Vision for Health and Wellbeing in the Community – A Child Health perspective Dr. Stephanie O’Keeffe National Director, Health and Wellbeing For Institute of Community Health Nursing 18 th May 2016

Healthy Ireland Framework – informing the approach in the community

3 HSE’s National Implementation Plan 2015 – 17 Three Priority Areas Reducing the burden of chronic disease Health services reform Improving staff health & wellbeing Actions relevant to child health

HI in The Health Services

Implementation Governance Structure

Monitoring the Implementation Hi Outcomes Framework (DoH) Health Status Determinants Health and Social Care Performance and Effectiveness Measures (HSE) Corporate Plan Service/Op Plans Hi Implementation Plans HI Web site with Toolkit

Healthy Childhood is one of the key national policy priority programmes under the Healthy Ireland in the Health Services - National Implementation Plan Policy Priority Programme-Healthy Childhood  Hospital Group actions  CHO actions

8 Policy & Strategic Context for Child Health Legislation - Legislative mandate for child health Strategy – Healthy Ireland ( ) - DoH Better Outcomes Brighter Futures ( ) - DCYA Maternity Strategy DoH National Early Years Strategy (in preparation) - DCYA HSE Best Health for Children (1999); Best Health for Children (2005); Supporting Parents Strategy (2002) HSE Corporate Plan ( ) Healthy Ireland Implementation Plan ( ) National Healthy Childhood Programme The Nurture Programme-Infant Health and Wellbeing Key Service Design Areas Paediatrics and Neonatology Clinical Programmes Integrated Care Programme for Children National Children’s Hospital Network

INSERT GRAPH FROM HI ON IMPACTS OF EARLY INVESTMENT Why invest in early childhood development?

Improving Health and Wellbeing in Ireland

11 The child population of Ireland increased by 13.4% between 2002 and % of population are children-approx 68,000 births per year Family profile in Ireland has changed Approximately 9 in 10 children aged report being happy with their lives at present High screening uptake rates-Newborn Bloodspot Screening and Neonatal Hearing Screening Programmes Improved immunisation rates Low breastfeeding rates-56% on discharge from hospital 18% of children at risk of poverty Why invest in early childhood development cont.

12 Framework for the National Healthy Childhood Programme Key issues emerging from Evidence Review carried out by the Child Public Health Group 1. Acknowledgement that the wider determinants of health play a significant part in child and adult health 2. The benefits of a Child Health Programme based on a model of progressive universalism – help for all and more for those who need it 3. The impact of the antenatal period on the development of the foetus 4. The importance of maternal mental health on infant mental health and development 5. The pivotal role of the parents in child development 6. Early identification of issues can improve the outcome for the child

1. Access to defined core (universal) services as underpinned in legislation - (progressive/proportionate universalism) 2. Access to high quality integrated services 3. The importance of antenatal care on long term maternal, child and adult health and the impact of good mental and emotional child and maternal health 4. Recognises early childhood development 5. Parents made aware of the right to universal child health screening and surveillance services 6. Empower parents as the primary educators during the critical early years of a child’s development 7. Evidence-based with a focus on prevention and early intervention Principles of the National Healthy Childhood Programme 8.Clinical governance framework which supports the provision of quality services by: Ensuring integrated care for children via clear referral pathways and formalised networks Enabling a culture of continuous quality improvement Providing appropriate professional training to the level of competency required 9.National Immunisation and Childhealth Information System (NICIS)-communication and integration between service providers 10. Sharing of information with parents

Health Promotion and Improvement Infant Mental Health Screening Physical Health Developmental Surveillance Growth Monitoring Immunisations Needs Assessment Dental Health Making Every Contact Count  GP  Public Health Nurse  Community services  Specialist hospital services  Early Childhood services  Parents, community National Healthy Childhood Programme

Key success factors Culture and Values Leadership and Quality Clarity Investment Data & systems Evidence & analysis Outcomes Staff Health and Wellbeing

Vision for Health and Wellbeing in the Community – A Child Health Perspective Thank you