The National picture Health services for children 0-19 years Wendy Nicholson National Lead Nurse: Children, Young People and Families Public Health England December 2016

PHE national priorities Improving health outcomes - reducing inequalities Tackling obesity, particularly among children • Reducing smoking and stopping children starting • Reducing harmful drinking and alcohol-related hospital admissions • Ensuring every child has the best start in life • Tackling the growth in antimicrobial resistance Public Health England (2014) From Evidence into Action: Opportunities to Protect and Improve the Nation’s Health Longer Lives Getting it Right in Early Years

Leading Change Adding Value: Prevention and Population Health Commitments We will promote a culture where improving the population’s health is a core component of the practice of all nursing, midwifery and care staff. Commitment 2: We will increase the visibility of nursing and midwifery leadership and input in prevention. Commitment 3: We will work with individuals, families and communities to equip them to make informed choices and manage their own health.

Delivering the commitments? (AOH) is a ‘Call to Action’ to health and care professionals (HCPs) individually and collectively, to contribute to the Five Year Forward View’s call to close the health and wellbeing gap contribute to radical upgrade in prevention and public health develop a social movement and culture for health AOH provides an opportunity to Complement structural and large scale sustainability and transformation with professional mobilisation Provide solutions to HCPs concerns re developing ‘health promoting practice’ Promote engagement with practitioners, leaders and educators changing practice now and for the future Align ‘public campaigns’ and professional information

Our Children Deserve Better: Prevention Pays* CMO 2012 CYP and Families: a life course approach The first years of life are a critical opportunity for building healthy, resilient and capable children, young people and adults Public Health Nursing and Midwifery Marmot 2010, Fair Society, Healthy Lives: The Marmot Review Our Children Deserve Better: Prevention Pays* CMO 2012 “events that occur in early life (indeed in foetal life) affect health and wellbeing later, it makes sense to intervene early” “the evidence still points to room for improvement. We need everyone in the public services to ‘think family and children and young people’ at every interaction” 5 Improving early years – a public health approach

The importance of Healthy Pregnancy Presentation title - edit in Header and Footer

Reducing Childhood Obesity Best Start in Life ‘Healthy Maternity’ Ready to Learn at 2 Ready for School at 5 Reducing Childhood Obesity Evidence for prevention and early Intervention National support for local leadership (PLACE) Parent/public information Reducing inequalities Increase breastfeeding Improve oral health Support development of speech, language and communication Reduce injury from accidents Immunisation

Reducing inequalities - School readiness Longer Lives

Reducing inequalities - the school-aged years Mental health matters Oral health Childhood obesity Child safety Transition Complex needs Celebrating 0-19 services: Driven by excellence, underpinned by innovation and evidence

Place-based commissioning for children young people and families

Health visitors and school nurses leading public health delivery Re-affirming the leadership role of health visitors & school nursing services in the delivery of public health to school- age children Holistic care and support both in and out of school settings Delivery centred around the child, young people and family

Transformed Services – Evidence Based Practice 12 Improving early years – a public health approach

Supporting evidenced based delivery All our Health Maternity transformation – prevention Mandation ROI 456 integrated model and HIAs Health literacy & Impact assessment toolkit, New pathways and guidance Aspiring leaders – SN, Digital CPD – school nurses, National school nurse leadership scholarship (FNF) Regional events You’re Welcome phase 2, Junior antibiotic guardian programme and junior health checks, CYP engagement, Childhood obesity and NCMP Safeguarding – UASC, modern slavery, FGM Longer Lives

Success will mean ….. Add ready for life slide Getting it Right in Early Years

Positive places for children young people and families ‘Getting it right for children’s services’ using all local resource public health, Children’s Centres, early years, schools, wider family services…… One ‘Healthy Child Programme 0-19’ Improved communication between children’s services and primary care Improved integration of services - access and experience for families .. ‘one stop shop’ e.g. integrated 2 year review Improved communication for families with complex needs and in safeguarding Improved inter-professional working with joint training improving continuity and communication for families Getting it Right in Early Years

Success : measuring impact Data from the Public Health Outcomes Framework that are relevant to the Early Years Low birth rate of babies Breastfeeding prevalence Smoking status at time of delivery Under 18 conceptions Excess weight at age 4-5 years Vaccination coverage Infant mortality Tooth decay in children age 5 Data from the Public Health Outcomes Framework that are relevant to the 5-19 Under 18 conceptions Excess weight at age 4-5 years & 11-12yrs Vaccination coverage Tooth decay in children age 5 School absences NEET Measuring impact

17 Improving early years – a public health approach Wendy.nicholson@phe.gov.uk @WendyJNicholson Nana Quawson 17 Improving early years – a public health approach 17 Improving early years – a public health approach 17 Getting it Right in Early Years