G161 Multi professional working to develop a health outcomes framework for children in care. (12th March 2018)

• Record Type: Journal Article
• Authors: Walker, V; Bracewell, M; Higgins, K; Chavaudra, N
• Is Part Of: Archives of disease in childhood. Volume 103:Supplement 1(2018)
• Page Start: A66
• Page End: A66
• Publication Date: 2018-03-12
• Subjects: Infants -- Diseases -- Periodicals; Newborn infants -- Diseases -- Periodicals; Fetus -- Diseases -- Periodicals; 618.920105
• DOI: 10.1136/archdischild-2018-rcpch.157
• Languages: English
• ISSNs: 1359-2998

Abstract

Abstract : Aim: The aim of our working group was to ensure the health outcome measures for Children in Care (CIC) reported by Providers were consistent, relevant and achievable. An objective of the framework was to be an accountable system, where the partners hold themselves to account through the framework, linked by a shared ambition. Methods: A service improvement forum was already in place following a long process of service mapping across social care, CIC health teams and CAMHS A workshop was held to establish what each service deemed important health outcomes. This was analysed and themes and specifics produced Members of the team met with the CIC Council to obtain their views about health outcomes and reporting Commissioners, Providers and Designated CIC professionals met to refine a document 'CIC health outcomes framework' Results: Themes from CIC Council meeting CIC like how personalised the health assessments are, and felt strongly that the information collected and used to inform planning of health services should be personalised and at an individual level CIC feel that health services seem more interested in physical health than mental health, but were clear that emotional health and wellbeing is an important issue; this can be difficult to uncover, so indepth assessment, time and creative approaches are needed Access to health information when CIC reach adulthood is important CIC health outcomes framework comprises of A 17 page document with 15 performance indicators – measured against standards, evidence, assurance, responsible agency Conclusions: National measures/indicators are focused on the timeliness of assessments. Local ambitions and outcomes aim to measure the extent to which we are benefiting the health of the children in our care There are multiple interdependencies in the CIC health system, with agencies reliant on others fulfilling their responsibilities. Local partnership of agencies could hold itself to account for its effectiveness in working together if the right outcomes were identified, and subscribed to by all parties There are challenges associated with having multiple organisations, including several NHS providers, in the CIC health system, particularly with regard to data collection and information sharing. Logistical and transactional challenges can be mitigated by strong and trusting relationships between partners, and a commitment to solution focused approaches