Agenda item

RESOLVED

  I.  The Cabinet noted, and endorsed the continued direction of travel, in terms of partnership and integration across the breadth of children’s health, mirroring current integration of children’s social care and education, and progressing integrated children’s health work to date.

  II.  Endorsed and approved the establishment by the Council (with the City of London Corporation and other applicable partners) of a Joint Children and Families Health Framework as a mechanism to support this.

  III.  Endorsed and approved the development of several key partnership principles that will underpin all children’s health work going forward, to be formally agreed and signed up to by all relevant partners.

  IV.  This endorsement is based on the understanding that the joint health framework will provide strategic direction for the re-commissioning of 0-19 services and potentially pave the way for key decisions on staffing structures/services, in-sourcing and pooled budgets over the next 5 years.

REASON FOR DECISION

The recent 2022 City & Hackney Health Needs Assessment (HNA) (https://hackneyjsna.org.uk/wp-content/uploads/2022/03/FINAL_-A-health-needs-assessment-for-the-population-aged-0-to-25-for-the-City-of-London-and-Hackney-Google-Docs.pdf) for CYP 0-19 (up to 25 for those with a statutory responsibility)  identified that services need to be joined up at a strategic level to deliver maximum impact.  Financial constraints, staffing challenges (recruitment and retention), rising demand, increasing levels of complex needs, and widening health inequalities (mainly due to the impact of COVID) have increased pressure on services. Large disparities exist between children and young people within the borough, particularly for vulnerable CYP, those from ethnic backgrounds other than white and for CYP with SEN. Compared to London and the rest of England, CYP in the borough are less likely to have achieved a good level of development and are more likely to be severely obese by the end of reception. Hospital admissions for lower respiratory tract infections in infants are above regional and national rates and the rate of STI diagnoses in 15 - 24 years olds was fourth highest of all local authorities in 2021.

A key finding of the consultation undertaken as part of the HNA identified that joint principles, structures and ways of working that will support the integration of services and the re-commissioning of 0-19 (up to 25yrs) services are urgently needed.

The joint health framework will consolidate and support our strategic direction, embed key integration principles and outline the direction of travel for the re-commissioning and provision of 0 - 19 services. It will serve as a blueprint for new ways of working that could potentially lead to changes in organisational structures, working processes and cultures including the possible integration of businesses, the pooling of budgets and/or in-sourcing.

Significantly, a joint framework and a set of key principles will support the current re-commissioning of the 0-19 public health services (health visiting, family nurse partnership, school nursing and others), and other significant developments.

A lot of work on integrating services has already been undertaken or is at the planning stage, the framework and action plan will assemble these across the Children Young People Maternity and Families workstream governed by the Integrated Care Partnership Board (ICPB) and those in process or planned by City & Hackney Public Health, City of London Corporation, Hackney Council and wider partners.  This will establish a baseline of integrated practice and identify areas of learning and good practice.

We already have a lot to build on locally. We want to strengthen our direction of travel toward integrated planning and delivery in order to further improve health outcomes and tackle some of our key challenges together.

Integration and Innovation: working together to improve health and social care for all (2021) and the White paper:Joining up care for people, places and populations, Feb 2022 have set out the legislative proposals to accelerate the pace of integration. Within the overall structure and oversight of integrated care systems (ICSs) and local authorities the White Paper includes new duties to: collaborate, deliver improvements in data sharing and improved health and wellbeing outcomes, and amend section 75 of the 2006 NHS Act to support pooled budgets between the NHS, local government, and wider delivery partners. This is a timely opportunity to accelerate integrated working and to drive this ambition forward within existing budgets.

Councillor Kennedy outlined the report to Cabinet.

RESOLVED

  I.  The Cabinet noted, and endorsed the continued direction of travel, in terms of partnership and integration across the breadth of children’s health, mirroring current integration of children’s social care and education, and progressing integrated children’s health work to date.

  II.  Endorsed and approved the establishment by the Council (with the City of London Corporation and other applicable partners) of a Joint Children and Families Health Framework as a mechanism to support this.

  III.  Endorsed and approved the development of several key partnership principles that will underpin all children’s health work going forward, to be formally agreed and signed up to by all relevant partners.

  IV.  This endorsement is based on the understanding that the joint health framework will provide strategic direction for the re-commissioning of 0-19 services and potentially pave the way for key decisions on staffing structures/services, in-sourcing and pooled budgets over the next 5 years.

REASON FOR DECISION

The recent 2022 City & Hackney Health Needs Assessment (HNA) (https://hackneyjsna.org.uk/wp-content/uploads/2022/03/FINAL_-A-health-needs-assessment-for-the-population-aged-0-to-25-for-the-City-of-London-and-Hackney-Google-Docs.pdf) for CYP 0-19 (up to 25 for those with a statutory responsibility)  identified that services need to be joined up at a strategic level to deliver maximum impact.  Financial constraints, staffing challenges (recruitment and retention), rising demand, increasing levels of complex needs, and widening health inequalities (mainly due to the impact of COVID) have increased pressure on services. Large disparities exist between children and young people within the borough, particularly for vulnerable CYP, those from ethnic backgrounds other than white and for CYP with SEN. Compared to London and the rest of England, CYP in the borough are less likely to have achieved a good level of development and are more likely to be severely obese by the end of reception. Hospital admissions for lower respiratory tract infections in infants are above regional and national rates and the rate of STI diagnoses in 15 - 24 years olds was fourth highest of all local authorities in 2021.

A key finding of the consultation undertaken as part of the HNA identified that joint principles, structures and ways of working that will support the integration of services and the re-commissioning of 0-19 (up to 25yrs) services are urgently needed.

The joint health framework will consolidate and support our strategic direction, embed key integration principles and outline the direction of travel for the re-commissioning and provision of 0 - 19 services. It will serve as a blueprint for new ways of working that could potentially lead to changes in organisational structures, working processes and cultures including the possible integration of businesses, the pooling of budgets and/or in-sourcing.

Significantly, a joint framework and a set of key principles will support the current re-commissioning of the 0-19 public health services (health visiting, family nurse partnership, school nursing and others), and other significant developments.

A lot of work on integrating services has already been undertaken or is at the planning stage, the framework and action plan will assemble these across the Children Young People Maternity and Families workstream governed by the Integrated Care Partnership Board (ICPB) and those in process or planned by City & Hackney Public Health, City of London Corporation, Hackney Council and wider partners.  This will establish a baseline of integrated practice and identify areas of learning and good practice.

We already have a lot to build on locally. We want to strengthen our direction of travel toward integrated planning and delivery in order to further improve health outcomes and tackle some of our key challenges together.

Integration and Innovation: working together to improve health and social care for all (2021) and the White paper:Joining up care for people, places and populations, Feb 2022 have set out the legislative proposals to accelerate the pace of integration. Within the overall structure and oversight of integrated care systems (ICSs) and local authorities the White Paper includes new duties to: collaborate, deliver improvements in data sharing and improved health and wellbeing outcomes, and amend section 75 of the 2006 NHS Act to support pooled budgets between the NHS, local government, and wider delivery partners. This is a timely opportunity to accelerate integrated working and to drive this ambition forward within existing budgets.