Principles for commissioning and delivering better health outcomes and experiences for children and Young People so they are comparable with the best in the world

Principles of care
This week I want to share with you some work we have been doing across the East of England. We have shared these on each of our visits.

We have developed a set of principles that can be used by providers and commissioners, across the whole healthcare system wherever a child or young person is seen. The aim is to improve the health outcomes and experiences for children and young people (CYP.)


How were they developed?
The principles were developed by a multi-professional team of GPs, Health Visitors, School Nurses, Paediatricians, Public health, Children’s Nurses, patient and family representatives came together over a period of 6 months in a number of facilitated work- shops.
CYP and family engagement was central to this work with visits to Children’s Centres, primary and secondary schools to listen to families experiences of health services. A graphic illustrator captured the key messages from each engagement event.
The principles were referenced against the Children and Young People’s Outcome Forum Report and the NHS Mandate.

What are they?
A set of 6 principles; 1.Child and Family focussed, 2.Health Promotion, 3.Transformation, 4.Settings, 5.Information and Communication, 6.Evidence Based and Sustainable.
Each principle has an aspirational statement and then indicators to be used to evidence achievement towards a principle. They can be used to assess an existing service or to develop a new service and can be used for a condition across a pathway e.g asthma or for a service e.g GP practise.
The principles have been developed as a single A5 poster for ease of use and are colourful and visual.
A postcard has also been developed which summarises the feedback from young people and families but also translates the principles for families so that they know what they can expect from services.
Local organisations are encouraged to add their own and healthwatch websites to the postcards to allow continuing feedback from families.

Front PostcardBack Postcard

And so what?
The principles define a common language and shared sense of purpose for professionals and families and can be used as a platform of small or large scale change and improvement. They compliment the NHS mandate and the children’s and young person’ s outcome report and sit at the centre of the NHS change model. They are easy to use and flexible and can be used nationally and easily adapted for other services. They summarise the NSF on one page and could contribute to a NHS CYP constitution

And now what?
We would be delighted if the CYP community would use these principles nationally but also we think they could be adapted for use elsewhere – care homes, care of patients with dementia, patient safety etc…

Please feel free to comment and feedback.
I do have lots of things to share with you from our visits. we have now done 10 out of the 17. I have asked for some guests to contribute to the blog to tell us about some of the great practise we have seen such as children’s advanced nurse practitioners, the role of the children’s matron, productive ward. I want you to be able to read each blog within a few minutes and so that is why I am breaking it down into small chunks.
Best Wishes

COMING SOON  Something Kath has been working on – A legacy for the children and Young People  Emergency and Urgent Care programme and in co-production with  @ahhapublications and coming to a school near you a friendly Monkey to teach you about the NHS

Overview slides_Page_17




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