SCHOOL HEALTH SERVICE PROCUREMENT

Sexual Health Providers Forum

28th October 2015

Agenda• Background• Characteristics and health needs of children in the

boroughs• Service Model• Relationships and sex education• Procurement

Why reprocure• The current School Nursing and Sex and Relationships

Education Contracts are due to expire.• The service offer to schools and families is inconsistent

across the three boroughs• The imperative to move to a School Health Service which

reflects, anticipates and innovates to fulfil the future service needs of children, families and schools and delivers on health priorities.

Current Contracts• Current provider for School Nursing Service across all

three boroughs - Central London Community Health Trust - three contracts

• Current Public Health Commissioned providers of Relationships and Sex Education deliveryProvider LBHF RBKC WCC

Brook no yes yes

Living Well no yes no

FPA(Learning Disabilities)                        

no no yes

Image in Action (Learning Disabilities)

yes no no

HEALTH NEEDS OF CHILDREN IN THE THREE BOROUGHS

Children and young people in the three boroughs

The child population in the Tri-borough area is smaller than London and England, particularly in Westminster and K&C.

People are more likely to move out of the more affluent areas, leaving a larger proportion of families in areas of social housing and deprivation

Tri-borough area have high population churn

Westminster has the 2nd smallest

proportion of school age

children (4-15) in the country

Kensington and Chelsea has the

4th smallest...

...and Hammersmith

and Fulham has the 7th smallest

(29,600)

(24,400)

(32,600)

Population:

Infrastructure

No. Children’s Centres

No. Primary SchoolsNo. Secondary

Schools

H&F 10

K&C 9

Westminster 10

H&F 35

K&C 26

Westminster 39

H&F 11

K&C 5

Westminster 10

Primary school population: (May,2015)

H&F: 10,891K&C: 7,493West: 11,702

Secondary school population: (May, 2015)

H&F: 8,355K&C: 4,620West: 10,204

Over 50,000 children studying in tri-borough state schools.

Large cross-border flows for school children. Around a third come from other boroughs to local primary schools. Higher for secondary schools.

Location of children and young people

Queens Park

Church St

Westbourne

North Kensington

Old Oak/ White City

Churchill

Eligible/ receiving free school meals, 2012

Levels of child poverty HMRC 2013 (Residents)

• The official definition of poverty is having a household income less than 60% of the national median income that year. (£12,600 in 2012/13)

• More children (<20) are in poverty living in the deprived areas, particularly Queens Park, White City and North Kensington

• At the end of 2011/12, there were 345 children who were subject to a child protection plan

• The number with child protection plans per population in Hammersmith and Fulham was much higher than the London and England averages and accounted for half of all those in the ‘tri-borough’ area – 151 children

• In Kensington and Chelsea and Westminster, the rates were much lower than London and England averages

Child Protection PlansChildren subject to a protection plan, 2012

Children who were subject to a protection plan per 10,000 population aged 0-17, 31 March 2012

Source: Department for Education

Number of children subject to a child protection plan (2011)

H&F 151K&C 92Westminster 102Tri-borough 345

• Low immunisation coverage in all three boroughs.

• Significantly high rates of one or more decayed, missing or filled teeth during 2011/12 in Westminster and Hammersmith & Fulham.

• Significantly high diagnoses with acute sexually transmitted infections, including Chlamydia among 15- 24 year olds, in Kensington & Chelsea and Hammersmith & Fulham.

Specific child health issues

SERVICE MODEL

The Proposed Contract

• WCC procure on behalf of all three boroughs to award a framework agreement for three + two years.

• Hammersmith & Fulham and Kensington & Chelsea will then call off from that framework

Proposed Service model

Aims:The School Health Service will improve the health and wellbeing of children and young people and reduce health inequalities by:

1. Leading and providing a range of services2. Contributing, coordinating and facilitating access

to services3. Enabling, connecting and improving access to

services

Service Design Principles

1. School Health teams in each borough will be aligned with Early Help Localities to improve multidisciplinary working.

2. School health teams will participate in the “Team Around the Child” and “Team Around the School”. School Health Teams will be multidisciplinary and include a broad skill mix.

3. A cluster team will be allocated to a grouping of schools with each having a named lead contact.

4. The named lead contact will undertake termly planning and review meetings with the school to ensure continuity and quality of service and scheduling of interventions

Service Design Principles (contin.)

5. The school health teams will be responsive to the needs of schools, pupils and families through:• improved access to advice and guidance

through a website, social media etc.• booking online appointments with the school

health service.

6. The school health service will provide confidential one to one sessions to secondary pupils.

7. The team will be expected to deliver the core requirements as set out in the Healthy Child Programme (5-19yrs)

The ServiceSchools will be provided with:• A 5-19 health web-site which will give them access to a

comprehensive range of guidance and key documents as well as the facility to book appointments.

• A telephone helpline to their cluster team which will be manned from 8.30am to 5.00pm term time.

