Presentation on theme: "Review of Maternal and Child Health Service"— Presentation transcript:
1Review of Maternal and Child Health Service Human Services Directors’ Forum24 April 2013Dr Ro Saxon, HDG Consulting Group
2AimTo maintain a high quality, evidence-based universal service for all children and families, while giving priority to, and improving outcomes for, vulnerable children and families.ObjectiveTo examine the various components that make up the MCH Service informed by the latest evidence, and identify options to enhance, refine or modify the planning, delivery and evaluation of the MCH service in response to existing and emerging challenges.
4The MCH Service UNDER TRIAL Additional Eg. ARACY nurse home visiting trialEnhanced MCH ServiceMore intensive support for target group of families with children <1 yrTarget of 7,013 families to receive between hours of serviceSupported approx 13,000 clients inTARGETED SERVICESUniversal MCH ServiceFree universal service for children birth to school ageStructured as 6.75 hours over 10 key ages and stages~ 73,000 newborns and mothers in400,000 nurse consultations per year44,040 referrals2 madeTOTAL POPULATION24 hour MCH Telephone Line - > 100,000 families supported 34
5Policy context Commonwealth National Framework for Universal Child and Family Health ServicesNational partnership Agreement on Early Childhood EducationNational Early Childhood Development Strategy – Investing in the Early YearsNational Quality Agenda for Early Childhood Education and Care3 year old health check ( Budget) by GPsNational Framework for Protecting Australia’s ChildrenFaHCSIA programs, Family Support Services National Collaboration FrameworkStateTowards Victoria as a Learning CommunityDirections Paper responding to Victoria’s Vulnerable Children InquiryVictorian Families StatementVictorian Early Years Learning and Development FrameworkImproving Victoria’s Early Childhood WorkforceEarly Years Strategy (proposed)LocalMunicipal Public Health and Wellbeing PlansMunicipal Early Years Planning Framework and PlansPlanning, co-funding and provision of MCH Services
6Drivers Respond to increasing pressures Wellness approach, strength based, informed parentsImprove outcomes for children/families experiencing vulnerabilityStrengthen progressive universalism (see over)Improve service efficiencyIncrease emphasis on integrated responsesImprove information management
7Elements Information Management 7Outcomes and quality monitoring1Systems and arrangements supporting collaboration across different services and settings6Service delivery modelStructure & activities offered;Interactions with other services provided2MCH Services see all children & their families at every stage of a child’s developmentOther policies and programs that support parents5The funding model3The workforce mix and competency framework47
8Concepts Progressive universalism Integrated approaches all children and families have access to servicesa progressively greater level of support / intensity to be provided to those who need itIntegrated approachesThe multi-dimensional nature of vulnerability requires an integrated approach from a range of practitioners and sectorsWellness, strength-based approachParents well informed, information and educationCapacity building, build on strengths (not deficit focus)Flexible responses, choice, self-directed, family diversityIncreased focus on monitoring outcomes
9Consultation / Discussion Questions The aim is to maintain a high quality, evidence-based universal service for all children and families, while giving priority to, and improving outcomes for, vulnerable children and families.9
10Question 1: What are the biggest challenges for local government in relation to engaging and supporting children/families experiencing vulnerability? e.g. from a systemic, policy, resourcing, service design, data or other perspective?
11Question 2: How could services, resources or supports could be allocated or arranged so that there is an increased level of support for children/families experiencing vulnerability? What would have the most impact?
12Question 3: How could a more flexible workforce (such as a multi-disciplinary team) be achieved?
13Question 4: What challenges and opportunities does this reform offer Question 4: What challenges and opportunities does this reform offer? Given the broad context of what might be possible, what would you suggest as priorities for the following time frames? - Short term (1-2 years) - Medium term (3-5 years) - Longer term (5-10 years)
14Other comments or suggestions? Next stepsSurveyThank you