Presented By

Pamela AgapiouDirector of Health Improvement & Children’s Services

East Coast Community Healthcare CIC

Healthy Child Programme

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HCP Phase 1

• Initial development of the toolkit funded by NHS & LA• Project ran from May 2013 to Dec 2014• Toolkit published January 2014• 5 workstreams with 125 members• Membership drawn from a mix of NHS & LA providers

and commissioners

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Toolkit Overview

Key sections• Best practice pathways – 17 in total• Guidance/Enablers• Outcomes & Key performance Indicators• Workforce Development

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Toolkit Overview 17 Pathways• Single Universal Pathway

• 8 Universal Plus Pathways

• 8 Universal partnership Plus Pathways

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Outcomes and KPIs Overview• Outcomes and KPIs developed• Aligned with national KPIs

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Phase 2: Five Pilot Sites• Suffolk

• Norfolk

• Bedfordshire

• Cambridgeshire & Peterborough

• Hertfordshire

Maternal mental health

Antenatal pathway > 10 days post birth

Integrated outcomes and KPIs

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Deliverables and TimescalesWhole Project

May 2014 to November 2014• Produce Final Output Report Document

• Produce, revised final version of the Integrated Commissioning and Delivery toolkit, guidance and standards

• Organise and deliver ‘Sharing event(s) within East of England to share:

• Background and detail of project

• Content of final report

• Content of Commissioning and Delivery Toolkit

• Plans for regional rollout

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Deliverables and TimescalesPilot Sites - Pathways

May 2014 to November 2014

• Review and test appropriate elements of the Universal pathway

• Review and test both the Universal Plus and Universal Partnership Plus pathways

• Provide an evaluation of the testing identifying:

o Operational constraints/difficulties

o Changes to the pathways based on either best practice or evidence

o Lessons learnt

• Contribute to and review the final Integrated Commissioning & Delivery Toolkit

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Deliverables and TimescalesPilot Sites – Outcomes & KPIMay 2014 to November 2014

• Review and Revise HCP Ambitions• Review and articulate local child population health outcomes• Review and revise/develop additional KPI’s• Establish local systems and process for delivery of integrated monitoring of the

HCP • Provide an evaluation of the above identifying:o Operational constraints/difficultieso Changes to the current toolkit based on either best practice or evidenceo Lessons learnt

• Contribute to and review the final Integrated Commissioning & Delivery Toolkit

Universal (U)Notification systems & Processes• Effective Notification of pregnancy & Information sharing immediately after midwifery assessment• Effective Notification of changes in pregnancy status • Effective Notification of birth• Effective Notification for out of area mothers• Transfer of care to HV on discharge from midwifery service• Antenatal Contact – 28 weeks optimum• New Birth visit 10 – 14 days • Effective multiagency Antenatal groups (PB&B)• Uniformity of service provision

Universal Plus & Universal Partnership Plus (UP & UPP)• Communication and co-ordination of care• Care of vulnerable Mothers

Key Areas of Focus for Antenatal Pilots

Key Areas of Focus for Maternal MH Pilot

Universal (U)• Assessment Tools – Standardisation • Delivery of standardised assessment at key milestones - How

Recorded/Evidenced• Communication with Partners & Stakeholders• Consistent Signposting• Uniformity of service provision

Universal Plus & Universal Partnership Plus (UP & UPP)• Uniformity of service provision• Assessment Tools – Standardisation • Service Threshold• Communication and co-ordination of care

• Review and Amend HCP Aspirations in draft toolkit• Identify Key outcomes for Children & families within local system• Identify indicators for each key outcome• Identify robust KPI’s for each outcome and service

– Review new KPI’s in HCP document and refine where appropriate– Identify data/information requirements

• Identify high level performance monitoring framework, systems and processes

• Agree areas of responsibility/accountability for provision of data• Implement performance monitoring framework

Key Areas of Focus for Outcomes & KPI Pilot

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Governance Framework

For more information on STEPS please contact Tony Hadley via email.

Tony.Hadley@sustain-improvement.com

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