1. 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

2. 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

3. 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.

4. 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

5. 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

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

7. 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

8. Reducing inequalities - School readiness
Longer Lives

9. 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

10. Place-based commissioning for children young people and families

11. 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

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

13. 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

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

15. 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

16. 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 & yrs
Vaccination coverage
Tooth decay in children age 5
School absences
NEET
Measuring impact

17. 17 Improving early years – a public health approach
@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