Tag Archive: quality

What Works to Enhance Inter-Parental Relationships and Improve Outcomes for Children?

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The Early Intervention Foundation have carried out a review of ‘What works to enhance inter-parental relationships and improve outcomes for children.

Key findings include:

  • The quality of the inter-parental relationship, specifically how parents communicate and relate to each other, is increasingly recognised as a primaryinfluence on effective parenting practices and children’s long-term mental health and future life chances.
  • Parents/couples who engage in frequent, intense and poorly resolved inter-parental conflicts put children’s mental health and long-term life chances at risk.
  • Children of all ages can be affected by destructive inter-parental conflict, with effects evidenced across infancy, childhood, adolescence and adulthood.
  • The context of the wider family environment is an important factor that can protect or exacerbate child outcomes in response to exposure to inter-parental conflict. In particular, levels of negativity and parenting practices can exacerbate or moderate the impact of inter-parental conflict on children.
  • Inter-parental conflict can adversely affect both the mother-child and father-child relationship, with evidence suggesting that the association between inter-parental conflict and negative parenting practices may be stronger for the father-child relationship compared to the mother-child relationship.

http://www.eif.org.uk/

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Parents and staff can help young people establish high-quality friendships that provide skills in validation, intimacy, companionship and conflict resolution.

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Older patients can often give an articulate explanation of their difficulties but this might be from a very different viewpoint to their carers’, so talking with other members of the family often enhances the picture and enriches the quality of the assessment.

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The service monitors quality and effectiveness through the completion of routine outcome measures.

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Self-review tool for quality criteria for young people friendly health services

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The Department of Health ‘Quality criteria for young people friendly health services’ has been designed to help commissioners and providers of health services to improve NHS and non-NHS health services. The quality criteria provide good practice guidance based on local practice and evidence of what will improve patient experience and health outcomes for young people. Use of the quality criteria also helps to encourage young people to share in decisions about their health, and to increase effective use of NHS and public health services.

https://www.gov.uk/government/publications/quality-criteria-for-young-people-friendly-health-services

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Children’s and Young People Survey

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In 2014 the Care Quality Commission (CQC) carried out their first national survey of children and young people. They asked young people aged 8-15 what they thought about their time in a general hospital. They also asked parents and carers of 0-15 year olds for their views. Nearly 19,000 people responded.

Professor Edward Baker, the CQC’s Deputy Chief Inspector of Hospitals, said: “There is much to celebrate in our first survey to ask children and young people about their care.

“Nationally, most young people and children said they were happy with their care, are able to understand the information given by staff following an operation or procedure, and that they have confidence staff are doing everything they can to manage their pain…

“What is particularly worrying is that children with physical, learning or mental health needs are telling us they have poorer experiences. This needs to be addressed straight away so that services meet the needs of all children, irrespective of any disability or specific need.” (From here)

As part of the survey, children were encouraged to draw a picture of their care. The CQC have pinned some of those drawings onto their Pinterest board with the hashtag #KidsVoice.

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Patient involvement in quality improvement: is it time we let children, young people and families take the lead

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A summary: It is vital to involve children, young people and families in the design, delivery and improvement of their care. Their involvement can range from individuals giving feedback, such as patient stories, to collaborative work including patient groups and communities helping to develop and commission services. The methods for involving individuals and families include questionnaires and innovative ideas such as feedback apps. Other methods include the 15 Steps Challenge, which helps an organisation to view the care it delivers through a patient’s eyes and includes a ‘walk around’ involving a patient, carer, staff member and board member. The Experience Based Design approach is another method of reviewing a service and involves assessing how staff and patients feel when delivering and receiving care. Involving patient groups can be facilitated by working with schools and children’s centres. The type of involvement will vary, but if carefully designed, it can allow meaningful participation and improvement of services.

You can read the article in full here

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Young People’s Council

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“This group is run fortnightly and is optional as it runs outside the unit’s therapeutic programme. The aim of the group is to facilitate direct action, through increased user involvement in all aspects of their care, treatment, issues relating to their environment and the resources we provide.

The group provides a forum for comments and complaints to take place, enabling the young people to be part of the process of change. Representatives of the young people, via the Young People’s Council, are invited to attend the monthly Simmons House Management Group meetings.

There is also a Food Steering Group which young people attend to discuss the quality and range of food available.” Read more here.

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Involving children and young people for quality improvement

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This is a case study from the NHS Youth Forum, who work in partnership with NHS England, Public Health England and the Department of Health to involve children and young people in healthcare quality improvement. It demonstrates the importance of using the views of young people, the results of partnership with young people, and the use of social media to reach young people.

View it here

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You’re Welcome standards

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“We are working on demonstrating that our services are youth-friendly by working towards ‘You’re Welcome’ standards.”

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