CHILDREN AND YOUNG PEOPLE’S HEALTH SUPPORT GROUP/

CHILD HEALTH COMMISSIONERS JOINT MEETING

FRIDAY 5 JUNE 2009 AT THE EDINBURGH TRAINING CENTRE

Present:Children and Young People’s Health Support Group (CYPHSG)

Malcolm Wright, Chief Executive, NHS Education for Scotland (NES) - Chair

Safaa Baxter, Association of Directors of Social Work

Mary Boyle, NHS Education for Scotland

Bronwen Cohen, Chief Executive, Children in Scotland

Fiona Dagge-Bell representing Jan Warner, Director of Patient Safety and Performance Assessment, NHS Quality Improvement Scotland (QIS)

Graham Bryce, Consultant Psychiatrist, NHS Glasgow

Zoë Dunhill, Child Health Consultant

Mo Grant, Allied Health Professionals Scotland

Morgan Jamieson, National Clinical Lead for Children and Young People’s Health in

Scotland

Ann Kerr, Team Head, Healthy Living, NHS Health Scotland

Cathy Kravczyk, representing Sharon Adamson, West of Scotland Regional Planning Group

Brenda Renz, British Psychological Society

Caroline Selkirk, Director of Innovation and Change, NHS Tayside

Michael Van Beinum, RoyalCollege of Psychiatrists

Scottish Government

Kay Barton, Health Improvement Strategy

Lucy Colquhoun, Child and Maternal Health Division

Derek Feeley, Director, Healthcare Policy and Strategy Directorate

John Froggatt, Deputy Director, Child and Maternal Health Division

Margo Fyfe, CAMHS Nurse Adviser, Mental Health Division, Primary and Community Care Directorate

Gillian Garvie, Branch Head, Child Health, Child and Maternal Health Division

Chris Ridley, Integrated Children’s Services, Health Directorate

Mary Sloan, Policy Officer, Child and Maternal Health Division

Child Health Commissioners Group

Sally Amor, NHS Highland

Cathy Cairns, NHS Fife

Kathy Collins, National Services Division

Alastair Philp, Information Statistics Division

John Thomas, representing Sally Lee, NHS Lothian

Joy Tomlinson, representing Grace Moore, NHS Ayrshire & Arran

In Attendance

Norrie Gilliland, People Matters - Facilitator

Apologies: Children and Young People’s Health Support Group (CYPHSG)

Jim Beattie, Scottish Officer, Royal College of Paediatrics and Child Health

Michael Bisset, Consultant Paediatrician, RoyalAberdeenHospital for Sick Children Lorraine Currie, Chair, Child Health Commissioners’ Group

Linda de Caestecker, Faculty of Public Health

Deirdre Evans, Director, National Services Division

Gavin Fergie, Professional Officer for Scotland, Community Practitioners and Health

Visitors’ Association

Stewart Forsyth (Vice Chair), Medical Director, NHS Tayside Acute Services

Division

Claire Gibson, Community Care Providers

Graham Haddock, Consultant Paediatric Surgeon, RoyalHospital for Sick Children,

Yorkhill

Annie Ingram, North of Scotland Planning Group

Janice MacKenzie, Strategic Paediatric Educationalists and Nurses in Scotland (SPENS)

Pauline McCartan, Speech and Language Therapy

Ray Murphy, Association of Directors of Education in Scotland (ADES)

Eleanor Nisbet, Royal College of Nursing

Shirley Rogers, Scottish Ambulance Service

John Wilson, Chair, SEAT Children’s Regional Planning Group

George Youngson, Consultant Paediatric Surgeon, NHS Grampian

Child Health Commissioners

Jim Chalmers, Information Statistics Division

Emelin Collier, NHS Western Isles

Graham Foster, NHSForthValley

Elaine Grieve, NHS Orkney

Caroline Mackie, NHS Tayside

Ralph Roberts, NHS Borders

Sarah Taylor, NHS Shetland

Scottish Government

Lesley Fraser, Deputy Director for Safer Children, Stronger Families

Margaret McGuire, Acting Chief Nursing Officer

Nicola Robinson, Allied Health Professions

1.Norrie Gilliland, facilitator, opened the meeting by saying the purpose of the day was to look at the functions of the Children and Young People’s Health Support Group and how it links in with the Child Health Commissioners and other Groups.

