From your day to day experience, what changes do you see that the we need to respond to? by Katie G https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8 As a group of 4, nominate one person to upload your ideas to the padlet below... en-us 2022-11-23 13:52:38 UTC 2022-12-01 16:16:03 UTC hello@padlet.com https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2399948085 ·        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
]]> 2022-11-28 10:00:56 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2399948085 Communication https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2399999921 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. ]]> 2022-11-28 10:48:14 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2399999921 Health inequalities https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400000562 2022-11-28 10:48:56 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400000562 Workforce crisis https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400000704 2022-11-28 10:49:05 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400000704 Access to technology https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400001023 Some treatment options are not possible without technology. Eg access in insulin pumps ( need to download data etc)]]> 2022-11-28 10:49:24 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400001023 Changes to available workforce https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400001204 Reduced workforce across all services, robbing Peter to pay Paul across our services]]> 2022-11-28 10:49:35 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400001204 Changes to all age focus... Some positives and negatives to that https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400001234 2022-11-28 10:49:37 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400001234 Focus on prevention needed https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400001416 2022-11-28 10:49:49 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400001416 Obesity strategy https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400001445 Increase incidence of T2DM]]> 2022-11-28 10:49:51 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400001445 Increase in referrals to service https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400001881 Children with more complex medical conditions being cared for at home . More need for training , providing equipment , family support]]> 2022-11-28 10:50:16 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400001881 https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400002147 Staff recruitment/retention
Impact on finance and education
Covid impact
Need more collaborative working for Integration in and out of service

Clear service remits

]]> 2022-11-28 10:50:34 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400002147 Nursing recruitment and retention. Workforce development https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400002181 2022-11-28 10:50:37 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400002181 Staff wellbeing https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400002251 Additional pressure on staff, staff feeling stretched and needing a different approach to support them and to create thinking space ]]> 2022-11-28 10:50:39 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400002251 Staffing https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400002364 Making job role attractive to staff to recruit and retain ]]> 2022-11-28 10:50:47 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400002364 https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400002756 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]]> 2022-11-28 10:51:11 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400002756 Improving access for minority groups https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400002777 Increase of minority groups accessing our services - reflecting on how we can meet this changing need ]]> 2022-11-28 10:51:13 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400002777 Constipation referrals https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400003588 Children being referred with constipation but who also have mental health problems/autism . Need for collaborative working ]]> 2022-11-28 10:51:54 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400003588 Equity of services https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400003798 Changes to service specifications mean there are different levels of equity across our geographical patch ]]> 2022-11-28 10:52:07 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400003798 https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400004480 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]]> 2022-11-28 10:52:45 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400004480 Cost of living crisis for parents E.g supporting families who can fund placements in early years settings https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400004521 2022-11-28 10:52:48 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400004521 Connection between MH and weight status - need for increased education / support https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400004527 2022-11-28 10:52:48 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400004527 https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400004712 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.]]> 2022-11-28 10:52:58 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400004712 Workforce crisis https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400004841 2022-11-28 10:53:05 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400004841 Cost of living crisis for staff the messages have not been filtered around support available https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400004938 2022-11-28 10:53:10 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400004938 Psychology service https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400004982 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 ]]> 2022-11-28 10:53:14 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400004982 Improving communication with midwifery services to ensure we deliver the 0-19 service delivery model https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400005714 2022-11-28 10:53:57 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400005714 Quality control - when so many changes how are we ensuring consistent quality? https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400005995 2022-11-28 10:54:14 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400005995 SEND https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400006128 Services different in Stoke and Staffordshire . Would be good to have some clarity and same service no matter where child lives ]]> 2022-11-28 10:54:23 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400006128 Pathways for progression https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400006205 2022-11-28 10:54:27 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400006205 Rio flags not obvious for SEND for children YP and parents/carers https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400006702 Also for all Rio flags are not clearly visible on a child record ]]> 2022-11-28 10:54:56 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400006702 Targets/ KPIs - should be led from bottom up, not top down, as they understand the challenges and reality of service delivery https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400007160 2022-11-28 10:55:18 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400007160 Transition https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400007334 More complex children reaching transition age . Challenging for CCN team as taking increased time ]]> 2022-11-28 10:55:29 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400007334 Autism and ADHD how can we support and educate parents about diagnosis https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400007647 2022-11-28 10:55:44 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400007647 Consider parents who don’t have access to wifi digital support https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400008064 2022-11-28 10:56:09 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400008064 Consistent leadership culture and connection https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400008111 Valuing connection, visibility and equity ]]> 2022-11-28 10:56:12 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400008111 How do we support parents with SEND https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400008653 2022-11-28 10:56:26 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400008653 How do we support staff to have more face to face contact with colleagues? https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400009270 2022-11-28 10:57:00 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400009270 https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400009390 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. ]]> 2022-11-28 10:57:06 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400009390 Impact of digitalisation at time of austerity https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400010454 2022-11-28 10:58:04 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400010454 Difficulty recruiting HV and School Nurses across the County. We need to consider how we recruit and train staff https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400012973 2022-11-28 11:00:30 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400012973 Looked after children https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400013942 2022-11-28 11:01:22 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400013942 Digital Poverty lyseedwards https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400017796 2022-11-28 11:05:11 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400017796 Health Literacy lyseedwards https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400017860 2022-11-28 11:05:16 UTC https://padlet.com/katiegreensmith1/eit2v1pzor5xhwy8/wish/2400017860