Tim RyleyBeate WagnerHello, we are Tim Ryley, Chief Officer for Leeds Clinical Commissioning Group and Beate Wagner, Corporate Director for Children and Young People’s Services at Wakefield Council. We are delighted to have been given the opportunity to write the Partnership’s blog this week.

As well as working in these roles, we are also the Joint Senior Responsible Officers (SROs) for the West Yorkshire and Harrogate Children, Young People and Families Programme (Beate is currently standing in for Chief Executive at Wakefield Council, Merran McRae).

We feel that having joint health and local authority SROs for the programme is extremely positive and vital to ensuring a collaborative and system wide approach to our Programme’s work.

Children account for 23% (570,000) of the population of West Yorkshire and Harrogate. It goes without saying that children are our future generation and we need to invest in all children, young people and families to give them the very best start in life because we know that childhood inequality can have lifelong consequences for their happiness, income and health when they are adults.

The health of children and young people is determined by far more than healthcare. Household income (whether they live in poverty), education, housing, a stable and loving family life all significantly influence young people’s health and life chances.

Over recent years we have seen improvements across our area in school readiness and the number of 16-17 year olds in education, employment or training. But we know far too many children and young people live with poor emotional wellbeing/mental health, in poverty, experience physical health problems or unhealthy environments, for example domestic abuse.

As a programme we consider what makes life better for children and young people at key points in their lives, what will make a positive difference to their future wellbeing and where we will work together where good practice can be shared, benefits of scale can be demonstrated and it makes sense to do so.

twins - photo credit Born in BradfordOur agreed vision for our Children, Young People and Families Programme is to:

  • Close the gap in health and well-being outcomes for all children and young people across West Yorkshire and Harrogate, irrespective of where they were born, where they live and go to school
  • All children and young people will have the best start in life and the support and healthcare needed to enable them to be safe from harm and to enjoy healthy lifestyles, to do well in learning and have skills for life.
  • The voice of the child and the young person will be at the heart of everything we do.

Partnership working across West Yorkshire and Harrogate is essential to achieve our vision and to improve outcomes for children, young people and families. We work closely together across health, care, schools and with community, voluntary organisations, and charities to ensure that the voice and experiences of the child, young person and family continuously leads and shapes the programme’s work.

The last three months have brought periods of great uncertainty and we know from national and local work, reports and surveys the huge impact this has had, and continues to have on children, young people and their families.

We have seen children and young people reporting increases for example with sleep issues, relationship problems, anxiety and emotional wellbeing concerns, worry about a friend or family member catching coronavirus and concerns around missing classes and also returning to school. We also know that our vulnerable children, young people and families are most likely to have been affected by the lock down measures for a variety of reasons – often the things we don’t want to think about, for example neglect and abuse.

Despite all this, partners locally and across the system have risen to the challenge and worked together both strategically and on the ground to continue to keep a close line of sight on children and their needs.  Organisational boundaries have very much taken second place to a joint commitment to continue to serve our young people and their families and to support and safeguard them together.

Schools have been the frontline across our system and been our eyes and ear along with a whole range of members of the community – from neighbours to delivery drivers – and we must use the learning and engagement we have built up during this time as the foundation for the future.

These have been unique opportunities for learning, innovation and transforming ways in which services are delivered, which should, if we pay attention, enable us to engage with stakeholders to drive improvements in our models of care, the use of technology, new ways of engaging and collaboration across the system, both at a local and West Yorkshire and Harrogate level.

At our last programme board in June we focused on our stabilisation and reset work and how we can use some of these opportunities and learning to reframe some of our workstreams and deliver the ambitions set out in our five year plan.

digibete appSome of the work to support this includes funding the Digibete App for all children and young people with type 1 diabetes across West Yorkshire and Harrogate. This is a Diabetes clinic communication, education and patient self-management App and includes information on sports and exercise, insulin pumps and technology, emotional wellbeing, school and education. All of our six diabetes units across West Yorkshire and Harrogate are in the process of implementing the App.

Our West Yorkshire and Harrogate’s children’s healthcare in the community workstream is looking at the provision of children and young people’s healthcare services as close to home as possible, including increasing the use of digital solutions and platforms. 

We are linked in with the West Yorkshire Association of Acute Trusts (hospitals working together) on this and will be reporting progress to them. We are also working with our climate change leads as part of this work.

In partnership with a number of other West Yorkshire and Harrogate Programmes, we aim to address some of the impacts of Covid 19 on children, young people and families including:

We will continue to keep you posted with progress of our work. In the meantime if you would like to find out more about our programme or would like to be involved in any of our work then please contact Sue Rumbold, Programme Lead at Sue.Rumbold@leeds.gov.uk or Carrie Rae, Programme Manager at carrie.rae1@nhs.net 

Have a good and safe weekend,
Tim and Beate