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Health Visiting and FNP services. National Policy Giving all children a healthy start in life Improving the HV service Improving chances for children.

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Presentation on theme: "Health Visiting and FNP services. National Policy Giving all children a healthy start in life Improving the HV service Improving chances for children."— Presentation transcript:

1 Health Visiting and FNP services

2 National Policy Giving all children a healthy start in life Improving the HV service Improving chances for children with vulnerable mothers Supporting mothers & children with mental health problems Helping parents to keep their children healthy Providing free school meals Encouraging healthy living from an early age Protecting children through immunisation Improving maternity care

3 Policy deliverables by 2015 increase qualified Health Visiting workforce by 4200 transform the Health Visitor service increase the number of Family Nurse Partnership places to16,000

4 HV / FNP Programme key dates 2011 Health Visitor Implementation Plan : A Call to Action launched Strategic Health Authorities worked with Primary Care Trusts to identify how many Health Visitors would be needed in localities to meet identified population needs. Business cases and Investment profiles agreed Public Health transferred to the Local Authority in 2013, however the commissioning of Health Visiting & FNP Services moved to NHS England for a period of two years to complete the investment and transformation programme Commissioning responsibility for Health Visiting and Family Nurse Partnership services will transfer from NHS England to Local Authorities on 1 st October to complete the transfer of public health functions.

5 Why the focus on Health Visiting?  Public Health - The foundations for virtually every aspect of human development – physical, intellectual and emotional – are set in place during pregnancy and in early childhood.  Economic - Successive academic and economic reviews have demonstrated the economic and social value of prevention and early intervention programmes in pregnancy and the early years.  Competency - Health Visitors, specialist community public health nurses, have a unique role in identifying need and supporting the development and wellbeing of every child in England up to the age of 5.

6 The Health Visiting Service…  provides expert information, advice, guidance and interventions to help parents become the best parent they can be and give their children the best start in life.  has a central role in improving the health outcomes of populations, reducing inequalities, protecting children from harm and identifying additional needs at the earliest opportunity.  leads the delivery of the national Healthy Child Programme 0-5 for every child  is the only service that comprehensively assesses the health, wellbeing and social needs of every child at crucial stages of their development between pregnancy and the age of 3, often in the home environment.

7 Healthy Child Programme An universal schedule of evidence based assessments, screening, immunisations and contacts aimed at promoting and protecting the health and wellbeing of all children as well as identifying needs early and taking appropriate additional action.

8 National Core Service Specification

9 Local provision

10 Two providers of CIOS Health Visiting Health Visiting FNP Cornwall Partnership Foundation Trust Health Visitors in LAC Specialist Nursing Team Royal Cornwall Hospital Trust

11 Three key aspects increase qualified Health Visiting workforce Transform the Health Visitor service increase the number of Family Nurse Partnership places

12 Increasing the workforce May 2010March fte qualified HV’s 117fte qualified HV’s

13 Transform the Health Visiting service Population uptake of core checks Evidence based tools Workforce development Pathways of care Supervision Engagement of service users Safeguarding Public Health & Prevention

14 Population uptake of core checks AntenatalNewbirth6-8 weeks *3-4 months *By 1 year2-2.5 years

15 Increasing universal uptake - 1 year review 53%70% Q Q3 2013

16 Evidence based tools examples Solihull Family Partnership Model Motivational Interviewing Baby Friendly Ages & Stages 3 & SE

17 Evidence Based Assessments of Need Check uptake increase from 67% to 74% ASQ to be nationally introduced 60% of reviews used ASQ 88% of staff trained by Q2

18 Workforce Development examples Leadership of change training Preceptorship programme Communities of practice Action Learning Set for CPT’s NHS Employers

19 Snapshot of local developments Equitable practice on the Isles of Scilly HV in pre-birth assessment team HV in MARU (multi-agency referral and assessment unit) Multi-Agency Antenatal education Migrant Workers Needs analysis Doubled FNP capacity Restorative Supervision LAC Specialist Nursing Team

20 Family Nurse Partnership Supporting vulnerable first time young parents Up to 200 places Licenced model Capacity increased from 4 to 8 nurses

21 Looked After Children’s Team 3.4wte New nurses from HV investment High quality consistent assessment % reviews in time has increased from 34% to 90%+ Case management approach – nurse follows child Specific support for adoptive parents to support placement

22 Developing clear pathways of care Development of champion roles Domestic Abuse Perinatal Mental Health Infant Feeding Infant Feeding co- ordinator BFI accreditation across Hospital & Community Perinatal mental health & attachment Currently use Woolley questions, GAD7 & PHQ9 Reviewing use of Promotional guides / MORS Integrating two year reviews Introduction of ASQ Working with Early years to streamline delivery Part of Social Marketing project

23 Engaging families Meridian Survey/Friends and family Social marketing Needs analysis

24 HV Challenges Increased accessibility & expectationAchieving Population Uptake Maintaining focus upon public health and prevention as well as safeguarding Maintaining the workforce through changeActively engaging service users and influencing changeFit for purpose Information sharing and IT

25 FNP Challenges Decreasing teenage pregnancy rateStaff turnover & sickness Achieving fidelity of programme in a rural geography Ensuring alignment to HV & Early Years services to provide a continuum of support

26 Any questions?


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