nhs england: the national context and transition
TRANSCRIPT
www.england.nhs.uk
NHS England: The National Context and Transition
Yorkshire & Humber Transition Launch 28 June 2016
www.england.nhs.uk
Drivers of NHS England priorities
Sets out Government’s expectations of NHS England in exchange for c£105bn of taxpayers money
Authored by six national NHS bodies Clear list of national priorities for 2016/17 and longer-term challenges for local systems
10 priorities linked to 3 gaps identified in Five Year Forward View
Set out 3 gaps: care & quality, funding & efficiency, health & wellbeing
www.england.nhs.uk
CYP are embedded in key programmes in NHS England
Cancer: Independent
taskforce made specific for
children, teenagers and
young adults
Mental health access and
waits: programme of transformation of
CYP mental health services is underway
Learning disabilities: aim to reduce inpatient
admissions for those with
LD/autism applies to children
and complements EHCP
Urgent & Emergency
Care: CYP one of the
‘lenses’ through which the
proposed new model of care
will be viewed.
Long-term
conditions: Work
underway to support
improvements in diabetes
and asthma care for CYP
Specialised Commissioning developing leading edge science and
innovation to enable patients with rare
diseases to be treated most effectively
New care models: Working with interested vanguards, UEC and acute
care collaboration vanguards to support focus on CYP
NHS England business plan,
2016/17
Genomics: The Genome
project will enable conclusive
diagnosis in some rare
childhood diseases, and allow
treatment to be tailored
www.england.nhs.uk
NHS England’s activity in 2016/17 is set out in three broad themes
4
Promoting mental and
physical well being
Improving quality of
services
Developing future models
of care
Transforming mental health services for children and young people
Improving asthma, diabetes
and epilepsy care and
supporting children with long
term conditions
Improving care for children
with special educational
needs
Supporting vanguard sites
and local areas working to
transform models of care for
CYP
Emerging work on childhood
obesity
Specific patient safety work
including still birth reduction
Improving acute care for
children and young people
Safeguarding
Improving child death
process & identification of
preventable factors
Improving CYP experience of care
Health Inequalities
Improving transition from paediatric to adult services
www.england.nhs.uk
Why transition?
“We have put the interests of a system that is no longer fit for purpose above the interests of the people it is supposed to serve. The system is fragmented, confusing, sometimes frightening and desperately difficult to navigate.”
“Services will be integrated and care will be coordinated around the individual, with an optimal experience of transition to adult services for those young people who require ongoing health and care in adult life.”
“Services will work together to make the transition in and out of services, and between different services as smooth as possible”
2013
2014
2014/15
Diabetes transition service specification
• Informed by expert group convened in 2014 and co-chaired by National Clinical Director, Children, Young People and Transition and National Clinical Director, Diabetes and Obesity
• Membership included leading paediatric and adult diabetes consultants and national specialists, from Clinical Networks, CCGs leads and commissioners, parents and users of diabetes services
• Close partnership with Diabetes UK, and a strong focus on user engagement and patient engagement
• Specification and guidance based on existing models of good practice and national expertise
Guidance and service specification
• Non mandatory, voluntary service specification and
associated guidance that commissioners may want to use to support effective transition
• In line with the national standard contract and
allows for local adaptation and informed service design
• In line with NICE guidelines for diabetes (type 1 and type 2) in Children and Young People and for adults
• Supports take up of the NDA, NPDA and completion of 9 care processes
Picture of front cover?
Service specification content Sets out 3 stages for effective transition:- - Planned preparation - Movement - Structured integration 6 Key considerations of effective diabetes transition services: 1. Accessible and engaging services / disengagement 2. Partnerships and integration / coordinated services 3. Independence and autonomy 4. Staged and timely 5. Supportive structures and systems 6. Integral psychological services 7. Support for parent and carer transition
www.england.nhs.uk
My Mental Health Services Passport www.england.nhs.uk/mentalhealth/2015/10/15/passport-brief-yp-
mh
Developed by young people and
parents/carers with NHS England as part of
the CYP IAPT programme
The aim of the passport is to help young
people using services to own and
communicate their story when moving
between different services.
The passport provides a summary of young
person’s time in a service, for the
information will be owned by the young
person, and for it to be shared with any
future services if the young person wishes
www.england.nhs.uk
DATA: Chimat and CAMHS ebulletin –
http://www.chimat.org.uk/camhs
CORC: http://www.corc.uk.net/
NHS Benchmarking Report 2015
MHSDS-flowing from Jan 2016
• Resource for all adults to increase awareness and understanding
• Includes free e-learning sessions for all those working with CYP (incl. ED sessions)
• MindEd for Families
https://www.minded.org.uk/
GIFT Sign up for www.myapt.org.uk;
see video clips
https://www.youtube.com/user/Cern
isLimited/videos
www.england.nhs.uk
• New online resource created for and
with parents and carers to help improve
mental health care for children and young
people
• Over 900 parents/carers identified 5 key areas:
• access, equality and diversity
• communication
• service leadership and delivery
• methods of engagement
• workforce development
• Best practice case studies,
videos, resource directory
www.youngminds.org.uk
www.england.nhs.uk
• Further tools/resources planned:
o Refresh of CAMHS transition service specification
o Refresh of You’re Welcome Quality Standards
o Development of transition ‘Quick guide’ for CYP with special
educational needs
• Development of NHS England web pages to host resources produced
– to include Yorkshire and the Humber Transition Toolkit.
What’s next?