Getting it right for children and families Maximising the school nursing team contribution The Vision and Call to Action Delivering a 21 st century service Supporting young carers Wendy Nicholson Professional Officer September 2012
The vision and model for school nursing An opportunity for school nurses to re-claim their role as leaders and delivers of public health to school aged children Safeguarding Community Universal Services Universal Plus Universal Partnership Plus describes a range of health services (including GP and community services) for children and young people and their families. School nurses will be involved in developing and providing these and making sure you know about them. s from your school nurse team provides the Healthy Child Programme to ensure a healthy start for every child this includes promoting good health for example through education and health checks, protecting health eg by immunisations and identifying problems early provides a swift response from your school nurse service when you need specific expert help which might be identified through a health check or through providing accessible services where you can go with concerns. This could include managing long-term health issues and additional health needs, reassurance about a health worry, advice on sexual health, and support for emotional and mental health wellbeing. Plus delivers ongoing support by your school nursing team as part of a range of local services working together and with you/your family to deal with more complex problems over a longer period of time
Services with sound foundations A service offer at four levels Services with strong innovation Service information Information in different. formats and media tailored to children, young people and parent s needs Visibility opportunities in the school and beyond Transitions Robust care pathways for school entry and moving from primary to secondary school New technologies Smart phone Apps for example to support management of long term conditions Mobile working solutions for nurses. Involvement. Young people designing services and being health champions Productive Community Services Best value and maximised contact time Safeguarding Community Universal Services Universal Plus Universal Partnership Plus Improved accessibility Services in local young people community settings. YP healthy living services & drop ins increasingly technology supported eg healthy living centre apps Partnership services Community action on alcohol and YP alcohol advisory service Early help Health needs assessments to identify issues early and support services for emotional health and wellbeing Information sharing Effective systems to share information between professionals and with young people and families Quality You re welcome 'standards met in providing HCP Young people friendly ways of communicating: Text messages and emails for booking appointments and seeking advice. Reducing health related school absence Advice booklets and apps and awareness campaign. Illness advice line and drop in services.
What did children, young people and parents tell us? Children Young people Parents School nurses need to be more visible in schools. School nurses need to be visible and well known to pupils. School nurses need to use technology such as texting and emailing. School nurses need to be more visible in schools and to parents. Pupils should be introduced to their school nurse. Pupils should be told when the school nurse is available to see them. Pupils should be told where the school nurse can be found School nurses need to offer early help to support young people. School nursing services need to offer choice to young people in order to ensure that services are accessible and confidential. Young people want to be able to offer their views about the services they receive Parents should be introduced to the school nurse and the service available. Parents need to be advised directly about the service through letters, leaflets and clear information. Parents need to be told where the school nurse can be found and provided with contact details. Be in synch with the youth..
Improving access
Support when you need it most Accessible, confidential and visible What do we do? We work both in and out of School to provide support around Keeping Healthy Immunisations Emotional Health Weight Management Sexual Health Drugs and Alcohol Smoking More Support for those who need it most A Confidential Service This means that you can discuss personal information in confidence. We will not discuss your personal information with anyone, else without your permission. This includes parents and teachers. We would only pass on your information in order to protect you or someone else from serious harm. Whenever possible we would discuss this with you first. See a school nurse before it gets worse
Products Underpinning professional pathways which include: delivering public health to young people in the youth justice system; supporting children with complex needs in school settings; Supporting young carers safeguarding; emotional health and wellbeing. Suite of fact sheets; HCP Elected members Head teachers National network
A PARTNERSHIP PATHWAY.What is a pathway? Guidance to support community nurses to work more collaboratively with other key professionals and partners to deliver improved quality of life and health outcomes for both the carer and the people they care for. including: AHP s, GPs, practice nurses and third sector agencies. A structured approach to addressing the common issues identified by community nurses and their partner professionals to support the needs of carers To enhance and maintain quality of life and health outcomes; including options for service delivery which are detailed together with a comprehensive timeline. Delivery of the pathway requires the skills, knowledge and leadership of District Nurses, effective partnership working with partner organisations and stakeholders whilst respecting carers as expert partners in the care (to include the prevention of cared for persons needing acute hospital or residential care). Builds on good practice and provides a systematic solution-focused approach for practice development. Focus on addressing the support required, for young carers whilst recognising that each carer will have unique needs and needs that change due to personal circumstances
Core elements of the pathway Understanding to facts Addressing core principles: Identification of young carers needs Role definition Clarity and communication Information sharing collaboration Sharing good practice Identifying what works
Core issues identified by group Leadership/strategic buy in and support Partnership working: Addressed through formalised liaison processes, to include joint training and regular meetings. Financial constraints and lack of investment: Addressed through the identification of appropriate skill mix within teams and measuring service efficiency or service impact. Workforce issues, lack of training opportunities: Addressed through joint training, e-learning and shared learning resources Communication systems; fragmented within health and partner organisations: Addressed through shared learning and dissemination of best practice to develop seamless sign posting between the professions. Standardisation of procedures: Transfer and sharing of records between health and social services Service fragmentation and variation: Addressed through clear identification of the different yet complimentary contributions of professionals and partner organisations throughout the transition timeline. Evidence base is limited and often under-utilised: Addressed through the identification and promotion of supporting policy and evidence.
Call to action. Support when we need it most to avoid crisis Do you have good links with the school nursing services? Do you understand the local service offer? Do you know how to advise young people (and parents how to access the service? Are you agreeing local packages of support including the school nursing service? Are you sign posting young people to their local school nursing service? Do you receive regular updates on your local service? Do you provide information for the local school nursing service about what you can offer?
Contact details: Wendy.nicholson@dh.gsi.gov.uk http://www.dh.gov.uk/health/category/chief-professionalofficers/cpo-cno/