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1、,Re-commissioning of Community Health Services for Children and Young PeopleStakeholder Workshop,Re-commissioning of Community Health Services for Children and Young PeopleStakeholder Workshop,2,Introduction&WelcomeRichard Bailey,Deputy Head Joint Commissioning,NHS Nene CCG and NHS Corby CCG,3,Purpo
2、se of the Day,Provide a briefing on what is being re-commissioning and whyExplain the re-commissioning processSet out the opportunities to participate in the re-commissioning processShare with you information and data derivedOffer the opportunity to delegates to share some early thoughts,4,Agenda 1,
3、9.40.Why Re-Commission?Dr Emma Clancy9.55.Re-Commissioning Process Judith Cattermole,Alison Shipley,Stephen MarksSummarise;Questions10.15.Demographics;Needs AssessmentDavid Loyd-Hearn,Sian HealeSummarise;Questions11.00.Tea/Coffee,5,11.15.Table Top Tasks-Please ensure Tasks writtenJudith Cattermole12
4、.15Feedback Verbal:one key message to assist re-commissioning12.35Next Steps&How You Can Get InvolvedRichard Bailey12.40Panel Q&A12.50Closing RemarksDr Darin Seiger,6,Agenda 2,Why Re-Commission?Dr Emma ClancyChildren and Young People Clinical Lead NHS Nene CCG,7,No Change Not An Option,Growth in Nee
5、d;Staff running to stand stillFrustration from Young People and ParentsVariabilityAccess Lessons from Victoria Climbie&“Baby P”But Change also brings opportunity,8,Imagine a joined up approach with a locality flavour with services delivered in a place convenient for children,young people and familie
6、s,9,Health&Local Authority Services Together in Children Centres,Schools and Communities,10,So That,Families could access GPs,Health Visitors,community nurses,mental health support etc.in one placePromotion of community involvement and activitiesHealth is more family friendly:Its easier for patients
7、 to integrate into community and social schemesThere is a reduction in isolation,fostering good support networks and promoting physical,emotional and mental wellbeing,11,What Could We Do?,GPs could:do child surveillance clinics immunisations for pregnant women and new-born babies drop in clinics for
8、 mums needing GP adviceHospital and Children Community Health services could:Run childrens outpatient clinic runningBase community childrens nurses locally to help with admission avoidance work,12,What Could We Do Together?,Offer a multi-disciplinary network including:Everything that children centre
9、s already offerBreast feeding support&midwivesLearning Disabilities and special needs,community paediatrics,secondary care,GP,Health Visitors,CAMHS,social services,voluntary sectorStreamline and integrate health&wellbeing and soMeet all needs for families from pre conception to late teens and beyond
10、 Use the model to support the work we are doing to improve the care currently being given to Looked After Children(LAC),13,Where Do We Start?,Look at current services,infrastructure and estateGet feedback about what works well and where,and what could be done better/differentlyUse that to devise a c
11、entrally commissioned service using the best models and recreating them to fill gaps(munity paediatric nurses in the North might be useful in the South)Flexing approaches to suit local circumstancesToday is the start of that journey,14,Our Vision,“Children and Young Peoples Community Health Services
12、 within Northamptonshire will put the voice of children,young people and their families at the centre of everything we do.Over the next 3 years and beyond,we will continue to improve community health services to ensure they are responsive,equitable and inclusive.Services will be available where and
13、when they are needed the most.By working together we aim to ensure children and young people are happy,healthy,safe and resilient,enabling a positive transition into adulthood.”,15,The Re-Commissioning ProcessJudith CattermoleChildren and Young People CommissionerNHS Nene CCG,NHS Corby CCG,Northampt
14、onshire County CouncilLead for Re-Commissioning Programme,16,Why are we doing this now?,National and local drivers Legislative Changes-Pupils with Special Educational Needs(SEN)new Education Health and Care Plan(EHC)with effect from September 2014Drive for Personalisation and Personal Health Budgets
15、(PHB)NCC-Review of Designated Special provision(DSPs)NCC-Devolution of funds to schools Safeguarding requirements to develop Early Help strategies and services.Recent OFSTED inspection of NCC and partners regarding Adoption and Fostering,Safeguarding and Looked After Children(LAC)services,17,Local H
16、ealth Provision,Childrens Community Health Services Two main providers-Northampton General Hospital(NGH)and Northampton Healthcare Foundation Trust(NHFT)Inequity and inconsistency and gaps-in terms of pathways and ease of access to specialist services Rising demand for specialist services High deman
17、d A&E services(children under five,self-harm rates)Rise in the number of long term ventilated babiesRise in the number of inpatient mental health admissions Pressure on Home Care support/packages-children remaining in hospital once medically fit for dischargeImpact upon the quality of life for our m