2.Derek Feeley presented the attached slides emphasising:

  • The present Government takes a strategic, outcomes-based approach, with better joined-up working
  • Its focus is on sustainable, economic growth to create a more successful country which has implications for children too
  • The Scottish Government has 5 national objectives and 15 national outcomes for accountability, many of which are directly relevant to children
  • The Early Years Framework had been a ground-breaking document: it had been an outcome of the Local Authority concordat, with shared objective-setting
  • The Scottish Government continued to focus on Getting It Right for Every Child (GIRFEC)
  • The Best Possible Start of Better Health, Better Care(BHBC) outlined 25 actions
  • The Patient Safety Alliance would be relevant to paediatric hospitals too
  • The Cabinet Secretary would shortly be announcing a new focus for BHBC – improved quality, safety and patient-centred care. This will mean services for children and young people should continue to improve with the care they need, when they need it. Families would be involved
  • The CYPHSG could help with enablement – equipping people and building capacity: with involvement/ownership – championing the rights and responsibilities for children and young people: and to ensure improvement happens
  • There would be no new money – public spending had increased in recent years but that wouldn’t continue
  • People shouldn’t work in isolation or in silos – they should work across boundaries and be smarter about sharing resources.

3.Malcolm Wright presented his slides highlighting:

  • His agreement that resources would be tight and that it would be important for people not to work in silos but to work in a multi-agency way
  • The quality of facilities, staffing and training had vastly improved in recent years
  • The £32m for specialist children’s services had to be spent in a focused way
  • Single outcome agreements (SOAs) would mean resources would have to be linked up – how could the CYPHSG support local partnerships?
  • The CYPHSG should do progress checking on policies, eg the Emergency Care Framework, the Action Framework and the National Delivery Plan
  • Workforce issues had to be taken into account
  • The CYPHSG was in a privileged position to give advice to Ministers and the Scottish Government
  • The CYPHSG had many achievements and there were clear outcomes – services had improved
  • The Group should now move from policy development to implementation and improvement – how should the Group prioritise and how could it capture best practice?
  • The Group should engage better with the NHS and should help local services improve in the tight economic climate
  • Community Health Partnership (CHP) engagement was variable but was very important. Some partnerships were excellent – a review was underway. Single Outcome Agreements had helped CHPs influence priorities
  • The remit of the Group was to support the NHS, be a catalyst for disseminating best practice, be a focus for communication.

4.The following comments were then made:

  • The CHP review would look at health improvements and inequalities later in the year
  • Guidance to CHPs on Equally Well was to be updated
  • The Additional Support for Learning Act should be remembered alongside the Early Years Framework.
  • The Early Years Framework and Better Health, Better Care should be linked
  • The Early Years Framework could be the vehicle for delivering services
  • The Hall 4 Implementation Network was looking at the Early Years Framework. A balance had to be struck between universal and targeted services. Hall 4 is looked on as the lead agency up to the age of 3.
  • Local Government was now focused on outcomes and not inputs: outcomes should be considered first then thought given on how to get there
  • The Group should give direction to help the collaboration of partners: should consider smarter ways of working
  • Need to work across sectoral boundaries: the Group should support the NHS to do that, it had a direct link with the Chief Executives’ Group
  • It would be important to think about improvement but how could improvement be measured?
  • Good practice could be shared through ehealth.

5.The meeting then broke into Groups, the feedback from which can be found in the facilitator’s report (attached).

6.Derek Feeley summed up the outputs from the day as being:

  • The Group should think about re-balancing its priorities
  • Moving services into the community meant a shift of balance for the Group
  • The Group should be more actively engaged in measuring policy issues.

7.Malcolm Wright concluded the meeting by saying:

  • Themes for joint visits with QIS would be considered. These should be focused visits by multi-agency representatives from the Group
  • The size of the Group had been mentioned:the suggestion had been for a larger core group with the large main group meeting, in workshop style, 3 times a year
  • Members would be encouraged to be more active
  • The lines of reporting/communication with other groups would be considered
  • The Group should remain a catalyst for disseminating good practice.

8.It was pointed out that NHS Education for Scotland had used National Delivery Plan monies to open a children and young people’s portal which had the potential to be used by all services to disseminate good practice.

9.Malcolm Wright closed the meeting by thanking everyone and by acknowledging that a lot had come out of the discussions. The outputs would be discussed by the Core Group in the near future.