services these children need.
Presentation to Centre for Studies of Childhood and Youth5th International Conference. "Researching children's everyday lives: socio-cultural contexts "
Converting research into advocacy from Ilm Ideas on Slide Shareilmideas
This document provides an overview of a workshop on converting research into advocacy. It includes information on advocacy strategies and formats, case studies, and exercises. Research tools used by grantees are summarized, including interviews, focus groups, and surveys. Key skills for using research for advocacy are identified, such as analyzing situations, identifying targets, and developing advocacy plans. Organizational capacity for research and advocacy is assessed. The purpose and definitions of advocacy are outlined. Steps for advocacy strategy formulation are presented, including selecting issues and understanding stakeholders. The document provides examples of advocacy at different levels from village to national.
The PEACH Study: What Makes for Effective Prevention in Domestic Abuse for Ch...BASPCAN
The PEACH Study reviewed the effectiveness of prevention programmes for domestic abuse among children and young people. It found that:
1) Few programmes explicitly aimed to change behaviors, most aimed to raise awareness, knowledge and understanding instead.
2) Nine controlled trials and 14 cohort studies showed some evidence of medium and long-term outcomes like behavioral changes, increased awareness and help-seeking.
3) Programmes worked best for small, high-risk groups and increasingly targeted boys. They paid little attention to marginalized groups like LGBT youth.
Patient Engagement for Data Science, Technology & EngineeringCHICommunications
Learn the necessities and relationship between patient engagement and data science, engineering and technology.
Presented by Trish Roche, CHI's Knowledge Translation Practice Lead, this presentation is geared towards professionals in data science looking to hone their skills in patient engagement.
Why Patient Engagement Matters in Data Science, Engineering and TechnologyCHICommunications
This presentation, delivered on February 28, 2024, discusses and defines patient-oriented research as it relates to the fields of data science, engineering and technology.
Participants also learned about CHI's annual Preparing for Research by Engaging Patient and Public Partners (PREPPP) award.
chimb.ca
The document discusses initiatives of the Greater Auckland Integrated HealthCare Networks (GAIHN) which includes 3 DHBs, 10 PHOs, over 300 general practices, and 1.25 million enrolled patients. GAIHN is working on several projects including access to diagnostics, optimizing prescribing, clinical pathways, a regional after hours solution, and more. They are also establishing clinical alliance teams to address acute demand, long term conditions, and reducing inequalities. GAIHN supports national health IT strategies and focuses on sharing resources and information between partners through regional e-referrals, e-shared care plans, and population health repositories to improve outcomes, efficiency and patient experiences across the healthcare system.
Embedding CYP’s participation in health services & researchLouca-Mai Brady
Louca-Mai Brady's background includes research on embedding children and young people's participation in health services and research. There is a lack of evidence on how to ensure participation is meaningful, effective and sustained. Barriers include understanding participation, power dynamics, and challenges recruiting and sustaining involvement of diverse groups of young people. Through action research case studies in an NHS trust and clinical trial, Brady is exploring how to define, operationalize and embed participation at different levels and settings to overcome barriers and be meaningful, effective and sustainable. Flexible, local, youth-centered engagement has proven more successful than traditional advisory groups.
Better Healthcare Through Community and Stakeholder Engagement, 2015 Webinar ...Paul Gallant
"An enjoyable presentation, well-delivered with excellent insight into community and stakeholder engagement strategies. Terry Dyni - July 23, 2015" on the webinar version. This version is my complete slide deck from a live webinar presentation requested by the Conference Board of Canada. April, 2015. Thanks for your interest in Better Healthcare Through Community and Stakeholder Engagement.
Compliments of Paul W. Gallant, CHE, GALLANT HEALTHWORKS & Associates (GHWA), Vancouver, BC, Canada. PS See the last slide for contact details or to arrange customized training/facilitation or advice on your organizational needs.
his is the first in a series of interactive webinars designed to build capacity in the basic principles of knowledge translation and implementation science.
WATCH-ON DEMAND: https://goo.gl/hnp8gi
Professor Elizabeth Waters, Coordinating Editor of the Cochrane Public Health Review Group & Melbourne School of Population Health, University of Melbourne
1) The document discusses reflections on cohorts and longitudinal population studies, focusing on their strengths and weaknesses. It summarizes a survey of 77 cohort studies across 32 low and middle-income countries.
