Transcript Partnership support

Working in Partnership to improve
outcomes of Children looked after.
Laurie Ward
Specialist Nurse Children Looked after
and Care leavers
CLA & Care Leaver Health Service
Works in partnership with HCC children’s
services to improve health outcomes for
Children Looked After
 Signpost and support young people,
carers, health & children's services staff.

Issues that may impact on health








Children often enter care, with a worse level of health, than their
peers
Teenage conceptions & early parenthood
Alcohol & drug misuse and other self harming risk taking activities
School exclusion
Being in young offender institutions & prison
Being within the mental health system
Being homeless
Sexual exploitation
Statutory Health Assessments



Process in place to co-ordinate administration of
health assessments on behalf of HCC
When a child comes into Care – Initial Health
Assessment (IHA) undertaken by a Doctor.
Review Health Assessments (RHA) undertaken
by a nurse every 6 months under 5 years and
annually up to the age of 18 years.
What is a Health assessment




A time for the young person to have a
confidential discussion with a health professional
A safe environment for a young person to raise
their concerns
An opportunity to establish the young persons
Emotional, Physical and Sexual health needs
A summary and action plan developed
Why a school nurse?
Local school nurse seeing child locally
 Aware of local resources
 Relationship with key school staff i.e.
Designated teacher
 Continuum of care

Partnership support
Training
 Support and advice
 CLA nurse undertake school age RHA if
required
 The link between health and social care

Which of the topics discussed did
you find useful?
Topics Discussed
Puberty
Time to Talk
Health Leaflets
Voice'
A-Dash Information
Drug & Alcohol Advice
Smoking
Healthy Eating
Physical Health
Counselling
Emotional Health
Sexual Health
Condoms
C-card
0
1
2
3
4
No. of Respondents
>10 to 15
16 and Over
5
6
Jess is a 14yr old girl who entered care at 11yrs old.
Category: Full Care Order for Neglect. Parental misuse of drugs / Alcohol
Initial Health
Assessment by GP
Referral to School Nurse
by Teachers for support
around bullying.
Regular monitoring in
School by School Nurse
Referral to CAMHS
by School Nurse Social Worker aware
Support /Contact
around bullying
Review Health
Assessment (1)
completed by School
Nurse in School. CoOrdination difficulty &
Vision problems
identified
School Nurse
School Nurse liaised
with School:
concerns raised by
School Matron
Liaison with
Paediatrician Referral
to Orthoptist –
Glasses prescribed.
Review Health
Assessment (2) seen
in school by School
Nurse
CLA Nurse
Contacted by Social
Worker – concerns from
carer re. concentration /
child talking to herself
Actions
Liaise with School Nurse
& Carer Home visit by
CLA Nurse. (Young
Persons choice of venue
& time)
Liaison with Carer
Liaison from Hospital
Paediatric Liaison Nurse
Re. A/E admission for fracture
Actions
Liaison with School Nurse