Thursday April 2nd 2009Central Hall, Westminster

School-age Children Workshop

Karen Turner & Richard SangsterHead of Children & Young People’s Public Health Programme, Department of Health

Our focus this morning

• Healthy Child Programme (ages 5-19): a vehicle for better health for all children and young people

• Role of schools in supporting health improvement

School-age Children• Health is inseparable from learning and achievement

Healthy Child Programme: 5-19 years• Early intervention and public health programme for children, young

people and their families

• Umbrella setting out the good practice framework for the delivery of services from pre-conception through to 19 years old to promote optimal health and well-being

• A universal progressive model

• The updated HCP for the first five years of life was published last year

• The guidance is now being extended to cover school age children and young people and will be published in 2009

INP

UTs

OU

TC

OM

E

School HCP Team

Universal and progressive programme accessed by C&YP and their parents/carers in order to promote optimal health & well-

being

Communications with C&YP and their parents/carers

Key Developmental Stage 1

Key Health Needs for C&YP

Happy, healthy C&YP who are equipped with the information, knowledge and skills to make

positive health behaviour choices. All C&YP and their parents/carers have access to appropriate

and confidential support and services.

HCP Schedule diagram:

Key DevelopmentalStage 2

Key Developmental Stage 3

Key DevelopmentalStage 4

Key DevelopmentalStage 5

Emotional health, sexual health, substance misuse (incl. alcohol, drugs, VSA, tobacco), accidents, healthy weight incl. physical activity and nutrition, oral health, LTCs and immunisation, screening programmes

Healthy Child Programme: 5-19 years

Professor David HallEmeritus Professor of Paediatrics, Sheffield University

Hon Professor of Paediatrics, University of Cape Town

Emeritus professor of paediatrics, Sheffield University

Healthy Child Programme: What is covered?

• Universal Services

• Target Services

• Mental Health Provision

• Preventing problems

• Role of school nursing

Questions?• What should we be trying to

achieve over the next 5 years?

• Where should we be disinvesting?

Healthy Child Programme: the benefits

• Better co-ordination of staff and programmes

• More and better evaluation of the evidence

Healthy Child Programme: why do we need this?

• Variability in service provision

• Variability in content

• Standardisation of screening surveillance, health protection and promotion and service delivery

Healthy Child Programme: who is it for?

• Universal

• Targeted at those with specific needs

• Importance of the evidence base

• Aimed at those in front line delivery, management and commissioning

Healthy Child Programme: Healthy Schools

• Healthy Schools is a vehicle for delivery of the HCP

• Healthy Schools: the right framework

• Statutory PSHE education: the right support

Discussion question

• And how will Children’s Trusts, Primary Care Trusts, Local Authorities and partners drive this health agenda forward for school-aged children?

Vision of the 21st Century School

Personalised Education and development

At the centre of a system

for early intervention and targeted support

A resource for the whole community

Supported by

Accountability

-School Report Card-Pupil Wellbeing Indicators

Workforce

-Skills, knowledge, capacity- School health teams

Funding

-DSG review

Schools working in clusters

Skills for working and life: PHSE Healthy Schools, PE and Sport, SEAL, behaviour and safety, pupil and parental engagement, school food

Identification of needs, screening(e.g.Teen LifeCheck), multi-agency support, specialist services, school level commissioning

Focus of the needs of children and young people (e.g. HCP, enhanced Healthy Schools)

Co-location of services

Enhanced Healthy School Programme • The 21st Century School builds on the foundations laid by the Healthy Schools and Extended

Schools programmes

• To further enhance the role of schools the Government will develop an enhanced Healthy School programme

• Build on the progress of aligning Healthy Schools and Extended Services

An enhanced Healthy School

is a school that has met the 41 criteria, has plans in place to meet the Ofsted pupil wellbeing indicators and then has an outcome based model of universal and targeted interventions focussed on those most at risk and linked to school, local and national priorities

Enhanced Healthy School Programme Annual Check

41 criteria, self evaluation

Task Group

Engage stakeholders, local priorities, pupil wellbeing indicators

Needs Analysis

School and local data

Setting priorities

School and LA priorities. Baseline

Setting Outcomes

Early success indicators

Universal Outcomes

Plan for whole school measures and outcomes

Targeted Outcomes

Children at risk

Action identification

Plan interventions for universal & targeted

Implementation

Works towards outcomes over three years

Monitor

Check against early success indicators

Schools with NHSS invited to apply for enhanced status

Three-year continuous

cycle

Local quality assurance sign off

Links to PWI, SEF, Extended Schools

Links to wellbeing indicators, SEF, Extended Services…..

Work with PCT, LA’sCT’s…..

Discussion question

• And how will Children’s Trusts, Primary Care Trusts, Local Authorities and partners drive this health agenda forward for school-aged children?