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?