scphn theory & practice

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SCPHN Theory & Practice. Introduction to module Historical perspectives Principles and practice of SCPHN. Introduction to Theory and Practice. Child and family health and wellbeing Early childhood development Impact family dynamics and relationships Attachment and Parenting - PowerPoint PPT Presentation


SCPHN Theory & Practice

SCPHN Theory & PracticeIntroduction to moduleHistorical perspectivesPrinciples and practice of SCPHNChild and family health and wellbeing

Early childhood development

Impact family dynamics and relationships

Attachment and Parenting

Change processes/ changing nature of families

Safeguarding children /vulnerable adults


Maternal mental health needs/post natal depression

Research and EBP/new health knowledge relevant to children and families or public health

Introduction to Theory and PracticeWhat century is known for its environmental and social problems?

"The 21st century." This is true; however, there is another century worth examining when environmental issues affected societies:

The 19th Century Dickensian London

"In half a quarter of a mile`s length of Whitechapel, at one time, there shall be six hundred newly slaughtered oxen hanging up, and seven hundred sheep but, the more the merrier proof of prosperity. Hard by Snow Hill and Warwick Lane, you shall see the little children, inured to sights of brutality from their birth, trotting along the alleys, mingled with troops of horribly busy pigs, up to their ankles in blood but it makes the young rascals hardy. Into the imperfect sewers of this overgrown city, you shall have the immense mass of corruption, engendered by these practices, lazily thrown out of sight, to rise, in poisonous gases, into your house at night, when your sleeping children will most readily absorb them, and to find its languid way, at last, into the river that you drink."

CPHN History

Infectious diseases, high infant mortality, poverty, overcrowding solutions were sought in public health and preventative health care initiatives.

1834 - The Poor Law Amendment Act required relief to be provided within institutions only. This led to the construction of workhouses.

1860s The workhouses were obliged to build 'infirmary' annexes - the first general hospitals.

In 1862 Manchester & Salford Reform Association decided to employ respectable working women Women Sanitary Inspectors. Their Object was the elevation of people physically, morally and religiously.

19th CenturyImpact of bacteriology and germ theory

Generalist medical practitioners and community nurses relegated to subordinate status; ideal nurse morally pure, dutyful, institutional creation of Florence Nightingale.

1920 The Dawson Report future provision of health services, a system of primary care centres linked with District and Regional Centres.

1930 The Poor Law was reformed and terms such as 'pauper and lunatic' were abolished. Legislation brought the workhouse infirmaries under the control of local authorities.

1942 The British Government published the watershed report on social insurance and allied services - the Beveridge Report after its author, the journalist, academic and Government advisor; this shaped government social policy for the rest of the century. 20th CenturySchool Nursing came about to gain recruits healthily employed by Local Authorities and voluntary organisations.

By 1938 there were 5,978 practising health visitors

1949 saw the creation of NHS there was little integration of preventive and curative services.

1962 saw the Establishment of the Council for the Education and Training of Health Visitors. A nursing qualification was a pre-requisite of entry to training.

1974 Health visiting became a part of the NHS transferred from Local Authorities to Area Health Authorities.

1977 Publication of the principles of health visiting.1949 before and after1981 The Department of Health published Care in the community.

1983 - creation of United Kingdom Central Council of Nurses, Midwives and Health Visitors.

1989 The White Paper Caring for people was published in response to the Griffiths report. It set out a framework for changes to community care, which included a new funding structure for social care.

1990 National Health Service and Community Care Act

1992 Under the NHS and Community Care Act 1990, local authorities were expected to publish community care plans outlining the development of community-based services.

1981 and Community Care1997 DHThe new NHS: modern, dependable, described how the 'internal market' in the NHS was to be abolished.

1999 The National Institute for Clinical Excellence (NICE) was set up. Its name was changed to the National Institute for Health and Clinical Excellence in 2005 when the Institute took on the functions of the Health Development Agency.

2000 The Health Development Agency was established as a Special Health Authority to develop the evidence base to improve health and reduce health inequalities.

2000 The NHS plan, published in July, included the proposal to abolish Community Health Councils (CHCs) in England, replacing them with a range of bodies including Patient Advocacy and Liaison Services (PALS)

2001 NHS Direct covered the whole of England. NHS Direct Online was developed and re-launched in November 2001

2001 The Health and Social Care Act 2001 introduced measures to modernise the regulation of Family Health Services

2002 PCTs took over local health; Strategic Health Authorities monitored performance and standards 1997 The New NHS2004 The NHS improvement plan: putting people at the heart of public services

2004 Making partnership work for patients, carers and service users: a strategic agreement between the Department of Health, the NHS and the voluntary and community sector

2006 White Paper, Our health, our care, our say: a new direction for community services, which promised 'a radical and sustained shift in the way in which services are delivered

2007 Publication of interim report by Health Minister, Lord Darzi, Our NHS, our future which includes a proposal for the setting up of 'polyclinics' in primary care

2010 Marmot,M. Fair Society, Healthy Lives: Strategic Review of Health Inequalities in England post 2010.

2010 Healthy Lives, Healthy People: Our strategy for public health in England2004 NHS Improvement PlanSurveillance and assessment of the populations health and wellbeing SCPHN PrinciplesDomain Search for health needs

Collaborative working for health and well being

Working with and for, communities to improve health and wellbeingSCPHN PrinciplesDomain: stimulation of awareness of health needs Developing health programmes and services and reducing inequalities

Policy and strategy development and implementation to improve health and wellbeing

Research and development to improve health and wellbeingSCPHN PrinciplesDomain: Influences on policies affecting healthPromoting and protecting the populations health and wellbeing

Developing quality and risk management within an evaluative culture

Strategic leadership for health and well being

Ethically managing self, people and resources to improve health and wellbeingSCPHN PrinciplesDomain: facilitation of health enhancing activitiesThis sets out a vision to expand and strengthen health visiting services. It describes four levels of service offer: Community servicesUniversal ServicesUniversal plusUniversal partnership plus

The service offer mirrors the requirements of theHealthy Child Programme The Health Visitor Implementation Plan 2011-15: A Call to ActionHealthy Child Programme: pregnancy and the first five years of life; Oct 2009

Supporting families in the foundation years; July 2011

The Marmot Review: Fair Society, Healthy Lives; Feb 2010

The Foundation Years: preventing poor children becoming poor adults. Frank Field, December 2010

Early intervention: The next steps. Graham Allen MP, 2011

The Early Years: Foundations for life, health and learning. Dame Clare Tickell, 2011{B15EFF0D-A4DF-4294-93A1-1E1B88C13F68}Tickell%20review.pdf

The Munro Review of Child Protection: Final Report A child-centred system, Professor Eileen Munro, 2011

No Health without Mental Health: a cross-government mental health outcomes strategy for people of all ages, Department of health 2011.

Key documents under the HCP


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