NW Children, Young People and Maternal
Health and Wellbeing Strategy
-Ann Hoskins, June 2010
Healthier Horizons
Why?
• Commitment from 1st Clinical Pathway Group
• Leadership at all levels
• Strengthen commissioning
• Improve learning
• Some improvements (disease/clinical and public health)
but inequalities persist and sometimes widen
• Children, young people and parents want greater
improvements, faster
• Demand ‘More for Less’
Better Care Better Health Better Life
Developing
the Strategy
• Sponsored by NW Children, Young People
and Maternal Health Board
• SHA Board ownership
• Consultation with stakeholders including
children young people and parents
• Multi sector editorial and reference groups
• DH support
Better Care Better Health Better Life
The Approach
There are 3 themed groups:
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The life-course sections: preconception to
birth; 0-5 yrs; 6-10; 11-18 years
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Threads across the life course
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Underpinning system and social issues
Better Care Better Health Better Life
Threads across
the Lifecourse
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Emotional health & wellbeing
Acute Needs and Long Term Conditions
Disabilities and Learning Disabilities
Looked After Children
Youth Justice System
Lifestyle – including obesity, physical exercise,
substance misuse, sexual health
Better Care Better Health Better Life
Underpinning
Themes
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Parenting & families
Workforce
Safeguarding
Commissioning and Provision
Engagement and Participation
Better Care Better Health Better Life
Strategy Priorities
Criteria for what’s in and what’s out
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NW position compared to England
Within region variation
Numbers of young people affected
What would it take to make an impact?
Will there be an impact on health inequalities?
Inclusion in current national / regional priorities
Better Care Better Health Better Life
Priority
Setting Criteria
High Impact
Low
Regional
Position
High
Regional
Position
Low Impact
Better Care Better Health Better Life
Priority Areas in NW
Children & Young People’s
Plans
NI51 - Effectiveness of CAMHS
Obesity
Teenage Pregnancy
Dental
Breastfeeding
Hospital Adm issions (Injuries)
Infant Mortality
Sexual Health
Substance / Alcohol Abuse
NI50 - Em otional Health of Children
NI58 - Em otional & Behavioural Health of
Looked After Children
LDD
Children w ith Disabilities
NI56 - Obesity in Yr 6 Prim ary School
Children
Im m unisations
Sm oking in Pregnancy
Sm oking
Better Care Better Health Better Life
RTAs
Health Inequalities Reduced
Emerging
Outcomes Priorities
1. Obesity
2. Risk Taking Behaviours - Alcohol Harm, Sexual Health
(incl Teenage Pregnancy), Substance Misuse (esp
tobacco)
3. Top 3 symptoms at A&E
4. EHWB – Suicides and Self Harm, Access/Waiting
Times and Tier 4
5. Deaths – RTAs, Under 28 days
6. Oral Health
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Note Early Years will cut across 4 of these
Better Care Better Health Better Life
Other Key Themes
• Strong focus on Early Years
• Importance of supporting parents and
families
• Role of GP led Practice Based
Commissioning Consortia (emerging
policy)
• Importance of working across health,
education and social care
Better Care Better Health Better Life
Revising the
Product
• Document will:
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Describe regional picture
Identify best practice to tackle priority issues
Use Appreciative Enquiry approach
Be co-published with NW DCS
Continue to use Life Course approach
Support commissioning
Be underpinned by what children, young people and
parents tell us
Better Care Better Health Better Life