NATIONAL SERVICE FRAMEWORK FOR CHILDREN, YOUNG PEOPLE AND MATERNITY SERVICES POLICY IMPLEMENTATION

Introduction

The national service framework for children, the young people, and the maternity services depicts a ten-year-long plan that lays down the government’s strategy concerning children’s health care and the accruing social services. The policy framework encompassed the need to meet the children’s basic needs and centered care services in a bid to meet the children’s needs by offering a world-class care service platform that meets the central requirements of the children and their parents (Torfing & Ansell, 2017, p.40). The platform is meant to enhance the quality of the offered services by ensuring that they meet the following guidelines. They are meant to promote the dominance of the children’s physical wellbeing by ensuring that the children and the parents adopt quality and healthy lifestyles (Jann & Wegrich, 2017, p.110).

There is a detailed assessment tool kit that caters to the children’s health, and the accruing family needs by ensuring that all the entities are safe and secure. The ability to understand and tackle the possible health inequalities will address the community needs from the family perspectives by combating the essence of unsafe lifestyles and choices. The program ensures that all pregnant women receive the best quality health care throughout the pregnancy timelines by providing that the pregnant are chief participants in decisions and choices which affect their wellbeing to certain their choices (Hoogesteger & Wester, 2017, p. 110). The framework creates a key rationale for an initial program meant to ensure that the process is conducted in line with the current health platforms concerning their segments and accruing health implications. The program is meant to respond to the dominant health issues by creating the way forward for rising concerns and addressing them within the dictates of the framework (Bligh, Kohles & Yan, 2018, p.120).

It provides the National Health Service with the primary benchmarking platform to ensure that all the collected information is addressed within its timeline. The fact that children’s issues have not been clearly articulated in the national health framework choices and decisions is the key rationale governing this policy. The policy is meant to fight the ignorance which has been heaped mainly on the children over the years. These will ensure that the principles of justice and equality are adhered to in service delivery. Most of the national government reforms have always been centered on the adult’s needs, and this has created a vivid in children’s access to the services. The rationale of the policy is to ensure that all the children and pregnant women are critical beneficiaries of government services by enhancing equality in access and health care quality (Hoogesteger & Wester, 2017, p.110).

The reforms are also meant to reduce the party’s waiting times and that the services offered are timely and in line with the government provisions. The underlying issues in the policy lie on the ground of the provided services are an ardent move in streamlining both access and availability of the services. The policy frameworks are also aligned in line with the children’s bill of rights to ensure that it acts as a supporting rationale in the attainment of critical policy decisions and constitutional changes. The framework has also been interlinked with the provision of dominant education and other social services in a bid to ensure that the entire society is served in line with the laid regulations and government concerns (Jann & Wegrich, 2017, p.190).

Rationale

The policy framework has offered the much-needed channels, which will ensure that all the needs of pregnant women and children are met in predefined timelines to ensure equality and accessibility to government resources and services. The rationale governing the framework lies in the basic understanding of the fact that the needs of children and pregnant women are diverse, and they should be addressed to enhance progress in all segments and ensure equality I the community perceptions and service access (Hoogesteger & Wester, 2017, p.98) The ten-year-long strategy and policy outfit provides the key rationale to guide the basic implementation of government contents in a broad and well-defined agenda basis. The basic eleven standards advocated by the framework acts as a key concern to the provision of better services to enhance the children’s mental health and wellbeing. The most outstanding aspect of the policy lies in the fact that it recognizes mental wellbeing as a dominant issue in the attainment of the government’s laid goals and policy objectives (Ansell, Sørensen & Torfing, 2017, p.10).

The central approach lies in its considerations for better health care among the children and the need to provide world-class services to pregnant women. The primary concern to be addressed by the policy; lies on the need to ensure that the children’s lifetime journey is considered, and all the children’s needs are addressed in line with the policy guidelines and provisions. These are coined in the policy provisions by encouraging the adoption of practices that are ardent with the voluntary and other non-governmental sectors.  The first approach to the framework had denoted that there was a dire need to reevaluate the resources provision segments and strategies (Hoogesteger & Wester, 2017, p.113).

