This Contract Is Dated Insert Date of the Last Signature to This Contract

Programme SPECIFICATION

Specification No. / SCHPH00138
Service / Children and Young People’sHealth and WellbeingProgrammeincludingClinical Management and Support.
Authority Lead / Director of Public Health, Staffordshire County Council.
Provider Lead / Birmingham Community NHS Trust.
Period / 1st September 2015- 30th March 2018.
Date of Review / TBD

National and Local Context

1.1 National and Local Context
Staffordshire County Council (“The Council”) is committed to achieving the best possible outcomes for allChildren and Young People. The Council supports Professor Marmot’s and the Chief Medical Officer’s priorities, that all Children are entitled to the best start in life and should be provided with the environment and opportunities to thrive.
Children, Young People and their parents/carers should be supported and encouraged to develop the necessary knowledge andskills to independentlyresolve health and wellbeing issues. Facilitating the provision of effective information, advice and guidance and the promotion of personal responsibilityis imperative to achieve this. Young People should be resilient and capable of making healthy lifestyle choices for themselves. This is particularly pertinent for vulnerable groups orChildren and Young People with additional and/or complex needs.
The Council does recognise that at times, some Children and Young People will require additional support and early interventionto prevent the escalation of problems and poorer outcomes. This Programme(“The Programme”) has a significant contribution to make and is fundamental to improving health and wellbeing.
The Department of Health, NHS England, Public Health England and Local Government Association signed up to a pledge for better health outcomes for Children and Young People(February 2013). The pledge puts Children, Young People and families at the heart of decision-making and improving every aspect of health services by setting out shared ambitions to improve physical and mental health outcomes for all. The Public Health and NHS Outcome Frameworks clearly defines a range of measures that are pertinent to the school-age population. Effective delivery of this Programmewillcontribute towardsthe achievement of many of these outcomes and the Chief Medical Officer’s recent commitment (2014) which emphasised the need to:
‘Help Children who grow up in the most at-risk families and to help parents give their Children the best possible care. We also want to help Children be as healthy as possible by preventing illness, and encouraging healthy behaviours from pregnancy onwards. The government is committed to improving all Children’s chances in life by giving families the help they need to keep their Children healthy and safe’.
The Children and Families Act 2014 aims to join up support across education, health and care for Children with Special Educational Needs and Disabilities. A child or young person has special educational needs if they have a learning difficulty or disability that calls for special educational provision to be made for them. Special educational provision is additional to or different from that would normally be provided for Children and Young People of the same age in a mainstream setting. Individual duties to Children and Young People are contained within the Equality Act 2010.
Initially the Provider will deliver assessment and support services to Children and Young People (0-25 years) with Special Educational Needs and Disabilities within special schools located in Staffordshire. However, there may be the opportunity during the Contract Period which will be subject to an agreed programme of development with the Provider, this support may be offered to the Child or Young Person regardless of the setting (i.e. the support would be offered in mainstream school environments and to Children educated at home). These services will be clinical in nature. The schools provide for a wide range of special educational and disability needs and include specialist provision for Children and Young People with physical disabilities, complex behavioural needs, emotional and social challenges.
The Programme will also lead and deliver the National Healthy Child Programme for all Children and Young People age 5-19 years. This National Programme is an evidence-based framework of advice, support and interventions. It spans four domains including:

Community
Universal Services
Universal Plus
Universal Partnership Plus

The national Healthy Child Programme will also provide physical and emotional support to Children and Young People with Special Educational Needs and Disabilities as defined within the Education Act 1996 and Part 3 of the Children and Families Act 2014.
Thenational Healthy Child Programme builds on and compliments early years (0-5) support and sustains this across the life course to improve health and wellbeing. Effective delivery of The Programme requires universal, targetedandclinical provision set in the context of partnership working with other agencies and servicese.g.Health Visiting, the Voluntary Sector, the NHS, Local Authorities and Children’s Services.
The Programme will operate in the context of key national policy documents and standards such as (not exhaustive):

Maximising the school nursing team contribution to the public health of school- ageChildren – guidance to support the commissioning of public health provision for school- ageChildren 5-19(Department of Health, 2014)
Getting it right for Children, Young People and families – maximising the contribution of the school nursing team: Vision and call to action (Department of Health, 2012)
Healthy Child Programme – 5-19 years (DH, 2009 – amended August 2010)
Healthy Child Programme – The two year review (DH, 2009)
The Annual National Child Measurement Programme Guidelines (Department of Health, 2014)
Supporting pupils at school with medical conditions (Department of Education, 2014)
You’re Welcome standards (Department of Health, 2011)
Working Together to Safeguard Children (HM Government, 2013)
The Link between Pupil Health and Wellbeing and Attainment (Public Health England, 2014)
Healthy Lives, Healthy People: Our Strategy for Public Health in England (Department of Health, 2010)
National Service Framework for Children, Young People and Maternity (DH 2004)
Making it better for Children and Young People (DH 2007)
Healthy Lives: Brighter Futures (DH 2009)
Every Child Matters: Change for Children(Department for Education 2004)
Aiming High for Disabled Children: Better support for families (Department for Education and Skills 2007)
Better Care: Better Lives (DH 2008)
Statutory Guidance on Promoting the Health and Wellbeing of Looked After Children (DH 2009)
Children and Families Act 2014
Equality Act 2010
Mental Capacity Act 2005
Mental Health Act
Education Act 1996