2) Key recommendations include improving data linkage, coordination between studies, use of emerging technologies, capacity building, data sharing, standardization, and translation of research outputs.
3) Barriers to effective data sharing are discussed, as well as initiatives by the Wellcome Trust to address priorities like data discoverability, incentives for data sharing, and ensuring ethical standards.
The document summarizes a team's proposal on universal access to primary health care. The team details their coordinator, members, and contact information. It then discusses definitions of primary health care, principles of PHC, services offered at health centers, strategies to improve quality PHC according to WHO, requirements for universal access, and proposed solutions focusing on patient-provider relationships and comprehensive, equitable care.
On 9 February 2016 Guy's and St Thomas' Charity brought together health professionals, decision-makers, voluntary organisations, patient representatives and others in Lambeth and Southwark to explore ways of improving health by looking outside the confines of healthcare. We wanted to showcase and discuss approaches to improving health outcomes which tackle the wider aspects that impact on people’s wellbeing – from housing to education or social connections.
Speakers:
- Imogen Moore – Citizens UK
- Jeremy Swain – Thames Reach
- Catherine Pearson – Healthwatch Lambeth
- Ollie Smith – Guy’s and St Thomas’ Charity
Find out more about the event and our work supporting new ideas in health at www.gsttcharity.org.uk
Tim Horsburgh and Steve Cropper: Partners in PaediatricsNuffield Trust
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.
Similar to Running Horse Group - Event Outcomes (25th May 2018) (20)
This document discusses performance optimization in healthcare. It addresses questions like what, why, who, where, and how to optimize as well as examples of optimization. Key points mentioned include optimizing for different roles like doctors, nurses, and managers. The document also discusses metrics like competence, confidence, and "safeness" as well as strategies like simulation and debriefing to aid in optimization. References are provided to related publications and educational resources.
East Midlands Emergency Department Safety Huddle Collaborative (May 2018)Damian Roland
This document describes a meeting to discuss implementing safety huddles across emergency and maternity departments. The goals are to improve communication, situational awareness, and teamwork to better recognize deteriorating patients. Participants will discuss defining problems, leadership, and local change. Presentations will outline plans for safety huddles with the aim of taking ideas forward to reduce medical errors and patient harm through early detection of worsening conditions. Effective communication and recognizing deterioration early can significantly reduce mortality rates.
An introduction to Quality (for improvement)Damian Roland
This document provides an introduction to quality improvement in healthcare. It discusses several definitions of quality, including the six dimensions defined by the US Institute of Medicine: healthcare must be safe, effective, patient-centered, timely, efficient and equitable. It also discusses the importance of measuring outcomes and reducing unwarranted variation. Quality improvement requires assessing the impact of changes, sustaining improvements through repeated measurement, and recognizing that meaningful change requires collaboration rather than working alone.
Celebration day damian roland presentationDamian Roland
NHS staff across the UK took part in the largest day of simultaneous action in the history of the NHS. Staff engaged in a variety of activities from singing to treating sepsis to using spinal boards. The day aimed to highlight the work of frontline NHS staff.
Damian PechaKucha presentation Spreading ChangeDamian Roland
This document discusses quality improvement in pediatrics and child health. It was authored by Dr. Damian Roland on behalf of the Running Horse Group. It provides sources on changing employee behavior and traits, as well as Pareto's principle that 20% of effort results in 80% of outcomes. The document advocates for spreading change through culture, calls to action, and challenges.
Helen Bevan chaired the Advisory Forum meeting to provide a brief update on progress for NHS Change Day 2014, which was 6 weeks away. Representatives provided updates on regional hubs, media launch week, the website, expo plans, and global activities. The group then discussed how Change Day feels this year compared to previous years, how to best support frontline workers, examples of organizations using the opportunity, and potential opportunities and challenges. Plans were made to pledge support for Change Day and the next meeting was scheduled for February 24th.
