1 - HCP Journey of the Child

1 - HCP Journey of the Child

1. 3rd Sector Locala - FNP b4 26 wks – 2 - HV b4 28 wks – 5 yrs - SN 5 – 19 yrs - MASH (health) - *S x Stat visits from antenatal contact – whatever else needed

2. -9 months

   • Single point of access ask CAMHS (unusual before 4 yrs)

3. Not just child, look at whole family multi- agency approach

4. • Northope Hall (charity) • Chews – short term 8 – 12 sessions • Tier 2 – young Careres 8 – 19 yrs (Barnados – from May 16)

5. Single point of access ASK CAMHS (unusual 4yrs)

6. 0

   • Orchard Cart , part of Hollybank Children’s Home, Full –time residential and respite 4 – 19 complete physical needs. Holly bank school parent support groups, L, HH & Pips complete physical needs.
   • 25 wks – have to have child under for ref?

7. 5 yrs

   • Create 8 – 18 learning D? Sports and Arts
   • Risks of duplication or people not knowing about what is available – a need for central point of information responsible on services to keep updated.
     • Charity – Home start – Volunteers to support parents, young people, peer support groups, nurturing parents embedded service well received but family has to want to engage but tend to as non-statutory health approach.

8. 10 yrs

9. 19 yrs

10. RISKS

    • - Knowing what is actually out there, what do, who for etc. – hard to collaboration of don (hard for professionals –even hard for families
    • - Quality?
    • - Offers opportunities for joined up working, more seamless
    • - What if part of the collaboration “falls over” – gap risk to outcomes
    • - Risks of duplication
    • - * Different organisation use different systems, need to find ways to share without being reliant on having the same system.
    • - Cant it have a one-size fits all, cat dilute person centre approach
    • - *Outcomes in spec needs to be right without being prescriptive.

11. WORKFORCE

    • - Providers opportunity to share knowledge/increase understanding (although do that now)
    • Concerns re-terms and conditions, Providers not commissioners. All providers have different terms and conditions. Are services going to be impacted on actual delivery April 17 – impact on formula, continuity of care?
    • - Process of collaboration – starting to improve and build relations between organisations.
    • - Risks to smaller organisations – getting “swallowed up” by larger organisations.
    • - *Need a common understanding of what we mean by collaboration – different interpretation

12. INFO SHARING/DATA

    • make smaller organisations more visible, increase awareness and sustainable.
    • Opportunity to share (Collaborate in various ways management, back office etc..

13. PRACTICALITIES

    • - Impact of academy on L & Community Huns
    • - So many changes all going on at the moment.
    • - Concern about impact on way of working in smaller organisation having to change
    • - What is going to be the difference between now and future model
    • - Funding, opportunities to do more differently
    • - Competition? Need to protect services etc
    • Existing providers have?
    • - Are commissioners looking to provide support around bid writing?
    • - Accountability, power – type of model? Flexibility
    • - How specific will spec be?
    • - Word limits??

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