Children and young people

Why are children and young people a health priority?

National evidence shows that establishing good health in childhood can help reduce health problems in adulthood. Diagnosing issues early and providing high quality children’s health services helps children become healthy adults and/or helps them manage long term conditions that last into adulthood. Early support can also help children do well academically and socially.

How are we going to improve the health of children and young people in our areas?

The CCGs commission a range of services for children including community paediatrics, integrated therapy and nursing services and child and adolescent mental health services (CAMHS). We monitor the performance of these services and work with them to make sure they are meeting quality standards.

Children imageThe CCG works closely with the local authority to improve the health of all children. We jointly fund some services and we work together on a range of initiatives.

Information about support available to children with special educational needs is available on the Lancashire County Council website.

To read more about special educational needs and disabilities reform, The Local Offer' visit, CCG special educational needs and disabilitities reform - The local offer.

The Designated Clinical Officer service is also available to provide support for children and young people aged 0-25 years, with Special Educational Needs and Disabilities (SEND) and their families.

An inspection of Lancashire SEND services, which took place in 2017, found that there were 12 areas of significant concern in the services provided for children and young people.

At the revisit in March 2020 this year, inspectors identified seven of these areas as having sufficiently improved, and although there have been improvements in the remaining five areas, further on-going work is required. You can read notification of the inspectors findings via this letter and view the full inspection report here.

Mental health

The CCGs are dedicated to improving mental health services for children and young adults in the local area. 

Future in mind

The Department of Health and NHS England have produced a Future in mind document that looks at promoting, protecting and improving our children and young people's mental health and wellbeing. With this in mind, the CCGs have been working with local organisations to transform the local mental health services.

The Future in mind document led to the Lancashire Children and Young Peoples Transformation Plan:

“We will work together with children and young people in Lancashire to support their mental health and wellbeing and give them the best start in life”

Eight Clinical Commissioning Groups across Lancashire are working together to produce a Pan Lancashire service provision for Children & Young People’s Resilience, Emotional Wellbeing and Mental Health to ensure timely, integrated and multi-disciplinary mental health services using NICE and other national guidance to develop evidence based, integrated pathways of care across partner organisations. This ensures effective assessment, treatment and support for patients and their families.

Coping but recognising there is a problem that needs an intervention, such as prevention, advice or support or education regarding self-help.

Getting Help for mild to moderate eating disorders which could be associated with other mental health conditions, which could also be seen in primary care.

Getting More Help for moderate or severe eating disorder presentation or for people with physical or mental health comorbidities.

Getting Risk Support for complex presentations or where there is a risk to life or severe self-harm.

The principles of the THRIVE model, as above, will be adopted in order to wrap services around children and young people. This will allow access to appropriate services at any given time without patients having to begin a new pathway each time they need help or support.

Over the next five years, the intention is to deliver on the principles of the THRIVE model, identifying how all agencies are required to work together to ensure the holistic emotional wellbeing and mental health needs of Children and Young People are met. The model will develop a Single Point of Access across targeted and specialist mental health services through a multi-agency triage approach.

The Lancashire Children & Young People’s Resilience, Emotional Wellbeing and Mental Health Transformation Plan 2015-2020 will deliver against Future in Mind’s five key themes and will build on work already underway. The five key themes are:

  1. Promoting resilience, prevention and early intervention.
  2. Improving access to effective support.
  3. Care for the most vulnerable.
  4. Accountability and transparency.
  5. Developing the workforce.

The plan aims to build a healthier, more productive and fairer society for Children & Young People and their families. This aims to build resilience, promote emotional wellbeing and mental health, and ensure equal access to the care and support they need, reducing health inequalities.

Locally, we are working closely with A&E, in-patient departments, schools, community services and voluntary services, focusing on perinatal, street triage, autism, self-harm, eating disorders and e-access to psychological services.

The CCGs are ensuring that we are consulting with all known groups across Lancashire and actively targeting people who may struggle to use our services, such as people with learning disabilities, mental health or behavioural conditions, BME communities and carers / young carers.