Cambridgeshire County Council/Cambridgeshire and Peterborough CCG

Maternity & Midwifery

Maternal Mental Health

Children's Centre & Early Years Education

Primary Care & General Practice

Workforce Development

Principles for commissioning and delivering better health outcomes and experiences for children and young people so that they are comparable with the best in the world.

Principle 1 Child & Family focussed We will ensure the voices of children, young people and families are heard throughout the health care system and their needs drive planning and delivery in collaboration with clinical expertise.	Commissioning of services and decision making is informed at all stages by children, young people and families and commissioning plans are shared and understood. Within patient held records there is evidence that children, young people and families are involved in decisions about their care and make informed choices. Services are tailored where possible to an individual or group to ensure joined up packages of care. Services include a measure of patient experience and there is evidence of change in response to patient feedback. Staff are trained and can demonstrate competencies in building a therapeutic relationship and communicating sensitive information honestly and with empathy. Young people are encouraged to see a health professional on their own as well as with their parent or carer. Smooth transfer occurs from children’s to adults’ services
Principle 2 Health Promotion We will prioritise investment and resources to improve the health and wellbeing of our children and young people.	Children, young people and families have an understanding of what they need to do to have good health. Promoting good health is coordinated across education, health and social care to ensure a consistent message. Adequate resources are allocated to prevention compared to cure. There is adequate investment in early intervention and prevention, particularly before birth and for 0-5 year olds and their families. The Healthy Child Programme 0-19 is fully implemented locally. Health professionals use every opportunity to help children, young people and their families improve their health and wellbeing outcomes, e.g. Making Every Contact Count. The needs of vulnerable and disadvantaged individuals and groups are considered and addressed to reduce health inequalities.
Principle 3 Transformation We will invite children, young people and families to be active participants in the review and future design of services.	Evidence of a critical review of current services, considering reconfiguration, integration and networked care. Commissioners ensure providers have critically appraised and adapted service delivery models to transform care across the health care system. Consideration is given to sustainability, workforce capacity & competency, including using the voluntary and community sector. Services support delivery of the Children and Young People’s Outcomes Strategy Report recommendations and address needs identified in the JSNA. Children, young people and families have the opportunity to shape service change and improvement, e.g. through Healthwatch organisations. Clinical leadership for child health is evident in transformation programmes. The physical and emotional needs of the child and young person are foremost when designing healthcare settings.
Principle 4 Settings We will offer children, young people and their families services in settings where they feel welcome, comfortable, safe and cause as little disruption to family life as possible.	All staff are welcoming, approachable and helpful. Appointment systems offer choice of dates and times where possible and sufficient time is allowed for communication with both the child or young person and their parent or carer. GP practices are able to offer timely appointments to avoid unnecessary hospital attendance or admission and limit family disruption. Services are provided in the community wherever possible, for example, ensuring access to community children’s nursing services, and are only hospital based when absolutely necessary. Facilities are fully accessible to all and in particular those with disabilities or mobility difficulties. Where specialist services are required these are delivered alongside local services where appropriate. Leisure areas are provided in waiting rooms suitable for children and young people with a range of ages and interests. Adult services consider the needs of children in families where the adult is receiving care.
Principle 5 Information & Communication We will share the best information and intelligence between professionals and with children, young people and their families to allow the best possible healthcare.	Children, young people and families and the professionals working with them know where to go for services and how to arrange a referral. Children, young people and families feel listened to and have meaningful information provided to them in a way that empowers them to make informed choices. Health information provided to children, young people and families is in a format that is easy for them to understand. Patient information is shared with informed consent between health, social care and education providers. Information systems and technologies are in place to facilitate the easy and secure sharing of information and communication. Education settings are informed and involved when a child or young person has a health need. Good quality information is collected and used to inform service planning. Staff are able to access, understand and act on information on service activity and outcomes. Patient held records e.g. ‘All About Me’ are a written record of health issues and are used routinely to ensure professionals are made aware of needs.
Principle 6 Evidence based and sustainable We will commission and deliver services to consistent standards, informed by best practice and available evidence. All children and young people will have equitable access to services to meet their needs.	Children, young people and families will have an understanding of the excellent standards they should expect. Services are commissioned and delivered according to national or locally agreed best practice guidelines and standards. Commissioners and providers can demonstrate that they are monitoring and addressing the quality of services for children and young people. Planning and development of services takes sustainability into account, e.g. numbers of staff required to treat the number of patients. All services have standards of care that are endorsed by providers and commissioners. Joined up packages of care are delivered through multi professional assessment and a multi disciplinary team approach. Healthcare is equally accessible and delivered to the same standard on a 24 hour seven day a week basis. Care is delivered safely and particular emphasis is given to eliminating medication errors. All those working with children and young people have the capacity, skills and knowledge to meet their specific needs - wherever they are in the health system.

