Surrey Children's Community Health Services

 

We’d love to hear your views

 

What are Children’s Community Health Services?

They are a wide range of community-based health services for children, young people and their families and carers, providing both physical and emotional wellbeing services across Surrey. These community health services focus on the prevention of ill health, promoting and supporting child development and providing targeted and specialist medical, nursing and therapy services.

Current service areas are:

  • 0-19 years Community and School-aged Immunisation service
  • 0-19 Family Health Partnership (School Nursing, Health Visiting, Family Nurse Partnership)
  • Audiology
  • Children’s Continuing Healthcare Team
  • Child Health Information Services
  • Child Sexual Assault (SARC) rota
  • Community Children’s Nursing Team
  • Community Nursing for Children’s Emotional Wellbeing and Mental Health
  • Community Paediatric Medical Service (Developmental Paediatricians including Medical Adviser for Special Educational Needs (SEND) and SARC cover)
  • Dietetics (Surrey Downs area only)
  • Enuresis and Continence
  • Looked After Children Health Team
  • Multi agency partnership (previously known as the Multi-Agency Safeguarding Hub (MASH))
  • Occupational Therapy
  • Parent and Infant Mental Health
  • Physiotherapy
  • Safeguarding Children Team
  • Special School Nursing
  • Speech and Language Therapy (Health Community based for 0-5 year olds)
  • Tongue tie (over 10 days)

 

How are Children’s Community Health Services provided in Surrey?

Children’s Community Health Services are commissioned by Surrey Clinical Commissioning Groups (Surrey Heartlands CCG, North East Hants and Farnham CCG, and Surrey Heath CCG), Surrey County Council and NHS England.

The services are for children and young people from birth up to 19 years of age and their parents and carers. They are currently provided by Children and Family Health Surrey (CFH Surrey) under an alliance agreement between Central Surrey Health, First Community Health and Care, and Surrey and Borders Partnership NHS Foundation Trust. This arrangement began in 2017.

Surrey CCGs and the Local Authority are considering how best to meet the needs of children, their parents and carers in the future and want to understand what you need from them and how that can best be provided.

We are engaging the public, providers and referrers for feedback and suggestions.

We want to ensure that Children’s Community Health Services meet the needs of our population. We want these services to be high quality, accessible to all, responsive and safe.
As described, there are currently 20 individual types of provision in the service. We know that:

  • all of these separate services and related referral processes can seem overwhelming and confusing;
  • many people don’t recognise that all of these services fall under the same umbrella of care or even that some of them exist at all;
  • for parents, carers and older children making their own enquiries, services can seem detached and disconnected from each other and it takes effort to find out about each service and not everyone has the time, resources or confidence to carry out research;
  • changes in the Health and Social Care system as a result of COVID-19 have impacted how some services are delivered and we need to understand what has worked and what may need to be improved.

 

One of the things we want to consider is changing the focus of care so that services ‘wrap around’ a child and his/her family environment according to the age of the child. This will mean that all available services appropriate for a child in their early years, prior to attending school for example, are easily understood and support each other. This would enable multidisciplinary teams to work more closely together to support children and young people with their different needs.

Joint working has begun in the Surrey Clinical Commissioning Groups and Surrey County Council to understand what the future for Children’s Community Health Services should look like and what the most important things will be for Surrey residents using this and all children’s services within the county. The approach we want to test is contained in the diagram below. This shows the services currently offered that would wrap around a child and family/carers according to their stage in life and their health and care needs. There would of course be overlap between these services so that, for example, children with complex needs would also benefit from early years and school age services.

 

Joint working to provide wrap around care for Children in Surrey

Early Years (Universal and Child Development)

  • Health Visitors (0-19 Health Partnership)
  • Family Nurse Partnership
  • Specialist Health Visitors – PIMHs
  • Health and Therapeutic Support (0-5 SLC)
  • Developmental Paediatrics 0-6
  • Audiology

School Age

  • Immunisations (School Age)
  • School Nurses (0-19 Health Partnership)
  • Emotional Wellbeing School Nurses
  • School based approaches and services

Early Help/Family Safeguarding

  • Looked after Children Services
  • Multi Agency Partnership (MAP)
  • Sexual Assault Referral Centre (SARC)

Complex Needs

  • Continuing Care
  • Community Nurses
  • Special School Nurses
  • Occupational Therapy, Physiotherapy
  • Enuresis and Continence
  • Dietetics
  Joint working to provide wrap around care for Children in Surrey

 

What do you think?

We are developing our plan to engage a wide range of different stakeholders including children, young people, parents, carers, those working in the service itself and referrers and hope to commence this in the New Year. We will publish the details of how you can get involved here as well as promoting the opportunity widely via newsletters, websites, with schools and on social media.

In the meantime if you have something you would like to tell us about the service now please email This email address is being protected from spambots. You need JavaScript enabled to view it. and we will be sure to read and include your comments in our review.

 

Reviewing the Service

Updates and further detail will be published on this page as it becomes available.

  pdf Children's Community Services Senior Leaders Workshop Summary 24 November 2020 (204 KB)  

 

Review Date: 2020-12-10
Review Due: 2021-06-08
Model Publication Scheme Class: Class 6: How we make Decisions