4 Breastfeeding and health inequalities Breastfed babies born to mothers of lower socio-economic groups have better health outcomes than those babies born to mothers from higher socio-economic groups who are formula fed.Forster S (2004).
5 National recommendations and policy priorities Exclusive breastfeeding for six months – followed by continued breast milk, whilst introducing a more varied diet after this timeHealthy Weight, Healthy Lives (Department of Health and Department for Children, Schools and Families, 2008)Health Inequalities – progress and next steps (Department of Health, 2008)Implementation Plan for Reducing Health Inequalities in Infant Mortality: a good practice guide (Department of Health, 2007)
6 Performance drivers and national targets PSA 12: Improve the health and wellbeing of children and young people - five key indicators including increasing breastfeeding prevalence at 6–8 weeks (PSA 12.1) and reducing childhood obesity (PSA 12.3)Vital Signs Monitoring System Indicator (VSB11) and National Indicator Set (NI) 53 – % infants breastfed at 6–8 weeks is included in the NHS Operating Framework ( ) and in the National Indicator Set for Local Area Agreements
7 Greenwich Breastfeeding Strategy Partnership Greenwich Council: Integrated Support, Children and FamiliesNHS Greenwich: Public Health and WellbeingGreenwich Community Health Services: Public Health Community Nursing Services for Children, Young People and FamiliesSouth London Healthcare NHS Trust (Queen Elizabeth Hospital): the Maternity Dept. and Neonatal UnitGreenwich University: School of Health and Social Care
8 VisionTo enable all pregnant women in Greenwich to make an informed choice about how they choose to feed their baby - and that if they choose to breastfeed, that they are adequately supported to do so.
9 Key programmes of work Quality of care Support in the community Raising the profilePublic policyData collection
10 UNICEF Baby Friendly Initiative A worldwide initiative which aims to improve quality of care for breastfeeding by implementing best practice standardsEstablished in 1998 by WHO, GenevaAcknowledged by NICE and DH (2008)
11 Local achievementsFirst in the country to undertake the UNICEF UK BFI co-ordinated approach (2005)The first borough in London to gain a Stage 1 award (2007)The first to be awarded Stage 2 for the community in London (2008)
12 Joint working Greenwich Council and Greenwich Community Health Services/ NHS Greenwich Breastfeeding drop-in groups held in local Children’s CentresBreastfeeding Advocates who work geographically and are aligned to set Children’s CentresTraining for staff – Children’s Centres (25), Nurseries (44) and Registered Child Minders (447)Adoption of Volunteer Policy to support a local peer support programme
13 Joint working (cont.) Greenwich Council and Greenwich Community Health Services/ NHS Greenwich Local policy which supports breastfeeding in all public services buildingsGreenwich Breastfeeding Strategy Group Meeting chaired on rotationThe Breastfeeding Team currently housed in Greenwich Council with Integrated Support, Children and FamiliesDirect input into local Children’s and Young Peoples Plan, LAA’s, Safeguarding Inspections etc.
14 Barriers to partnership working Working productively against the back-drop of organisational change and poor staffing levelsImplementing change across services with competing agendas and prioritiesAll-inclusiveness and good communication across all departments and services
15 Breastfeeding prevalence at 6-8 weeks in Greenwich
16 Breastfeeding prevalence at 6-8 weeks across neighbouring PCTs in South London
17 Priorities for 2010/11 Continue to improve clinical care and support Better postnatal support:between transfer home and new birth visitreview of community drop-in groupsBetter insight and targeted support for those women least likely to breastfeed
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