Presentation on theme: "You’re Welcome: raising the profile of young people and adolescent medicine Anna Gregorowski – Consultant Nurse Nigel Mills – Clinical Nurse Specialist."— Presentation transcript:
You’re Welcome: raising the profile of young people and adolescent medicine Anna Gregorowski – Consultant Nurse Nigel Mills – Clinical Nurse Specialist Young Person’s Forum
Young Person’s Forum at GOSH
Discussion In pairs – what makes a service ‘young person friendly’?!
10 Quality Criteria 1 Accessibility 2 Publicity 3 Confidentiality and consent 4 Environment 5 Staff training, skills, attitudes and values 6 Joined-up working 7 Young people’s involvement in monitoring and evaluation of patient experience 8 Health issues for young people 9 Sexual and reproductive health services 10 Specialist child and adolescent mental health services
Accessibility Location (public transport) Opening hours Referral (self) Choice: Where seen Who they see (including gender) Accompanying friend / partner Who present in room Opportunity to be seen alone
Publicity Information about service (languages and formats) and other services Explicit about confidentiality Opportunity to be seen on own Information accurate and kept up to date
Confidentiality and consent Confidentiality Consent Safeguarding how these are – implemented by staff – understood by service users. supports and is supported by local safeguarding arrangements.
Environment Safe and young person friendly (Safe) Accessible Staff who explain Pain relief Privacy and dignity Access to appropriate food Promotes being in touch with peers
Staff training, skills, attitudes and values Understand, engage and communicate with young people and understand their health needs Culturally appropriate ways of working Equality and human rights issues Make appropriate referrals Support young people to make informed choices Training, appraisal, supervision and support
Joined-up working Co-location of services Information provided about other services Information about service to other services
Patient involvement in monitoring and evaluation Young people's involvement in service development, monitoring and evaluation Invite all service users to give feedback Consult young people
Health Issues for Young People Consultations support healthy lifestyles Staff that ensure emotional psychological and spiritual needs are met Clear pathway for YP with identified emotional and psychological needs Transition to adult care Complex needs Information and support for parents
Sexual and reproductive health services Applicable to sexual and reproductive health service only (GUM or GP) Informed by relevant guidance Signposting
CAMHS Applicable to providers of specialist CAMHS Based on evidence based practice Signposting
Workshop You are a young person coming to your service – Does the service meet these criteria? – What changes could be put in place to ensure they are met? – Any other ideas for making your service more young person friendly? think outside the box!
Challenging the barriers Are there any barriers preventing you from assessing your service against YW? How will you break down these barriers? Who can you approach to help you?
You’re Welcome at GOSH Improve adolescent journey at GOSH – Assess GOSH -‘young people’ friendly? – Benchmark – Identify priorities for improvement – Improve engagement with young people – Raise profile of Adolescent Medicine Team
Adolescent Medicine at GOSH 350 beds Approximately 23% inpatients aged 11 or above – 36% including OPD No dedicated adolescent ward Adolescent medicine Team – Us!
You’re Welcome at GOSH Included in CQUIN targets for GOSH – ‘Patient experience’ Management backing Financial incentive Wide spread acceptance from all staff Links with Trust vision to be one of the top children’s (and young people’s) hospitals in the world
Applying YW at GOSH All areas to meet mandatory DH ‘YW’ quality criteria Additional criteria to be met as appropriate Outcomes: YP seen on their own – Increased length of appointments Clinic letters given to YP – More administrative support
YW at GOSH Benchmark against other hospitals from outset Pilot 2 areas by end May 2012 Complete assessment of GOSH against YW criteria by end December 2012 Identify top 5 priorities for improvement by February 2013 – YPF
YW at GOSH Baseline audit Meeting key staff to assess environment Use patient experience Re-assess services against baseline audit Official validation by Adolescent and Transformation teams
YW at GOSH 2 areas Mental Health outpatient department Inpatient surgical ward Adolescent/ Transformation team met with key professional in identified service (1 hour) in service area
Auditing To ensure consistency and avoid taking young people out of school/college/work inspections carried out by adolescent /audit teams (weekend inspections not suitable) Member of Adolescent Medicine Team + member of Audit Team undertook surveys 3 rd member to ensure impartiality All ward information (including web) examined
How young people were involved Developing YW toolkit Interview YP on wards and specialities as appropriate YP Forum provided focus group for prioritising changes from findings
5 YPF priorities Transition to adult services Age appropriate information YP with disabilities and English as 2 nd language Improved age appropriate facilities Increased involvement in service evaluation and development Improved staff training
Transition AMT leading CQUIN target for – Supporting teams – Education – In clinics – Developing supporting information
Raising the profile of young people and adolescent medicine Using YW at GOSH has successfully raised the profile of young people – Staff awareness – Increased senior management awareness – YP health needs and adolescent medicine profile raised (and Adolescent Medicine Team!)