November's News

With the academic year well under way our focus remains on education and supporting more youth-friendly practice in general practice and community settings.

Building on the nationally delivered series of BMJ Master classes the Adolescent Health Group (AHG) is proposing a tailor made 1d educational event to be held at RCGP new HQ, 30, Euston Sq, London on Friday April 26^th.

We will be covering four areas   which underpin consultations with young people : mental and sexual health; safeguarding issues; body image and living healthily. Delegates will emerge with an armoury of ‘top tips’ and will have the opportunity to bring along difficult (anonymised ) clinical cases for peer discussion and access to topic experts.

Registration will open in December.

The RCGP adolescent heath group is also  involved with delivering an educational event for Paediatricans –SPRs and aspiring consultants and will offer ‘a state of the art’ review of good practice in the  delivery of health care services for young people entitled

‘How to manage the transition between Paediatric and Adult care’. See the RCHCP website-the programme is the featured event of the moment:

http:// www.rcpch.ac.uk/events (04/02/13)

Finally, we are delighted to see the launch of our groundbreaking joint project:

GP Champions for Youth health. This is a collaborative project involving AYPH and Youth Access and RCGP. Ten GPs have been selected to partner with a local youth charity and explore new ways of working

‘Its aim is to transform the delivery of health services for young people by creating new links between GPs and local voluntary organisations. GPs will benefit from getting more options for referring young people and help with commissioning. The project will promote young people’s health needs within the commissioning agenda and support improvements to address these’.

The first learning set take place on December 5^th in London

You can find more on the home page of AYPH:

http://www.youngpeopleshealth.org.uk

keep watching this space!

Best wishes

Jane Roberts

October and the RCGP honours the giants of general practice

THE RCGP Annual conference celebrates the giants of general practice: Ann McPherson is honoured with the first eponymous inaugural lecture facilitated by the RCGP Adolescent Health Group.

I gave a brief introduction reminding the audience of Ann’s breath of interests which traversed the lifespan; from women’s health , to young people’s health, patients’ illness experiences to end of life care; with the common thread being her innovative ideas and challenge of the orthodoxy.

We invited Sir Al Aynsley-Green to give the first lecture and he delivered a thought provoking talk which threw down the gauntlet to the audience asking : what do you do for young people in your practice? He confronted the reality of young people’s health often not being a priority in an adult centric world and invited GPs and practice staff to consider what they might do differently; with a special mention of the impact of losing a parent before adulthood.

The talk was concluded with a reminder of the exciting new direction of travel which is being led by the RCGP Adolescent Health Group: our fantastic new project with AYPH, funded by DH, which will see the creation of 10 regional GP Champions in England; the imminent launch of Youth Mental Health as a clinical priority and the delivery of a One Day Essentials conference  next Spring covering young people’s health and supporting the professional development  of GPs in this important  but often unaddressed area of clinical practice.

Watch the blog for further updates!

Best wishes

Jane Roberts

jane.roberts@sunderland.ac.uk

July: A new exhibition and the GMC

 

I can highly recommend the current exhibition Child Hood –The Real Event,showing at The Royal Academy of Arts, 6 Burlington Gardens, Piccadilly Circus ; on until July 22^nd.

It is a visual explosion   ,interestingly curated  and involving the work of 1,049  children and young people who have all experienced a dark side to growing up which we would often prefer not to be reminded of. The  children have produced some strikingly original images and visual art which is both disturbing and sad but  ultimately uplifting.

Please spread the word and visit the exhibition if you can.

  http://www.kidsco.org.uk/news-events/2012/child-hood-the-real-event

Another news item to flag up is the launch of the GMC’s new guidelines : Protecting Children and Young People. The document centre stages the well-being of CYP for all doctors –regardless of whether or not they are directly involved in the care of patients 18 years and under and is an important landmark in improving the care of younger patients.

With best wishes

Jane

August post

An early summer break in gorgeous cultural Prague

Almost time for holidays but before we unwind the CYP Health Outcome Forum has just published the report of its consultation process

http://www.dh.gov.uk/health/2012/07/cyp-report/

This is an important document which  I encourage you to read. It is a bold statement on the parlous state of health care for CYP in the UK which builds on the earlier work of Sir Ian Kennedy (2010).

Key points are

• ·         The recognition that no mandatory training for GP registrars has ill-served CYP who are 22% of the population and visit general practice at least 2x pa from aged 10 yrs and upto 4/5 x aged 15-19 yrs

• ·         They state that the current QOF is ‘a completely inadequate reflection of the workload of general practice and the potential quality gains that could be achieved ‘ (p. 15)

• ·         Aggregating data into ages sets of 0-19 years is unhelpful

• ·         Integrated (seamless  care should be the gold standard

• ·         Young people need age appropriate services which should adhere to the You’re Welcome criteria

Recommendations

• ·         Extended and enhanced training in line with the RCGP bid

• ·         NICE and the NHS Commissioning Board to expand and prioritise the Quality Standards work programme as it applies to CYP

• ·         All GPs to be trained to work competently with YP

• ·         All NHS organizations to include CYP feedback in the evaluations of their services

I commend all those who took part in the production of this excellent report. It offers clear direction for our future travel in order to make general practice more youth-friendly

Enjoy your summer break!

Jane

June update

Dear all

Two pieces of good news this month

Dept Ed has funded a project spear headed by Young Minds to promote collabarative working between schools, the voluntary sector and providers of CAMHS and it is being piloted in my home town  -Middlesbrough. (a town better known for its cheap housing stock and grittier side to life)

You can find out more at

http://www.youngminds.org.uk/training_services/bond_voluntary_sector

At our last meeting in Feb we talked more about working with schools as we seek to explore how we improve access for young people with emotional distress and mentl health difficulties.

