You’re Welcome:
raising the profile of young people and
adolescent medicine
Anna Gregorowski – Consultant Nurse
Nigel 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
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Accessibility
Publicity
Confidentiality and consent
Environment
Staff training, skills, attitudes and values
Joined-up working
Young people’s involvement in monitoring and
evaluation of patient experience
8 Health issues for young people
9 Sexual and reproductive health services
10 Specialist child and adolescent mental health
services
Accessibility
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Location (public transport)
Opening hours
Referral (self)
Choice:
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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
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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
Workshop
You 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
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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
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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