RCPCH Annual review 2018

Annual Review 2018

RCPCH The health of infants, children and young people is at the core of all we do.

We ensure every paediatrician has the knowledge and expertise to promote child health and to care for infants, children and young people with health needs.

We continue to improve the health and wellbeing of infants, children and young people in the UK and across the developing world.

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www.rcpch.ac.uk

Contents

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President’s message

10

Supporting our workforce

5

Welcome from the CEO

18

Improving child health

6

2018: At a glance

24

Sustainability and about us

8

Changing the shape of training

26

Governance

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President’s message 2018 has been an extraordinary year. Our annual report presents highlights from the last twelve months.

Russell Viner

The College continues to go from strength to strength, with our membership growing to over 19,000 in the UK and internationally. 2018 was also a year in which our ability to influence grew – from having our voice heard loudly within the health services and governments across the UK, to a growing reputation as a key actor within global child health.

For our Members and Fellows working in the UK, we know it has been a year of great challenge both personally and for the services they work in. We as a College don’t hold the levers to fix these problems. However, we can and do work hard with governments and health systems in all four UK countries

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to improve our members’ ability to provide high quality and safe services for children and young people.

For me personally, my first year as President was an opportunity to understand the extraordinary breadth of the work of our Members and Fellows and the matching breadth of the work the College undertakes to support them. I was particularly moved by the depth of commitment clearly visible among our members but also among the brilliant staff who support the work of the College.

2019 promises to be a year of challenge but also of opportunity. At the time of writing we cannot tell where the febrile political environment will take

our United Kingdom. However, as 2018 finished we could see green shoots of change, with a growing focus on children and young people’s health across many of our four nations.

A key focus for 2019 will be ensuring we have a sustainable workforce of child health professionals to meet our needs now and in the future.

We will be launching Paediatrics 2040, a project that will look 20 years ahead to understand the challenges paediatricians will face over the coming decades and identify the best ways that a truly twenty-first century College can support its members and fulfil its mission to promote child and adolescent health.

Welcome from the CEO Supporting our members and working towards better outcomes for children and young people.

Jo Revill

In many ways, 2018 marked a year of change for the organisation. Professor Russell Viner succeeded Professor Neena Modi as the President of the College, while I succeeded Judith Ellis as Chief Executive. The Council approved a new three-year strategy for the College, building upon past achievements but aimed at increasing our reach, supporting paediatricians and influencing a highly complex medical environment.

development and launch of the new Progress curriculum, and we continue to develop our training programme to equip our doctors with the skills that they need and to ensure that it remains fit for purpose across their careers. The National Children and Young People’s Diabetes Quality Programme was also launched with the aim of improving outcomes for children and young people with diabetes in England and Wales.

In my first six months in the College, I’ve been so impressed by the breadth and quality of the activities that are run by our teams. Our four-nations work is one of our real strengths, and a high level of engagement with ministers, partners and local health leaders is crucial to success. None of this can happen without thousands of hours of support from our members and volunteers. Last year saw the

Our global work, supporting clinicians in low-income countries to improve care across many hospitals and health centres, is based on long-term partnerships with midwives and other professional groups. Internationally, we run examinations and training in 17 countries, enabling us to reach so many doctors, making a positive contribution to their health services.

Young people feed into virtually every project we undertake, and I’m so pleased that we have an active network of more than 1,100 young people, creating videos, ideas and challenges for us. Their enthusiasm is infectious and enables the teams to feel close to the patients and the issues they face.

On the horizon, there is the prospect of Brexit but the College is well placed to meet the challenges and unpredictability that faces us this year.

With good use of our income and our highly motivated staff, I’m confident that we can fulfil our new strategy and do even more for children in the coming year.

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2018: At a glance Jan

Mar

May

• RCPCH and Nuffield Trust jointly publish the report, International comparisons of health and wellbeing in childhood • RCPCH Turning the Tide: five years on report published • State of Child Health: One year On scorecards are published at launch events in Westminster, Holyrood and Cardiff Bay

• BPSU hosts the International Network of Paediatric Surveillance Unit’s Conference in Glasgow • RCPCH Conference is held in Birmingham, with Professor Russell Viner officially appointed as President

• National Paediatric Diabetes Audit conference takes place with over 170 delegates attending

• RCPCH Ireland publishes a joint medical Royal College response to the Hyponatremia Related-deaths Inquiry report in Northern Ireland • The inaugural meeting of the joint RCPCH and RCPI: All Ireland Paediatric Committee takes place in Belfast

Feb

• RCPCH President Professor Russell Viner gives evidence to the Health Select Committee on childhood obesity

