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The Allied Health Professions and Education Partnersh by E0M6YC7


									The Allied Health Professions and Education Partnership
                   Working Project

             CYPHSG December 7th 2009

     Nicola Robinson AHP Development Officer

      Douglas Hutchison HMIE, Development
The Allied Health Professions and Education
         Partnership Working Project
• Joint Health (CNOD) and Education (Schools)
  Directorate Project
• DO: SLT from AHP and EP/HMIE
• 2008-2010 to develop national guidance
• To find out
   – What is happening already?
   – What isn’t happening and needs to?
   – What difference does it make?
• to improve experiences and outcomes for
  children, young people and their families
• promote sustainable, consistent partnership
  working between education (LAs and schools)
  services and AHPs (SLT/PT/OT)
• support Scottish Government’s Purpose and
  National Outcomes e.g (4) four capacities, (5)
  best start in life, (8) improve life chances for
  CYP and families at risk
• through engagement with range of practitioners
  to identify good practice and barriers
• listening to parents/CYP and voluntary
  organisations as key stakeholders
• linking to wide policy agenda for CYP:CfE, ASL,
  GIRFEC, EYF, Eq. Well, Health Promotion
• providing a self-evaluative tool in line with
  current inspection processes
• by linking policy to practice, evidence base, the
  service user’s voice, practical examples

• 14 NHS Health Boards
• 25 AHP groups & 6 individual AHPs
• 4 networks of AHP managers (incl.PBs)
• Local authorities - 29 groups
• School staff - 15 groups
• Grant aided special schools - 3
• Parents, children and young people -13 groups
  & individuals
• Other stakeholders -17 organisations
                What we’ve heard
• Good practice - processes and structures
       planning and meeting arrangements
       interventions for individual CYP with ASN
       building capacity in education staff to support
       training and CPD opportunities
• Excellent relationship - based partnerships
• Parents value being included, informed
• Clear agreement on challenges and barriers:
  understanding of roles, inter-personal skills,
  attitudes, parent partnerships, resources/funding
• Clear view of benefits to all – (little evaluation)
What are the benefits for CYP and emerging
    signs of collaborative advantage?

• observable and measurable progress in CYP -
  development and learning
• building and sharing skills, resources
• tighter education/therapy targets
• sustained reinforcement of intervention
  strategies and support
• reduced conflict, building of trust
• more efficient and effective use of scarce
  specialist resources
   What our National Guidance will bring

• A self-evaluation tool, a CPD resource –
   How Good is our Partnership Working?
  Issues to consider, signposts for improvement
• Exemplars of best practice in delivering services
• Joint training and CPD examples
• Promoting leadership skills for all practitioners
• Supporting partnerships with parents
• Increasing understanding of roles of AHPs
• Building in evaluation of impact and outcomes
   for CYP and families
   Draft Guidance - hard copy
• Leadership
  Communication, relationships and
  interpersonal skills
• Process and Service Delivery
       Understanding Roles
       Planning – school/strategic level, CYP
• What difference are we making?
       Outcomes and Impact
• Self-evaluation
  How good is our partnership working?
EFQM model becoming common
  approach to self-evaluation

    What key
    outcomes have                   •How good is
    we achieved?                    our strategic
    What impact      How good is
    have we had      our delivery   •How good is our
                     of key         operational
    in meeting the
                     processes?     management?
    needs of our
    stakeholders?                   •What is our
                                    capacity for
    Hard copy signpost to web resource

•   Section heading e.g Planning, Leadership
•   Text: summarising key messages
•   Policy references and literature
•   Voices – service users, practitioners
•   Exemplars – national best practice
•   Links to web sites – across health and education
•   Questions for reflection / CPD
•   Signposts for improvement
                   Next steps
• First draft of hard copy launched by Minister
  (Dec 8th) and circulated for consultation (Dec
  2009-Feb 2010)
• Web-resource development (Dec 2009-Apr
• Amendments to hard copy
• Final publication and launch by Minister with
  dissemination events (May–June 2010)
What are the implications for AHPs
  providing services to CYP?
• to support wide range of ASNs in mainstream
  and special schools
• shift towards fulfilling universal and targeted
  roles, retaining specialist role
• to meet demand for early identification and
  intervention with a focus on vulnerable
  families and CYP
• a significant training role to build capacity in
  workforce, parents
• need to redesign services to match capacity
  to demand
    Health Boards : Local Authorities
• competing priorities – statutory (ASL) v. NHS
  standards – two-tiers
• Education recognising value, increasing
  demands, but not prioritised in HEAT targets
• Providing “routine” services and not “special”
  children’s services
• NHS data collected - incomplete view
• dual funding streams making efficiency savings
  at time of increasing opportunity to extend role
  and increase impact on national outcomes
• challenge to contribute to single outcome
  agreements through CPPs, CHPs
    AHP role in CYPHSG areas of focus
• National delivery plan – specialist children’s services -
  AHP role in multi-disciplinary teams developing
  community services
• CAMHS – school link, AHPs part of CAMHS team
• HALL 4 implementation – impact on AHP referrals, role
  of AHPs in universal support services
• Public health nurses - AHPs working in early years
  establishments – health improvement agenda
• CCH21 - AHPs role in community child health team
• EYF early intervention, AHPs support for vulnerable CYP
  with impact on long term outcomes
• Equally Well - supporting local service re-design and
  interagency partnerships – AHPs doing this already
• H and WB in Schools test sites - building capacity – SLT
  services feature in all as a health need for schools
• Paediatric workforce recruitment – AHP problem
         CYPHSG/QIS visits 2010-11
• Broaden focus to AHPs providing “routine” services
  - in partnership with education/schools
  - preventative care on early determiners of risk - early
  identification/intervention with speech, language and
  communication needs
  - accessibility of services (hard-to-reach)
  - sharing resources/using resources differently
  - up-skilling workforce, CPD and training
  - engagement of service users re. impact
  - focus on outcomes for CYP
  - redesigning services to manage demand

• does funding for specialist services reach routine
  services in community/education or are these services in
  danger of falling apart?
              Key AHP questions
• Can we align resources to areas making the
  most significant contribution to outcomes?
• How can we ensure SOAs reflect and have line-
  of-site to local practice through CPPs, CHPs?
• How can we support services in re-designing
  their delivery given increasing demand on
  reducing, and vulnerable, capacity in AHP
  “routine” paediatric services?
• Can we improve links and responsibilities across
  Health and Schools Directorates for AHPs in
  children’s services e.g CfE, GIRFEC, Early
  Years, ASL, Equally Well, Health Promotion?
  AHP and Education Partnership Working
• Check out the collaborative practices between AHP and
  education services to meet the policy agenda for
  children’s services
• Appreciate the challenges to partnership working and
  hear the service user’s perspective
• Recognise how the guidance will be a self-evaluative
  tool, a CPD resource, linking policy to practice

• The consultation document and response form will be
  available from 4 December 2009 at
  The consultation will run until February 2010.
  Final publication June 2010

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