18、ost complex children and their families,18,Financial challenges,Cost of A&E and inpatient admissions are tariff based and high Financial challenges impacting upon all organisations-need to develop more effective and efficient local services across agencies which avoid duplicationensure streamlined p
19、athwaysimprove outcomes value for moneyCAMH services were subject to a tender exercise and need to be re-tendered no later than 1st October 2014,19,Joint Commissioning Opportunities,NCC currently carrying out 2 major areas of re-provisioningSEN&Disability Designated Special Provision(DSP)review,EHC
20、plansRe-commissioning Early Help and Prevention Services-Childrens Centres and Support Services to over 5sOpportunities to fully align commissioning activity now.,20,EHC Plans and SEN Provision Review SEN Changes and Designated Specialist Provision DSP ReviewAlison ShipleyNorthamptonshire County Cou
21、ncil,EHC process supports child/family/schools with Local Offer if assessment or plans not agreedGreater personalisationShorter process(20 weeks)externally facilitatedCo-ordination of education,health and care needs&provision as requiredReviewed annuallyPossibility of notional or real personal budge
22、tsCan be in place 0-25 if required,EHC Process&Plans,Roll out for NEW requests for statutory assessmentEHC process currently being offered to new applicants in Kettering,Corby,Wellingborough&East Northants.EHC process will be offered to other areas on:-1st November 2013-Daventry&South-1st January 20
23、13-CountywideRowan Gate Special School trialling transfer of Statements to EHC Plans from November 2013,EHC Roll Out,The review was commissioned to evaluate:the diversity of provision in the countys Resourced Provisions(RPs)and SEN Unit provisions(Ups)the impact of the special/specialist provision o
24、n developing inclusive practice and improving outcomes for all children as well as those supported in special/specialist provisionthe cost of current special/specialist provision and its sustainability in the light of changes in funding mechanisms and current financial restraints,SEN Provision Revie
25、w-Scope,Children and young people should access a wider range of opportunities locally,and a more personalised education offer,through the partnership working of schools with other schools,alternative providers and special/specialist servicesReview the Speech and Language Resourced provisions in par
26、tnership with the Nene and Corby Clinical Commissioning GroupsFfacilitate the provision of an all through Special School in the south of the county for ASD,SLD and PMLD,SEN Provision Review implications for all,commission bridging places for secondary aged young people for the LA to use for Day 6 pr
27、ovision/assessment for permanently excluded pupils andfor schools to commission,places for the assessment of pupils at risk of permanent exclusion or in need of specialist support for re-integrationdevelop a continuum of provision across the county for BESD and Autism promoting partnership working b
28、etween special schools,SEN Units and mainstream schools,SEN Provision Review implications for all,establish satellite units who will work with an agreed number of primary school children at any one time to implement,under the supervision and guidance of the special schools,a range of provision and p
29、rogrammes for primary pupils at risk of permanent exclusion or permanently excluded,SEN Provision Review implications for all,NCC in partnership with other stakeholders toreview and re-configure the capacity of centrally managed education services regain central responsibility for receiving direct n
30、otification from schools of permanent exclusions and arranging Day 6 provision for themcommission,from a range of providers,packages of education tailored to meet the needs of each permanently excluded secondary pupil,as close to their home as possiblere-commission/de-commission special/specialist p
31、rovision where necessary,SEN Provision ReviewCentral services re-design,review the funding arrangements for special/specialist provisionensure all provision is of high quality and value for moneyre-commission speech and language provision for children to establish an equitable county wide service(wi
32、th Nene and Corby Clinical Commissioning Groups),Central services re-design,Informal consultation held 7th June 2014Formal consultation with stakeholders October December 2013Cabinet January 2014Implementation May 2014 onwards,SEN Provision Review-timescales,Early Help&Prevention for children and fa
33、milies in NorthamptonshireStephen MarksNorthamptonshire County Council,To enable children and families to access appropriate support as early as possible,to help them maintain their quality of life,prevent any problems getting worse and reduce the demand for high cost,specialist support services.,Pu