Change Day Young Leaders Evaluation of Change DayDamian Roland
The document summarizes discussions from a meeting about learning from the 2013 NHS Change Day and how young clinical leaders can influence change. Key points discussed include:
- Engagement between junior clinicians and senior leaders is often lacking. Change ideas are sometimes opportunistic or building on existing work.
- Time is a scarce resource for both implementing changes and gaining followers.
- Role models, skills/training, passion, and professional networks can help drive change but more support is needed.
- Hierarchies, mindsets that things are "not my job", and a lack of positivity in media can create barriers to change.
- Next steps discussed integrating Change Day champions, reaching more groups, and a
Effective leadership and management skills are important in clinical and non-clinical settings. Leaders must be able to organize, prioritize, and delegate tasks, and help others develop leadership skills. Leaders are responsible for their followers and must be able to explain what they have done for patients.
AMEE presentation 2011 Junior Doctor engagement with elearning toolDamian Roland
This document summarizes research on engagement with an e-learning tool during an emergency department induction program for junior doctors and its ability to predict performance. It found that doctors who did not complete an online multiple choice quiz faced an 8 times higher risk of needing intervention. It also found that doctors who spent less than 2 minutes on an online child assessment tool were the only ones who needed intervention. The document discusses trends showing a link between engagement and performance, and questions how to best define and measure engagement and performance.
The conundrum of spotting the sick childDamian Roland
This document discusses identifying illness in children presenting to emergency care. It notes that while most children will recover without treatment, it can be difficult to determine which children need investigations or antibiotics. The document questions who should decide to investigate a sick child, which tests should be used, and whether test results truly impact decisions around treatment. It seeks input on these challenges and provides resources for further information.
Simultaneous Safety: Purposeful Physiological MonitoringDamian Roland
The document discusses developing a prototype to simultaneously monitor multiple physiological signals like heart rate, breathing rate, temperature, and oxygen saturation from children to determine if they are well or unwell. It mentions collecting and validating data from the prototype, conducting external validation, and distributing and marketing the prototype with the vision of using it to simultaneously monitor safety and save lives and resources.
The document provides contact information for Damian Roland, including ways to search for his email address on Google and links to his Twitter profile and blog. It lists three publications authored by Roland and others on new medical theories, pediatric early warning scores, and engaging with leadership learning in the workplace. It also includes short messages to maximize publication potential and take a pause.
This document discusses a group called the Paediatric Emergency Medicine Leicester Academic (PEMLA) Group and their work on developing mobile apps for medical education and research. The PEMLA Group creates apps to engage and educate medical students and professionals, help implement new ideas, and refine research methods in pediatric emergency medicine.
Dr. Damian Roland gave a talk at TASME in Leicester on January 19th 2013 about pursuing research as a career. In his talk, he discussed how intelligence helps achieve conscious goals but wisdom helps achieve overlooked or unknown goals. He noted that while intelligence can be achieved through hard work, wisdom is more dependent on luck. The talk encouraged the audience to consider making research their second home by pursuing doctoral research and gaining both intelligence and wisdom.
Michigan HealthTech Market Map 2024. Includes 7 categories: Policy Makers, Academic Innovation Centers, Digital Health Providers, Healthcare Providers, Payers / Insurance, Device Companies, Life Science Companies, Innovation Accelerators. Developed by the Michigan-Israel Business Accelerator
Dr. David Greene R3 stem cell Breakthroughs: Stem Cell Therapy in CardiologyR3 Stem Cell
Dr. David Greene, founder and CEO of R3 Stem Cell, is at the forefront of groundbreaking research in the field of cardiology, focusing on the transformative potential of stem cell therapy. His latest work emphasizes innovative approaches to treating heart disease, aiming to repair damaged heart tissue and improve heart function through the use of advanced stem cell techniques. This research promises not only to enhance the quality of life for patients with chronic heart conditions but also to pave the way for new, more effective treatments. Dr. Greene's work is notable for its focus on safety, efficacy, and the potential to significantly reduce the need for invasive surgeries and long-term medication, positioning stem cell therapy as a key player in the future of cardiac care.
PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
- Primary pleural tumors and pleural metastases.
- Distinguishing between MPM and Talc Pleurodesis.
- Urological tumors.
- The role of FDG PET in NET.