• The annual RCPCH Wales St David’s Day conference is attended by over 75 delegates from across the UK

Apr

• HRH The Princess Royal visits RCPCH offices in London • We celebrate our 21st year as a College with a concert featuring music by Handel

• We begin celebrating NHS at 70 with five young people who are interviewed by The Guardian about their experiences of healthcare

• The new RCPCH website is launched • Launch of the RCPCH Diabetes Quality

Programme developed in partnership with the National Children and Young People’s Diabetes Network and eleven local networks

• RCPCH Scotland delivers the first senior trainee day in Scotland, ‘Developing the Leaders of Tomorrow’

Jun • The Prime Minister announces the ‘NHS Long Term Plan’ and NHS England funding settlement • Government publishes Chapter Two of the Childhood Obesity Plan

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• RCPCH President Professor Russell Viner gives evidence to the Health Select Committee on the effects of energy drinks on children and young people

Aug

• The Welsh Paediatric Society holds its spring/summer conference

• UK Government Health Secretary launches Prevention is better than cure vision document, promising a Green Paper for the following year

• Dr David Tuthill is appointed Officer for Wales • The Welsh Government publishes A Healthier Wales, which sets out its vision for the future of health and social care, with an emphasis on prevention • Epilepsy12 Audit Annual Conference takes place

RCPCH Progress Paediatric curriculum for excellence

• RCPCH Progress paediatric curriculum launched • RCPCH responds to Court of Appeal ruling in favour of Dr Hadiza Bawa Garba’s appeal against the decision to strike her name from the medical register

Sep • New reflective practice guidance for trainees is published

Jul • RCPCH Officer for Health Promotion Dr Max Davie gives evidence to the Science and Technology Select Committee on screen time and impact of social media on children and young people • RCPCH hosts members for a NHS 70th birthday celebration

Nov

Dec • Our Global team wins the award for Excellence in Medical Education at the BMJ South Asia Awards • The joint Welsh Paediatric Society and Irish Paediatric Association conference is held in Galway • The RCPCH Christmas celebration is hosted in Central London featuring a number of children’s choirs and readings from friends of RCPCH.

• RCPCH responds to Lancet findings on recreational screen time

Oct • RCPCH launches the Child health in 2030 in England: comparisons with other wealthy countries report • Epilepsy12 and RCPCH&Us engagement

win the HQIP inaugural Richard Driscoll Memorial Award 2018 for demonstrating continuing commitment to improving patient outcomes

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Changing the shape of training We launched our new paediatric specialty training curriculum to equip current and future doctors with the skills and knowledge they need to care for children and young people.

RCPCH Progress launched

Shape of Training

We are the first of the medical Royal Colleges to have our new curriculum approved by the General Medical Council (GMC). The curriculum for paediatric specialty training, known as RCPCH Progress, went live nationally in August 2018. The long list of several thousand competency statements have been replaced by 33 succinct Learning Outcomes - 11 for each level of training, based around domains such as patient management, leadership and team work, quality improvement and communication.

We are developing the new two-level training programme, populated with the Progress curriculum, to ensure the workforce meets the future needs of the health service as specified in the UK Shape of Training report.

This new model is more flexible and straight-forward and better reflects the requirements for paediatricians. All trainees, except those due to complete training before September 2019, have moved to the new curriculum.

www.rcpch.ac.uk/shape-of-training

www.rcpch.ac.uk/progress

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It is our vision that paediatric training will not end at the Certificate of Completion of Training (CCT), but be flexible and adaptable across a 30 or 40-year career path, so that a paediatrician’s career can progress alongside their lifestyle.

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professionals, children, young people and families contributed to the new RCPCH Progress curriculum

Supporting young doctors Foundation doctors (those who have finished medical school and are embarking on their careers) are a priority group for us, as aspiring paediatricians. Several initiatives were introduced during the year to support this group to consider paediatrics as a rewarding career, with the re-introduction of careers day events and introduction of a free College membership for foundation doctors. www.rcpch.ac.uk/careers www.rcpch.ac.uk/foundation

Improved support for doctors from overseas

Clinical exam changes are GMC approved

The Medical Training Initiative (MTI) is a national scheme for a small number of doctors to enter the UK from overseas for a maximum of 24 months and benefit from training and development in NHS services before returning to their home countries.

We have overhauled our process to ensure quality applicants, clear processes, appropriate posts for good training experience and increased support from the College for MTI doctors. The result has been a steady increase in numbers (70 doctors from November 2018 to March 2019).