The policy framework affirms the need to ensure that all resources are reallocated in line with the provisions of the national resource allocation framework to ensure that they make the intended impacts. The new approaches, coupled with the accruing hospital design, were meant to create the underlying rationale in the overall provision of services and other government-oriented procedures. The policy was also intended to spearhead the need to implement change in line with the provision of services to the children. The amendment ensured that the services are in line with those provided to the adults. It also advocates for the need to view children’s needs rights with equal urgency to the adult’s needs. The accruing impacts of the policy affirmations are meant to be huge due to the influence of the emerging health agenda issues and provisions.

The principal rationale of the policy criteria is to ensure that the needs of the children and the pregnant mothers are addressed with the utmost diligence, care, and concern. The policy raises the need to review the organization of community-centered services to ensure that they are ardent and in line with other non-health related services, which include social care and the dominant education needs (Gardner, 2018, p.70). The recent cases directed towards child deaths and abuse has exposed the vulnerability of our society band. These pose the need to address them ardently. The framework has also capitalized on the need to address the chief requirements of the children concerning their future aspirations and goals. The platform has been centered on the need to strengthen hospital services and the provision of others out of the hospital support services (Hoogesteger & Wester, 2017, p.112).

Policy Implications

Despite the burdensome provisions, the national health policy framework has not addressed the need to need to develop essential benchmarking criteria to ensure that the regulations are ardent with the federal government’s strategic agendas. The fact that the policy provisions have not provided transparent budgets and has raised fair criticism and possible evaluation criteria between the desired results and the reasonable arrangements and results. However, the dominant provisions of the policy are bright and ardent in need to ensure that we all provide a world of possibilities where the provision of essential child health is viewed as a national concern and not a local luxury to those who need the care most. These dominant missions and vision of the framework have vast implications on the society, and it encompasses the need to redefine the accruing cultural changes and practices (Torfing & Ansell, 2017, p.40).

The success of the policy will be centered on the need to ensure that the services are delivered in line with the children’s needs and not on the regulations laid down by the national and specific organizations. The provisions of the policy have been spearheaded and signaled by concurrent reports on the sector. They have also been shaped by the dominant community needs and resource allocation gaps. There is a dire need for all clinicians and other parties working with children to respond to safeguard the plight of our children and ensure that they are not the key losers in the long run (Jann & Wegrich, 2017, p.190).

A policy denotes a way of conducting issues that depicts a rationale or a benchmarking procedure, which is advocated by the ruling authorities to ensure that programs are held in the proposed direction. The explanation of the critical guidelines to be followed is always laid down by the governing bodies in a bid to enhance service delivery, justice, and equality to all the citizens. The governing issue in the policy development process is centered on the need to develop a central principle or philosophy to guide the entire implementation process. All the efforts in designing the policy are only thought to be congruent; the key affirmations are well articulated during the implementation phase (Aliyu, Alabi &Adeowu, 2018, p.5).

The implementation phase encompasses the ability to ensure that the thoughts which are laid down on paper and other policy documentation are turned to tangible actions with measurable results. The two affirmations can only be met with continued activities which are aligned towards ensuring that the rationale and the proposed gaps are urgently converted into work plans to deliver results. This phase turns the key justification of the policy from philosophy to practice—the accruing differences between the laid down procedures and the accruing results from the underlying evaluation platform. The implementation phase ensures that all the possible approaches are evaluated and considered to make the process a reality. The implementation phase is dense with the evaluation of the dominant facts to ensure that there is clarity in the overall process. A precise analysis of the available options helps in determining the way forward (Torfing & Ansell, 2017, p.43).

The initial presentation of the policy is bound to create different reactions from all people. These affirmations establish the need for all the governing entities to develop clear and workable plans to make the entire process a success. The basic approach lies in adopting the change management approaches. The rationale of the methods lies in the ability to communicate the message clearly to the involved parties. Clear communication strategies encompass the need to ensure that the critical word is well articulated to all the interested parties (Hoogesteger & Wester, 2017, p.111).

