Youre Welcome Improving Healthcare for Young People

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Youre Welcome Improving Healthcare for
Young People

• London

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DH Youre Welcome quality criteria

• all young people are entitled to receive
  appropriate health care wherever they access it
• Putting young people at the centre of
  commissioning
• By 2020 we would like to see all
• services used regularly by young people including
  school and college based services . achieving
  Youre Welcome and displaying the national logo.

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Key Facts

• Key Public Health indicators for young people are
  not improving
• Teenage pregnancy rates improving but remain
  highest inWestern Europe
• Mental health problems are significant
• There are almost 6.5 million 10 to 19-year-olds
  living in England and600,000 new young people
  enter this age cohort each year 1
• Approximately 1,600 10 to 19-year-olds die in a
  year but manyadolescents suffer from illness
  e.g. 690,000 11 to 15-year-oldsreport a
  longstanding illness1
• Despite these health issues, young people are
  less likely than otherage groups to visit their
  general practitioner, although many say theyhave
  concerns they would like to discuss1
• New approaches are needed to make health
  programmes andhealth services more
  teen-centred.1
• 1CMO report 2007

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And..

• Many young people are disappointed with the
  health services available
• Teenagers often find it difficult to find or
  access services that areappropriate to their
  needs, often falling between the two stools
  ofchildrens and adults services
• Many services dont always meet young peoples
  needs with respect to confidentiality, privacy
  and communication skills as well as knowledge of
  the basic biological and psychological changes of
  adolescence.

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Where Youre Welcome fits

• Contribution towards PSA and NIs
• - Reduce the percentage of 16 18 year olds
  NEETS
• Reduce the proportion of young people frequently
  using illicit drugs, alcohol or volatile
  substances
• Reduce the under-18 conception rate
• Perceptions that people in their area treat one
  another with respect and dignity
• Implementation of targeted youth support in local
  authorities
• Rate of proven re-offending by young offenders
• Sex and relationships education in schools
• NSF standards 1-9 outlined the Department of
  Healths response to ECM (NSF 4 Youre
  Welcome)
• High Quality Care for All/ World Class
  Commissioning

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Why Youre Welcome matters?

• Youre Welcome focuses on the topic areas that
  will most effectively assist the coordination of
  services so that they are better equipped to meet
  the health needs of young people aged 11-19 and
  subsequently drive forward improved public health
  outcomes.
• Young people have told us that we need to do
  better to ensure confidentiality, respect, and
  provide more information in health settings.
  None of this is earth shattering but it does
  need a concerted effort to make health services
  more young people friendly. And when we achieve
  this we should see the improvements in the take
  up in contraception that we are particularly
  looking for. MS(PH)
• Developed from Hear By Rights with significant
  NYA contribution
• Quality criteria offer opportunities to develop
  trusted services for young people most at risk,
  eg,
• general practice serving hotspot wards
• school and college based services
• Pharmacy one stop shops.

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Youre Welcome QAF and verification
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Youre Welcome Young People
The involvement of young people in assessing the
extent to which services are friendly to them is
crucial in order to lend the Quality Assurance
process both authenticity and integrity.
It is mandatory that settings comply with section
7 of the self assessment 7.1 Formal consultation
of Young people through patient satisfaction
surveys. Inclusion of the survey results in
consideration of service development plans. 7.2
The service invites all clients to give their
opinions of the service offered and whether it
met their needs. 7.3 Young people are involved
in monitoring the service against the Youre
Welcome quality criteria for example through
mystery shopper studies (see below).
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..

• But, in order to ensure integrity, settings in
  some cases will need to have an external
  evaluation by young people.
• More broadly if the local area wishes to adopt an
  approach of full external evaluation, enabling a
  greater degree of consistency across the
  authority.
• The delivery of Known Shop evaluations of
  settings who assess themselves as meeting YW
• The delivery of Mystery Shop evaluations to
  verify the self-assessment and known shop
• The methods of engaging young people and the
  activities will be dependent upon the
  infrastructure and capacity of local area.
• The methods for engaging specialist services will
  also be different, eg CAMHS.

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Placing young people at the heart of the QA
process

• In order to equip the young people to do this,
  training is being developed by the Greater London
  Assembly Peer Outreach team with support from the
  GOL Young Peoples Regional Coordinator.
• There is a training timetable which spans from
  November 22nd and December 19th.
• If the need emerges for additional dates, these
  will be scheduled for early 09.

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Supporting Young People's Involvement
Young peoples participation network Differentia
ted support including one to one
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Brand Journey

• Detailed consultation with Young People including
  visual visioning, Short listing of key
  identities, styles, values. Developing a brand
  identity defining the key attributes
• First draft of final logos developed and tested
  with young people across the country
• brand guidance being developed

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London Pilot Oct 07-Spetember 08

• 56 Settings tested the QA process
• 10 verified
• 20 of 56 settings Met You're Welcome
• 70 young people trained as YW young assessors
• 45 settings assessed by young people
• November 200814 Settings applying for the
  national ward
• Early findingsThere is a vide variation in the
  quality and young people friendliness of services
• There is a huge potential to integrate health
  and children's services
• There is a need for services to think
  holistically care planning
• We need young people friendly resources to
  support the delivery of Youre Welcome
• There is a strong desire to reach out to young
  people and offer high quality services to young
  people
• There is widespread recognition that YW will
  offer services to engage with young people

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London Areas Involved in delivering Youre
Welcome

• Pilot PCTS
• Barking and Dagenham
• Lambeth
• Westminster
• Redbridge
• Richmond
• Greenwich
• Barnet
• Hackney

• PCTs coming on board
• -Hammersmith and Fullham
• -Hillingdon
• -Croydon
• -Newham
• -Merton and Sutton
• Waltham Forest
• Kingston
• Wandsworth
• Hounslow
• Enfield

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Next Steps- Roll Out

• We will support PCTs and LAs to establish YW into
• Commissioning structures, operating and
  performance frameworks
• Health and Childrens services Integrated
  strategy, workforce development, young peoples
  participation,
• The package will include
• a range of workshops
• networks
• Differentiated support
• Buddying support programme from pilot PCTs
• Information via newsletters and web sites