Modifications to the Member of the Royal College of Paediatrics and Child Health (MRCPCH) Clinical examination were approved by the GMC in June 2018.

www.rcpch.ac.uk/MTI

The MRCPCH Clinical Review Working Group began scoping the implementation plan for the revised examination scheduled for September 2019. These changes will help ensure exam delivery remains consistent across centres and provide meaningful feedback to candidates. www.rcpch.ac.uk/examinations

It felt good to be asked for our feedback and like we are helping them to be the best doctor for children.

RCPCH&Us member involved in a MRCPCH clinical exam station piloted in October 2018

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Supporting our workforce We have worked hard to support members at each stage of their career, from aspiring paediatricians to those stepping up to consultant level or working in research.

Early career It’s really important that we recruit more doctors into paediatrics and this forms a major part of our work in 2019. In October we started to offer a free version of the online record of achievement and learning - the ePortfolio for Foundation Members to introduce the system for one year and access to level 1 of the RCPCH Progress curriculum.

We have also been working to support aspiring consultants. The Certificate of Eligibility for Specialist Registration (CESR) is the process by which doctors who have not trained in an approved programme can demonstrate their knowledge and experience to join the specialist registers and we have now run three successful CESR applicant training days. www.rcpch.ac.uk/offer-foundation

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Supporting senior trainees to consultants For the transition of senior trainees into new consultant roles our Stepping Up pilot programme supports the five-year period from RCPCHStart (Specialty Trainee 7+) to the end of year three consultancy. This local network of champions was piloted in some English regions and will eventually be rolled out across the UK. The network will engage with these doctors to provide peer support, networking and useful learning sessions at face-to-face meetings.

A five-module programme offering focused support for clinical leads has also been established. www.rcpch.ac.uk/steppingup www.rcpch.ac.uk/clinical-leadssupport­

The practice of medicine is intricately linked with education.

Every action teaches something; to the doctor, to the patient, and to the observer.

Nick Schindler, Trainee Representative RCPCHStart

Reflective practice The tragic death of Jack Adcock and the subsequent criminal and regulatory proceedings against Dr Hadiza Bawa-Garba, our member, had significant ramifications for the medical profession as a whole. The case shone a spotlight on the process of investigating doctors who make serious errors, with the role of the General Medical Council in such cases causing serious anxiety amongst paediatricians and other doctors.

We have maintained a continuous dialogue with the GMC this year, explaining our members’ concerns, including issues with the sharing of reflective practice notes. The RCPCH has previously flagged the importance of fostering a culture of supporting doctors to learn from their mistakes, rather than one which seeks to blame.

In particular, doctors should not be deterred from openly sharing, and thereby learning from, their reflections on errors. Our advice for trainee paediatricians can be found online: www.rcpch.ac.uk/good-practice

RCPCH Compass Online learning for child health

Supported learning

Mentoring We offer a mentoring support programme for members at all levels, providing courses for those wishing to develop their skills as mentors, with access to free peer support webinars to further develop practice. This includes a local Mentoring Champions network, supporting members who want to run their own schemes and training days. The programme also offers a quality review service for local schemes. We have trained over 160 paediatricians as mentors and currently support over 50 Mentoring Champions. www.rcpch.ac.uk/mentoring-support

We launched a new webinar series offering health professionals short (30-60 minutes), accessible educational updates on key child health issues. Webinars are free to attend or view retrospectively on the RCPCH Compass learning management system. They cover a wide range of topics including clinical conditions, policy and service design. www.rcpch.ac.uk/webinars www.rcpch.ac.uk/rcpch-webinars

160 paediatricians trained as mentors in the UK

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Research

Research leaders

Academic trainees

The College’s strategy is to support the growth of paediatrics research through conferences and events along with training to help our members develop grant writing and evaluation skills. We aim to improve children’s health outcomes by supporting high quality and trusted research, sharing expertise, collaborating with others and promoting the evidence.

To support the need for more research leaders, RCPCH and the Academic Paediatrics Association (APA) launched an academic toolkit for trainees interested in pursuing an academic career. This toolkit takes the trainee step by step, from funding application to post-fellowship.

In October 2018, RCPCH, in collaboration with the National Institute for Health Research (NIHR), hosted the second annual research event for aspiring and current academic trainees. These annual events are an opportunity for trainees interested in research to hear from leaders in child health research, develop knowledge on academic career pathways and routes into research, as well as the opportunity to network with peers and professors in paediatric research.

www.rcpch.ac.uk/academic-toolkit

www.rcpch.ac.uk/research-activities

www.rcpch.ac.uk/academic-training

In March, we released Turning the Tide: five years on – a report focusing on developments and changes to the research landscape and areas where more work needs to be done.

