6773 Sparkbrook Children’s Zone: a scalable model integrating the delivery of child health and early years support in a deprived area of Birmingham, UK

Objectives The NHS has prioritised integrated care¹ as a possible solution to improving the delivery of child health.² The Sparkbrook Children's Zone (SCZ) pilots integration of place-based child health services and social support³ in the most deprived ward in Birmingham, UK.⁴ We describe the number of attendances at the clinic, health promotion, referrals to secondary care and CYP referred to the Early Help team for social support. Methods SCZ, a weekly afternoon clinic for CYP <16 years and funded by NHS England, serves the Balsall Heath, Sparkhill and Moseley primary care network (PCN, CYP population = 14,000). The clinic comprises: GP, paediatrician, mental health drop-in service, Early Help connector (to provide support on a wide range of social issues for struggling families). Aggregate data on attendances and referrals collected retrospectively as a service evaluation. Results A total of 90 integrated clinics, 75 on a Thursday, 15 additional pilot clinics on alternate Mondays (5 slots Between April 2022 and July 2023) were delivered, with 886 patients booked into available slots (91%), of which 16% did not attend (DNA, see table 1). We estimate preliminary savings for secondary care referrals avoided at £83,000 during this period. Family feedback has been largely positive and DNAs were reduced to 11% in the last quarter (to end September 2023) through opening a satellite clinic closer to families in another part of the PCN's geographical footprint. A third of CYP were referred to our Early Help service with the three main issues: CYP with autism and behaviour/sleep issues (neurodiversity), mental health and housing (see figure 1). Data for the first 154 CYP referred to Early Help showed 40% required a Family Connect form for multi- agency support but no CYP were escalated to social services. Conclusion SCZ demonstrates a scalable and potentially cost-effective model to integrate delivery of child health and early years interventions to address social determinants of health. References NHS. The NHS Long Term Plan, 2019, (accessed 5th September 2023): https://www.longtermplan.nhs.uk/wp-content/uploads/2019/08/nhs-long-term-plan-version-1.2.pdf Wolfe I, Lemer C, Cass H. Integrated care: a solution for improving children's health? Arch Dis Child 2016 Nov;101(11):992–997. doi: 10.1136/archdischild-2013-304442. Dutton F, Wolhuter C, Kaur S, et al. 1066 A proposed pilot to integrate health and social care to tackle child inequality: the Sparkbrook Children's Zone, Birmingham. Archives of Disease in Childhood 2022;107:A56. Birmingham City Council. Ward profile: Sparkbrook and Balsall Heath East. 19th May 2023.