Healthy Eating Habits:
Understanding Nutrition Labels: Teaches how to read and interpret food labels, focusing on serving sizes, calorie intake, and nutrients to limit or include.
Tips for Healthy Eating: Offers practical advice such as incorporating a variety of foods, practicing moderation, staying hydrated, and eating mindfully.
Benefits of Regular Exercise:
Physical Benefits: Discusses how exercise aids in weight management, muscle and bone health, cardiovascular health, and flexibility.
Mental Benefits: Explains the psychological advantages, including stress reduction, improved mood, and better sleep.
Tips for Staying Active:
Encourages consistency, variety in exercises, setting realistic goals, and finding enjoyable activities to maintain motivation.
Maintaining a Balanced Lifestyle:
Integrating Nutrition and Exercise: Suggests meal planning and incorporating physical activity into daily routines.
Monitoring Progress: Recommends tracking food intake and exercise, regular health check-ups, and provides tips for achieving balance, such as getting sufficient sleep, managing stress, and staying socially active.
Can Allopathy and Homeopathy Be Used Together in India.pdfDharma Homoeopathy
This article explores the potential for combining allopathy and homeopathy in India, examining the benefits, challenges, and the emerging field of integrative medicine.
This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
At Apollo Hospital, Lucknow, U.P., we provide specialized care for children experiencing dehydration and other symptoms. We also offer NICU & PICU Ambulance Facility Services. Consult our expert today for the best pediatric emergency care.
For More Details:
Map: https://cutt.ly/BwCeflYo
Name: Apollo Hospital
Address: Singar Nagar, LDA Colony, Lucknow, Uttar Pradesh 226012
Phone: 08429021957
Opening Hours: 24X7
Gemma Wean- Nutritional solution for Artemiasmuskaan0008
GEMMA Wean is a high end larval co-feeding and weaning diet aimed at Artemia optimisation and is fortified with a high level of proteins and phospholipids. GEMMA Wean provides the early weaned juveniles with dedicated fish nutrition and is an ideal follow on from GEMMA Micro or Artemia.
GEMMA Wean has an optimised nutritional balance and physical quality so that it flows more freely and spreads readily on the water surface. The balance of phospholipid classes to- gether with the production technology based on a low temperature extrusion process improve the physical aspect of the pellets while still retaining the high phospholipid content.
GEMMA Wean is available in 0.1mm, 0.2mm and 0.3mm. There is also a 0.5mm micro-pellet, GEMMA Wean Diamond, which covers the early nursery stage from post-weaning to pre-growing.
Letter to MREC - application to conduct studyAzreen Aj
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
Hypertension and it's role of physiotherapy in it.Vishal kr Thakur
This particular slides consist of- what is hypertension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is summary of hypertension -
Hypertension, also known as high blood pressure, is a serious medical condition that occurs when blood pressure in the body's arteries is consistently too high. Blood pressure is the force of blood pushing against the walls of blood vessels as the heart pumps it. Hypertension can increase the risk of heart disease, brain disease, kidney disease, and premature death.
INFECTION OF THE BRAIN -ENCEPHALITIS ( PPT)blessyjannu21
Neurological system includes brain and spinal cord. It plays an important role in functioning of our body. Encephalitis is the inflammation of the brain. Causes include viral infections, infections from insect bites or an autoimmune reaction that affects the brain. It can be life-threatening or cause long-term complications. Treatment varies, but most people require hospitalization so they can receive intensive treatment, including life support.