Overarching Documents

1. Health and Social Care Act 2012
   Public health functions to be exercised by the NHS Commissioning Board, Service specification No.27, Children’s public health services (from pregnancy to age 5) (DH) November 2012
2. NHS Standard Contract for Community Services, Health Visiting Services, 1st April 2013 to 31st March 2014
3. The EYFS progress check at age two, National Children’s Bureau 2012
4. Statutory Framework for the Early Years Foundation Stage, Department of Education, March 2012
5. Health visiting and midwifery partnership – pathway for pregnancy and early weeks, (DH) 2012
6. Maternity Matters: choice, access and continuity of care in a safe service (DH) 2007
7. Health Visiting Programme: Pathway to support professional practice and deliver new service offer Maternal mental health pathway 3, (DH), 2012
8. Antenatal care, Routine care for the healthy pregnant woman, National Institute for Health and Clinical Excellence, (CG62) 2008
9. Sure Start Children’s Centres Core Purpose, Department of Education, 2011
10. National Curriculum assessment - Early Years Foundation Stage Profile, Department of Education, 2013
11. Development Matters in the Early Years Foundation Stage (EYFS), British Association for Early Childhood Education, 2012
12. The Early Years: Foundations for life, health and learning - An Independent Report on the Early Years Foundation Stage to Her Majesty’s Government, Dame Clare Tickell, 2010
13. EYFS - What is the new Good Level of Development (GLD) measure? Department of Education, 2013
14. Sure Start children’s centres statutory guidance, Department of Education, 2013
15. The framework for children’s centre inspection, Ofsted, 2013
16. Securing Excellence In Commissioning For Healthy Child Programme 0-5 Years 2013 – 2015, NHS England, 2013
17. Commissioning Maternity Services - A Resource Pack to support Clinical Commissioning Groups, NHS Commissioning Board, 2012
18. Conception to age 2– the age of opportunity Framework for local area service commissioners, WAVE Trust in Collaboration with Department of Education, 2012
19. Management of Women with Mental Health Issues during Pregnancy and the Postnatal Period – Good Practice No 14, Royal College of Obstetricians & Gynaecologists, 2011
20. Indicative Draft: The (0-25) Special Educational Needs Code of Practice, Department of Education, 2013
21. The NHS’s role in the public’s health:
    A report from the NHS Future Forum (2011)
    Local Child Safeguarding Boards, Dept of Education
    http://www.education.gov.uk/childrenandyoungpeople/ safeguardingchildren/protection/b00219380/lscb
22. Child death Overview Panels
    http://www.education.gov.uk/childrenandyoungpeople/ safeguardingchildren/childdeathreview/a0070753/ child-death-review-process
23. Health and Well Being Board, Dept of Health
    http://webarchive.nationalarchives.gov.uk/ 20130805112926/http://healthandcare.dh.gov.uk/ hwb-guide/
24. Transforming Participation in Health and Care, NHS England September 2013
    http://www.england.nhs.uk/wp-content/uploads/2013/09/trans-part-hc-guid1.pdf
25. Information Sharing in the Foundation Years
    http://www.foundationyears.org.uk/information- sharing/
26. The Definition of Quality and Approaches to its Assessment, Donabedian, A. (1980) Health Administration Press, Ann Arbor, Michigan
27. Health Outcomes in OECD Countries: A Framework of Health Indicators for Outcome-Oriented Policymaking, Jee, M. and Z. Or (1999), OECD Labour Market and Social Policy Occasional Papers, No. 36, OECD Publishing
    http://dx.doi.org/10.1787/513803511413
28. Definition of outcomes and indicators. Outcomes and indicators, measurement tools and databases for the national action plan for promotion, prevention and early intervention for mental health 2000. Australian Govt Dept of Health and Ageing
    http://www.health. gov.au/internet/publications/publishing.nsf/Content/ mental-pubs-o-outcome-toc~mental-pubs-o-outcome- ch1~mental-pubs-o-outcome-ch1-def
29. NHS Institute
    http://www.institute.nhs.uk/quality_ and_service_improvement_tools/quality_and_service_ improvement_tools/performance_management.html
30. Framework for Children in need Assessment Triangle Model
    http://www.crin.org/docs/framework%20 for%20the%20assessment%20of%20children%20in%20 need%20and%20their%20f.pdf
31. Choosing better oral health: An oral health plan for England, Department of Health 2005
    http://webarchive.nationalarchives.gov.uk/+/ dh.gov.uk/en/publicationsandstatistics/publications/ publicationspolicyandguidance/dh_4123251
32. Delivering Better Oral Health An evidence-based toolkit for prevention - second edition
    http://webarchive.nationalarchives.gov.uk/+/www. dh.gov.uk/en/Publicationsandstatistics/Publications/ PublicationsPolicyAndGuidance/DH_102331
33. Information about Child Protection Guidelines
    http://www.rcpch.ac.uk/news/rcpch-launches-2nd- edition-child-protection-companion
34. Sure Start Children’s Centre Statutory Guidance Department of Education October 2010
35. Key Performance Indicator data submission process 2013/14
    UK National Screening Committee 2013

