RCGP Adolescent Health GroupJane H Roberts, Chair

} Young people’s health traditionally seen as ‘cinderella’ area

} Clinicians, academics, policy makers, increasingly describing the importance of adolescence as a key stage in the life course

} Commissioning may well act as catalyst Are you involved with your local CCG?Do they have a commissioning ‘intention’ re

CYP?

} Sawyer et al, (2012) Lancet: 379; 1630-40

Pre-conceptua

l factors

Early child hood Puberty Adult hood

Social determinants of health; risk and

protective factors

Health –related behaviours and

health outcomes

} Do you consider young people to be a separate social group?

} Does your practice offer anything different for the 12-20 year olds?

} How confident do you feel about consulting with young people?

} Do you consider young people to be a separate social group

} Or do you see them as patients on a life’s journey?

} Tension between seeing YP as different and with particular needs or seeing them as moving through a life course

} Levels of knowledge?} Levels of confidence?} Time pressures?} Practice organization?} Degree of professional experience?} Educational experience? } Specific subject areas?

} Adult anxiety can inhibit talking with young people

} Seeing young people as ‘different’ can often distance us

} Active listening, curiosity and compassion sit at the heart of good adolescent care

} Psychosocial and physical health intertwined} You do not need to be an ‘expert’} Core skills of good general practice are key } Practice systems underpin good care