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...rightmanforbloodline
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
2. Meeting Overview
• Mapping the problems faced in Children Health
• Sharing current members’ projects & their
learning
• Thinking about the future and potential to
become a special interest group within the
Health Foundation’s Q network
4. Healthier
Together
project
(Sanjay)
• Broader approaches to school
measures (eg. School
attendance)
• Other issues in lives of families
that are more pressing eg
deportation, money issues and
employment
Child Health
Festival (Guddi/
Camilla)
• Getting trainees to attend
• Other organizations are not
willing to share/disseminate
knowledge
• Whole Family wellness
• Prevention work – obesity and
allergy
Core Issues Suggested Projects
5. Hospital
services
review
(Nicola Jay)
• Peer networks like this to
generate ideas, learn
from innovators and
elsewhere in the UK
MEDS
IQ
• Seeing what has
worked well as
sharing the
knowledge
Other
• Lack of evaluation of
QI projects affects
sustainability of long-
term funding
• Satisfaction with mediocrity
• How to change culture
• Understanding and measuring
of QI
• Not modernising as fast as the
rest of society eg social,
medical and new ways of
communicating
• Need for innovation – we’re
doing things because we have
always done them that way
Innovation
Core Issues Suggested Projects
6. RCPCH
and US
• Passion of the And Us
team at RCPCH and the
CYP engagement
committee as great
example
YYA
programme
• Persuading people to be
brave enough to embrace
a new way of working
Community
Organising
(Imperial
Citizens UK )
Bob K
Meaningfully
involve children
& young people
in service design
& strategic
priority setting
• No focal point for child health
• Enabling patients and public
to have control and do more
• Voice of the baby – group
need to embrace the 0 of the
0-12yrs too
• Lack of asking what people
want/need for their health
“co-production” is superficial
or absent
• Lack of clarity about what
the “ask” is from CYP
when involving them
• PPI (patient and public involvement)
groups through college or hospital
• Perception of others that
informal/age-appropriate format
means content generated less
serious or important
Core Issues Suggested Projects
7. Child health
Promise
• Data regulation – building
barriers to those outside health
to contribute
Other
• Parental rights versus children
rights
• Long term ventilation
• Consistent messages and
values of the profession
Ethics
Core Issues Suggested Projects
8. PIER
network –
Kate Pryde/
Southampto
n
Child Health
Promise
(Camilla/
Guddi/ RSM)
Working
together
programme
South
Yorkshire
(Nicola Jay)
Healthier
Together
programme
(Sanjay)
• Tension between people and systems
• Sharing GP/other hospital data/social
care data/community/CAMHS data
• Repetition of
evidence/writing/information/access
areas/multiple Drs and lack of
awareness of what else out there or
been done before/not aware of who
is going or has done what
• Understanding data pathways,
systems and networks
Sharing
information
• Consistency/sharing
information – education
programme/Spanning
HVs/ED/midwives/A&E/
GPs
• Creating/joining
effective network -
need face to face
and online
interaction
• Creating strong
relationship -
dancing together!
• Breaking down silos
and building buy-in
without resources
Core Issues Suggested Projects
9. Perinatal and
paediatric
future
technologies
hub for London
(David Cox)
Role of
telemedicine in
NHS 111 project –
Hampshire STP
and Healthier
Together project
Drug
Calculator
Apps (Meds
IQ)
• Capital expenditure limits blocking
investment in tech
• Working in new ways across boundaries
population health integration and digital
health
• Outdated hardware and software hampering
staff
• Transforming care through technology
• Difficulty for vulnerable groups to access and
use technology
• Governance issues blocking tech innovation
Core Issues Suggested Projects
11. • Developing political strategy
to make short-term wins and
long term wins
• Translating evidence into
policy – both locally and
nationally
• Lack of national priority for
children
Political
voice of
children
• National policy and drivers
• Rewards, need per charge and reward
intent from think tanks
• <5% of medical research is for CYP
Core Issues
12. Everyone
Can
Groove
(Guddi)
Create
educational
work schedules
for all
paediatric
trainees
Randomised
Coffee Trials
at Addie’s –
70+ people
turned up
Working
together
programme/
Vanguarding
(Nicola Jay)
Joy in work
“sprinkling
glitter”
Hospital
services
review
(Nicola Jay)
Staff resilience
programme
(Chloe &
Evelina)
Staffing
&
morale
• Staff wellbeing and
burnout
• Recruitment and
retention
• “Own worst enemy”
• Workforce skill mix
• Morale of staff all
about the discretionary
effort
• Health Foundation Spark tool
• Personalised work schedule in
enshrining protected time for
trainees to solve some of
these issues
• Common enabler along projects
– enthusiastic and committed
staff
• Funding and local sustainability
• Develop skills in QI/L&M/ Policy etc
• Short -termism – fill rota slot for SpR shift tonight versus
moral/feeling valued/promoting motivation
• Workforce strategy is still Dr centric, and still based on
Consultant numbers
• Lack of common training pathways in paediatric and
public health
Core Issues Suggested Projects
13. @mumba
be2gether
Sending young
people
appointment
reminder as well
as their parents –
in trial
Improved
ambulatory
service
PICH
(Chloe M)
Reducing
variation in
acute
asthma
care
CC4C
Bob K
+Mando
Hospital
services
review
(Nicola Jay)
Healthier
Together
(Sanjay)
• System fragmentation
• Models of care – need to
respond to new demands
• Risks associated with
service fragmentation
• Enthusiasm of people
who want to make things
better
• Resistance to change
• Joined up data (WSIC –
NW London)
• Change takes time
• “difficult people”
• Connecting care children’s hubs in pilot-
Hampshire – Healthier Together/Hampshire
Children’s STP
• Networks and children’s engagement
Models
of care
Toolkit to share with other
regions/spread
Core Issues Suggested Projects
14. Trauma
prevention
work
What does the
implementation
of prevention
look like?
