For children in need and looked-after children aged 0-18 years,
(looked-after young people with a disability or in higher education - 21 years)

The results that we would expect: that these children’s health protection and treatment needs will be identified and met as rapidly and affectively as possible.

Outcomes that would be seen and experienced:

• Children, parents or carers would feel that emotional, psychological or physical health needs the child has are identified and responded to quickly and affectively.
• Parents or carers would feel able to access good quality information and advice about protecting and improving the health and lifestyle of children in their care.
• Agencies would work closely together and with parents to make sure children with disabilities receive adequate treatment and support.
• Children and young people would feel helped and encouraged to lead a healthy lifestyle.
• Children and young people would find it easy to access information, advice and help about their physical, sexual and emotional health that is appropriate to and respectful of their age, ethnicity, culture, gender or other personal needs.
  

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Strategic Actions and Indicators table for Objective 2:

Strategic Actions:	Indicators:
1. Develop Comprehensive CAMHS Strategy to cover all areas of Devon	Strategy in place
2. Implement LAC Health Assessment Strategy: New health posts	New posts filled and operating
3. Develop healthy living strategy: Access to sports & play / Links to county substance misuse & teenage pregnancy plans / Specialist support and advice for black & minority ethnic and disabled LAC	Strategy under development
4. Establish Joint Agency Teams and single referral / assessment protocols throughout Devon	Work actively under way
5. Establish effective transitions arrangements between all JATS and adult healthcare services	Implementation plan agreed and under way
6. DISC & DISCplus developments to improve information and advice services for parents and establish a resource directory for professionals.	Work under way

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Locality Actions and Indicators table for Objective 2:

Locality Actions:

Indicators:

1. Fieldwork Teams Health & dental checks to be carried out and recorded in line with guidance JATS to implement PSA targets Complete recruitment of CAMHS & JACAT workers Ensure effective use of specialist health services such as CAMHS, teenage pregnancy & substance misuse services Care leavers teams to have substance misuse & sexual advice champions in each locality 2. Independent Review Unit Ensure recording of health & dental checks at each review Ensure care plans & PEPS contain reference to emotional and physical wellbeing 3. Resources Ensure specialist support to black and minority ethnic and disabled children to receive appropriate health and emotional wellbeing support. Each residential unit and foster care locality to have a substance misuse and sexual advice champion 4. Business Support / SACS Ensure identification of children / young people who have not had routine health & dental checks

All Child Protection cases are allocated Volumes of family support services purchased against eligibility thresholds Duration of registration on CP register and levels of re-registration Number of adults with substance misuse problems involved in Child Protection cases and referred for specialised help Domestic violence police reporting levels Percentage of children from black and minority ethnic groups on the CP register

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The key partners that can help us achieve these changes:

• Parents and carers.
• Schools: special school staff and youth services and groups, other voluntary activity groups.
• Health: GPs, school nurses, health visitors, paediatric services, specialist (LD, PD, SD, MH, D&A) health service providers, OTs, CAMHS.
• Teenage pregnancy, sexual health and substance misuse services.
• Family and children’s centres, play and toddler groups.
• Advice & information services, libraries.
• District councils: leisure centres, parks, playing fields, housing / aids/adaptations.
• Grant giving bodies - private sports shops / providers.
  

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What research tells us about what can help us achieve these changes:

• Brief advice & information (e.g. about smoking, drinking, diet) - especially if interestingly but regularly reinforced & made age appropriate.
• Practical support & encouragement to take up activities - e.g. mentors, foster carers, care managers, interested adults.
• Having good quality advice and information about illness, disability, sexuality, emotional and physical health services easily available for children, parents, carers & all staff working with children & young people.
• Access to age, gender and culturally sensitive advice and services.
• Timely access to needs-led; family support, treatments, therapies, adaptations and equipment.
• Integrated assessment and access points to services.