Overarching Goals

All the involved parties are likely to react differently to the laid provisions, and this means that the clarity and communication procedures should hand, led effectively by the top management. This affirms that the implementation of the national service framework is bound to be filled with diverse problems. The fact that the policy presents a detailed approach to change means that the efficiency of the entire process is governed with key assumptions which should be addressed in all phases. The success of the policy implementation process lies in the ability to understand all the criteria which govern the entire process.

The ability to learn from all the aspects encompassed in the policy provisions will create a dominant approach in framing the distinct strategies meant to structure the initial approaches in a bid to unearth the accruing results. The effective structuring of the policy and the efficient adoption of the change management platforms will act as a critical determinant of the implementation process (Torfing & Ansell, 2017, p.40). The fact that the national government has not spared enough resources to spearhead the process has been an impeding factor in the overall implementation process. The ability to communicate the message clearly will act as a critical determinant of the target population’s perception of the policy implications. The dominant factors affecting the overall implementation process should be analyzed, and all the accruing effects should be noted down.  Some of the critical determinants of the entire process include the state’s capacity and the governance provisions in the spearheading process as the whole. The process can be spearheaded by conducting an initial political feasibility study, which leads to the framing of support frameworks and coalitions to guide the whole process (Hacking et al., 2018, p.10).                               The method of conducting the complete policy analysis is aligned with the following key steps: the initial identification of the underlying problem coupled with a critical analysis of the proposed implementation models. The next step encompasses the ability to conduct a detailed economic analysis of the process, which should be based on the cost-benefit affirmations. The following are some of the proposed implementation platforms by the national service framework (Coburn, 2016, p.470).

Implications of the Top-Down Approaches

The top-down approach lies in the ability to analyze the critical gap between the person who drafted the policy and the proposed policy outcomes. These denote that the policy formulation and the entire execution processes are two distinct entities. The national framework was much lacking in consultation procedures, and these posed a dire challenge to the top management in making its envisioned implications a reality (Yavuz, 2020, p.225). The communication channels, as depicted by the change management frameworks, were not clear, and these posed an imminent threat to the success of the policy and the accruing implications. Failure to adopt the primary rationale from the top management has proved to be a dire challenge in the implementation process. The program development phase was not heavily consultative, and these affirmations meant that the entire process was much lacking in focus and direction (Turner, 2019, p.80). Lack of a well-articulated policy communication framework acts as a critical impeding factor during the whole implementation phase. The initial policy drafters should capitalize on the espoused causal theory to ensure that the overall policy goals are defined concerning the implementation timelines. The other period encompasses the use of incentives and potential sanctions to align the implementation process (Al-Ali et al., 2017, p.7).

Accruing Challenges

The arising challenges in the implementation of the national framework have been aligned with a lack of consensus for the policies’ intended goals. The outright Lacklack of agreement has proved to be a dire challenge due to the Lacklack of clear benchmarking procedures to determine the success of the program (Hacking et al., 2018, p.10) Lacklack of clear ground on the implementation processes has to lead to communication deficits between the higher officials and the ground men. All in all, these have been characterized by a lack of critical resources to spearhead the entire process. The fact that policies should change during the implementation phase is characterized by a lack of a clear communication framework, and this has dire implications on the implementation process (Neves & Schyns, 2018, p.90).

Implications of the Bottom-Up Approach

The bottom-up approach could not be employed due to the Lacklack of critical resources to spearhead the entire process. The policy design was framed in line with the available resources, and these affirmations meant that the bottom-up approach would be futile. The proposed models led to several concerns concerning the applied model approaches and theoretical frameworks. The team philosophy was not ardent with the predetermined conclusions, and these meant that the accruing results would not meet the policy affirmations (Litz & Scott, 2017, p.566).

Accruing Challenges

The Lacklack of resources to influence this approach means that leaders can never be ardent in articulating it. Adopting the method keeps the evaluation approaches at bay, and this approach leads to the failure of the policy implications and provisions. Accountability issues are at the bottom of this rationale, and the affirmations created are much lacking with coherence with the governing entities (Ajulor, 2017, p.6).

