1. Network Name Alexandra Hammond Infant Feeding Coordinator / Vitamin D Lead Janyce Sutherland Public Health Midwife Vitamin Supplementation Audit Feedback - Regional Conference June 29th 2011 East Lancashires Experience of Implementing a Vitamin D Supplementation Scheme

2. Network Name A STEP BACK IN TIME …

3. Network Name New product, same concerns Inequalities Funding Monitoring

4. Network Name Defining the Policy Criteria… The first challenge! Free vitamin supplementation with Healthy Start vitamins to: All pregnant women All children: 5 years and under All breastfeeding women

5. Network Name The Policy….. Free vitamin supplementation with Healthy Start vitamins to: All pregnant women All children: 5 years and under All postnatal women up to 1 year Breastfeeding women for as long as they continue

6. Network Name The Complexity of Implementation 3 Footprints of East Lancashire Workforce 5 very Distinct Boroughs

7. Network Name One approach does not fit all…. The Solutions …. Generic Operating Procedure Local Consultation enabling development of: Informal local delivery agreements or Formal MOU

8. Network Name The Solutions …… CC Outreach and Family Support Workers Midwives Health Visitors IFC / HIS Admin Health Coordinators Public Health Midwives Health Development Practitioners Health Improvement Assistant Practitioners Neighbourhood Health Workers Strategic planning, workforce development 1:1 contact with families at key contacts Events, targeted work

9. Network Name 1.Funding2. Systems, processes and monitoring 3.Initial Launch Event4. Training 5.Negotiating local delivery pathways / facilitating partnerships and relationships 6.Database / monitoring 7. Evidencing outcomes 8.Specialist advice9. Updates / Cascades 10.Troubleshooting11. Other policies What role have the strategic leads played?

10. Network Name The Solutions …… CC Outreach and Family Support Workers Midwives Health Visitors IFC / HIS Health Coordinators Public Health Midwives Health Development Practitioners Health Improvement Assistant Practitioners Neighbourhood Health Workers Strategic planning, workforce development 1:1 contact with families at key contacts Events, targeted work

11. Network Name Quarter 1Quarter 2Quarter 3Quarter 4Annual 2010/11 Vit Drops279219481936 2488 9164 Vit Tabs249221291905 2275 8801 Total Units528440773841476317,965 Distribution Points31 (28=HDA)37 (34=HDA)

12. Network Name AreaVit DropsNo BME% BMEVit TabsNo BME% BMETotal Drops and Tabs Burnley 63224338.45%57116829.42%1203 Pendle 74745060.24%69030744.49%1437 Rossendale 3554713.24%3243711.42%679 Hyndburn 53423744.38%47520442.95%1009 Ribble Valley 2202611.82%2152310.70%435 TOTAL 2488100340.31%227573932.48%4763

13. Network Name Whats worked? HIS team approach PH MWs providing additional training for MWs PH MWs engaging boundary MWs Audit of and feedback to CFIT and MSLC – recommendations made, emphasises importance New database developed HIS spreading key messages further afield Providing resources as aide memoir Undertaking the Regional Audit! Link to Sun Safety Campaign

14. Network Name Next Steps? Continue to keep admin closely involved in development - training Implement recommendations of the regional audit Train Primary School Nurses, Practice Nurses, NCMP staff, GPs, Pharmacists Reporting re HS beneficiaries to DH Retargeting BME community Develop training for Childminders / HomeStart

15. Network Name Alexandra Hammond Infant Feeding Coordinator / Vitamin D Lead Jane Greenwood Healthy Start Lead Janyce Sutherland Public Health Midwife 01254 358046