Putting children and young people back into the reform of health and social careDr Marc BushDirector of Policy & Intelligence, Healthwatch

England

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@Marc_bush@Healthwatc

hE

Where we came from… All parties are committed to learning from the failings at Mid

Staffordshire, Morecombe Bay and Winterbourne View.

Health and social care systems, structures and services are going through a period of significant change (i.e. through integrations and reconfigurations).

There are many new bodies and forums asking the same questions about change and the ways of engaging us feel out of date and overly-complicated.

Despite all these changes, many of us still feel that professionals rarely involve us in decisions about our treatment and care.

We know that both services and the relationships between people and professionals are changing radically, but neither we, nor professionals, this should look like in the future.

What is the scale of change?

Consumer Rights Bill

What is the target of reform?

Why people get no satisfaction…

The human value structure across 68 countries in the majority and developed world and

based on a weighted sample of 64,271 people.

The role of Healthwatch Healthwatch England and local Healthwatch were established as the consumer champions in health and social care to ensure people’s experiences and ideas influence local and national decisions.

We cover all ages, and all areas of health and social care.

Our remit covers the breadth of health and social care services children and young people might interact with, including…

Specialist children’s hospitals or units Community equipment and wheelchair services Early years provision Children’s care, short break provisions Residential special school provision Provision for children and young people ion the secure estate Child and Adolescent Mental Health Services (CAMHS) Public health interventions for sexual health, child obesity, addition and

alcohol abuse.

What statutory tools are in Healthwatch England’s toolbox to help us take action?

What statutory tools are in the Local Healthwatch toolbox?

Examples from the network…

Healthwatch Norfolk – tier 4 Child and Adolescent Mental Health Services

Healthwatch Leeds – children’s use of, and the environment in, A&E services

Healthwatch Central West London – young people’s experiences of sexual health services

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How do we work with inspectors?We are currently testing a new model between local Healthwatch and the Care Quality Commission, which include these phases of activity:

Phase 1: Insight from consumersWe will share insight, data and intelligence across both organisations to ensure that risk in the system is identified and acted upon

Phase 2: (Pre-) InspectionHealthwatch provides CQC inspectors with a community narrative and context ahead of inspections and independently updates the community during inspections

Phase 3: Post-inspectionHealthwatch are part of the improvement journey, contributing to ensuring action is taken once the inspectors leave town and being part of the improvement journey

We are starting similar conversations with Ofsted and the Children's Commissioner to look at how we can collaborate to strengthen their the voice of children and young people in both inspection and improvement activity.

Any Questions?

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@marc_bush @HealthwatchE