An Analysis of the Implementation Process

The accruing issues during the implementation stage should be analyzed vividly. The warnings were directly pointed to the government entities due to a lack of transparent resource allocation and the adoption of change management principles to make the policy a success. (Hacking et al., 2018, p.10). There is a dire need to employ an inclusive strategy to deal with the accruing challenges during the implementation phase. The dominant challenges include the possibility of political interferences, lack of specified implementation timelines, lack of a harmonized coordination framework, and lack of predefined targets (Hoogesteger & Wester, 2017, p. 110).

Scope of the Delivery Strategy

Research has always been employed in all aspects to determine the direction of the proposed policy implementation. Lack of substantial evidence on the success or failure of past policy approaches leads to a lack of transparent decision support systems, and these leads to Lacklack of clarity and authenticity in the accruing procedures and decisions. The delivery strategy acts as an essential guide, which proposes the project timelines in line with the expected results and delivery timelines (Litz & Scott, 2017, p.570). The strategy should be integrated with other policy frameworks to create support for the entire implementation process. The specification of the key departments and the work division criteria should act as a critical guide to the implementation process. The process encompasses the employment of the necessary needs assessment tool kits to spearhead the process (Al-Ali et al., 2017, p4).

However, there is a lack of explicit coordination to guide the entire process in line with the available resources and project timelines. All organizations have not been sensitized on the urgency and importance of policy as the whole and accruing benefits in terms of convenience, children satisfaction and flexibility in the implementation approach (Calnin et al, 2018, p.100). The improvement plan should be launched after the initial scope of the proposed policy is implemented. The need to cover suggests proved policy approaches without placing due consideration on the available resources and expertise has proved to be an ardent challenge during the entire implementation process. The specification of the project three-year timeline is an advantage on in the implementation process. However, the Lacklack of detailed policy implementation criteria is a dominant challenge in the entire process (Adewale et al., 2017, p.46).

An Analysis of the Child Trust Approaches

The approach is based on the rationale that there is a dire need to integrate the key aspects of the involved teams. These will ensure that there is a shared approach and sense of direction. These posed to train the interested parties to enhance their competence during the entire implementation process. The training sessions became a pipe dream, and their primary motive meant to support a common understanding of the fundamental principles which were meant to determine the scope of the entire implementation process (Calnin et al., 2018, p.100).

The ability to understand the key aspects guiding the process were meant to induce an integrated working approach to ensure that there were the shared mission, vision and goals during the accruing implementation process (Adewale et al, 2017, p.40). The strategic planning approach was also lacking in all dimensions because it did not apply the joint proposal. All the stakeholders were not involved in framing the chief strategies, which were based on the strategic goals. The ability to strategize effectively is at the bottom of the implementation process. Pooling the right resources proves to be a leadership challenge due to t the Lacklack of chief funding entities to support the entire program (Hoogesteger & Wester, 2017, p.110). Soliciting the right resources ensures that there is potential for success due to improved outcomes, which are linked with coordination of the critical support. The framework should address all the essential priorities and align the critical resources toward the attainment of the chief goals. Improved outcomes can be measured based on both the laid national and local preferences during the implementation process. Lack of clear benchmarking criteria on the possible results proves to a dire challenge during the entire implementation process (Bligh, Kohles & Yan, 2020, p.118). The need to create robust interdisciplinary approaches in spearheading the policy provisions should create a strong rationale to guide the entire process. However, the Lacklack of a shared responsibility framework acts as a hindering factor in the implementation process as a whole.

The Dominant Inequalities in Access

All the policy frameworks have been positioned towards enhancing access to government services. The heart of the NFS policy framework was geared towards changing our perspectives on the implications of health and social services (Bakari, Hunjra & Niazi, 2017, p.160). The rationale of the policy framework was to enhance the creation of a cultural shift towards the creation of client-centered services. The promising aspects of the structure were based on the need to create reliable health care patterns geared towards the provision of better health care services to both the children and the family members. The premise of the entire framework was geared towards ensuring that all the potential barriers in the health care system were eliminated (Demirçelik & Korkmaz, 2017, p.35).

