Children's health and wellbeing service review

We know that nothing is more important to families than their children's health and wellbeing and that foundations for adult health are laid down in childhood and the early years. We also recognise that whilst the majority of our local children live healthy, happy lives further work is needed to improve the health and wellbeing of all children through the delivery of responsive, high quality and cost effective services.

NHS Kernow, NHS England, Cornwall Council and the Council of the Isles of Scilly are committed to working together in partnership to make this happen.

Over the past few months the review has been following a three phase approach, with the first phase focusing on speaking with service providers, local families and children, schools and other key partners to explore the way children's health care in Cornwall and the Isles of Scilly is currently delivered.

Through carrying out engagement exercises with identified stakeholder groups and drawing together other relevant information, the review was able to establish in phase one the current state of service delivery. Phase one is complete and the current state stakeholder commentary has identified a number of key themes, a link to the report is available here.

In phase two of the review, engagement with children, young people and stakeholders continued to explore responses to the themes identified in phase one. By building in this way, the views of stakeholders contributed directly to the development of a case for change and options paper. Phase two is now complete.

We have now commenced the final phase of the review. NHS Kernow has now advertised the tender for the services within its remit to commission. This was placed on Thursday 5 March, 2015 inviting the submission of outline proposals for the provision of the Specialist and Targeted Children and Young People’s Community Health Service to Cornwall and Isles of Scilly.

The NHS Kernow tender is an opportunity to bring together children and young people’s community health and wellbeing services and commission on an outcomes-based approach for a single service.

Building on engagement with a wide range of stakeholders in phases one and two, the service will be modelled in a way that enables a comprehensive approach to assessing, diagnosing and meeting the needs of children and young people and use innovative ideas to overcome key issues such as rural needs, island communities, equity of provision and synergy between services and organisations – and meet the aims of NHS Kernow to improve the experience of care, improve health outcomes and reduce costs.

The NHS Kernow tender process has three main components:

  1. Invitation to submit outline proposals
  2. A dialogue phase between NHS Kernow and bidders
  3. An invitation to submit final tender proposals.

At this time, only outline specifications and guidance has been provided to interested bidders, who in turn, will submit their plans. Subsequent documentation will be made available as the tender process develops. 

Final specification

The final specification has been developed to promote key aspects of the service delivery that are important to children and young people and NHS Kernow. The document can be found here.

Cornwall Council is also leading a tender process for the services within its remit to commission.

In order to help you with some common questions about the review, a frequently asked questions resource has been developed and is available here

Which services are included in the review?

The following services have been included in the tender document:

  • Child and Adolescent Specialist Mental Health Service (excludes Children in Care psychology service, and includes a range of Consultants, psychologists, nurses and therapists)
  • Primary Mental Health Worker Service
  • Children’s Eating Disorder Services
  • Special Parenting (includes Clinical Psychology)
  • Child Health Development Service (incorporating community paediatricians which includes Consultant Community Paediatricians and other doctor grades as well as the Designated Doctor roles for Safeguarding; Looked After Children and Designated Medical Advisor Adoption and Fostering and the Designated Doctor Child Death and Named Doctor for Child Death Review and forensic examinations for under 18 year olds at the Sexual Abuse and Rape Centre), Designated Medical Officer for SEND
  • Autism Spectrum Disorder Diagnostic Service (includes Occupational Therapy, Speech and Language Therapy, Consultant Psychiatrist and Clinical Psychology input)
  • Community Paediatric Occupational Therapy
  • Community Paediatric Dietetics
  • Community Paediatric Obesity service
  • Speech and Language Therapy
  • Community Specialist Epilepsy Nursing
  • Community Paediatric Physiotherapy
  • Learning Disability Service (including Learning Disability Nurses, Clinical Psychology and Occupational Therapy)
  • Diana Nursing Service (including Clinical Psychology Support)
  • Specialist Paediatric Continence Service
  • Vulnerable Children’s Nursing Service (includes Looked After Children and Youth Offending Nursing Team)
  • Community Children’s Nursing
  • Nursing in Special Schools
  • Nurse Liaison (Acute Liaison)
  • Consumables and some equipment for above services

How can I be involved?

The online survey for phase one and two has now closed. However, your views can be sent to our dedicated email: