161207 iHV leadership conf - Andrea Johns FiHV
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Presentation given by Andrea Johns at the iHV leadership conference on 7 Dec 2016. Influencing your environment within an integrated 0-19 service - Andrea Johns FiHV, Professional Lead Health Visiting, Wirral Community NHSFoundation Trust
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161207 iHV leadership conf - Andrea Johns FiHV
- 1. Influencing your environment within an integrated 0-19 service Andrea Johns FiHV Professional Lead Health Visiting Wirral Community NHS Foundation Trust
- 2. Moving to a new organisation… where we are now… • October 2015 - service specification includes working with Local Authority as part of an integrated early years model - Parenting Journey • November 2015 - Transformation and Integration action plan • February 2016 - new senior leader structure implemented • April 2016 - roll out of Parenting Journey in pilot areas • May 2016 - From paper to electronic system and scanning of 75,000 child health records on SystmOne • September 2016 - HV week, launch of Facebook page • November 2016 - staff moved to new bases, some co-located with Children’s centre colleagues
- 4. By delivering this model… we will… • Have Shared Outcomes • Have an understanding of each other’s roles and responsibilities • Deliver integrated key messages • Ensure a consistent message across Cheshire East based on our understanding of what is quality. • Ensure consistency of evidence based advice and information leaflets. • Joint development and delivery of a number of stops.
- 5. Working together to improve outcomes for children in Cheshire East in the following priority areas Following joint consultation with staff, 4 key priority areas for transformation and integration were identified 1. Early Intervention in Safeguarding 2. Transition to parenthood and the early weeks including early attachment 3. Maternal mental health 4. Emotional health and wellbeing of children & young people.
- 6. Joint training • Joint training for Parenting Journey and integrated two year review. • IHV Champions deliver awareness training across Local Authority Early Years services on Infant Mental Health, Maternal Mental Health and Nutrition/Maintaining a Healthy Weight. • Cherubs Infant Feeding Coordinator delivers breastfeeding training. • HVs deliver child development and ASQ awareness training to newly qualified Social Workers.
- 7. Working groups, secondments and link roles to support integration • 0-19 Healthy Child Transformation Board • Children,Young People and Transition Board • Parenting Journey strategic task group • Health Visitor secondment to Early Years team to develop integrated 2 year review. • Health Visitor secondment to Early Help team- ChECs. • All Early Years settings to have a Health Visitor link (170 settings in Cheshire East). • All GPs to have a Health Visitor link
- 8. Influencing your environment Remember to: • Keep the child at the centre of all you do • Be proactive- inviting in, not referring out • Use your expertise and assume a leadership role using local Leadership opportunities • Embrace integration and working together • Develop a working relationship with key stakeholders • Identify how you can connect the service via Fellow / Champion role • Use Social media- a valuable tool to connect and learn
- 9. Inspiring a shared purpose • Embedding best practice from other areas using Fellows network • Challenging practice and embedding changes Sharing the vision • Sharing evidence, research from areas where new ways of practice have made an impact and communicating this to the team Connecting the service • Leading integrated working groups creating a sense of trust and respect for other roles • Connecting the service to the national leadership team via Fellow role. Leadership
- 10. One of the first 25 iHV Fellows in the country Sharing my staff story
Notas do Editor
- Rollercoaster of a journey, not without challenges. Introduction of mobile working
- Extra opportunities to see families and help improve health and wellbeing 486 model- extra opportunities for assessment and bridging of gap between 2 and 5
- What I can do When and iHV Top tips for parents Changing culture and way of thinking, HVs as leaders of HCP, carrying out 5 URs and supporting other services to deliver best outcomes by delivering training and sharing evidence based practice.
- In addition to Universal offer a Joint consultation took place to identify priority areas, these fit in with HIAs with more multi agency approach. Provides an opportunity to influence at all levels. Working group across health, LA and much wider voluntary systems. How to prevent overlap and optimise all resources available to support child. I lead MMH group, system wide strategic approach involving all services e.g peer support including on line support PND and me, Pandas, LA, CCs. We now have a multi agency 486 model to work to-4 levels of service, 8 levels of assessment and 6 HIAs, envelopes by EI and safeguarding.
- Joint training key to supporting system, Health visitors – leadership role using expertise to deliver training to other services to ensure consistency of evidence based information given. IHV champions embedded in process. Asked to deliver Child development training to newly qualified SWs as part of development programme. Positive feedback, to be delivered on a yearly basis.
- Cogs that drive and underpin the success of the model Role- to provide a Forum by which the Commissioner and Provider can work together to improve the wider system response to the health and wellbeing of children and young people. CYP transition-This group will be responsible for delivering the outcomes agreed as part of the strategy developed to achieve priority 4 of the Children and Young People’s Plan: Children are healthy and make positive choices. Opp to promote HV service and to build in expertise of HV into the wider system approach
- Leadership for all, underpinned by NHS leadership academy, opportunity to identify leadership behaviours and talent map. Show how Fellows role can support local leadership and delivery of services. Speak in language of leadership journey, trigger series of events to support me in my leadership journey
- Proud of this slide as catches the essence of who I am and what I do. Staff story raised the profile on institute and the value of the fellow role. Led on to many new opportunities working directly with members of the Trust board. It is possible to influence in a large multi agency organisation, sometimes you just need to look outside the box and take every opportunity available