The original 2012 report, Turning the Tide: harnessing the power of child health research shone a spotlight on the importance and relevance of biomedical and life sciences research focused on the needs of infants, children and young people (ICYP).

Five years later, the UK has seen many positive developments in UK basic science and clinical research and the life sciences industries. www.rcpch.ac.uk/turning-tide-5-yrs

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Facing the Future We develop and disseminate standards for health services for infants, children and young people.

In 2018, we audited our Facing the Future Standards for Acute Paediatric Services and Together for Child Health. Our report showed the impact of gaps in paediatric rotas, with too few consultants working within the hospital at peak times. We use this information to inform and guide hospital trusts, those who fund services and regulators to ensure that we can improve the conditions.

Our Standards for Emergency Care Settings have been adopted by the Care Quality Commission into their hospital inspection frameworks and were used to inform recommendations made by the Northern Ireland children’s commissioner, Koulla Yiasouma.

RCPCH&Us children, young people and families also support the development of the Facing the Future series. www.rcpch.ac.uk/FTF

It is particularly pertinent for providers and service planners to work together to meet standards to ensure locally delivered, safe and high quality urgent and emergency care.

John Criddle, Consultant Paediatric Emergency Medicine

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The child health workforce In December 2018 we released a workforce briefing, which outlines key findings from the RCPCH 2017 workforce census. Increasing numbers of emergency admissions, difficulties in recruitment and growth in lessthan-full-time working demonstrate the need for a significant increase in the UK paediatric consultant workforce.

Our latest reports on the progress of Certificate of Completion of Training (CCT) holders raise concerns that demand for trained paediatricians may outstrip supply, including shortages in the number of qualified community child health paediatricians. We are keen to work with workforce planning bodies across all four UK nations to increase the number of advanced nurse practitioners and physician associates. www.rcpch.ac.uk/workforce

Workforce supply +600 pa supply demand

=

Patient demand is outstripping supply of doctors

supply

Increase needed in paediatric trainee places per year for five years.

There is growing evidence that workforce problems are affecting the delivery of high quality safe paediatric services in the UK. An adequate child health workforce is essential for the safe delivery of care.

State of Child Health short report series: workforce briefing winter 2018

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demand

Membership 2019 membership fees frozen for RCPCH trainees We recognise that middle grade rota gaps and ever-increasing service pressures are creating significant challenges for our members, especially those in training. With this in mind, the RCPCH Executive Committee agreed to freeze 2019 membership

Membership categories: • Ordinary • Fellowship • Senior • Affiliate medical student • Affiliate foundation doctor • Affiliate non-doctor • Junior (UK trainees before MRCPCH) • Associate

subscriptions and training fees for RCPCH approved trainees. All other membership subscriptions increased by 2% in 2019, in line with RPI (retail prices index) inflation.

Council review of membership categories and fees The professional life of a paediatrician has changed considerably since the categories were established over

20 years ago. The College Council is undertaking a full review of the membership structure and pricing during 2019. Our aim is to ensure that our membership categories, fee structure and the concessions we offer are still fit for purpose and reflect the path that is available for paediatrics. www.rcpch.ac.uk/membership

RCPCH members as of 31 December 2018 = 19,112

UK 15,450

www.rcpch.ac.uk/apply-membership

International 3,662

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Member benefits We offer a range of fantastic benefits to our members with training and events aimed at different interests and stages of their careers along with access to clinical and educational resources.

Free media training and parliamentary courses

Over the year, we ran:

•

• • • • • • • • •

To equip RCPCH members with lobbying skills to act as expert spokespeople on areas of clinical interest and RCPCH priorities

www.rcpch.ac.uk/get-involved-media-work www.rcpch.ac.uk/get-involved-public-affairs Paediatric Care Online (PCO UK) - access included with most membership types: •

Digital decision support platform

•

112 key practice points

•

Child Protection Companion – a live resource with new evidence and policy updates

•

UK-WHO Growth Charts to plot and measure child height and weight from birth to young adulthood

http://pcouk.org/

New RCPCH website launched April 2018 •

New design and navigation

•

Fully mobile friendly

•

Key topics sections, resource search and related content links

•

Quick-links menu to access key systems and information

www.rcpch.ac.uk

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3 membership ceremonies 79 training events 2 senior members’ meetings 1 President’s dinner 1 Royal visit 1 Christmas concert 1 Annual Conference 1 Insight event 103 professionals trained in effective engagement with CYP

Archives of Disease in Childhood (ADC) / BMJ Paediatrics Open (BMJPO) Our peer-reviewed journals ADC and BMJPO, published in partnership with BMJ Publishing Group, provide a vital resource of recent, relevant and original research, policy reviews and education, to our members, health professionals and the wider public worldwide.

