School-age Children1 - Karen Turner & Richard Sangster

School-age Children Workshop

Karen Turner & Richard Head of Children & Young Sangster People’s Public Health Programme, Department of Health

Central Hall, Westminster Thursday April 2nd 2009

Our focus this morning • Healthy Child Programme (ages 5-19): a vehicle for better health for all children and young people • Role of schools in supporting health improvement

School-age Children • Health is inseparable from learning and achievement

Healthy Child Programme: 5-19 years • Early intervention and public health programme for children, young people and their families • Umbrella setting out the good practice framework for the delivery of services from preconception through to 19 years old to promote optimal health and well-being • A universal progressive model • The updated HCP for the first five years of life was published last year • The guidance is now being extended to cover school age children and young people and will be published in 2009

HCP Schedule diagram: Key Health Needs for C&YP Emotional health, sexual health, substance misuse (incl. alcohol, drugs, VSA, tobacco), accidents, healthy weight incl. physical activity and nutrition, oral health, LTCs and immunisation, screening programmes

INPUTs

School HCP Team

Universal and progressive programme accessed by C&YP and their parents/carers in order to promote optimal health & well-being

OUTCOME

Key Key Developmental Developmental Key Key Stage 1 Stage 3 Developmental Developmental Stage 2 Stage 4

Communication s with C&YP and their parents/carers

Key Developmental Stage 5

Happy, healthy C&YP who are equipped with the information, knowledge and skills to make positive health behaviour choices. All C&YP and their parents/carers have access to appropriate and confidential

Emeritus professor of paediatrics, Sheffield University

Healthy Child Programme: 5-19 years

Professor David Hall Emeritus Professor of Paediatrics, Sheffield University Hon Professor of Paediatrics, University of Cape Town

Healthy Child Programme: What is covered? • Universal Services • Target Services • Mental Health Provision • Preventing problems • Role of school nursing

Questions? • What should we be trying to achieve over the next 5 years? • Where should we be disinvesting?

Healthy Child Programme: the benefits • Better co-ordination of staff and programmes • More and better evaluation of the evidence

Healthy Child Programme: why do we need this?

• Variability in service provision • Variability in content

• Standardisation of screening surveillance, health protection and promotion and service delivery

Healthy Child Programme: who is it for? • Universal • Targeted at those with specific needs • Importance of the evidence base • Aimed at those in front line delivery, management and commissioning

Healthy Child Programme: Healthy Schools

• Healthy Schools is a vehicle for delivery of the HCP • Healthy Schools: the right framework • Statutory PSHE education: the right support

Discussion question

• And how will Children’s Trusts, Primary Care Trusts, Local Authorities and partners drive this health agenda forward for school-aged children?

Vision of the 21st Century School Skills for working and life: Supported by Accountability -School Report Card -Pupil Wellbeing Indicators

PHSE Healthy Schools, PE and Sport, SEAL, behaviour and safety, pupil and parental Personalised Education and development engagement, school food

Workforce -Skills, knowledge, capacity - School health teams Funding -DSG review A resource for the whole Schools working in community clusters Co-location of services

Focus of the needs of children and young people (e.g. HCP, enhanced Healthy Schools) Identification of needs, screening (e.g.Teen LifeCheck), multiagency support, specialist services, At theschool centrelevel of a commissioning system for early intervention and targeted support

Enhanced Healthy School Programme • The 21st Century School builds on the foundations laid by the Healthy Schools and Extended Schools programmes • To further enhance the role of schools the Government will develop an enhanced Healthy School programme • Build on the progress of aligning Healthy Schools and Extended Services An enhanced Healthy School is a school that has met the 41 criteria, has plans in place to meet the Ofsted pupil wellbeing indicators and then has an outcome based model of universal and targeted interventions focussed on those most at risk and linked to school, local and national priorities

Links to Links to PWI, wellbeing SEF, indicators, Extended SEF, Schools Extended Services….. Task Group

Enhanced Healthy School Programme Schools with NHSS invited to apply for enhanced status

Annual Check 41 criteria, self evaluation

Monitor Check against early success indicators

Implementatio n Works towards outcomes over three years Local quality assurance sign off

Action identification Plan interventions for universal & targeted

Threeyear continuo us cycle

Engage stakeholders, local priorities, pupil wellbeing indicators

Work with PCT, LA’s CT’s…..

Needs Analysis School and local data

Universal Outcomes

Setting priorities

Plan for whole school measures and outcomes

School and LA priorities. Baseline

Targeted Outcomes Children at risk

Setting Outcomes Early success indicators

Discussion question

• And how will Children’s Trusts, Primary Care Trusts, Local Authorities and partners drive this health agenda forward for school-aged children?