School Health Service Sharing the journey thus far

School Health Service Sharing the journey thus far in the transformation of the East Sussex Schools Public Health Service, including the recent implementation of Lancaster model and HAPI portal Stephanie Cooper – Acting Area Clinical Manager Sarah Barber – School Nurse Service provided by Kent Community Health Foundation Service. NHS provided by Kent. Trust Community Health NHS Foundation Trust

January 2015 SCPHN Staff Nursery Nurse Admin 1 LCM 2 TCs 2. 43 PT 12. 34 SN 9. 63 4. 79 2. 83 53 staff in total 17. 77 May 2018 SCPHN Health Improvement Specialists 1 LCM 3 TCS 1 SG 1 PT 6 SN 2 HV 14 2. 6 3. 77 2. 6 Staff Nurses Nursery Nurses Health Improvement Assistants School Nurse Assistant Admin 7. 59 3. 05 1. 8 5. 97 2. 38 B 2 1. 8 B 3 0. 45 1. 8 2. 04 1. 74 Service provided by Kent Community Health NHS Foundation Trust 1. 8 5. 97 50 staff in total

Jan 2015 Named Nurses for schools Attendance at all Safeguarding meetings regardless of need Blurring between the School Staff Nurse role and the School Nurse role Secondary school drop-ins at some schools Service provided by Kent Community Health NHS Foundation Trust

Jan 2018 Corporate caseload management. School Health One Point – SCPHN available 8: 30 -17: 00 mon-fri Priority Access Team to coordinate safeguarding workload Attendance at safeguarding meetings dependent on an identified School Health need All secondary schools have either a weekly or fortnightly drop-in – plus a termly health promotion event All Further Education Colleges have 2 health promotion events a term All Primary schools are offered a termly health promotion session CHAT health confidential text messaging service for 11 -19 year olds Communication agreements completed with all schools. Service provided by Kent Community Health NHS Foundation Trust

April 2017 Introduction of Health and Development Reviews; the Lancaster model (TLM) Service provided by Kent Community Health NHS Foundation Trust

TLM enables The School Health Service to adopt a universal approach in completing Health and Development Reviews at Key Transition Points (School Entry, Year 6, Year 9 and Post 16 years). Health and Development Reviews assess universal health, risk and protective factors, family health, emotional health & wellbeing, Lifestyle choices, lifestyle Behaviour and services. School Health Profiles Using the Health and Development reviews – school level data is used to inform profiles to enable the schools to meet the specific public health needs of their school community Service provided by Kent Community Health NHS Foundation Trust

Pre and Post launch • • Work with Communications to produce a flyer for parents of Year R Attendance at all Designated Safeguarding Lead meetings across the county. Engaged with County Council colleagues such as the health improvement team to support the launch Regular contact with the schools via email on the run up to launch Schools sent email/text to let parents know the Health and Development reviews were coming Flyers given to schools to go home in bookbags and request for email/text to alert parents to look. Reminder via schools after the Easter holidays Zero return schools – offered playground session and/or facilitated completion Service provided by Kent Community Health NHS Foundation Trust

HAPI portal and alerts The HAPI portal is a secure computer based system that collates returned Health and Development Reviews. Alerts received under the headings universal health, risk and protective factors, family health, emotional health & wellbeing, Lifestyle choices, lifestyle Behaviour and services enables the SCPHN to make a clinical decision and respond accordingly e. g Discharge/Swift Response/Reassign/Package of Care. Managing the HAPI Portal Worked as a County wide SCPHN team on a rota Worked from within SHOP to provide protected time away from teams Service provided by Kent Community Health NHS Foundation Trust

Challenges • • Time due to being a new process and system Confidence/experience of staff navigating through the alerts Managing the reassigning of Alerts alongside our current allocations process to ensure equity and skill mix utilised Communicating with families and making every contact count when alerts triggered and no support required - Letter to parent – time consuming, requires a vast amount of administration support. Automatic reply once form submitted Service provided by Kent Community Health NHS Foundation Trust

The Next Steps • • • Administration support to be in place to aid SCPHN’s and ensure alerts are managed timely Robust SCPHN rota (protected time) for the next Academic Year to ensure diary commitments are in place To implement designated School Terms for each cohort of Health and development Reviews – this will aid managing alerts received To continue raising the profile of Health and Development Reviews to maximise return rate and strive for Early Intervention in line with identified needs across the continuum To launch the Post 16 Health and Development Reviews Service provided by Kent Community Health NHS Foundation Trust