In 2018, ADC has continued to develop its podcast series, increased commissioning (new series include ‘Voices’ from children, quality improvement and health policy), launched online improvements and expanded the global health section, as well as working on the supporting social media channels and groups. Decision times on papers have also been decreased.

BMJPO has been running for 18 months and publishes any clinically relevant paper that is ethically and scientifically sound. To date this amounts to over 150 papers from 45 different countries. Protocols are a popular feature, helping to enhance transparency with some achieving 5,000+ downloads. The journal has also achieved indexing by PubMed Central, the Directory of Open Access Journals and Google Scholar.

RCPCH Publications 2018, included: Jan 2018 State of Child Health Scorecards Jan 2018 RCPCH Progress Curriculum Mar 2018 Global Update 2018 Mar 2018 Turning the Tide: Five Years On Mar 2018 Facing the Future: Standards for

children with ongoing health needs April 2018 Facing the Future Audit 2017

Facing the Future: Standards for

acute general paediatric services,

Facing the Future: Together for child health June 2018 Facing the Future: Standards for

children in emergency care settings July 2018 CCT and CESR Class of 2016: Where

are they now?

July 2018 NPDA Report: Care processes and outcomes Sept 2018 NNAP Annual Report (2017 data) Oct 2018 Child health in 2030 in England:

comparisons with other wealthy countries Nov 2018 Publication of two systematic reviews in

the Child Protection Evidence Series Dec 2018 Epilepsy12 2018 Audit report

RCPCH members magazine - Focus Free quarterly magazine to all subscribed members containing child health and paediatric activities and points of interest, including the political, workforce and service landscape.

For a full list of benefits please visit www.rcpch.ac.uk/membership/benefits

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Improving child health We aim to improve the health of children in the UK and around the world by developing policies with clinicians which make the case for change.

Advocacy and lobbying work

NHS Long Term Plan

We work hard to ensure that paediatrics has a strong, authoritative voice, speaking to policy-makers, ministers, regulators and senior partners who shape paediatrics and child health. We have been working to make the case for a robust child health workforce using the evidence base supplied by our members.

We have worked with the wider child health charity sector, children, young people and families, NHSE and the National Clinical Director for Children to influence the NHS Long Term Plan.

We have demonstrated why the plan must prioritise the health of children and young people and believe this is a historic opportunity to reset the social contract between the NHS and children and young people in England.

Our external affairs work around the UK ensures that paediatrics and child health are at the top of the political agenda. RCPCH campaigns on a range of child health issues to influence Parliament and Government.

In our Belfast Office, the publication of Justice O’Hara’s shocking report on hyponatremia-related death prompted a great deal of reflection across the medical profession. We worked closely with other medical colleges and the Department of Health to launch a comprehensive response and ensure recommendations are implemented.

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Child health in 2030 We published the Child health in 2030 in England : comparisons with other wealthy countries report, which uses long-term historical data to project outcomes in 2030. We looked at areas including mortality, health inequalities and mental health and called for an NHS that: 1. Supports interventions to reduce the number of deaths in infants, children and young people 2. Gives children the healthiest start and continues throughout their life course

3. Promotes mental and emotional health of children and young people 4. Integrates care for children with complex or multiple needs 5. Encourages and supports collaboration with other partners 6. Is tailored and responsive to the needs of children and young people throughout their childhood and as they transition to adult services.

State of Child Health We started the year by reporting on the progress made in England, Scotland and Wales since the release of our State of Child Health report in 2017. We created scorecards to give healthcare professionals and policy makers an ‘at-a-glance’ view of how each nation had delivered against our original recommendations. The scorecards show that Scotland and Wales have made some good progress in delivering and implementing the recommendations, but in England there has been a reversal of progress in public health spending on children and young people.

Children, young people and families (CYP) Children, young people and families involvement in their healthcare and health service development is critical to our work.

This year, we have worked with over 1000 children, young people and families (CYP) to understand their experiences, their priorities for child health and to develop CYP-led solutions to improve child healthcare.

Epilepsy12 &Us &Us Epilepsy12 Voices from the RCPCH &Us network

Voices from the &Us network

The CYP voice has informed our work throughout the year, including: • Award-winning engagement work with the Epilepsy12 Audit • NHS at 70 celebrations • College position statements, guidelines and standards • Recommendations for the NHS Long Term Plan • Major research projects • Patient seminars • Judging paediatric awards • Speaking at our conference and Christmas Concert.