Additional information on applicable local and national standards is contained in Section 5of the Specification.
TheProgramme will be delivered in accordance with local needs as defined in Staffordshire’sJoint Strategic Needs Assessmentand other relevant child health and wellbeingprofiles. It will also operatewithin the context ofthe Staffordshire Health and Wellbeing Strategy andChildren’s Strategic Partnership Plans.The Staffordshire Children’s Strategic Partnership through its strategy, aims to achieve the best outcomes possible for all Children and YoungPeople. This strategy identifies five key themes for action:

The best start in life: pregnancy and early years.
Thriving families: good lifestyle choices, health and prosperity.
Good education: raising aspirations and educational attainment.
Safeguarding: protected and safe from the risk of harm.
Contributes: all Children and YoungPeople are supported to make apositive contribution to communities.

In addition the County Council has identified priority outcomesto benefit the people of Staffordshire, many of which will impact on Children and YoungPeople. These are:

A great place to live
Living well
Resilient communities
Best start
Ready for life
Right for business
Enjoying life

1.2Integrated Commissioning with Staffordshire’s Clinical Commissioning Groups
The Staffordshire Health and Wellbeing Board support the vision that integrated Commissioning improves the delivery of Services by sharing expertise.Integrated health and wellbeing Programmes can provide better outcomes as well as efficiency and productivity gains for Commissioning organisations. Furthermore the National Healthy Child Programme (5-19 years) provides a framework and lends itself well to support collaborative work and more integrated delivery.The Council has agreed integrated arrangements with Clinical Commissioning Groups for the delivery of three key Programme elements.The Council will act as the Lead Commissioner on behalf of the Staffordshire Clinical Commissioning Groups for:

Clinical management and support for Children and Young People with Special Educational Needs and Disabilities (0-25 years) in Special Schools - Appropriately trained and qualified staff will provide a range of clinical interventions, conduct relevant assessments and provide support to Children and Young People with Special Educational Needs and Disabilities placed in special schools within Staffordshire. These interventions will be undertaken in line with the needs of the child/young person identified within the special educational needs assessment process. The interventions will be undertaken in conjunction with school teaching and teaching support staff.
Annual Review Health Assessments for school-age Looked After Children – Appropriately trained and qualified staff within this Programme team will deliver the reviews in accordance with any applicable local and national standards and guidance (see Section 5). Integration here willensure a seamless and more joined- up offer for Looked After Children.
Clinical management and support for school-ageChildren and YoungPeople with Enuresis (involuntary urination, especially by Children at night) – This Programme element has been included to ensure seamless care as there are currently no designated services across Staffordshire for Children and YoungPeople. Additional information in relation to Enuresis is contained throughout the Specification.

The confirmed integratedcommissioning elements for Staffordshire are:

The clinical management and support for Children and Young People with Special Educational Needs or Disability in special schools.
Non-Complex Annual Review Health Assessments for school-age Looked After Children.
The clinical management and support for Children and YoungPeople with Enuresis covering the GP registered population of South Staffordshire only.

Start dates for these elements are 1st September 2015.
The clinical management and support for Children and Young People with Enuresis for the GP registered population of North Staffordshire may be added to this contract at a later date. Exact start dates have not been confirmed for this element in North Staffordshire.
Providers are to submit their costs to deliver all elements of this Specification in Staffordshire; Children and Young People’s Health & Wellbeing Programme, Non-Complex Annual Review Health Assessments for Looked After Children and clinical management and support for Children and YoungPeople with Enuresisand Special Educational Needs and Disability in special schools.
2.0Population Health and Wellbeing Needs
The Joint Strategic Needs Assessment for Staffordshire sets out some of the health and wellbeing needs for Children and Young People. The full document can be accessed at:

Supporting this are a raft of Children’s profiles and additional data which is available at
The Programme is expected to keep abreast of the changing needs ofthe populationin Staffordshire and ensure that it isagile and responsive to meet this.
Regular, local insight from Children, Young People and their families shouldbe fed into this process and drive ongoing service improvement and developments.
3.0The Programme Aim and Objectives
3.1 Aim
The overall aim of The Programme is to:

Lead, deliver andcoordinate in partnership with other agenciestheNationalHealthy Child Programme(5-19 years).All Children,YoungPeopleand their families will receive a comprehensive needs-led Programme offer in line with the outcomes detailed within this Specification. The four domains of the National Healthy Child Programme describe the continuum of support Children and Young People can expect to receive through The Programmeto improve health and wellbeing.

