Manual Working with Children, Young People and Families (Creating Integrated Services Series)

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Where appropriate, they should be supported to develop a sense of well-being through:. All children and young people have the right to be safe and secure, protected from harm and neglect, and to live in an environment that enables them to develop to their full physical, mental, spiritual, moral and social potential. This includes being safe from a range of concerns. When they need help to achieve these outcomes it should be available in a timely way and delivered through effective interventions. All children and young people have the right to family life wherever possible and to be supported to take part in community life.

They have the right to a continuity of care wherever possible and to develop and preserve their own identities. All children have a right to a loving and secure home and, where this cannot be provided by their birth parents and wider families, children should have the opportunity to experience this through adoption, special guardianship, child arrangement orders or long term fostering. All children and young people have the right to good education and training which meets their identified needs and equips them to live full adult lives.

All children not forgetting young carers have the right to time and support to pursue appropriate leisure interests.

Children's Integrated Services Policies, Priorities and Principles

They will be able to do this best where they have a continuity of care, an understanding about their identity and information which they can use to make informed decisions about themselves. Therefore, contributing to their own lives. All children have the right to be supported in their studies, to be prepared for adult life and work, and to be equipped with the skills and knowledge that will help them overcome any social disadvantage, become self-sufficient and able to make positive choices for themselves. We will work with education colleagues to support vulnerable learners, including looked after children.

We will promote a learning culture within our services that ensures our practice is informed by a strong evidence-base, emerging best practice and learning from Serious Case Reviews SCRs and other serious incidents. We will act on the findings of inspections, peer reviews, audit activity and our regular performance monitoring.

It has set up the UK Child Health Research Collaboration so that funders of child health research now have an organisational partnership framework. The RCPCH is also considering ways of collating examples of integrated care models so that this information can be shared with its members and with the wider healthcare community.

Practice is often ahead of the evidence. Theory-based evaluation is a valuable approach when there is rapid and varied change. The paper raises questions about the level of detail required to design and assess new models of care and how to make meaningful comparisons between different configurations. The paper's supplementary table suggests that some simple, shared principles can generate a significant variety of practice and so mapping variations at a more detailed level could be an important step in accumulating knowledge for practice.

1.1.1 Children's Integrated Services Policies, Priorities and Principles

The paper helps to generate further questions box 2 , to explore dimensions and limits to service innovation. If the final outcomes are similar across all four models, for example, fewer emergency department presentations or admissions, reduced costs, or more resilient children and families, what are the mechanisms of greatest importance to each of these, or to an acceptable or sustainable balance between them? A third linked theme, again not new, 5 but pertinent to both the Vanguard programme and wider experimentation, is about sharing experiences of the process of change from current to new configurations of services.

Establishing and implementing change to services by shifting workforce resources with little new money is challenging; the learning by commissioners and providers must be shared. Successful MCP models require cross-boundary buy in, ownership by clinical and service leaders, and a collaborative mindset. Early on, system-wide joint outcomes must be agreed, and the disincentives of payment by results and contractual arrangements need to be addressed. Finally, the paper cites a concern among research participants that integration might result in hospital services closing.

This could be a barrier but, equally, could be an opportunity. Fewer hospitals delivering inpatient care, well aligned with integrated care services primary and secondary delivering more care out of hospital, could be a sustainable long-term solution. The development of MCNs, would in part, have been a result of the children's SCNs' strategic work plans and in their absence, there is a large gap as to how quality improvement measures for children's healthcare are coordinated, implemented and evaluated—this needs to be addressed as a matter of urgency.

What can I do to prevent this in the future?

This paper provides valuable food for thought at local and national levels, and indicates how front-line staff can work with research organisations to conduct high value policy research through innovative healthcare service design and evaluation. To achieve effective integrated care, fundamental systemic and institutional redesign of the organisation and resourcing of services and the children's workforce is required. Any one change will impact on other care services and challenge long-established, taken-for-granted patterns of responsibility, expertise and practice.

Radical system change is about revolution as much as evolution for all involved in the NHS in England, from policy development to frontline practice. Provenance and peer review Commissioned; internally peer reviewed. You will be able to get a quick price and instant permission to reuse the content in many different ways.

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