We also provide training for paediatricians in how to improve engagement, voice and participation in their hospitals. We ran several workshops on the art and science of effective engagement with individual groups and events in London, Cardiff, Belfast and Glasgow.

forr ss fo es ipie Re ec R ccip e

R Engagement RCPCH &Us

Children and young people in the lead It’s their agenda

Educate.

The voice of children, young people and families 1

Collaborate.

We need doctors who are aware of our whole life experience, that know how to empower us to be able to speak up and who use different strategies to support our voice in clinic RCPCH &Us member

RCPCH &Us Use your voice to help improve child health across the UK

The voice of children, young people and families

www.rcpch.ac.uk/and_us

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2018 National Organisational Audit Report

National Neonatal Audit Programme (NNAP)

RCPCH Audits

RCPCH Audits National Clinical Audit of Seizures and Epilepsies for Children and Young People

Annual report

2018 annual report on 2017 data

RCPCH Royal College of Paediatrics and Child Health

RCPCH Royal College of Paediatrics and Child Health

Audits We play an essential role in improving the quality of paediatric care. Commissioned by the Healthcare Quality Improvement Partnership (HQIP), we manage three audits to support the delivery of high quality, safe and sustainable services. These audits cover neonatal services, diabetes and epilepsy.

The National Paediatrics Diabetes Audit (NPDA) and the National Neonatal Audit Programme (NNAP) published annual reports in July and September respectively. NPDA’s

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national conference attracted 170 delegates, 99% agreeing they left with ideas for improvements to their services.

BPSU The British Paediatric Surveillance Unit is a world leading centre contributing to the greater understanding of rare paediatric diseases. In 2018, we hosted the 10th International Network of Paediatric Surveillance Unit Conference in Glasgow which was attended by over 120 delegates from eight countries. We also launched the Rare Youth project magazine with RareRevolution to allow children affected by rare disease to have a voice. Two important studies on rickets and female genital mutilation (FGM) are coming to an end, the findings of which are eagerly awaited by national policy makers. wwww.rcpch.ac.uk/bpsu

The Epilepsy12 team and our Children and Young People’s (CYP) Engagement Team were awarded the inaugural Richard Driscoll Memorial Award by HQIP for demonstrating continuing commitment to improving patient outcomes. The Epilepsy12 audit report was released January 2019. www.rcpch.ac.uk/NNAP www.rcpch.ac.uk/NPDA www.rcpch.ac.uk/epilepsy12

BPSU British Paediatric Surveillance Unit

Annual Report 2017-2018

Royal College of Paediatrics and Child Health 5-11 Theobalds Road, London, WC1X 8SH The Royal College of Paediatrics and Child Health (RCPCH) is a registered charity in England and Wales (1057744) and in Scotland (SC038299).

Invited Reviews

Diabetes Quality Programme CYP with diabetes in England and Wales. It has three parts: a quality improvement (QI) collaborative, an annual self assessment process and a peer review programme.

This year, we launched a new programme, developed in partnership with the National Children and Young People’s Diabetes Network and 11 local networks, to improve outcomes for

MEDICINES FOR CHILDREN LOGO

www.rcpch.ac.uk/diabetes-quality

STAGE 4

3,000,000

medicine leaflet downloads in 2018

9,500

users per day

Our Invited Reviews provide a healthcare consultancy to paediatric units across the UK. In 2018, 12 reviews took place, including three covering community paediatrics, three involving acute reconfiguration and other specialist, safeguarding and acute themes. Three of these were return visits to follow up or build on a previous review. We were delighted that five years after a request by the First Minister to resolve a complex and politically sensitive redesign of a North Wales neonatal service, the recommended Sub-Regional Neonatal Intensive Care Centre was opened at Glan Clwyd Hospital in September 2018. www.rcpch.ac.uk/invited-reviews

Medicines for Children Every parent wherever they are, needs to be able to find reliable information on their child’s medicines. This website offers a trusted online resource of accurate and reliable information for parents and carers on over 220 commonly prescribed paediatric medicines.

In 2018, the site exceeded three million medicines leaflet downloads, with user numbers at an all-time high of over 9,500 a day. The team were also delighted to win £50k from Comic Relief ‘Tech for Good’ to develop a medicines management app which will launch at RCPCHConference in 2019.

Our invited reviews service is confidential influential, quality assured and tailored to each organisation’s needs.

www.medicinesforchildren.org.uk

Medicines for Children is partnered with the Neonatal and Paediatric Pharmacists Group and WellChild children’s charity

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Global activity 2018 Global health Our global work improves child health in a number of low-income, resourcepoor countries – currently Sierra Leone, Myanmar and Rwanda – as well as supportive advisory, research and programme development initiatives in a range of other countries, including India, Cambodia, Nepal and Georgia, and among Palestinian communities in the Occupied Territories and as refugees.