The most crucial premise of the policy framework was centered on the creation of reliable services to children and pregnant women because they encompass the population which needs the hospital services most (Yavuz, 2020, p.225). The premise was also focused on the need to develop a flexible approach in the provision of health care services. However, the policy affirmations did not consider the implications of the proposed changes. The changes posed a dominant need to employ change management strategies from a diverse point to ensure that all the involved parties are prepared for the proposed changes. Failing to develop the key personnel in any undertaking is preparing to fail. The workforce in all the hospitals was not prepared to adopt the proposed changes, and this lead to a lack of coordination and shared focus during the implementation phase (Bligh, Kohles & Yan, 2020, p.117).

Lack of clarity on the best practices to adopt in spearheading the proposed changes has proved to be a setback in the entire implementation process. The provisions of the policy framework were directed towards creating a reliable and seamless child experience in the health sector. The requirements of the policy framework had laid down clear goals on the different stages of growth concerning the child’s needs (Hoogesteger & Wester, 2017, p.110). However, the policy framework did not create much needed public and private partnerships to spearhead the process. One of the critical aspects which were overlooked during the initial policy implementation phase was the inability to create knowledge-sharing platforms between secondary health care providers and the tertiary providers. Lack of the common shared approach meant that the involved organizations did not have secure connections in line with the proposed changes and policy timelines (Harwiki, 2016, p.40).

Proposed Change Timelines

The full implementation of any policy framework is likely to be time-consuming. These pose the need for the government and other partners to employ all the principles of change management to ensure that the proposed changes are conducted and implemented within the proposed timelines (Bligh, Kohles & Yan, 2020, p.117). The planning phase encompasses the way forward; however, soliciting the needed resources and harmonizing the change process is a challenge in the implementation of the policy framework (Demirçelik & Korkmaz, 2017, p.35). Most of the demanding sections of the entire structure are encompassed on the dominant Lacklack of clarity on the expected outcomes in detail. The policy affirmations have created the overall strategic objectives, but they have failed in proposing the exact changes to be implemented at the local level. Most employees at the local are still caught up on how to implement the changes approach. The confusion on the exact difference and timelines to be adopted is a crucial challenge in the implementation process (Wang et al., 2017, p.192).

Workforce Challenges

The success of the NFS framework is highly determined by the availability of a trained and motivated workforce. These denote the ability of the government to ensure that it has the right number of employees, resources, and also the ability to provide that the employees are vanished with the right skills and capabilities to handle the entire process. The workforce challenge has been an impeding factor in the health and social services domain. Employee attrition has been very high in the departments concerned with the children’s wellbeing in the majority of the government sectors. Employees lack the current workforce demands and capabilities to deliver in their specific work environments (Bligh, Kohles & Yan, 2020, p.117).

There is a dire need to address the accruing workforce challenges to ensure that the implementation of the policy framework is thriving. One of the critical issues which have been a significant lack of the necessary capacity building approaches to spearhead the process. The initial approach should encompass the need to address the capacity gaps starting the local population in mind. There is a need to revolutionize the work concept to ensure that the staffing constraints are addressed through workforce modernization and effective adoption of the essential role designs. The deployment of the key staff should be conducted in line with the basic needs of the deployed area (Wang et al., 2017, p.193).

Implications of the Monitoring and Evaluation Frameworks

The government has been at the forefront in ensuring that the NFS policy framework is adopted to capitalize on its intended scope (Li et al., 2016, p.10). However, the following aspects of the implementation process have not been addressed adequately. There is an apparent absence of clarity in the responsibility allocation and assigned roles during the entire implementation process.

All the key sectors in the policy scope should be assigned to specific individuals to guide the implementation phase. Clarity of roles provides the vital standard in monitoring and evaluating the progress of the project in line with the critical objectives Transparency in all the parts enhances responsibility during the entire process. The targets and expected outcomes should (Wang et al., 2017, p.190).

Conclusion

The availability of crucial training resources will determine the practical implementation of the policy. All staff should be competent in critical policy areas. The bottom-up approach is the only suitable method in ensuring that the provisions of the NFS framework are successful. The right skills, coupled with ongoing professional development, should be integrated into the NFS delivery plan. There is a need to conduct detailed research on the critical shortcomings of the initial implementation approach. The accruing results will be vital in future policy implementations in the health field.

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