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You’re Welcome: raising the profile of young people and
adolescent medicine
Anna Gregorowski – Consultant NurseNigel Mills – Clinical Nurse Specialist
Young Person’s Forum
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Young Person’s Forum at GOSH
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Discussion
• In pairs – what makes a service ‘young person friendly’?!
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You’re Welcome
• DH 2011– Original 2007
• Online self-assessment tool
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10 Quality Criteria 1 Accessibility 2 Publicity 3 Confidentiality and consent 4 Environment 5 Staff training, skills, attitudes and values 6 Joined-up working 7 Young people’s involvement in monitoring and
evaluation of patient experience 8 Health issues for young people
9 Sexual and reproductive health services10 Specialist child and adolescent mental health
services
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Accessibility
• Location (public transport)• Opening hours• Referral (self)• Choice:
• Where seen• Who they see (including gender)• Accompanying friend / partner• Who present in room
• Opportunity to be seen alone
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Publicity
• Information about service (languages and formats) and other services
• Explicit about confidentiality• Opportunity to be seen on own• Information accurate and kept up to date
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Confidentiality and consent
• Confidentiality• Consent• Safeguarding
• how these are – implemented by staff– understood by service users.
• supports and is supported by local safeguarding arrangements.
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Environment
• Safe and young person friendly (Safe)• Accessible • Staff who explain• Pain relief• Privacy and dignity• Access to appropriate food • Promotes being in touch with peers
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Staff training, skills, attitudes and values
• Understand, engage and communicate with young people and understand their health needs
• Culturally appropriate ways of working • Equality and human rights issues• Make appropriate referrals• Support young people to make informed choices• Training, appraisal, supervision and support
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Joined-up working
• Co-location of services• Information provided about other services• Information about service to other services
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Patient involvement in monitoring and evaluation
• Young people's involvement in service development, monitoring and evaluation
• Invite all service users to give feedback• Consult young people
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Health Issues for Young People
• Consultations support healthy lifestyles• Staff that ensure emotional psychological and
spiritual needs are met• Clear pathway for YP with identified emotional and
psychological needs • Transition to adult care• Complex needs• Information and support for parents
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Sexual and reproductive health services
• Applicable to sexual and reproductive health service only (GUM or GP)
• Informed by relevant guidance• Signposting
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CAMHS
• Applicable to providers of specialist CAMHS• Based on evidence based practice • Signposting
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WorkshopYou are a young person coming to your service– Does the service meet these criteria?– What changes could be put in place to ensure they
are met?
– Any other ideas for making your service more young person friendly?
• think outside the box!
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Challenging the barriers
Are there any barriers preventing you from assessing your service against YW?
How will you break down these barriers?
Who can you approach to help you?
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You’re Welcome at GOSH
• Improve adolescent journey at GOSH– Assess GOSH -‘young people’ friendly?– Benchmark– Identify priorities for improvement– Improve engagement with young people– Raise profile of Adolescent Medicine Team
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Adolescent Medicine at GOSH
• 350 beds• Approximately 23% inpatients aged 11 or
above– 36% including OPD
• No dedicated adolescent ward• Adolescent medicine Team– Us!
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You’re Welcome at GOSH
• Included in CQUIN targets for GOSH 2012-13– ‘Patient experience’• Management backing• Financial incentive• Wide spread acceptance from all staff
• Links with Trust vision to be one of the top children’s (and young people’s) hospitals in the world
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Applying YW at GOSH
• All areas to meet mandatory DH ‘YW’ quality criteria
• Additional criteria to be met as appropriate• Outcomes:
• YP seen on their own– Increased length of appointments
• Clinic letters given to YP – More administrative support
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YW at GOSH
• Benchmark against other hospitals from outset
• Pilot 2 areas by end May 2012• Complete assessment of GOSH against YW
criteria by end December 2012• Identify top 5 priorities for improvement by
February 2013– YPF
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YW at GOSH
• Baseline audit• Meeting key staff to assess environment• Use patient experience• Re-assess services against baseline audit• Official validation by Adolescent and
Transformation teams
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YW at GOSH
• 2 areas• Mental Health outpatient department • Inpatient surgical ward
• Adolescent/ Transformation team met with key professional in identified service (1 hour) in service area
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Auditing
• To ensure consistency and avoid taking young people out of school/college/work inspections carried out by adolescent /audit teams (weekend inspections not suitable)
• Member of Adolescent Medicine Team + member of Audit Team undertook surveys
• 3rd member to ensure impartiality • All ward information (including web) examined
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How young people were involved
• Developing YW toolkit• Interview YP on wards and specialities as
appropriate• YP Forum provided focus group for prioritising
changes from findings
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5 YPF priorities
• Transition to adult services• Age appropriate information
• YP with disabilities and English as 2nd language
• Improved age appropriate facilities• Increased involvement in service evaluation
and development• Improved staff training
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Transition
• AMT leading CQUIN target for 2013-14– Supporting teams– Education– In clinics– Developing supporting information
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Raising the profile of young people and adolescent medicine
• Using YW at GOSH has successfully raised the profile of young people– Staff awareness – Increased senior management awareness– YP health needs and adolescent medicine profile
raised (and Adolescent Medicine Team!)
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Underpinning documents