• Dedicated central email for their cluster team so that all queries/issues can be prioritized and dealt within the agreed timescale.

• A named School Health Team member for each school who will carry out the termly planning and review meetings and ensure that there is continuity of the relationship between the School Health Team and the school.

The SHS Primary will:• Undertake handover & continuation of each child’s health record

from health visiting service• Health Assessment at school entry (via health questionnaires to

parents and carers)• Introduce the school health team and provide local information on

services for families via open evenings, assemblies etc.• Review immunization status (including BCG) and refer as required.• Where physical, emotional or developmental problems have not

been identified or addressed previously enable both the referral and access to the appropriate services.

• Provide families and school staff with information on specific health issues e.g. bed wetting sleep, common infectious diseases, constipation etc… via “Keeping your Child Healthy and Well” group sessions and website.

SHS Primary (contin.)• Provide one to one advice by appointment. • Introduce and prepare schools, families and pupils for the

National Child Measurement Programme (NCMP). • Deliver the NCMP for reception aged & Year 6 children and

feedback outcomes to parents. • Working with the Public Health Commissioned Child Obesity

Prevention and Family Healthy Weight Services Provider provide follow-up of children who are identified as not being a healthy weight.

• Work with families to make lifestyle changes, refer on to other relevant services and participate in delivering the Child Healthy Weight Care Pathway.

• Screen all children between 4 and 5 years of age for hearing and visual impairment in line with the National screening guidelines.

SHS Primary (contin)• Be alert to risk factors and follow local safeguarding procedures

when there is cause for concern.• Contribute to Child Protection processes of the local authority

where the child is resident. • Support health promotion activities within schools, including the

Healthy Schools Partnership Programme, and deliver health promotion interventions as required.

• Support the school if requested in the delivery of health related areas of PHSE, and in particular support teachers in the delivery of Relationships and Sex Education including puberty using lesson plans in line with the Healthy Schools Partnership Guidance for PSHE and on hygiene.

• Provide training and support to school staff on the management of children’s health and medical needs & healthcare plans

SHS Primary (contin.)• For pupils with identified health needs provide liaison and

co-ordination with other health services especially GPs, CAMHS

• Provide termly liaison and referral meetings with the school.

• Actively follow-up children identified with oral health issues according to the oral health care pathway.

• Work with the “team around the school” and relevant other Children and Families services.

SHS Secondary• As per Primary

In addition• Provide confidential wellbeing clinic sessions for pupils by

appointment

Relationships and Sex Education• Via a team of sexual health promotion specialists and the

school health service cluster teams a programme of Relationships and Sexual Health Education will be offered to school in accordance with the Healthy School Guidance on Personal, Social, Health and Economic Education.

• Primary Delivery offer to include:• Puberty• Reproduction• Female Genital Mutilation

Relationships and Sex Education• Secondary Delivery offer to include:

• Sexually Transmitted Infections (STI) information - including importance of the early detection of chlamydia and HIV and promotion of take up of the HPV vaccine

• Contraception information• Condom demonstrations• Signpost young people accurately and effectively to

appropriate services• Pupils with Learning Disabilities:

A programme of young people with learning disabilities appropriate to their level of learning

PROCUREMENT

Procurement systemUsing capitalEsourcing

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Opportunities via EmailFrom: www.capitalEsourcing.com

Sent: 13 June 2013 06:02

To: xxxxx

Subject: Opportunity Notification Alert for Acme Services on 13/06/2013

 

Dear Supplier,

 

Please find below the latest Opportunities published on: capitalEsourcing

 

Recently published opportunities:

 

Opportunity 'Design will include, capture of residual heating and cooling from the plant, to distribute to other spaces. Firm will be expected to complete pre-design, design, construction consulting, and warranty administration for this project. The Architectural firm will provide qualified experienced sub consultant engineering services for Mechanical, Electrical, Civil and Structural.

 

The Work is expected to be completed by April 30, 2014.' in 'prj_1025' - 'Design and Construction for Archie Simpson Arena'

View more: https://xxxxxxxxxxxxxxxxxxxxxxxxxx

Respond by: 25/06/2013 19:00:00 - GMT + 0:00 DST

 

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Procurement (Indicative)• Invitation to tender issued – November 2016• Award – May 2016• Implementation – 1 June – 31 August 2016• Contract Start - 1 September 2016• Proposed contract length 3 +2 years• Open tender process

Market Warming Event – July 15

OrganisationHertfordshire Community NHS Trust

Kent Community Health NHSLondon North West Health Care Trust

North East London NHS Foundation Trust

Central London Community Healthcare NHS Trust (CLCH)Image in ActionCentral & North West London NHS Foundation Trust (CNWL)

Whittington Health

Organisations who attended the event:

close• Next steps

Any questions regarding procurement please email Sam Woolvett

swoolvett@westminster.gov.uk