• Strategic intention to focus
on prevention boy National
Services 5YFV
• No network to tap into
Working
together
programs/
vanguard
(Nicola Jay)
• Committed motivated
people who are on board
with integrating prevention
Prevention
• Political interest in
prevention
• Long term
outcomes not
appealing to short
political cycles
Core Issues Suggested Projects
15. Huddles
(RCPCH
SAFE)
QI Education
QI IQ HUB
(RCPCH)
QIPS forum
(RCPCH))
Diabetes QI
collaborative)
SAFE (RCPCH)
Quality
Improvement
• Lack of QI
network
• Variable
standards of QI
implementation
Core Issues Suggested Projects
19. The Big Picture:
National Policy
Political Influence
Media Pressures
Socio-Economic impact
The Local Context:
Staffing
Relationships (Intra/Inter Department)
Responsivity to change
Regulatory Pressure (CQC etc.)
We are all pulled in two directions
(which are related but not always
easy to deal with simultaneously)
20. Next steps…
Opportunity to become a Special interest group within Q network
https://q.health.org.uk/community/special-interest-groups/
Applications to become a Q member will reopen on 14th June 2018
https://q.health.org.uk/join-q/
Before deciding to become a SIG, working group meeting to establish:
(i) Purpose of the RHG network within current paediatric landscape
(ii) Identify a strategy to develop the network
(iii) Consider relationships with other paediatric networks
Date of working group meeting TBC – (July/Aug 2018)
Editor's Notes
Many insights from programme, not least huge number and variety of networks in NHS
Networks seek to achieve change in many different ways
In the report see detail: from pretty structured managed networks that are achieving change by helping to align members to reconfigure or deliver services across organisational boundaries.
to social movements which are more about providing a rapid and organic way for people to align around a specific purpose
All mediating between old and new power / hierarchies
Some will feel more relevant to the aspirations you have for the Running Horse Group – my key reason for including this image is to highlight that there are many design choices that people often don’t give enough attention to but can make quite a difference in terms of the type of network you end up with.
Many insights from programme, not least huge number and variety of networks in NHS
Networks seek to achieve change in many different ways
In the report see detail: from pretty structured managed networks that are achieving change by helping to align members to reconfigure or deliver services across organisational boundaries.
to social movements which are more about providing a rapid and organic way for people to align around a specific purpose
All mediating between old and new power / hierarchies
Some will feel more relevant to the aspirations you have for the Running Horse Group – my key reason for including this image is to highlight that there are many design choices that people often don’t give enough attention to but can make quite a difference in terms of the type of network you end up with.
Many insights from programme, not least huge number and variety of networks in NHS
Networks seek to achieve change in many different ways
In the report see detail: from pretty structured managed networks that are achieving change by helping to align members to reconfigure or deliver services across organisational boundaries.
to social movements which are more about providing a rapid and organic way for people to align around a specific purpose
All mediating between old and new power / hierarchies
Some will feel more relevant to the aspirations you have for the Running Horse Group – my key reason for including this image is to highlight that there are many design choices that people often don’t give enough attention to but can make quite a difference in terms of the type of network you end up with.