1. Improving Vitamin D Uptake in Bolton

4. Conclusions Increased uptake of vitamin supplements should be encouraged PCTs should think best how to promote uptake of Vitamins for those eligible under Healthy Start benefit PCTs should make Healthy Start Vitamins available to pregnant women, breastfeeding mothers and babies at risk of low Vitamin D but not eligible to the benefit

5. Action Plan Scoping exercise Focus Group Funding 2008 – Development of a Vitamin D Protocol Launch So thats that done!!!

6. numbers Under Protocol 2009 – 2010 Children 84 Women 12 2010 – 2011 Children - 180 Women – 596 2012 – 2013 Children - 682 Women - 528 Under Healthy Start Benefit From DH 2012-13 - Q 4 76.7% Uptake Healthy Start Vouchers 2.3% Childrens Vitamins 4.1% Womens Vitamins

8. Findings from Audit Inconsistent discussion on Vitamin D recorded at New Birth Visit Discussion about Healthy Start Benefit for formula feeding mothers Colleagues report discussion would tend to be in baby clinic at subsequent contacts & recorded in PHCHR

9. This Year Statutory responsibility for the provision of Healthy Start vitamins from April 2013 The amendments ensure that the new commissioning bodies in the health service have responsibility for provision of vitamins locally from April 2013. The Departments aim is to make Healthy Start vitamins easily available and ensure that new arrangements will facilitate and encourage increased uptake by Healthy Start beneficiaries and, where it is a local priority, other nutritionally vulnerable population groups.

10. Current Strategies Continuing promotion and updates for Health Staff Pharmacy involvement in provision of Healthy Start Vitamins Pharmacy campaign December13 – January14 Extend Vitamin D protocol to Pharmacies Harvey Project – 8 month discussion

11. Challenges Ensuring good staff knowledge/understanding re need for Vitamin D supplementation Budgets Provision of Healthy Start Vitamins via NHS supplies Requirement for wholesale distributor licence