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Milestones Member Magazine The magazine of the Royal College of Paediatrics and Child Health REPORT STATE OF CHILD HEALTH The 2020 update explores the health of UK children SPRING 2020 SPRING Page 16 Coming of age Changing practice NHS pensions Happy & healthy Should we extend Dr Richard Purvis recounts Members give their Wellbeing best practice paediatrics beyond 16? his 50-year career perspectives to prevent stress INSIDE Page 12 Page 14 Page 21 Page 28 Contact We’d love to hear from you – get in touch at milestones@ Contents rcpch.ac.uk Spring 2020 Welcome THIS WILL BE AN important year for the College. The launch of the State of Child Health 2020 report looks at more 14 than 20 indicators of health. While 22 there has been some progress, much of the news is concerning and shows how much work there is to do, with the report shaping our public health policy 20 PIER Network 20 priorities for the next few years. Best practice in Wessex We’ll use the State of Child Health as an opportunity to engage with key 21 NHS pensions Recent survey responses decision makers, not least the new government. The political outlook is more stable than when I introduced EVERY ISSUE the winter edition of Milestones and it seems certain that the new 4 Update RCPCH in the news, diary dates government will serve a full term. We’ve THIS ISSUE social media updates and more written to ministers calling for action 12 Debate on our manifesto priorities, including When do children become adults 11 RCPCH &Us urgent investment in public health in the eyes of the NHS? The Children and Young People’s programmes, the NHS Long Term Plan, Engagement Team and the workforce crisis. 14 Paediatrics and me Several other big projects will A refl ection on a long and varied 22 Members dominate the College’s workplan for the international career News and views from members fi rst part of the year. The 2020 paediatric census is now underway – the results 16 Landmark report 27 International will give us a vital picture of services State of Child Health 2020 The challenges and rewards of paediatrics in Hong Kong and staffi ng across the UK. We’ve 18 Redthread advice also got an exciting agenda for April’s Youth workers’ guidance on 28 Wellbeing conference, taking place in Liverpool working with young people The benefi ts of mindfulness; basic – I look forward to seeing you there. ways to prevent burnout 19 Development and Best wishes, collaboration 30 A Day in the Life Russell Viner The Children and Young People’s Paediatric Registrar Dr Rakesh @RCPCHPresident Health Partnership model Tailor on his community work Copyright of the Royal College of Paediatrics and Child Health. All rights reserved; no part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form by any means – electronic, mechanical, photocopying, recording, or otherwise – without prior permission of the publishers. The views, opinions and policies expressed in Milestones do not necessarily reflect those of the College. While all reasonable efforts have been made to ensure the accuracy of the contents of this publication, no responsibility can be accepted for any error, inconsistency or omission. Products and services advertised in Milestones are also not recommended or endorsed by the College. Readers should exercise their own discretion and, where necessary, obtain appropriate independent advice about their suitability. Royal College of Paediatrics and Child Health is a registered charity in England and Wales (1057744) and in Scotland (SC038299). Registered address: 5-11 Theobalds Road, Holborn, London WC1X 8SH. Head of Design: Simon Goddard Project manager: Lizzie Hufton Publisher: James Houston. Milestones is published four times per year on behalf of the Royal College of Paediatrics and Child Health by James Pembroke Media, 90 Walcot Street, Bath, BA1 5BG. T: 01225 337777. Advertising: Alex Brown, Head of Corporate Partnerships [email protected] EDITORIAL Managing editor: Aisling Beecher @AislingBeecher Editorial board: Dr Seb Gray @SebJGray Dr Hannah Baynes @HLB27 Dr James Dearden @drjamesdearden Dr Dita Aswani @DrDita KEEP IN TOUCH @RCPCHTweets @RCPCH @RCPCH [email protected] Milestones SPRING 2020 3 PATIENT CARE NEW SEIZURE SAFETY NET ADVICE The latest news and views I don’t think you ever get used to seeing a child having an epileptic seizure. Whether it is subtle or dramatic, there is something about a seizure that is always distressing. What makes it even more diffi cult is when it is your child, you are not completely sure what it was, why it happened and when and whether it will happen again. It is easy for families and professionals to give vague, incomplete information, to overreact Integrated Care Systems or underreact. However, it is possible, will facilitate after an appropriate assessment for much-needed collaboration families, to be given clear, informed, measured