Date post: | 23-Jul-2015 |
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Health & Medicine |
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Strengthening Health Visiting into the future, needs and opportunities
Theresa Bishop, Professional Lead for Health Visiting for Warwickshire
2
A community that
supports children
and families
Services that
give our baby/child
healthy start.
Best advice on a being a
parent
To know our health
visitor and how to
contact them
A quick response if we have a
problem and to be given
expert advice and support by
the right person
To have the right people to
help over a longer term
when things are really
difficult
To know those people and
that they will work together
and with us.
What do parents want? How will HV services provide it?
Your CommunityWorking with local people to develop
services and making sure you know what
is available
UniversalMaking sure you and your family receive
the healthy child programme including
your baby/child’s checks and
immunisations and providing health and
parenting advice when you need it
Universal PlusProviding a rapid response and a range
of services if you have a problem for
example post natal depression or child
who doesn’t sleep
Universal Partnership PlusBy working with you alongside others
such as you local Sure Start Children
Centre on tackling problems and
supporting you to give you child the best
start
Transforming Health Visiting
• Transition to parenthood and the early weeks
• Maternal (Perinatal) mental health
• Breastfeeding • Healthy weight,
(healthy diet and being active)
• Managing minor illnesses & reducing accidents
• Health, wellbeing & development at 2 years & support to be ‘ready for school’
• Antenatal health promoting visits
• New baby review• 6-8 week
assessment• 1 year
assessment• 2 to 2 ½ year
review
Improved access
Improved experience
Improved outcomes
Reduced health inequalities
• Your Community
• Universal
• Universal Plus
• Universal Partnership Plus
5Universal Elements
(Mandated)
6High Impact Areas
4Level service model
Transforming Health Visiting
SWOT
Strengths
• HVs identified as key prime health professional to be able to make a difference to families (DH, 2011)
• Well accepted and welcomed by families
• HVs – no hard to reach families – universal service
• HVs key in supporting parents with secure attachments with their infants
Weaknesses
• Evidence base specific to HV
• Many outcomes long term
• Prevention difficult to prove e.g. baby steps
• Data collection and IT
Opportunities (1)
• Moving into being commissioned by Public Health
• 456 HV model
• 5 Universal Contacts - mandated
• 6 High Impact Areas
• Public Health Outcomes Framework
• Influencing
• Marketing, Using social media
Opportunities (2)
• 5 year forward plan is emphasis on health inequalities
• Chimat PreVIEW
• Health Visiting – lot of interest – build on this
• Linking in with 1001 critical days
Threats
• Building the evidence base to show we have made a difference – we’ve increased the numbers – transformed the service – so what
• Targets and associated tensions
• Moving to new commissioners
• Other services being reduced e.g. CC
• GP commissioning
• Skill mix
Needs for Health Visiting
• Research
• Influencing
• Marketing and shouting out about HV
• IT – infrastructure and also skills
• Using the medium that our families use –what do parents say about HVs – how can we influence this?
Opportunities6 High Impact AreasInfluencing
policy
Personalised Care –
Population health
iHV
Fellows
Marketing
Grasp the opportunities to create the future …..
Don't overlook any opportunities that come your way because they seem too small. You never know when taking the right chance may greatly change your situation in the future…..
Health Visiting Programme
Public Health Nursing and Midwifery
Lifecourse 0-5• Six priorities for demonstrating
success and building sustainable services post 2015
• Transition to parenthood and the early weeks
• Maternal mental health (PND)
• Breast feeding (initiation and duration)
• Obesity to include nutrition and physical activity
• Health and wellbeing at 2 (development of the child two year old review (integrated review) and support to be ‘ready for school’
• Managing minor illness and reducing accidents (reducing hospital attendance/admissions)
•AMR: information education
behaviour change
•Importance of HCP
immunisation programme•Resurgence of childhood illnesses
when immunisation rates fall –
whooping cough (pertussis),
measles
•Flu – protection in pregnancy
•Protection before immunisation
programme – pertussis for
pregnant women
•New campaigns – childhood flu
immunisation
Public Health Nursing and Midwifery 15
Health ProtectionSharing responsibilities to
protect children’s health