In addition The Programme will identify, assess and deliver a range of clinical support and management to Children and Young Peoplewith Special Educational Needs and Disabilities (0-25 years) in special schools, clinical support for Enuresis and delivery of Review Health Assessments both for theschool agepopulation.
3.2 Objectives
The key objectives of The Programme have been broken down by the National Healthy Child Programme domains for The Councils commissioning responsibilities. Clinical Commissioning Groups objectives have also been set out below:

Community
Provide information, advice and support to all school-age Children and Young People so that they are equipped to resolvelow level health and wellbeing needs. Maximise family/carer support with the involvement of community and voluntary resources whilstworking to build community capacity.
Provide local public health leadership, demonstrate effective local partnership working and champion the needs of all Children and Young People.
Universal Services
Deliver health improvement interventions to reduce lifestyle risk factors, implement the National Childhood Measurement Programme and health and wellbeing reviews.Supports delivery of aseamless pathway across the National Healthy Child Programme from 0-19 yearsas well as identifying Children and Young People at risk of experiencing poor health and wellbeing outcomes.
Support the interaction between health and education and work with schools toprovidepublic health expertise.
Universal Plus
Identify vulnerable Children, Young People and their families/carers or those with additional or complex needs. Provide a swift response by delivering tailored packages or coordinating support, making onward referrals to specialist services as required.
Help families navigate health, wellbeing and social care services to ensure optimal intervention is being received to achieve positive outcomes.
Universal Partnership Plus
Deliver early helpprovision to promote the health, wellbeing, welfare and safety of Children and Young People. This should be delivered as part of intensive and multi-agency targeted packages of support where additional needs are identified.
Participate in multi-agency decision making and assessments(as required),in line with local safeguarding policies and procedures, to secure the best possible outcomes for Children and Young People.
Clinical management and support for Children and Young People with Special Educational Needs and Disabilities (0-25 years) in special schools:
Identify, assess and deliver clinical interventions to Children and Young People as appropriate.
Contribute to assessment and delivery of the Single Health Education Plan as required under the Special Educational Needs and Disabilities reforms.
Develop and deliver annual health plans for all Children and Young People with identified health needs whereby the self-care/independence of the Programme User is maximised.

Clinical management and support for school-ageChildren and Young People with Enuresis.
Identify, assess and deliver clinical interventions to Children and Young People as appropriate. Provide information to parents / carers.
Annual Review Health Assessments for school-age Looked After Children.
Appropriately trained and qualified staff within this Programme team will deliver the reviews in accordance with any applicable local and national standards and guidance (see Section 5).

3.3 Programme Description and Model of Delivery
Getting it Right for Children,Young People and Families (Department of Health, 2012) sets out a four-level model for the National Healthy Child Programme in whichsafeguarding is inherent throughout:

Figure One: National Healthy Child Programme (5-19 years) Domains.
These levels or domains describe the continuum of support Children and YoungPeople in Staffordshire can expect to receive directly through TheProgramme and via multi-disciplinary partnership working.
In addition the delivery model should include the identification, clinical management and support forChildren and Young People with Special Educational Needs and Disabilities (0-25 years) in special schools, clinical support and management for Enuresis and Review Health Assessment forLooked After Children. Both the latter covering the school-age population.
3.3.1 Programme Delivery
The Programme will be delivered by appropriately trained and competent staff utilising a skill-mix approach. Some elements will require the use of clinical knowledge and expertise. A more detailed summary is provided here against each of the National Healthy Child Programme domain areas and Clinical Commissioning Group elements:
Domains / Description
Community
Provide advice and support to all school-ageChildren and their families, through maximising family support with the involvement of community and voluntary resources. /

Take the public health lead in developing effective partnershipswithin the wider health, local authority and voluntary services context.
Champion the needs of all Children and YoungPeople to deliver improvements in health and wellbeing.
In partnership, develop health and wellbeing action plans that set out local priorities based on need. This should be done at district level and cover primary, middle and high schools in line with the population being covered by this specification.
Contribute and encourage education settings, Children,YoungPeople and parents/carers to collect information /data and share(where appropriate) with commissioners and wider partners to inform Programme developments.
Provide effective information, advice and guidance to Children, YoungPeople and their families so they can resolve low- level health and wellbeing issues independently.
Remain up to date, promote and signpost to the plethora of local services and community assets that can contribute to improving health and wellbeing outcomes for Children, YoungPeople and their parents/carers.
Use and promote resources / tools such as The Council’sStaffordshire Cares website the future lifestyle services hub (name to be determined).
Work in partnership with local communities to build community capacity, demonstrating added value, utilising asset-based approaches, best use of resources and outcomes.