Who: Guy’s and St Thomas’ NHS Foundation Trust, as leader of the partnership
Start date: July 2016
End date: December 2020
Grant value: £5.4 million
Supported through: Health Innovation Fund
Find out more: www.cyphp.org
Children and Young People's Health Partnership (CYPHP) is working in Lambeth and Southwark to deliver significantly better health, better healthcare outcomes, and better value for children and young people in the area.
It is committed to:
The CYPHP programme aims to change ways of working across multiple organisations in order to improve children’s health and quality of care, and strengthen the health system in a sustainable way. By helping get the small things right and focusing on the detailed everyday needs of children, it wants to prevent long-term problems and improve health for all children and young people in Lambeth and Southwark.
The needs assessments for children in Lambeth and Southwark are completed, providing key data to help shape the rest of the programme.
Developing and testing new models of care starts for the 190,000 children and young people living locally. This includes redesigning services to improve the treatment of acute illnesses, promoting health and wellbeing, and managing long-term conditions more effectively.
Emotional resilience training is offered to school staff, tailored training is offered to Personal Advisors for care leavers, and Youth Workers are trained to utilise the Teen Health Talk tool. All resources are used to support professionals to identify health vulnerabilities in children and young people.
Clinical services are starting to be provided closer to home as services begin to be rolled out, including nurses visiting patients at school, children’s centres or at home. In-reach clinics begin to be rolled out, where paediatricians and GPs work together on cases in local surgeries, families can see specialists closer to home, and professionals engage in joint learning.
The KAOS (King’s Adolescent Outreach Service) project kicks off, supporting young people admitted to adult inpatient wards at King’s College Hospital. King’s College Hospital also pilots a transition template, which aims to improve communication between GPs and hospital staff when a young person’s care is transferred into adult services.
Parents and carers are able to complete a Health Check at GP surgeries and public events, on paper or electronically via a patient portal. The Health Check are supporting families manage their child’s health better, including thanks to a Health Support Pack which includes practical self-management information on specific health conditions and identifies community resources that families can access. It also supports health teams to provide better clinical support by giving them a holistic understanding of a child or young person’s health and general wellbeing.
CYPHP aims to ensure that all children and young people in Lambeth and Southwark have safe and effective everyday healthcare.
The partnership started by working with local children, young people and parents to understand what they need and how they see their health and care services. This included those most in need, disadvantaged and the harder-to-reach. The partnership mapped out services, uncovering areas with service gaps or poor access. Based on strong partnerships, the programme aims to change the current care of children and young people by:
Compared to other boroughs in England, Lambeth and Southwark have relatively young populations that are ethnically diverse. The populations are among the most deprived in the country, where child poverty levels are also high.
In terms of health, the number of children and young people who are living with a long-term condition in the boroughs is growing. Research shows that there is increasing use of acute services by children and young people in the boroughs, with a 10% rise in emergency admissions in the under 18s since 2010, and a 13% rise in paediatric outpatient appointments.
To complicate matters more, existing health services are poorly coordinated and are often organised in ways that make it hard for children and young people to access care. This is particularly the case for vulnerable young people who have the greatest health needs. The current model is unsustainable and is struggling to meet the needs of children and young people.
The Children and Young People’s Health Partnership (CYPHP) is breaking down the barriers between primary and secondary care and physical and mental health, and working to ensure that health services are shaped around children and their families.
By making some changes to the way they work, CYPHP want to support children and young people to have a healthier start in life.
This programme has a true partnership approach, based on the understanding that no single organisation is able to address all the issues needed to improve the health and wellbeing of children and young people. The programme was initiated, and has been strongly led by clinician and public health professionals.
Families, children and young people have been involved in all of the work through focus groups, advisory groups and surveys.
The partnership is made up of Evelina London Children’s Hospital, Guy’s and St Thomas’ NHS Foundation Trust, King’s College Hospital NHS Foundation Trust, South London and Maudsley NHS Foundation Trust, King’s College London, Lambeth and Southwark Clinical Commissioning Groups, Lambeth and Southwark GP Federations, Lambeth and Southwark Councils, and children, young people and families from the area.
In-reach clinics: These are a part of CYPHP’s universal offer, meaning that any child is eligible. They are children’s health clinics delivered by teams in primary care and specialists providing support closer to home. Benefits for children and families, include:
The majority of professionals agree that the clinics:
Health Checks: CYPHP's ongoing children services uses a tailored approach to deliver holistic care for children with specific conditions, and is starting with four tracer conditions including asthma, constipation, eczema, and epilepsy. The Health Checks are an important way of assessing a child’s needs comprehensively; mind, body, and context. They are completed by parents/carers, either on paper or electronically via a patient portal.
The Health Checks are linked to Health Support Packs. These packs contain practical self-management information on specific health conditions and identify community resources that families can access.
By providing health related educational skills and information to families through practical activities, the Health Check and Health Support Packs have proved to be successful among patients and their families, who have said they would recommend them.
Personal Advisor for Care Leavers Training: CYPHP is delivering a bespoke training programme to personal advisors (PAs) who work with young people that have left, or are preparing to leave local authority care in Lambeth and Southwark. The programme was created in collaboration with PA ‘champions’ and through engagement with care leavers. In response to their feedback, CYPHP brought speakers from a range of disciplines together to give talks on working with young people who have experienced trauma, and on understanding the benefits system for care leavers.
The CYPHP programme aims to change ways of working across multiple organisations in order to improve children’s health and quality of care, and strengthen the health system in a sustainable way.
The key themes of learning to date are:
28 July, 2018
We've looked at data and talked with local people to learn more about how and why people progress to multiple conditions.
27 July, 2018
A collective approach to tackling multiple long-term conditions to create a strong neighbourhood.