Strengthening Health Visiting into the future, needs and opportunities

Theresa Bishop, Professional Lead for Health Visiting for Warwickshire

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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