East Riding Children s Centres Developing an integrated antenatal to 5 month pathway with health partners What have we done What were the challenges How we measure the results Opportunities offered by the transfer of 0-5 public health service commissioning to LAs 1
Developing a shared vision Show casing The Cottingham model A model of integration in practice as viewed by midwife, health visitor and children s centre leader The Cottingham presentation was an inspiring example of how a joint approach CAN work well a seamless service Health Visitor 2
Joint newsletters 3
Sharing ownership of the case study 4
Antenatal To Five Month Pathway Integrated working Universal pathway measuring impact managing resources Partners Parents Register antenatally Information sharing Early identification of needs Targeted or universal Effective use of universal safeguarding Evidence based practice CAF Working Together To give Families The Best Start
Reengineering the early booking process Worked with HEY midwifery service to incorporate a Children s Centre delivered information session around well being Eight week pilot at Beverley hospital Extremely positive evaluation with 84.6% of mums to be very satisfied with the team approach to the appointment process Rolling out to other localities 6
Information sharing governance Developed procedures in relation to early pregnancy notifications with both HEY Hospitals NHS Trust and York Teaching Hospital NHS Foundation Trust and the Local Authority Tier 2 and 3 information sharing agreement 7
Ante natal parent education - preparing for birth and beyond Audit of what happening Multi agency planning group Consultation by HV team with parents 4 sessions 1by Midwife, 1 by Health Visiting and 2 by Children s Centre Pilot in Goole with EIS and midwives evaluation in progress 8
Next steps Developing a model for integrated post natal clinics Breastfeeding 2 year checks Refreshing SLA between Health Visitors and Children s Centres 9
Challenges Complexity. Particularly number of health providers Different performance frameworks and accountabilities Changes in commissioning arrangements fragmentation and slow Economic situation all searching for cuts and restructuring with limited development capacity Barriers from health providers in some quarters Different cultures (but shared values) National policy not joined up eg PbR and EIS 10
Early intervention with target groups 11
Spine Charts 12
Transfer of 0-5 public health service commissioning Better integration pathways that make sense to families Better targeting of specialist resources - FNP Better VfM o skills mix what do we need nurse qualified staff to do? o outcome accountability integrated performance framework? More seamless service for children aged 0 to 19 - transition Better cross border arrangements use provider contracting requirements? Opportunity to drive change faster 13