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Editorials

Integrating acute services for children and young people across primary and secondary care

Sanjay Patel, Tamali Hodgkinson, Roland Fowler, Kate Pryde and Roisin Ward
British Journal of General Practice 2020; 70 (693): 158-159. DOI: https://doi.org/10.3399/bjgp20X708917
Sanjay Patel
University Hospital Southampton NHS Foundation Trust, Southampton; Project Lead, Healthier Together; Clinical Lead, Children’s Programme, Hampshire and Isle of Wight Sustainability and Transformation Partnership.
Roles: Consultant Paediatrician
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Tamali Hodgkinson
University Hospital Southampton NHS Foundation Trust, Southampton.
Roles: Paediatric Trainee and Education Fellow
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Roland Fowler
North Baddesley Surgery, Hampshire; Medical Director, Tri Locality Care Ltd; Clinical Director for Children and Families, West Hampshire Care Commissioning Group.
Roles: GP
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Kate Pryde
University Hospital Southampton NHS Foundation Trust, Southampton.
Roles: Consultant Paediatrician and Quality Improvement Lead
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Roisin Ward
Clift Surgery, Hampshire.
Roles: GP
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DELIVERING INTEGRATED CARE: WHY FOCUS ON CHILDREN?

‘We are guilty of many errors and many faults, but our worst crime is abandoning the children, neglecting the fountain of life. Many of the things we need can wait. The child cannot. Right now is the time his bones are being formed, his blood is being made, and his senses are being developed. To him we cannot answer, “Tomorrow”, his name is today.’ Gabriela Mistral, Nobel Laureate.1

This poem delivers a powerful message; children are the future. Much of the current paediatric focus in The NHS Long Term Plan 2 relates to public health initiatives such as tackling obesity and ensuring emotional wellbeing; benefits that will take years or decades to realise. While these should not be forgotten, acute services for children and young people (CYP) are rarely prioritised when new models of care are considered, especially when the older population accounts for over 75% of NHS spending.2,3 What reason is there for commissioners and clinical leaders to focus on improving non-elective services for CYP when the needs of the frail and older population are so pressing?

CYP under 18 years of age currently account for approximately 25% of attendances to primary and secondary care but <12% of non-elective hospital admissions.4,5 The fact that children are the most likely age group to attend emergency departments unnecessarily6 suggests that high levels of parental anxiety is driving health-seeking behaviour.7 This observation justifies initiatives to deliver integrated acute services for CYP that achieve consistency across primary and secondary care. Consistent management and safety netting by healthcare professionals reduces parental anxiety, which in turn reduces urgent care presentations by empowering parents to confidently self-manage minor illnesses.8,9 Addressing this avoidable activity would relieve pressure on our currently overstretched urgent care services, improving …

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British Journal of General Practice: 70 (693)
British Journal of General Practice
Vol. 70, Issue 693
April 2020
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Integrating acute services for children and young people across primary and secondary care
Sanjay Patel, Tamali Hodgkinson, Roland Fowler, Kate Pryde, Roisin Ward
British Journal of General Practice 2020; 70 (693): 158-159. DOI: 10.3399/bjgp20X708917

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Integrating acute services for children and young people across primary and secondary care
Sanjay Patel, Tamali Hodgkinson, Roland Fowler, Kate Pryde, Roisin Ward
British Journal of General Practice 2020; 70 (693): 158-159. DOI: 10.3399/bjgp20X708917
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  • Article
    • DELIVERING INTEGRATED CARE: WHY FOCUS ON CHILDREN?
    • THE CONNECTING CARE CHILDREN’S HUB MODEL
    • THE HAMPSHIRE AND ISLE OF WIGHT PILOT
    • OUTCOMES
    • THE CHALLENGES
    • TIME TO ACT
    • Notes
    • REFERENCES
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More in this TOC Section

  • Was enough, and is enough, being done to protect the primary care workforce from COVID-19?
  • Primary care networks: are they fit for the future?
  • Primary care funding entrenches health inequalities: time for a rethink
Show more Editorials

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