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Difficulty recruiting HV and School Nurses across the County. We need to consider how we recruit and train staff 

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Difficulty recruiting HV and School Nurses across the County. We need to consider how we recruit and train staff 

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Impact of digitalisation at time of austerity 

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Impact of digitalisation at time of austerity 

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Cost of living crisis
Impact of pandemic
Our responsibility regarding nobodies patient. We all have contracts that’s state the remit of service, how do we ensure children don’t fall between these, our responsibility’s.
EDI- how do we meet hard to reach all, ensure included, our C&F approach to sit under the Mpft EDI policy.
Impact of general austerity. Reduction of funding in schools, proposed reduction in TA’s and emotional health support in schools the impact on health services proving emotional health care and interventions to CYP.

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How do we support staff to have more face to face contact with colleagues?

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How do we support staff to have more face to face contact with colleagues?

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Consistent leadership culture and connection 

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Consistent leadership culture and connection 

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Valuing connection, visibility and equity

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Consider parents who don’t have access to wifi digital support

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Consider parents who don’t have access to wifi digital support

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Autism and ADHD how can we support and educate parents about diagnosis

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Autism and ADHD how can we support and educate parents about diagnosis

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More complex children reaching transition age . Challenging for CCN team as taking increased time

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Targets/ KPIs - should be led from bottom up, not top down, as they understand the challenges and reality of service delivery

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Targets/ KPIs - should be led from bottom up, not top down, as they understand the challenges and reality of service delivery

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Rio flags not obvious for SEND for children YP and parents/carers

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Rio flags not obvious for SEND for children YP and parents/carers

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Also for all Rio flags are not clearly visible on a child record

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Services different in Stoke and Staffordshire . Would be good to have some clarity and same service no matter where child lives

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Quality control - when so many changes how are we ensuring consistent quality?

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Quality control - when so many changes how are we ensuring consistent quality?

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Improving communication with midwifery services to ensure we deliver the 0-19 service delivery model 

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Improving communication with midwifery services to ensure we deliver the 0-19 service delivery model 

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Children referred for support with their chronic health needs but also having general mental health concerns . Confusion on who best placed to offer this support

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Cost of living crisis for staff the messages have not been filtered around support available

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Cost of living crisis for staff the messages have not been filtered around support available

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So many vulnerable families dont know how to take responsibility for their own health needs.
Improve access to thise without digital platforms.
Staff pay.
Health expenditure.
Health/education partnerships.
Staff retention/recruitment.

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Connection between MH and weight status - need for increased education / support

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Connection between MH and weight status - need for increased education / support

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Cost of living crisis for parents E.g supporting families who can fund placements in early years settings

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Cost of living crisis for parents E.g supporting families who can fund placements in early years settings

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Staff retention
Demand versus capacity of services
Expectations of service and communication about service offer
Working together - CAMHS, Eating disorders, autism
Taking into account waiting times
Impact of Covid and lasting affects
Transitions to adulthood
Cost of living crisis
Refugee care and communication
Professionals leaving and retiring
Clinic conditions
No sensory spaces for neurodiversity
Inequity due to service staffing
Expectations of what services can manage
Local authorities and health working together to make safe spaces for young people who have had placement breakdowns or become homeless
Streamline communication

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Changes to service specifications mean there are different levels of equity across our geographical patch

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Children being referred with constipation but who also have mental health problems/autism . Need for collaborative working

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Increase of minority groups accessing our services - reflecting on how we can meet this changing need

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Mental health 'covid pandemic' is now
Impact of social media on young people
Impact of recession on families
Recognition of the wider complexities impacting on children's mental health
Increase of looked after children inpatient care
Increase demand
Parent and patient expectations
Need to be equitable across teams in different localities
Obesity
Poor accessibility to sexual health services for young people

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Making job role attractive to staff to recruit and retain

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Additional pressure on staff, staff feeling stretched and needing a different approach to support them and to create thinking space

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Nursing recruitment and retention. Workforce development 

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Nursing recruitment and retention. Workforce development 

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Staff recruitment/retention
Impact on finance and education
Covid impact
Need more collaborative working for Integration in and out of service

Clear service remits

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Children with more complex medical conditions being cared for at home . More need for training , providing equipment , family support

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Increase incidence of T2DM

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Changes to all age focus... Some positives and negatives to that

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Changes to all age focus... Some positives and negatives to that

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Reduced workforce across all services, robbing Peter to pay Paul across our services

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Some treatment options are not possible without technology. Eg access in insulin pumps ( need to download data etc)

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Some good examples of communication and internal referrals but this seems inconsistent across services. One front door but lots of internal doors and ‘ping pong’ of referral which delays access to services.

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·        Time taking to travel and to write notes

·        Lack of training in certain modalities

·        Lack of joined up care with other services and departments

·        Difficulty accessing clinic space/having dedicated areas