Better, sooner, more convenient health care in Midlands

7 Delivering on health targetsMaking services accessible to children, young people and their familiesFor maternity and child health, Duty of Care means a brave approach centred on the implementationof a no child left behind strategy. Midlands will ensure that the transfer of care is constant andmanaged for every Midlands child from birth to 17 years.We will be enthusiastic and excited about the potential of children and of young people.We will utilise the Well Child nurses to develop a coordinated well child approach for Primary Care.We will develop a workforce that is child and young person focused and aware.We will acknowledge that while our workforce are technological adopters/dinosaurs, our childrenare technological natives and in a patient centred world we must therefore interact in the medium oftheir choice and not ours.Old WayNew WayA healthy baby is born at the hospital. GeneralPractice is not informed nor are they aware oftheir Duty of Care in regard to immunisationsfor the child.As part of the going home project Primary Care is informed that baby has beenborn and enrolment with a General Practitioner is confirmed with Mum at birth.Both Mum and baby receive a “welcome to the world” communication from thepractice and contact regarding mental health resilience screening for Mum andimms/well child for baby.Mum fails to present with baby for their threemonth well child milestone check.The Well Child Nurse informs the Flow Team at the Integrated Family HealthCentre where mum is enrolled. A Patient Liaison visits the home to discover thatMum had misunderstood her role in the programme. A new appointment isfound and Mum is re-engaged with the well child programmes.George starts school. His Dad has not heardof the B4 School Programme and he is notenrolled with the dental service. Unknownto Dad, George’s behaviour issues and slowspeech development are related to the facthe cannot hear.As part of the Very Important Project George has been allocated at age four toa nurse to coordinate their B4 School Screen. George receives his B4 SchoolCheck which picks up his hearing issue. His visit to the Ear Nurse is coordinatedby the Regional Referral Centre and at the Nurse’s suggestion he is enrolled ata local ECE through Promoting Participation.A mother encounters challenges with hermental health after giving birth. The LMCdischarges her at six weeks without transfer ofnotes to the General Practitioner.The LMC is connected to the Integrated Family Health Centre and caseconferences with the General Practitioner around strategies to supportimproved resilience. The Flow Team coordinates wrap around care to ensureMum and baby receive quick, convenient and comprehensive treatment.A Year 9 student starts at their new secondaryschool. They have strange things happeningto their body which they are embarrassed todiscuss with their family doctorThe student is immediately aware that there is a school nurse available on site. Aspart of their PE class they complete a curriculum linked HEADSS assessment. Theyoung person discusses their concerns with the nurse and receives follow up care.A child is diagnosed with a chronic conditionwhich will require ongoing care - the GeneralPractitioner refers to the specialist and is notadvised of any care the child receives.The General Practitioner retains Duty of Care for the child. Dialogue isestablished between both the sending and receiving practitioner. The referralis coordinated by the Regional Referral Centre and is both timely and patientcentred in the information provided to the family.77