camden and islington child health servicespersonal.lse.ac.uk/cushman/papers/royalsociety.pdf ·...
TRANSCRIPT
A Strategy for
Camden and Islington Child Health Services
Jonathan Rosenhead, [email protected] Mike Cushman, [email protected] Maggie Barker, [email protected]
Social Services
Education Services
Service Commissioning Service Provision
Children’s Network Board
Specialist Commissioning Arrangement
Co-
ordi
nate
d C
omm
issi
onin
g
Primary Care Trusts
Co-
ordi
nate
d pr
ovis
ion
Vertical* Network
Children’s secondary care
services
s’nerdlihCprimary care
services
Children’s tertiary care services
Horizontal Network
Health services Social services
Education services
Horizontal Network
Health services Social services
Education services
*Includes neonatal services and CAMHS
Agree Decision AreasPark less central ones
Defer location questions
Must inpatient units co-locate with neo-natal
intensive care units?Use of SCA option graph answers ‘no’.
Series of side discussions to fix problem
boundaries
Reaffirm focus: • no. of i/p units
• no. of ambulatory centres • level of community provision increase
Identify constraints limiting combinations
Use SCA option tree to identify 4
feasible patterns of provision
Discuss implications for
other hospital depts.Agree criteria for
choosing between patterns
Use of SCA ‘comparative advantage’ chart produces
agreement on(1,1, Large)
Agree criteria for location choicesUse of SCA option graph areas
plus confidential voteon agreed choices
Revisit parked areas
Selectparticipants
Inputs fromconsultationprocess
Imprered activity date
SpecifyAmbulatoryCentres
Planning the event
(project team)
Planning the event
(project team)
Action Plan for Camden and Islington
Planning the event
(project team)
2000
January March-July September-November December
Formationof
Children’s Strategy Group
(hospitals, primary and community staff, Health
Authority, local authorities, Community Health
Councils etc)
overseesand
oversees leads toCamden & Islington
Health Authority commission
LSE Operational Researchers
Informal publicconsultation
Stakeholder engagement
1999
2001 Strategic Choice Workshops January February March
A Strategy for
Camden and Islington Child Health Services
Social Services
Education Services
Service Commissioning Service Provision
Children’s Network Board
Specialist Commissioning Arrangement
Co-
ordi
nate
d C
omm
issi
onin
g
Primary Care Trusts
Co-
ordi
nate
d pr
ovis
ion
Vertical* Network
Children’s secondary care
services
s’nerdlihCprimary care
services
Children’s tertiary care services
Horizontal Network
Health services Social services
Education services
Horizontal Network
Health services Social services
Education services
*Includes neonatal services and CAMHS
Agree Decision AreasPark less central ones
Defer location questions
Must inpatient units co-locate with neo-natal
intensive care units?Use of SCA option graph answers ‘no’.
Series of side discussions to fix problem
boundaries
Reaffirm focus: • no. of i/p units
• no. of ambulatory centres • level of community provision increase
Identify constraints limiting combinations
Use SCA option tree to identify 4
feasible patterns of provision
Discuss implications for
other hospital depts.Agree criteria for
choosing between patterns
Use of SCA ‘comparative advantage’ chart produces
agreement on(1,1, Large)
Agree criteria for location choicesUse of SCA option graph areas
plus confidential voteon agreed choices
Revisit parked areas
Selectparticipants
Inputs fromconsultationprocess
Imprered activity date
SpecifyAmbulatoryCentres
Planning the event
(project team)
Planning the event
(project team)
Action Plan for Camden and Islington
Planning the event
(project team)
2000
January March-July September-November December
Formationof
Children’s Strategy Group
(hospitals, primary and community staff, Health
Authority, local authorities, Community Health
Councils etc)
overseesand
oversees leads toCamden & Islington
Health Authority commission
LSE Operational Researchers
Informal publicconsultation
Stakeholder engagement
1999
2001 Strategic Choice Workshops January February March
hospital
Healthy Start, Healthy FuturesImproving health services for children and young people, pregnant women and newborn babies in Barnet, Camden, Enfield, Haringey and Islington
A discussion document
