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G32 Developing Principles For Delivering and Commissioning Better Health Outcomes and Experiences For Children and Young People So They Are Comparable with the Best in the World
  1. M Clements1,2,
  2. K Evans1,3,
  3. T Cogan1,
  4. C Upton1,4,
  5. D Williams1,5,
  6. S Evans1,6
  1. 1Strategic Network for Child Health and Well-Being, NHS East of UK, Cambridge, UK
  2. 2Department of Paediatrics, West Suffolk Hospital NHS Foundation Trust, Bury St Edmunds, UK
  3. 3Children & Young People’s Programme, NHS Institute for Innovation and Improvement, Coventry, UK
  4. 4Department of Paediatrics, Norfolk and Norwich Hospital NHS Foundation Trust, Norwich, UK
  5. 5Department of Paediatrics, Addenbrookes Hospital NHS Foundation Trust, Cambridge, UK
  6. 6Child Health, Eastern Region Public Health, Cambridge, UK


Aim The development of a single set of principles to be used by providers and commissioners, across the whole healthcare system wherever a child or young person is seen. The aim is to improve the health outcomes and experiences for children and young people (CYP).

Methods A multi-professional team of GPs, Health Visitors, School Nurses, Paediatricians, Public health, Children’s Nurses, patient and family representatives came together over a period of 6 months in a number of facilitated work- shops.

CYP and family engagement was central to this work with visits to Children’s Centres, primary and secondary schools to listen to families experiences of health services. A graphic illustrator captured the key messages from each engagement event.

The principles were referenced against the Children and Young People’s Outcome Forum Report and the NHS Mandate.

Results A set of 6 principles;

1. Child and Family focused

2. Health Promotion

3. Transformation

4. Settings

5. Information and Communication

6. Evidence Based and Sustainable

Each principle has an aspirational statement and then indicators to be used to evidence achievement towards a principle. They can be used to assess an existing service or to develop a new service and can be used for a condition across a pathway e.g asthma or for a service e.g. GP practise.

The principles have been developed as a single A5 poster for ease of use and are colourful and visual. A postcard has also been developed which summarises the feedback from young people and families but also translates the principles for families so that they know what they can expect from services. Figures 1, 2, 3.

Local organisations are encouraged to add their own and healthwatch websites to the postcards to allow continuing feedback from families.

Abstract G32 Figure 1

Stillbirths Figures Mbarara Hospital 2012

Conclusions The principles define a common language and shared sense of purpose for professionals and families and can be used as a platform of small or large scale change and improvement. They compliment the NHS mandate and the children’s and young person’ s outcome report and sit at the centre of the NHS change model. They are easy to use and flexible and can be used nationally and easily adapted for other services.

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