getting care right for all ages
TRANSCRIPT
Getting care right for all agesHealth and care voluntary sector strategic partner programme
Health and Care Voluntary Sector Strategic Partner ProgrammeThe Health and Care Voluntary Sector Strategic Partner Programme brings the power
of the voluntary sector together with the health and care system, to improve services and promote well-being for all.We do this by: Helping reach the most vulnerable, excluded individuals and communities Supporting people to make their diverse voices and needs heard Harnessing the expertise of the voluntary sector to inform national policy
development Driving awareness of the role and potential of the voluntary sector
Working together for better health and care
#vcspartnersVisit us at stand 105:
Health and Care Voluntary Sector Strategic Partner Programme
Working together for better health and care
#vcspartners
The partners:
Getting care right for young people
Emma Rigby – Chief ExecutiveAssociation for Young People’s Health
• 11.7 million young people aged 10-24 – one fifth of the UK population
• ½ of all lifetime mental illness starts by age 14 and ¾ by age 24
• 1 in 7 young people aged 11-15 have been diagnosed with a long term condition or disability
• 800,000 teenagers have asthma• Diabetes affects 35,000 under 19’s• One fifth of pupils going into secondary
schools have special educational needs
Young people’s health
www.ayph.org.uk/reaching-marginalised-young-people
What is different for young people?
• Young people experience huge physical, psychological and behavioural changes as they mature from children to adults – they are a group of people who are constantly changing and who move to independent use of healthcare services.
• Physical and brain development• Emotional development - Self esteem,
resilience• Social development – Peers• Behavioural development – Risk• Transitions
Resources
http://behealthy-peersupport.org.uk/www.ayph.org.uk/public-health
Rights and access
“Children and young people have the right to receive good quality health services. This means that every child and young person should be given support to ensure that they are physically health and strong.” UNCRC
NHS constitution - www.getyourrights.org
NHS Choices – www.nhsgo.com
Standards for youth friendly care – You’re Welcome
• Involving young people in the design, delivery and review of services
• Confidentiality and consent• Making young people welcome• Providing high quality health services• Staff skills and training• Linking with other services• Developmentally appropriate healthcare
Engaging young people in change - takeover challenge
Contact us….
@YPhealthwww.youngpeopleshealth.org.uk/yphp
[email protected]://www.youngpeopleshealth.org.uk/wp-content/uploads/2015/07/Takeover-day-Toolkit.pdfhttp://www.youngpeopleshealth.org.uk/wp-content/uploads/2016/06/Takeover-Day-Resources.pdf
Age UK Personalised Integrated Care Programme
Helen Jones, Programme ManagerLauren Chalk, Project Support Officer
Site Locations:Phase 2 Sites:
•North Tyneside•Blackburn with Darwen•East Lancashire•Sheffield•Guildford and Waverley•Ashford and Canterbury•Redbridge Barking and Havering
Phase 3 Sites:
• Croydon• South Gloucestershire • Northamptonshire • South Kent Coast• North West Kent
Cornwall – scale up to 1000 older people & changing practice across the county
Portsmouth –also an Integrated Personal Commissioning demonstrator site
What is unique about Age UK’s Personalised Integrated Care Programme?
Helping the person – not the condition - person-centred care integrating across multiple long term conditions as well as ancillary preventative services that make a huge difference.
A seamless way of connecting health and care services – creating new care pathways that are clinically endorsed, that work for older people and ‘bridges the gap’.
Major step change in the approach – putting the local Age UK at the centre of older people’s health outcomes – requires a ‘whole system change’.
Impact of the Intervention
Wellbeing
Reducing Admission
s (Cashable Savings)
TRIPLE AIMS
Whole System Change
Results so far…
‘For me personally, I have been encouraged to look at patients
where I thought their dependency levels would only increase and see that with a
relatively small level of intervention, they can be
encouraged back to a much lower level of dependency.’
Dr Tamsin Anderson, Newquay GP.
Contact Us….For more information, please
contact:[email protected]
Website:www.ageuk.org.uk/integratedcare
NHS Expo stand number: 18
Liaison & Diversion: Developing and all-age approach
Dave SpurgeonResearch & Development ManagerNacro
What is Liaison and Diversion (L&D)
•Liaison and Diversion (L&D) services operate by referring people in contact with the justice system who are identified with having mental health, learning disabilities, substance misuse or other vulnerabilities to an appropriate treatment or support service.
•The most important areas of operation for L&D services are: identification, assessment, screening and referral
A brief history of L & D Various models of L&D since 1990s
− Courts− Police custody− Youth− But focused on mental health− Some areas had/has no L&D service
• Lord Bradley’s Report 2009• Offender Health Collaborative (OHC) review of existing L&D services
2011/2013 • The first national service specification developed to provide a consistent
approach across England.
New model of L & D Intervention as early as possible on the justice pathwayAn all-age service: children, youths and adultsTargets of a range of vulnerabilities, Operates at all points of the justice pathway A 24/7 service with a mixture of core hours plus out-of-hours arrangementsInformation flow to justice partners to support informed decision-makingLiaising with agencies/organisations A range pathways facilitated by assertive engagement
Developing an all-age approach
Difference & Challenges • legislation• presentations• demand times • risk factors• pathways• responses
Key Consideration
• Providing an all-age approach does not mean providing the same service in the same way to all ages. Rather, it may mean prioritising some areas or ensuring an age-sensitive approach
• Need to identify where adult and youth elements can be integrated and where it is appropriate that they work differently taking account of different evidence, legislation and processes.
• Consideration should also be given to the transition between youth and adult services.
Key Learning Defining different age groups – CJS/YJS c.f. mental health
Workforce – specialist plus staff with age-related understandings
Age-appropriate screening & assessment tools
Approach influenced by legislation, presentations, needs – can’t take approach from one age group and simply apply to another
Range of referral pathways to meet needs of different age groupings
https://www.england.nhs.uk/commissioning/health-just/liaison-and-diversion/
Key messages from us all!
• We need to work in an age appropriate way across the life course – not providing the same service to all but thinking about the different needs of people of different ages
• The VCS can support the health system to think about protected characteristics and how to support marginalised groups
• Staff need skills, training and tools to work effectively with children, young people and older people. Local and national VCS organisations have resources and tools to provide support.
Thankyou! Any questions?