Healthy Child Programme Presented By Pamela Agapiou Director

Healthy Child Programme Presented By Pamela Agapiou Director of Health Improvement & Children’s Services East Community Healthcare CIC

HCP Phase 1 • • • 2 Initial development of the toolkit funded by NHS & LA Project ran from May 2013 to Dec 2014 Toolkit published January 2014 5 workstreams with 125 members Membership drawn from a mix of NHS & LA providers and commissioners

Toolkit Overview Key sections • • 3 Best practice pathways – 17 in total Guidance/Enablers Outcomes & Key performance Indicators Workforce Development

Toolkit Overview 17 Pathways • Single Universal Pathway • 8 Universal Plus Pathways • 8 Universal partnership Plus Pathways 4

Outcomes and KPIs Overview • Outcomes and KPIs developed • Aligned with national KPIs 5

Phase 2: Five Pilot Sites • Suffolk Maternal mental health • Norfolk Antenatal pathway > 10 days post birth • Bedfordshire • Cambridgeshire & Peterborough • Hertfordshire 6 Integrated outcomes and KPIs

Deliverables and Timescales Whole Project May 2014 to November 2014 • Produce Final Output Report Document • Produce, revised final version of the Integrated Commissioning and Delivery toolkit, guidance and standards • Organise and deliver ‘Sharing event(s) within East of England to share: • Background and detail of project • Content of final report • Content of Commissioning and Delivery Toolkit • Plans for regional rollout 7

Deliverables and Timescales Pilot Sites - Pathways May 2014 to November 2014 • Review and test appropriate elements of the Universal pathway • Review and test both the Universal Plus and Universal Partnership Plus pathways • Provide an evaluation of the testing identifying: o Operational constraints/difficulties o Changes to the pathways based on either best practice or evidence o Lessons learnt • Contribute to and review the final Integrated Commissioning & Delivery Toolkit 8

Deliverables and Timescales Pilot Sites – Outcomes & KPI May 2014 to November 2014 • Review and Revise HCP Ambitions • Review and articulate local child population health outcomes • Review and revise/develop additional KPI’s • Establish local systems and process for delivery of integrated monitoring of the HCP • Provide an evaluation of the above identifying: o Operational constraints/difficulties o Changes to the current toolkit based on either best practice or evidence o Lessons learnt • Contribute to and review the final Integrated Commissioning & Delivery Toolkit 9

Key Areas of Focus for Antenatal Pilots Universal (U) Notification systems & Processes • Effective Notification of pregnancy & Information sharing immediately after midwifery assessment • Effective Notification of changes in pregnancy status • Effective Notification of birth • Effective Notification for out of area mothers • Transfer of care to HV on discharge from midwifery service • Antenatal Contact – 28 weeks optimum • New Birth visit 10 – 14 days • Effective multiagency Antenatal groups (PB&B) • Uniformity of service provision Universal Plus & Universal Partnership Plus (UP & UPP) • • Communication and co-ordination of care Care of vulnerable Mothers

Key Areas of Focus for Maternal MH Pilot Universal (U) • Assessment Tools – Standardisation • Delivery of standardised assessment at key milestones - How • • • Recorded/Evidenced Communication with Partners & Stakeholders Consistent Signposting Uniformity of service provision Universal Plus & Universal Partnership Plus (UP & UPP) • Uniformity of service provision • Assessment Tools – Standardisation • Service Threshold • Communication and co-ordination of care

Key Areas of Focus for Outcomes & KPI Pilot • Review and Amend HCP Aspirations in draft toolkit • Identify Key outcomes for Children & families within local system • Identify indicators for each key outcome • Identify robust KPI’s for each outcome and service – Review new KPI’s in HCP document and refine where appropriate – Identify data/information requirements • Identify high level performance monitoring framework, systems and processes • Agree areas of responsibility/accountability for provision of data • Implement performance monitoring framework

Governance Framework 13

For more information on STEPS please contact Tony Hadley via email. Tony. Hadley@sustain-improvement. com 14