Throughout 2018, we supported teams of UK and local clinicians to deliver sustainable quality improvement over multiple district hospitals and

health centres. This work is part of several long-term partnerships.

We have extended our work from emergency paediatric interventions to neonatal care improvement and beyond to strengthening quality of obstetric and midwifery care at the point of delivery.

We have seen improvement in quality of care indicators across the hospitals in which we work (including, among others, triage, clinical assessment, stabilisation and resuscitation, management of common childhood conditions, and support for parental caregiving through kangaroo mother care). www.rcpch.ac.uk/global

Working with Global Links gave me new perspectives on health and disease and how human beings deal with these things around the globe. These lessons are influencing my UK practice today.

Dr Jess Wynterbee

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Sierra Leone • •

Global Links volunteer programme & ETAT+ Supporting post-Ebola health sector reconstruction

In Sierra Leone, continuation of our work delivering Emergency Triage Assessment and Treatment Plus (ETAT+) at 13 regional and district hospitals has seen mortality continue to fall in 2018. We have agreed with the UK’s Department for International Development (DFID) to extend programme funding for this national programme into 2021. We have also been supporting the Ministry of Health and Sanitation in Freetown to develop a national cadre of paediatric nurses.

Myanmar •

Supporting emergency paediatric care across three states

In December, our work with the Myanmar Paediatric Society, supported by Unicef, won the British Medical Journal Asia ‘Excellence in Medical Education’ category. Since 2016, we have seen significant improvements in care quality and corresponding reductions in paediatric and infant mortality.

Rwanda •

Building clinician, nurse and midwife capacities in ETAT+

In Rwanda, although still early days, we have seen reductions in newborn mortality at the first phase hospitals in our Unicef-funded programme of around 15% in the initial period.

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Sustainability and finance A breakdown of the RCPCH finances for 2017-18.

Analysing our finances

Thank you

We run more than 200 activities funded by income from our growing membership, examinations and training work. Some of our work is also funded by NHS England and we also have sponsors and exhibitors for events throughout the year.

We would like to thank our sponsors for their help and support. We have worked hard over the last year to diversify our range of partners from a wide variety of sectors including the pharmaceutical industry, financial services, biotechnology, corporate, public and charity sectors. Our first joint event with Oral B on oral health was supported by Sara Hurley Chief Dental Officer (England) and demonstrates our ambition to reach out to different areas of child health.

Unrestricted income of over £170,000 from partners made an important contribution and will be reinvested in our work.

Our income stood at £16.5m, £0.5m higher than 2016-17, which was largely due to our growing membership and overseas examinations. Expenditure was £1.1m lower than last year at £15.5m and due to a focus on delivering efficiencies. Consequently, we have been able to make some key investments that will benefit the membership and students for years to come while creating a sustainable base. A new threeyear Strategy Fund will pay for the Paediatrics 2040 project, a new CPD Diary system, a new Exams Booking System and earmarked monies for our Infrastructure Fund. Taken together this amounts to £0.8m.

We have also appointed Standard Life Wealth to manage our investment Portfolio to ensure we receive a greater return on cash balances that are not required in the short to medium term future. This will be governed by an ethical investment policy.

How membership and training fees were spent • Members: 39% • Child health and well being: 28% • Education and training: 25% • Service planning and delivery: 8%

ship

Assessment

Business Development

n & Training

Research & Policy

Interna onal

s for Genera ng Income

Other Income

Income

• Assessments: 29.3% • Members’ subscriptions: 31.5%

The Trustees Report & Accounts are available on the College website:

Auditors: Kingston Smith

• Education and Training: 9.2% • Research and Policy: 10.9% • Business Development: 7.1%

www.rcpch.ac.uk/trustee-report

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Investment Managers: Standard Life Wealth

• International: 5.3% • Other income: 6.7%

About us We are committed to providing a supportive and progressive working environment for all staff.

A great place to work

Working together

Giving back to the community

The College employs 154 full-time equivalent (FTE) staff to carry out its important work, with offices in London, Edinburgh, Cardiff and Belfast. We work closely with clinicians and many others in the child health workforce to deliver the organisational goals. The staff also run more than 80 committees, Boards and groups to take forward our work in the UK and internationally. We have a well established Apprenticeship Scheme and have introduced a NVQ level 4 Apprenticeship placement to attract older applicants. We have formal recognition from the Institute of Leadership & Management as a ILM Approved Centre.

