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2 results

  • Chapter 1 - Children’s Mental Health Services in Context

  • Edited by Shermin Imran, Greater Manchester NHS Foundation Trust
  • Book:
    Seminars in Child and Adolescent Psychiatry
    Published online:
    10 October 2025
    Print publication:
    30 October 2025, pp 1-18

  • Summary

    Children and young people’s mental health services continue to remain a high priority for government and the NHS. Delivering good outcomes for young people will require coordinated action across health, education, third sector and local government departments and between national and local bodies. There are opportunities through increased investment and more collaborative commissioning and service delivery arrangements to deliver a systems wide approach to providing care for children and young people. The COVID-19 pandemic has affected everyone although children and young people have been disproportionately adversely affected, as they have had to adapt to extraordinary changes to the world around them. New models of care can stimulate effective collaboration between commissioners and providers to develop integrated, accessible services for all in community based settings. Expanding access through digital support can enable more people to receive effective care providing greater accessibility and choice. A focus on quality improvement can support staff and patients to improve care through effective use of data, with support from professional networks. However, all new models must be developed in partnership with experts-by-experience, carers, and community and voluntary organisations. Systemic investment in services and the staff who provide them is needed to meet the ambitions set by governments.

  • Co-design of a systems wide approach (CONNECTS-Food) to promote adoption of whole-school approaches to food

  • Wendy Burton, Niamh O’Kane, Jayne V. Woodside, Charlotte E.L. Evans, Harry Rutter, Suzanne Spence, Sara Ahern, Amir M. Sharif, Tim Baker, Maria Bryant
  • Journal:
    Public Health Nutrition / Accepted manuscript
    Published online by Cambridge University Press:
    17 October 2025, pp. 1-35
    • Article
      • You have access
      • Open access
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  • Objective:

    To co-design a systems approach aimed at promoting wide scale adoption of whole-school approaches to food in UK primary schools to improve school food environments, food provision and dietary intake in children.

    Design:

    A systems framework (Action Scales Model) was used to guide the co-design of the systems approach. The process involved identifying leverage points within the UK primary school food system that, if influenced, could alter the way in which the system functions. Actions were then agreed upon to influence those leverage points.

    Setting:

    Co-design workshops were held online between September 2021 and February 2022.

    Participants:

    Members of the co-design team comprised 12 school stakeholders (headteachers, school food improvement officers, catering leads, representatives of UK school food organisations, and a dietician) and a team of researchers with expertise in school food, systems thinking and intervention development. Our partnership board included decision makers and advocates of the whole-school approach to food in England and Northern Ireland.

    Results:

    Identified leverage points included the priorities of headteachers, who are instrumental in instigating whole-school approach to food adoption. Direction from local and national policy makers was also identified. Actions to influence these leverage points included providing direct support to schools (through an online resource) and encouraging policy makers to monitor adoption of the approach.

    Conclusion:

    The methods described here can be replicated by others to promote adoption of whole-school approaches to food in other contexts and contribute to the growing literature on developing systems wide approaches to promote adoption of public health initiatives.