Antenatal Care

1. Preparation for Birth and Beyond (DH 2011)
   http://www.dh.gov.uk/health/2011/10/preparation-for- birth-and -beyond-resource-pack-to-help-parenthood- groups/
2. Antenatal Care (CG62) March 2008 Antenatal and Postnatal Health CG45
3. Antenatal and postnatal Promotional Interview
   http://www.cpcs.org.uk/uploads/Family%20Partnership %20Model/AN%20PN%20Interviews.pdf
4. NICE
   www.nice.org.uk
5. Quitting smoking in Pregnancy and following childbirth PH26 June 2010
6. Maternal and Child Nutrition PH11 March 2008
   http://www.healthystart.nhs.uk/healthy-start-vouchers/ healthy-start-vitamins/
7. UNICEF Baby Friendly Status
   http://www.unicef.org.uk/BabyFriendly/
8. Baby Cafe’s
   http://www.thebabycafe.org
9. Local Safeguarding Policies regarding Pre-birth Protocols (refer to Local Safeguarding Boards)
10. Solihull Approach
11. http://www.solihull.nhs.uk/solihullapproach
12. Motivational Interviewing techniques (basis of FNP)
13. Mellow Bumps
    http://www.mellowparenting.org
14. Preparation for Birth and Beyond DH 2011
    http://www.dh.gov.uk/health/2011/10/preparation-for- birth-and-beyond-resource-pack-to-help-parenthood- groups/
15. Antenatal and postnatal Promotional Interview
    http://www.cpcs.org.uk/uploads/Family%20Partnership %20Model/AN%20PN%20Interviews.pdf
16. Family Nurse Partnership
    www.dh.gov.uk
17. Working together to safeguard children
    http://webarchive.nationalarchives.gov.uk/ 20130401151715/https://www.education.gov.uk/ publications/standard/publicationDetail/Page1/DCSF- 00305-2010
18. Common Assessment Framework
    http://www.cwdcouncil.org.uk/caf
19. Frank Field Review
    http://webarchive.nationalarchives.gov. uk/20110120090128/http:/povertyreview.independent. gov.uk/media/20254/poverty-report.pdf
20. Graham Allen Review
    http://www.cabinetoffice.gov.uk/news/graham-allen- launches-second-report-early-intervention
21. PREView
    www.chimat.org.uk

