Sarah Rock Oct 2013

Health Visiting in ShropshireHealth Visiting in Shropshire

Shropshire Community Health NHS Trust

North Shropshire

South Shropshire

Shrewsbury and Atcham

North Telford

South Telford

Shropshire Council Telford & Wrekin Council

Why is the Healthy Child Why is the Healthy Child Programme important? Programme important? The HCP is the early intervention and prevention

public health programme that lies at the heart of our universal service for children and families.

The HCP’s universal reach provides the opportunity to identify families that are in need of additional support and children to reduce health inequalities and improve health outcomes.

An Emphasis on An Emphasis on Integrated ServicesIntegrated Services

HCP is to be led by a Health Visitor and delivered by a range of practitioners across the health service and wider children’s workforce.

Health Visitors support early years staff in their role to promote the health of children.

With a positive partnership working approach there is the opportunity for early identification of children and families requiring additional support.

Why Are the Health Visitors Lead Why Are the Health Visitors Lead on the HCP on the HCP ? ?

The HCP includes activities that require clinical and public health skills and knowledge

Health Visitors are a regulated and registered practitioners who are accountable for their practice.

Health Visitors are notified of all pregnancies and births, and are responsible for the registered population

Health Visitors are trusted and listened to by the public – especially during pregnancy and around the time of childbirth

Health Visitors have the necessary skills to co-ordinate the HCP

We all have a part to We all have a part to playplay

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What Health Visitors offer.

What Health Visitors What Health Visitors OfferOffer

Universal OfferHealth Visiting Core contacts

Antenatal Contact 11 – 14 days Primary assessment6-8 week contact Maternal mental health assessment & development of baby health3-4month -Maternal mental health & weaning advice8-12 months- Growth Development /public health?2 year – Developmental Review

What Health Visitors What Health Visitors offeroffer

Universal Plus

Health Visitors can offer extra help if there are additional needs

ie. for example with feeding , sleeping, behaviour, postnatal depression, and child’s development

What Health Visitors What Health Visitors offeroffer

Partnership PlusSometimes families may need help from other agencies

to meet their child’s needs.for example with Domestic abuse, children with

disabilities, isolation mental health Issues, substance misuse, and many others …

2 year Health Assessment2 year Health AssessmentReasons for:Reasons for:

An assessment of current health status and promote the health of two year olds through community public health actions

Assessment of the child’s development of speech and language, emotional and cognitive skills development, support positive relationships in families and target obesity prevention

Continue to Work effectively with mothers and fathers to empower them to make Positive health choices

Reduce unequal outcomes for children

Engaging with Engaging with Parents/familiesParents/families Personal Universal invitation sent to ALL 2 year olds in

Shropshire 2 year Assessment is done in a variety of settings Parent-led assessment Includes Public health Anticipatory guidance

Accident prevention Parenting capacity Prevention of obesity

HV can assess a child’s development in depth using ASQ development tool

SimilaritiesOffered at the same timeAssessing some similar domainsParent involvement important

DifferencesChild Vs. family focusedOne focused on readiness for school Vs. Holistic public health focus Statutory Vs. OfferAll Children in Shropshire are offered HV 2 year check

EYFS 2 year ReviewEYFS 2 year Review Assessment of personal, social and emotional

development Physical Development Communication skills Educationally based

WhereWhere are we now? are we now? Reviewing our delivery in current form to

enable maximum uptake to benefit all children. (Awaiting audit results).

Maximizing partnership working with Sure Start Children’s Centres.

Moving forward…Moving forward… EYFS 2 year assessment recommended in Healthy child

Programme to be done prior to the 2 year health Assessment.

Working more collaboratively in delivery of 2 year assessment causing maximum uptake and less confusion for parents and families

Maximizing uptake of 2 year check /Not all 2 year olds attend nursery settings

Acknowledging that both EYFS and Health Review are both valuable contacts