34、rpose,All Families are able to maintain healthy and stable living conditions.All families are strong enough to manage stress over money,poverty&unemployment.All families can give and receive support from friends,neighbours and the wider community.All children and young people do well in education an
35、d this gives them the skills they need to find work.All families maintain good health and well being for happier,healthier lives.All parents support their childrens healthy physical,emotional,learning and social development.All families maintain stable and good quality family relationships.,Outcomes
36、 for Children&Families,Tier,Universal,Specialist,Specialist,Universal,Costs savings generated by reduction in volume(Stock and Flow),Prevention/earlier intervention(Stage not age),Helping You to Help yourself,Helping You when you cant help yourself,Prevention and Demand Management,Current,Future,Ear
37、ly Help,Early Help,Targeted Prevention,Targeted Prevention,Early Help Forum Areas:,Statutory and priority services forNCC Early Help and Prevention Commissioning,Childrens Centre Services(under 5s)Supporting ServicesInterpersonal Violence ServicesYouth Provision Services for young people with challe
38、nging behavioursParenting,Key Target Dates Supporting Services Tender,Launch of Invitation to Tender Mid October 2013 Tender will close late November 2013 Tender evaluation and moderation December 2013 to January 2014 Award of tender late-Jan 2014 to mid-Feb 2014 Mobilisation,transition and implemen
39、tation Mid Feb to May 2014 Services commencement date June 2014,Key Target Dates Childrens Centre Services Tender,Pre Qualification Questionnaire opens-Late Oct 2013 PQQ closes-Early Dec 2013 Launch of Invitation to Tender-Mid Dec 2013Tender will close-Early Feb 2014 Tender evaluation and moderation
40、-Mid Feb/Early March 2014 Award-Late March/Early April 2014Mobilisation,transition and implementation-April to late July 2014 Services commencement date Late July/early August 2014,Other joint commissioning opportunities,Regional Specialised Commissioning neonatal pathways,High Dependency,Acquired B
41、rain Injury(ABI)specialist rehabilitation and Tier 4 Inpatient CAMHS etc.Public Health Renewed focus on emotional well being as underpinning poor health outcomesFurther opportunities to align approaches with Alcohol and Substance misuse,sexual health etc.Police and community safety initiatives focus
42、sing on prevention-opportunities for closer collaborationSafeguarding improvement plans opportunities to consider a more joined up approach,40,Service Redesign Areas,Key InterfacesNCC-Early Help NCC-Social CareNCC Educational PsychologyClinical Commissioning Groups-Adult Mental Health Commissioning
43、Youth Offending Service(YOS),Key InterfacesNCC-SEN and Disability EHC/Provision ReviewCCGs-Adult LD commissioning CCGs Community Services(Long Term Conditions),Key InterfacesA&E and Acute HospitalsNCC-Social CareAcute Paediatric Services CCGs Community Services,What services will this involve?,42,Li
44、nked(NCC funded)TAMHSADHD support serviceYouth counselling servicesHomestart,What services will this involve?,43,What services will this involve?,44,What services will this involve?,45,Recommissioning areas do not include Health Visiting and Mainstream School Nursing,What is the timeline?,46,Change
45、Process,Services currently delivered are valued and will continue to be required-build upon the areas of good practice and an opportunity for new models of delivery Staff will feel anxious and unsure we do not want to lose staff-ensure effective communication throughout the processTUPE transfer cond
46、itions will apply.Provider organisations will have a responsibility to ensure staff are fully briefed about what this means for themParents will feel anxious this is an opportunity ensure equitable and consistent service delivery-new service models should be responsive to parent and childs needs,47,
47、Programme Governance,48,Children and young peoples re-commissioning Project steering group,Parent/Carer Co-production Confirm&Challenge,Children and young People Co-production Confirm&Challenge,Stakeholder Groups,Corby CCG,Nene CCG,Joint Commissioning Board,LSCBN,CYPBB,Health&Wellbeing Board,Summary
48、,49,Questions?,50,Demographics&Needs AssessmentDavid Loyd-Hearn,Commissioning Lead Children&Young People Emotional Wellbeing&Mental Health Sian Heale,Commissioning Lead Children&Young People SEN,Disability,Acute,Complex and Continuing Care,51,Demographics of Children and Young People in Northamptons
49、hire,52,Needs Analysis-Demographics,The following figures are taken from various sources across the NHS,County and District Councils,Provider Partners,and Central Government Agencies.Where prevalence figures or indicators of need are sourced,these are taken from national and international research p
50、apers and applied to the population as at the 2011 census.These figures change on a regular basis dependent on demand for services and are therefore intended to give a perspective on the key trends affecting children and young people services across Northamptonshire.,53,Needs Analysis-Population Dem