Secondly, I commend to all a paper recently published

White B, Viner RM. Improving communication with adolescents. Arch. Dis. Child. Ed. Pract. 2012;97 93-7

The paper was listed on the monthly Adolescent Newsletter distributed by Barbara Moore (b.g.moore@bham.ac.uk)

One final item to share-the Lancet are running a series on Suicide and have a paper on
Self harm and suicide in adolescents
K Hawton et al

published June 22

www.thelancet.com

Hannah and I will be in touch soon with details of our next meeting which will be preceded by a Teleconference

Hope spirits are not too dampened by the miserable weather

Best wishes to all
Jane

May: A time of celebration and sober reflection

Dear colleagues

I wanted to update you on two important events happening in the last few weeks.

The first was the memorial event for Dr Ann McPherson, a founding member of the AHG and a former Chair; held at Oxford May 8^th.. Echoing the moving commemoration of her life’s work held  a year ago, the day was both inspiring and sobering as the audience mourned her passing but also gave thanks for her limitless achievements.

Clare Gerada gave the closing address-available  through the weekly Chair’s blog released 11/5/12 entitled ‘A spring in my step’  @ www.news@email.rcgp.org.uk

which is well worth a read and a pause for thought.

 

The second event is the series of papers on Adolescent Health, published in the Lancet, April 25^th.

They are an excellent resource for those of us who recognize that young people the world over have been given a poor deal and they outline the evidence with regard to why this is so detrimental for young people both now and in the future.

The Lancet home page currently links to a podcast of Prof Michel Marmot, a co-author of one of the series, who calls the increasing rates of unemployment for young people    ‘a public health emergency’. With increasing numbers of young people ‘not in education, employment or training’ (NEET) we are seeing an increase in poor mental health, suicide and abuse of drugs and alcohol.

This should surely be unacceptable in one of the richest countries of the world ?

Do visit the series and check out the podcast.

With best wishes

Jane

The ‘F’ words : funding and figures, and Foundation (Nuffield)

I was interviewed by BBC York  on Thursday 22^nd as part of a special feature they are broadcasting  throughout the week beginning 26^th March on children and young people’s  health. The news research editor had contacted the RCGP & I was asked if I would speak about what GPs can offer and what we would like to see available.

Amongst other questions the interviewer asked my opinion on the ‘F’ word: referring to funding-for which there is patently an inadequate reserve; and also figures.

I was keen to quote the Key Data  on Adolescence produced by the AYPH and published in November 2011  which draws public attention to the paucity of data on the prevalence and incidence of psychological problems and mental ill-health in adolescence. On p92 the authors ‘regret the decision of the Coalition government to postpone’  the repeat of the national community survey which had been conducted in 2000 and 2005 and was planned for 2010.   

This is disappointing and a retrograde step as without more data we simply do not know the full extent of the problem nor the impact of initiatives to address emotional distress in adolescence.

On a more positive note I was delighted to receive a copy in the post of the Nuffield Foundation’s latest publication: Changing Adolescence: Social Trends and Mental Health, edited by  Dr Ann Hagell. This important and timely book brings together the main findings from the Nuffield Foundation’s Changing Adolescent Programme and explores how social change may affect young people’s behaviour, mental health   and transitions towards adulthood .

The briefing papers which summarise the programme reviews are available from

http://www.nuffieldfoundation.org

I commend the project and the book to those wanting to understand more about the complex relationship between the contemporary social context in which young people grow and develop and their emotional and physical well-being.

Many of us are looking forward to the AYPH annual research conference in Cardiff on Tues 27^th March. It looks set to be a great day.I will be blogging on the highlights of the event shortly. Until then

Yours

Jane Roberts

Bring on the New Year

The New Year has begin with a note of ‘good news’-the arrest and imprisonment of   two of Stephen Lawrence’s killers-finally brought to justice.

Please see the February edition of BJGP for an extended commentary: ‘Viewpoint’  on the issue of racism in British society and its impact on health. The issue of the inequitable way in which  the stop and search approach is being employed has once again been brought to the fore: young black men are 6x as likely to be stopped than white counterparts (1).

2012 represents a year of challenge for all of us who recognize that not only are young people our future but that promoting their good health NOW matters to us all.

There is much we can do in general practice around building trusting relationships with young people and finding out from them how we can support their own journey   as they make their own decisions about their lives. Talking to them about what matters in their world rather than what we think is important is a very  good start.

If you are looking for ideas as to what changes you might make in your own practice in 2012 then the  AYPH March event might be just what you need:

 Improving young people's health outcomes - Research into practice 

http://www.youngpeopleshealth.org.uk

This one day event on March 27^th is aimed at practitioners and  researchers from across the UK who have an interest in young people's health. It will provide delegates with an opportunity to share their experiences of healthcare research as well as promoting innovative approaches for practice.

Young people will play a key role  and hopefully will keep us focused and energized on the things that matter. The RCGP Adolescent Health Group alongside the Royal College of Paediatrics and Child Health, the Welsh Government and DECIPHer are co-hosting the event.

Do join us!

If anyone reading this blog  is interested in knowing more about the group please contact myself or Hannah Price

hannah.price@rcgp.org.uk

Happy New Year to all

Jane

 jane.roberts@sunderland.ac.uk

http://www.equalityhumanrights.com/uploaded_files/raceinbritain/ehrc_stop_and_search_report.pdf