57. Tom Holliday - Children get less

Wild Card - Whose Shoes?

Here is the first episode of this special mini podcast series, in collaboration with London South Bank University and the Universal Healthcare Network.

(You will remember that Episode 56 with Professor Becky Malby was our first ‘bookend’ to introduce this series and tell you why Universal Healthcare is important)

Dr Tom Holliday is my first guest to dive in and share examples of how universal healthcare works in practice, breaking down traditional barriers to deliver more personalised care in a more equitable and human way.

Tom, as well as being a great friend of mine, is a very forward thinking consultant paediatrician. He is also now leading the Darzi Fellowship programme, with which I work closely every year with Whose Shoes.

Children Get Less. Not here! We have put them FIRST!
After all, they are our future.
Lemon lightbulbs 🍋💡🍋
🍋 Follow this series to learn ALL about Universal Healthcare - and why it matters!
🍋Children are often pushed to the back – so we’re putting them first!
🍋 Good healthcare should come to where families are, not expect people to visit lots of separate buildings and specialists
🍋 Integrated care is jargon. Best practice care is what we must aim for
🍋 It is about providing the holistic care a child needs.
🍋When you are passed on from service to service, important information gets lost through the gaps.
🍋 It’s all about relationships! Across care boundaries!
🍋 If you swap GPs, you shouldn’t have to start again with a new CAMHS referral!
🍋 The NHS incentivises and measures activity; it should focus on meeting need
🍋 if you meet need, the overall level of need goes down
🍋 Third sector organisations need sustainable funding to plan longer term
🍋 If you can tackle issues via primary care, people don’t need to come to hospital
🍋 Complex problems can be resolved through good multidisciplinary working
🍋 If you don’t know the answer, phone a friend!
🍋 Physical health and mental health are interconnected
🍋 Children get less - especially mental health provision
🍋 CYP mental health services might talk in terms of a waiting list
🍋 Families, waiting for mental health support, talk in terms of “this isn’t a wait, it’s a life on hold!” 😢
🍋 Prevention and early intervention make all the difference
🍋 It’s not rocket science. It’s actually quite easy!
🍋 The patient is the expert in their own condition and how it feels
🍋 It’s all about teamwork and learning from others – nobody is doing this work alone!

Links:
Universal HealthCare National Inquiry
Easy Read Executive Summary
10 Leaps Forward - Innovation in the pandemic
Bob Klaber - kindness matters
Gill's Universal Healthcare work with MPFT

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Capíttulos

1. Gill introduces her friend, Dr Tom Holliday, a forward thinking consultant paediatrician in London who is working hard to join up care for children and families (00:00:00)

2. Integrating care? Or de-fragmenting care? (00:02:40)

3. Gill draw similarities with the work she is doing with Midlands Partnership Foundation Trust (00:03:30)

4. Innovation in health care is not just about health tech and robotics, says Tom. It is about being more patient centred (00:04:12)

5. “I want to be able to meet need in a way that the system doesn’t interfere with” (00:06:00)

6. Healthcare should not be about providing appointments in different organisations and buildings. It is about providing the holistic care a child needs. (00:07:15)

7. It’s all about relationships! Across care boundaries! (00:08:48)

8. Falling through the cracks - #MPFTWhoseShoes and children’s mental health (00:09:24)

9. The NHS measures activity; it should focus on meeting need (00:10:21)

10. Relationships are designed out of the system – even worse for children experiencing the care system, where trust is even more critical! (00:12:15)

11. Sustainable funding and the ability to plan long-term (00:13:07)

12. Practical examples of addressing health inequalities in Northwest London - very large numbers and very diverse needs (00:15:00)

13. Child health hubs - working more closely with primary care to avoid need for hospital visits (00:18:42)

14. Horizontal integration and vertical integration – and jargon! (00:20:56)

15. Multidisciplinary working - working across boundaries to solve problems rather than them on (00:21:25)

16. Families are cheering to hear about joined up care! 💜 (00:23:16)

17. It works much better for professionals too – you just phone a friend in another service and sort it! Perhaps a school nurse. (00:23:55)

18. Tom explains the Quadruple ( now Quintuple) Aim of healthcare … (00:27:45)

19. Prevention and early intervention make all the difference (00:31:46)

20. It’s not rocket science. It’s actually quite easy! (00:32:10)

21. Joining up physical care and mental health care - it can be a gaping chasm - but the two are strongly interconnected (00:33:26)

22. The scandal of young people in crisis and struggling with mental health (00:34:10)

23. How can I help you? Practical examples of working together across physical and mental health – very rewarding! (00:34:55)

24. Getting to the root of the problem. Three experts in the room! (00:38:00)

25. Feedback from these early joint clinics is phenomenal! (00:40:48)

26. Children get less - especially mental health provision (00:41:55)

27. It feels hard enough for a huge organisation like MPFT to join up within their own service – but also reaching out across boundaries is key (00:43:48)

28. 🍋 💡🍋 It’s all about teamwork and learning from others – nobody is doing this work alone! (00:45:25)