Postnatal - Birth to 6 Weeks

1. Birth to Five
   http://www.dh.gov.uk/en/Publicationsandstatistics/ Publications/PublicationsPolicyAndGuidance/ DH_107303
2. Breastfeeding www.unicef.org
3. WHO Growth charts
4. Back to sleep http://fsid.org.uk
5. The Social Baby book/video, Brazelton
   http://www.brazelton.co.uk
6. NCAST
   http://www.ncast.org
7. Solihull Approach
   http://www.solihull.nhs.uk/solihullapproach
8. Antenatal and postnatal Promotional Interview
   http://www.cpcs.org.uk/uploads/Family%20 Partnership% 20Model/AN%20PN%20Interviews.pdf
9. Whooley Questions – NICE Antenatal and Postnatal Health CG45
10. Eight listening visits or referral for brief cognitive behavioural or interpersonal therapies
11. Use of dyadic therapies – baby massage, Videos Interactive Guidance (VIG)
12. Postnatal parent-infant groups with enhanced components for fathers
13. Mellow Babies
    http://www.mellowparenting.org
14. Relationship Support
    www.oneplusone.org.uk
15. Immunisations
    http://immunisation.dh.gov.uk
16. Accident Prevention
    http://www.rospa.com/homesafety/ adviceandinformation /childsafety/accidents-to- children.aspx
17. Newborn Hearing Screening
    http://hearing.screening.nhs.uk
18. Early Support Programme
    http://www.direct.gov.uk/en/CaringForSomeone/ Caring ForADisabled Child/DG_10027494
19. New Born Bloodspot Screening
    http://newbornbloodspot.screening.nhs.uk
20. Tongue Tie
    http://live.unicef.org.uk/BabyFriendly/News-and- Research/Research/Tongue-tie
21. NICE Guidance on Tongue Tie IPG149
    http://www. nice.org.uk/nicemedia/live/11180/31411/31411.pdf

6 Weeks to 6 Months

1. Baby Massage
2. Assessment of maternal mental wellbeing: Whooley Questions
3. Baby led weaning
   http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_084164.pdf

6 Months – 1 Year

1. HENRY
   http://www.henry.org.uk/about.html
2. Ages and Stages Questionnaires (Eurospan is the company to contact in the UK Bookstart
   http://www.bookstart.co.uk
3. Early Support Programme
   http://www.direct.gov.uk/en/CaringForSomeone/ Caring ForADisabledChild/DG_10027494

2 – 2 ½ Years

1. Ages and Stages Questionnaire
2. Schedule of Growing skills 2
3. Parent’s Evaluation of Development
   http://www.pedstest.com
4. Early Support Programme
   http://www.direct.gov.uk/ en/CaringForSomeone/CaringForADisabledChild/ DG10027494

3 – 5 Years

1. Looked After Children
2. Nice PH guidance 28 October 2010
   http://www.nice.org.uk/nicemedia/ live/13244/51173/51173.pdf
3. Domestic Violence
4. Local MARAC links through named nurses
5. Specific DV training available in some areas (Suffolk) Women’s Aid offer training
   http://www.womensaid.org.uk
6. Complex Care Pathway for children with additional needs
7. Together from the Start
   http://www.dh.gov.uk/prod_consum_dh/groups/ dhdigitalassets/@dh/@en/documents/digitalasset/ dh_4061141.pdf
8. Links to Pathways
   http://www.cen.scot.nhs.uk/files/7j-integrated-care- pathway-(merton-sutton).pdf
9. Aiming High for Disabled Children
   https://www.education.gov.uk/publications/ eOrderingDownload/PU213.pdf
10. Behaviour Management
11. Children’s Workforce Development Council give access to research on parenting programmes conducted by Kings College
    http://www.cwdcouncil.org.uk/ working-with-parents- and-families/commissioning-toolkit
12. Supervision for staff
13. Restorative Model of Supervision (DB9EB16B463932EDCB5297)
    http://docserver.ingentaconnect.com/ deliver/connect/cp/14622815/v84n7/ s9.pdf?expires=1324548173&id=66370900&titleid= 10545&accname=CPHVA&checksum=9EC24218D9
14. Infant mental Health Attachment and Attunement Solihull Approach
15. Video Interactive Guidance
    http://www.parentinguk.org/files/downloads/ JennyCrossVIG.pdf
16. Listening visits