We provide opportunities for staff, children and young people to work together to develop skills, gain valuable work experience and support College activity. We held a series of Take Over Challenge days with over 100 children and young people across the UK offices, developing ideas and guidance on a variety of topics including poverty, mental health and State of Child health 2020 campaign work, creating videos, multi-media content and reviewing our new website.

We allow staff protected time to volunteer as a career development opportunity to learn or enhance new skills which can then be used in the workplace. We worked closely this year with The Whitechapel Mission where staff have cooked and served breakfast to over 300 guests, sorted donated clothes, collected food, toiletries, rucksacks and clothing donations and assisted the Women Together group.

Staff also worked with the Mission to help devise a strategy for succession planning and diversification of income.

We had a really great day.

It was so fun presenting our ideas to the VIP panel. Thanks for taking time out to come watch our presentation.

RCPCH staff cooked breakfast for 300 guests at The Whitechapel Mission

ABMYouth member attending RCPCH Wales Takeover Day www.abmyouth.wales

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Governance The RCPCH Board of Trustees has legal responsibility for oversight of the College’s activities and ensuring the RCPCH fulfils its charitable objectives.

From Dame Mary Marsh, Chair - RCPCH Board of Trustees: It continues to be a privilege for me to continue to work with the Board of Trustees, College Officers, members and staff in supporting and securing the development of RCPCH. Through our second year as the Board of Trustees the challenges, opportunities and progress for RCPCH have

Membership of the RCPCH Board of Trustees as of December 2018 Chair Dame Mary Marsh Former Chief Executive of the NSPCC

continued. We gave thanks and said farewell to President Neena Modi and Chief Executive Judith Ellis.

We were pleased to welcome President Russell Viner and Jo Revill as CEO. In Jo’s appointment we engaged with the RCPCH&Us network, using their perceptive insights. Trustees valued opportunities to meet with members at College and staff at

Among other issues we contributed to the review of safeguarding policies and their implementation in the UK and internationally. My thanks to all our committed Trustees who make such an important contribution to RCPCH securing our now established governance.

External Trustees

Member Trustees

Anthony Dunnett Former Director of International Health Partners

Dr John Jenkins Dr Carol Roberts Dr David Vickers Dr John Williams

Mark Devlin Chief Operating Officer for UNICEF UK Gillian Budd Senior Associate Director – Governance, Legal and Compliance at Teach First Jon Foster Beneficiary Trustee (Children and Young People)

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various briefings and events, including at the AGM at Conference.

RCPCH Officers Professor Russell Viner RCPCH President Dr Lisa Kauffmann RCPCH Treasurer Dr Mike Linney RCPCH Registrar

You told us why #paedsrocks:

Amazing day interviewing the paeds ST1 and 2 trainees...also a brilliant faculty of consultants and ST8 trainees making the trainees feel valued and my job as lead enjoyable!

Inspired by my first #paedsrocks attachment as an F2 @sfhward 10 years ago... this week I get to go back as a registrar!

Simon Broughton, Paediatrician and RCPCH Recruitment Lead

My job brings me huge amounts of happiness and I love doing it

It’s fun. It’s hard work.

If you like fun and hard work it doesn’t matter what you look like, talk like or dress like; you’ll fit in just fine. #paedsrocks Nick Schindler, General Paediatrician Registrar

RCPCH Offices

Tim Ritzman, Paediatric Oncology Registrar

Kunal Babla, Neonatal Registrar

Come and join the merry band of general paediatricians. You’ll squidge chunky baby thighs, talk to teenagers about bullying, and transform a nervous child into a giggling wreck by talking about poo, all in one clinic #paedsrocks Lauren Filby, Paediatrician

Great support from the HHE team and exceptional scenarios written by the recruitment team at RCPCH #paedsrocks

You know whats brilliant about paediatrics. Kids and young people are phenomenal. The future is in amazing hands.

Hannah Baynes, NHS Paediatrician

Michael Farquhar, Consultant in Sleep Medicine

RCPCH 5-11 Theobalds Road London WC1X 8SH

RCPCH Wales Room 308, 3rd Floor Regus House Falcon Drive Cardiff Bay CF10 4RU

RCPCH Scotland 12 Queen Street Edinburgh EH2 1JE

RCPCH Ireland Forsyth House Cromac Square Belfast BT2 8LA

Annual Review 2018 Royal College of Paediatrics and Child Health Further copies available on request, contact Digital&CreativeMedia-Team@rcpch.ac.uk Š 2019 Royal College of Paediatrics and Child Health, 5–11 Theobalds Road, London, WC1X 8SH

The Royal College of Paediatrics and Child Health is a registered charity in England and Wales (1057744) and in Scotland (SCO38299)

www.rcpch.ac.uk