information, proportionate ENGAGEMENT safety-netting advice, and also be given clarity about follow-up and where to fi nd good advice in the meantime. The Launch of our information given can set the tone for the care and pathway that follows. Ambassadors Network A group of us, representing several perspectives and experiences, set out THERE IS NOTHING did cover the crucial policy elements of to provide an information resource quite like a gathering the English health service. Dr Nic Jay for those assessing children after of the enthusiastic and updated us on the challenges faced by our a fi rst seizure – for example, in an committed. This is current workforce. While we have more ED or GP setting. We consulted especially true when consultants and more doctors in training, existing materials, undertook an you are mixing with because of the way we are now working, audit examining family’s experience Dr Simon paediatricians who are it feels like we have lost sta ng numbers. of information after a fi rst seizure, Clark an optimistic bunch; Dr Lisa Kaufmann educated us on the drafted a leafl et, consulted families on VP for Health working with children role of community paediatricians, and its content and then went through a makes every day an adventure. why they are ideally placed to help with process of consultation and revision. We are the fi rst of the Royal Colleges this more local engagement as much The result is our ‘First seizure, First to develop a programme of localised of their work interdigitates with local safety-net’ leafl et for parents and engagement. With the policy shift authorities. carers. Information covers fi rst towards integrated working, it is vital that Our Children and Young People’s epileptic, non-epileptic or uncertain the voices of children and young people Engagement team taught us how to episode where there is are heard. In the push for collaboration canvass the opinion of the youth of today no associated fever. It has providers in England are coming together in a meaningful, collaborative manner. been endorsed by BACCH, in Integrated Care Systems. Each system Whilst it felt like play, the product at the BPNA, RCGP, RCEM, as will have a Local Workforce Action end was something that could be taken well as Epilepsy Action and Board. Decisions made here will feed into to local, regional and even national policy Young Epilepsy. We are national strate . Thus, it is crucial that makers. We also ran an entertaining Dr Colin now working on a young we get paediatricians engaged, otherwise workshop to practice talking to chief Dunkley person-facing version, children will continue to fall through the executives, commissioners and others. Consultant which we plan to launch cracks of the health service. The message from this was, ask, but have Paediatrician later this year. Sherwood We had a welcome chat from Professor data to back up that ask! Forest Hospitals Download the leafl et at Russell Viner, El Presidente. I followed To become an Ambassador, visit @drcolin www.rcpch.ac.uk/fi rst- with some holiday slides from Tonga but www.rcpch.ac.uk/ambassadors dunkley seizure-information 04 SPRING 2020 Milestones UNITED KINGDOM UPDATE Pension-related tax bills RCPCH FACTS “I hope the Government will tackle the pension crisis with the same urgency as ‘getting Brexit done’” P21 63% NEW PROGRAMME COLLEGE MEMBERS BASED IN ENGLAND “Time EQIP pilot success to act” THE EPILEPSY when it is safe to PUBLIC AFFAIRS QUALITY discharge a child, IMPROVEMENT and how we can 3% WAVES IN PROGRAMME ensure that the (EQIP) puts service process is equitable WESTMINSTER teams in the driver’s to all children and seat of their own Dr Vandna young people. COLLEGE MEMBERS YOU DON’T need us to tell local improvement Gandhi I tremendously BASED IN WALES you that the previous few interventions. Consultant enjoyed the years in UK politics have Paediatrician, Imagine a weekend and Luton and been characterised by programme of Dunstable left with an uncertainty and instability. content that kicks University Hospital understanding Post-election, the o with a two-day about what we can Government has an training residential allowing do better for children with opportunity to enact a paediatric epilepsy service epilepsy. We all are responsible longer-term strategy, and sta to network and learn for children with seizures 6% deliver programmes set tools and techniques while and epilepsy and see young out in their manifesto and having fun with tennis ball people struggling with school, the months before. There COLLEGE MEMBERS and skittles exercises. Then, as friendships and academics. BASED IN SCOTLAND have been commitments if by magic, each team leaves We all felt part of a bigger team to address funding, quality with an action plan, new sense over the weekend and it was of care and workforce of drive and team spirit.
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