Logic Model v010623 Slides for Ayo

Aim

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Hubs that make existing resources more readily available to those who most need them and result in ...

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• Better Health Outcomes
• Positive BCYP& family experiences
• Improved workforce satisfaction
• Lower cost of care

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Primary drivers

Secondary drivers

Education and shared learning - case studies are generated and fed back to frontline staff

Behaviours - clinician; public

Multiagency and multi-professional relationships

Knowledge of population and need - for 5 (?) priority areas (eg from Core20+5) each hub has a way of identifying those with greatest need

Agency to act

Partnership working

Case discussions and co-produced decision making

Activities

Workforce engagement

Enabling and empowering environment

Communities and participation

NWL ICS will establish Child Health Hubs and support the implementation Family (Health) Hubs.

These will deliver Integrated Neighbourhood teams. The Hubs make existing resources more readily available to those who most need them

NWL will have 1. CHHs in all areas by March 2025 2. Early Years model prototype established in 3 sites by March 2025

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Communication and information sharing

As part of the Child Health Hub programme

• Develop shared understanding of what makes the Hubs fly (and what gets in the way), using stories, analysis and tools for sharing + creation of an accreditation tool
• Developing pop health mx and coordination resource in each Hub
• Asthma, develop early intervention through the GP practice
• Adapt electronic records (S1 and EMIS) in the GP practice that support child health
• Develop the electronic referral system (rego) to nudge towards Hub pathways

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Both

• Teach qualitative evaluation & co-production & reverse mentoring methodologies to borough based child health leads, using Hub/early years programmes for context
• Mental Health; reducing its separation from physical health
• Pop health case finding (inc WSIC); securing high-quality methods for identifying needs, including the development of PCN CYP data packs
• Working with IHI; using QI methodology and London-wide interventions to facilitate change
• Working with ICS INTs; using ICS-wide interventions to facilitate change
• What more can we do together; developing and implemention the ‘bridge’ between Child Health (GP) Hubs and Family Hubs
• Personalised Health Budgets; designing and implementing the effective use of small grants to support individual cases

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As part of the Early Years (Who are the babies) programme

• Establish a hyper local preventative team with a major focus on optimising the health and well-being of parents and infants

Driver Diagram: a method to help map out the structures and interventions that we believe will deliver the aims – it is organic and evolving

Aim

​

Hubs that make existing resources more readily available to those who most need them and result in ...

​

• Better Health Outcomes
• Positive BCYP& family experiences
• Improved workforce satisfaction
• Lower cost of care

​

Primary drivers

Secondary drivers

Education and shared learning - case studies are generated and fed back to frontline staff

Behaviours - clinician; public

Multiagency and multi-professional relationships

Knowledge of population and need - for 5 (?) priority areas (eg from Core20+5) each hub has a way of identifying those with greatest need

Agency to act /Improved self care and health literacy

Partnership working

Case discussions and co-produced decision making

Activities

Workforce engagement

Enabling and empowering environment

Communities and participation

Detailed Logic Model for. Early Years - Establish a hyper local preventative team with a major focus on optimising the health and well-being of parents infants and young children

Communication and information sharing

“Show and tell fair”

Community venue where local services and voluntary sector have stalls and activities highlighting the positive assets in the area

Data sharing with local population- infographic and social marketing. “You said , we did” (SIPP as an exemplar)

Family hubs as places where health and care professionals are welcome and Citizens advice /cost of living /food bank information is available. Evening utilisation for youth.

Multiprofessional Training needs assessment/audit/delivery

focused on key health and care priorities

Antenatal and infant care – minor illness and injury prevention

Oral health and nutrition

Immunisation- develop deep understanding of improving access and facilitating uptake

Empower home visitors ( MECC)

Asthma

Optimising early development ( reach out and read, library services, Homestart)

Make Every Contact Count training

Parent information and training

Establish Healthier Together site for NW London

Appropriate literature ( right level, language, context )

Pharmacy First programme

Mental health

Patient Group Consultations antenatal and postnatal support

Asthma

Working in child health hubs, schools and nurseries to improve recognition and management of asthma especially in preschool children ( facilitated with WSIC and LADS dashboards, smoking cessation local traffic control, housing etc.

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Driver Diagram: a method to help map out the structures and interventions that we believe will deliver the aims – it is organic and evolving

What do we mean by prevention?

• At the recent Harrow workshops which aimed to bring together the various different partners to discuss priorities for the borough, it was quite clear that there was a need to ensure that the term “prevention” was understood by all parties.
• Primary prevention
• This is the prevention of an issue from occurring in the first place e.g. using vaccination to prevent infection or good oral hygiene to prevent dental caries. It also applies to the prevention of developmental issues such a speech language today through the promotion of speech and language and mental health through emotional and personal social development.( e.g. school readiness). This could also refer to the prevention of injury both intentional or unintentional through appropriate safety measures and support for parents in providing safe sleeping and the prevention of sudden infant death.
• Secondary prevention
• This refers to the early identification of issues before they become symptomatic or a major problem and their remediation. An example of this would be physical examination, hearing or bio chemical neonatal bloodspot screening or early help provided in a social services setting for a family struggling with social issues before they have become unmanageable or early support given by a teacher to a child with emotional difficulties before these become more severe. Supporting the optimum care for a child with a chronic condition such as asthma epilepsy or diabetes would also be considered in this category.
• Tertiary prevention
• Refers to the rehabilitation of children where the condition cannot be reversed or cured and aims to minimise handicap. An example of this would be the use of physiotherapy and orthotics to help a child with mobility problems or the fitting of a ramp in a school to allow a wheelchair user to access the classroom more easily.

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Example �Metrics �(tba)