healthy start scheme in islington claire bennett assistant public health strategist nhs islington
TRANSCRIPT
Healthy Start Scheme in Islington
Claire Bennett
Assistant Public Health Strategist
NHS Islington
Case Study
• Context of Healthy Start in Islington • History of Healthy Start in Islington • Mapping exercise • Ordering • Monitoring • Finance • Publicity • Next steps
Context of Islington
• 4th most deprived Borough in England • 65% of Islington population live in 20% most deprived areas nationally • High levels of obesity • High rates of teenage pregnancy • Early years priority within borough
Healthy Start and Islington Strategies
• Islington Health Inequalities Strategy (2010) • Joint Strategic Needs Assessment – 2010 & 2011 • Islington Food Strategy • Islington Healthy Children’s Centre Programme
Take up
Percentage Vitamin Take up 2009/10-2010/11
02468
1012
Q1 20
09/1
0
Q2 20
09/1
0
Q3 20
09/1
1
Q4 20
09/1
0
Q1 20
10/1
1
Q2 20
10/1
1
Quarter/ year
% t
ake
up
Vitamin Drops
Vitamin Tablets
History of HS scheme in Islington
• Scheme started November 2006 • Review carried out July 2008
– Identified where vitamins were stocked (8 health centres)
– Only 1 stocked Vitamin Tablets
– Only 1 health centre ordered via NHS supply chain
– Rest ordering via pharmacy department
– Lack of awareness of the scheme
• Project group established in response to the review
Project Group
• Aims: • To review & improve current distribution • To develop promotional plan to raise the profile of scheme
• Group Membership • Health visiting, dietetics, infant feeding co-ordinator, midwifery, early
years. • Co-ordinated by public health
What we needed to find out?
How do the women get the drops?
Ordering system?
What were the number of claimants?
Why are vitamin tablets not available?
Who is responsible?
Mapping Exercise
Women receive form from Midwife/ HV/ GP
Women claim vitamin drops from health centre
Health centre completes “beneficiary form”
Women complete form and send to DH
Health centre sends form to NHS Camden
Camden sends from to DH for both Islington and Camden
Ordering
• All health centres were given the correct ordering code • Were able to order both tablets and drops• Ordering increased • Health centre managers now order and manage own stock
Pathway
Midwifery Ensure all eligible women are signed up to healthy start and all women are aware of the benefits of supplementary vitamins.
Health Visiting
Health Visitors ensure eligible families are signed up to Healthy Start and discuss vitamins supplements with families at the new birth visit
Named HCA/FHA orders vitamins from NHS Supply Chain via Supplies DepartmentChildren’s Vitamin drops: ABX 072 Women’s vitamin tablets: ABX 073Complete beneficiary form and send to Public health on monthly basis
Pathway
Health Centre Reception Staff
Display point of sale kits and promote health start within health centres
Dispense vitamins to beneficiaries and purchasers Complete beneficiary form Send to public health on monthly basis
Named administrator orders vitamins from NHS Supply Chain via Supplies DepartmentChildren’s Vitamin drops: ABX 072 Women’s vitamin tablets: ABX 073
Pathway
All frontline staff promote healthy start to those families that are eligible and inform parents how to apply for healthy start vouchers and where to obtain them.
Provide flyer with list of locations where vitamins can be obtained to all parents
Notify parents that healthy start vitamins can be purchased
Health Centre Reception Staff
Midwifery Health Visiting
Children’s Centre staff GP’s
Monitoring
• Monthly claims• Monitoring form in place • Allows monitoring of uptake • Postcode data for all vitamin claimants • Automatic reminders go to all health centres, continuous communication
DATE NAME Postcode ITEM ISSUED No. ISSUED SIGNATURE of beneficiary
Finance
• Not sending invoices to DH • Health centres not being reimbursed • Provider vs. commissioning split • Finance broken down for each centre so reimbursed
Claims
Healthy Start Vitamin Claims 2009/10 - 2010/11
0
50
100
150
200
250
300
350
Quarter/ year
Nu
mb
er
of
Vit
am
ins
Vitamin Drops
Vitamin Tablets
Take up
Percentage Vitamin Take up 2009/10-2010/11
02468
1012
Q1 20
09/1
0
Q2 20
09/1
0
Q3 20
09/1
1
Q4 20
09/1
0
Q1 20
10/1
1
Q2 20
10/1
1
Quarter/ year
% t
ake
up
Vitamin Drops
Vitamin Tablets
Future Direction
• Publicity to increase take up • A5 flyer printed for every red book • Life channel • Increased communication regarding scheme • Children’s centres involved • Mapping of claimants using postcode data
Contact Details
• Claire Bennett
Assistant Public Health Strategist – children & young people
NHS Islington
020 7527 1259
Healthy Start Scheme in Islington
Claire Bennett
Assistant Public Health Strategist
NHS Islington