You’re Welcome: raising the profile of young people and

adolescent medicine

Anna Gregorowski – Consultant NurseNigel Mills – Clinical Nurse Specialist

Young Person’s Forum

Young Person’s Forum at GOSH

Discussion

• In pairs – what makes a service ‘young person friendly’?!

You’re Welcome

• DH 2011– Original 2007

• Online self-assessment tool

10 Quality Criteria 1 Accessibility 2 Publicity 3 Confidentiality and consent 4 Environment 5 Staff training, skills, attitudes and values 6 Joined-up working 7 Young people’s involvement in monitoring and

evaluation of patient experience 8 Health issues for young people

9 Sexual and reproductive health services10 Specialist child and adolescent mental health

services

Accessibility

• Location (public transport)• Opening hours• Referral (self)• Choice:

• Where seen• Who they see (including gender)• Accompanying friend / partner• Who present in room

• Opportunity to be seen alone

Publicity

• Information about service (languages and formats) and other services

• Explicit about confidentiality• Opportunity to be seen on own• Information accurate and kept up to date

Confidentiality and consent

• Confidentiality• Consent• Safeguarding

• how these are – implemented by staff– understood by service users.

• supports and is supported by local safeguarding arrangements.

Environment

• Safe and young person friendly (Safe)• Accessible • Staff who explain• Pain relief• Privacy and dignity• Access to appropriate food • Promotes being in touch with peers

Staff training, skills, attitudes and values

• Understand, engage and communicate with young people and understand their health needs

• Culturally appropriate ways of working • Equality and human rights issues• Make appropriate referrals• Support young people to make informed choices• Training, appraisal, supervision and support

Joined-up working

• Co-location of services• Information provided about other services• Information about service to other services

Patient involvement in monitoring and evaluation

• Young people's involvement in service development, monitoring and evaluation

• Invite all service users to give feedback• Consult young people

Health Issues for Young People

• Consultations support healthy lifestyles• Staff that ensure emotional psychological and

spiritual needs are met• Clear pathway for YP with identified emotional and

psychological needs • Transition to adult care• Complex needs• Information and support for parents

Sexual and reproductive health services

• Applicable to sexual and reproductive health service only (GUM or GP)

• Informed by relevant guidance• Signposting

CAMHS

• Applicable to providers of specialist CAMHS• Based on evidence based practice • Signposting

WorkshopYou are a young person coming to your service– Does the service meet these criteria?– What changes could be put in place to ensure they

are met?

– Any other ideas for making your service more young person friendly?

• think outside the box!

Challenging the barriers

Are there any barriers preventing you from assessing your service against YW?

How will you break down these barriers?

Who can you approach to help you?

You’re Welcome at GOSH

• Improve adolescent journey at GOSH– Assess GOSH -‘young people’ friendly?– Benchmark– Identify priorities for improvement– Improve engagement with young people– Raise profile of Adolescent Medicine Team

Adolescent Medicine at GOSH

• 350 beds• Approximately 23% inpatients aged 11 or

above– 36% including OPD

• No dedicated adolescent ward• Adolescent medicine Team– Us!

You’re Welcome at GOSH

• Included in CQUIN targets for GOSH 2012-13– ‘Patient experience’• Management backing• Financial incentive• Wide spread acceptance from all staff

• Links with Trust vision to be one of the top children’s (and young people’s) hospitals in the world

Applying YW at GOSH

• All areas to meet mandatory DH ‘YW’ quality criteria

• Additional criteria to be met as appropriate• Outcomes:

• YP seen on their own– Increased length of appointments

• Clinic letters given to YP – More administrative support

YW at GOSH

• Benchmark against other hospitals from outset

• Pilot 2 areas by end May 2012• Complete assessment of GOSH against YW

criteria by end December 2012• Identify top 5 priorities for improvement by

February 2013– YPF

YW at GOSH

• Baseline audit• Meeting key staff to assess environment• Use patient experience• Re-assess services against baseline audit• Official validation by Adolescent and

Transformation teams

YW at GOSH

• 2 areas• Mental Health outpatient department • Inpatient surgical ward

• Adolescent/ Transformation team met with key professional in identified service (1 hour) in service area

Auditing

• To ensure consistency and avoid taking young people out of school/college/work inspections carried out by adolescent /audit teams (weekend inspections not suitable)

• Member of Adolescent Medicine Team + member of Audit Team undertook surveys

• 3rd member to ensure impartiality • All ward information (including web) examined

How young people were involved

• Developing YW toolkit• Interview YP on wards and specialities as

appropriate• YP Forum provided focus group for prioritising

changes from findings

5 YPF priorities

• Transition to adult services• Age appropriate information

• YP with disabilities and English as 2nd language

• Improved age appropriate facilities• Increased involvement in service evaluation

and development• Improved staff training

Transition

• AMT leading CQUIN target for 2013-14– Supporting teams– Education– In clinics– Developing supporting information

Raising the profile of young people and adolescent medicine

• Using YW at GOSH has successfully raised the profile of young people– Staff awareness – Increased senior management awareness– YP health needs and adolescent medicine profile

raised (and Adolescent Medicine Team!)

Underpinning documents