1. Presented By Pamela Agapiou Director of Health Improvement & Children’s Services East Coast Community Healthcare CIC Healthy Child Programme

2. HCP Phase 1 Initial development of the toolkit funded by NHS & LA Project ran from May 2013 to Dec 2014 Toolkit published January 2014 5 workstreams with 125 members Membership drawn from a mix of NHS & LA providers and commissioners 2

3. Toolkit Overview Key sections Best practice pathways – 17 in total Guidance/Enablers Outcomes & Key performance Indicators Workforce Development 3

4. Toolkit Overview 4 17 Pathways Single Universal Pathway 8 Universal Plus Pathways 8 Universal partnership Plus Pathways

5. Outcomes and KPIs Overview Outcomes and KPIs developed Aligned with national KPIs 5

6. Phase 2: Five Pilot Sites 6 Suffolk Norfolk Bedfordshire Cambridgeshire & Peterborough Hertfordshire Maternal mental health Antenatal pathway > 10 days post birth Integrated outcomes and KPIs

7. Deliverables and Timescales 7 Whole Project May 2014 to November 2014 Produce Final Output Report Document Produce, revised final version of the Integrated Commissioning and Delivery toolkit, guidance and standards Organise and deliver ‘Sharing event(s) within East of England to share: Background and detail of project Content of final report Content of Commissioning and Delivery Toolkit Plans for regional rollout

8. Deliverables and Timescales 8 Pilot Sites - Pathways May 2014 to November 2014 Review and test appropriate elements of the Universal pathway Review and test both the Universal Plus and Universal Partnership Plus pathways Provide an evaluation of the testing identifying: o Operational constraints/difficulties o Changes to the pathways based on either best practice or evidence o Lessons learnt Contribute to and review the final Integrated Commissioning & Delivery Toolkit

9. Deliverables and Timescales 9 Pilot Sites – Outcomes & KPI May 2014 to November 2014 Review and Revise HCP Ambitions Review and articulate local child population health outcomes Review and revise/develop additional KPI’s Establish local systems and process for delivery of integrated monitoring of the HCP Provide an evaluation of the above identifying: o Operational constraints/difficulties o Changes to the current toolkit based on either best practice or evidence o Lessons learnt Contribute to and review the final Integrated Commissioning & Delivery Toolkit

10. Universal (U) Notification systems & Processes Effective Notification of pregnancy & Information sharing immediately after midwifery assessment Effective Notification of changes in pregnancy status Effective Notification of birth Effective Notification for out of area mothers Transfer of care to HV on discharge from midwifery service Antenatal Contact – 28 weeks optimum New Birth visit 10 – 14 days Effective multiagency Antenatal groups (PB&B) Uniformity of service provision Universal Plus & Universal Partnership Plus (UP & UPP) Communication and co-ordination of care Care of vulnerable Mothers Key Areas of Focus for Antenatal Pilots

11. Key Areas of Focus for Maternal MH Pilot Universal (U) Assessment Tools – Standardisation Delivery of standardised assessment at key milestones - How Recorded/Evidenced Communication with Partners & Stakeholders Consistent Signposting Uniformity of service provision Universal Plus & Universal Partnership Plus (UP & UPP) Uniformity of service provision Assessment Tools – Standardisation Service Threshold Communication and co-ordination of care

12. Review and Amend HCP Aspirations in draft toolkit Identify Key outcomes for Children & families within local system Identify indicators for each key outcome Identify robust KPI’s for each outcome and service –Review new KPI’s in HCP document and refine where appropriate –Identify data/information requirements Identify high level performance monitoring framework, systems and processes Agree areas of responsibility/accountability for provision of data Implement performance monitoring framework Key Areas of Focus for Outcomes & KPI Pilot

13. Governance Framework 13

14. For more information on STEPS please contact Tony Hadley via email. Tony.Hadley@sustain-improvement.com 14