Learning Mentor & Parent Support Adviser Network

13th November 2013

Shrewsbury Training and Development Centre

Programme

• Healthy Child Programme

• Children with Disabilities/additional needs

• Family Information Service

• Early Help

Healthy Child ProgrammePregnancy- 19 years

Anne-marie Speke

Shropshire Council

Healthy Child Programme Coordinator

Healthy Child Programme 0-19 years

• Healthy Child Programme (HCP) is the government’s early intervention and prevention public health programme from conception to 19 years

• The guidance is directed at statutory agencies, commissioning bodies, GPs, midwives, practice nurses, school nurses and health visitors.

• Delivery includes all agencies working with children and young people.

Health Child Programme

• Evidence-informed practice• The use of new developments; • Responding to changed public health priorities

Integrated service provision, including GP’s and children’s centres, and through better integration between maternity services;

• An increased focus on vulnerable children and families;

• Parenting support, including support for fathers.

Healthy Child Programme

• Schedule of interventions to address the priorities for the health and well-being of children.

• Offers every family a programme support• Healthy Child Programme, reflecting that the early

years and transition stages are a critical time in a child’s life

Healthy Child Programme 0-5 years• Universal: health and development reviews, screening and physical

examinations, promotion of health and well-being, preparation for parenthood and promotion of sensitive parenting and child development, involvement of fathers, mental health needs assessment, signposting.

• Progressive: emotional and psychological problems addressed, promotion and extra support with breastfeeding, support with behaviour change e.g. smoking, parenting support programmes, promoting child development, additional support and monitoring for infants with health or developmental problems, CAF/EHAF, topic based groups.

• Higher risk: high intensity based intervention, intensive structured home visiting programmes by skilled practitioners, referral for specialist input, action to safeguard the child, contribution to care package led by specialist service

Healthy Child Programme 5-19 years

• A national public health programme for children and young people from 5-19.

• Provides a robust evidence based framework and sets out good practice for prevention and early intervention services

• Identifies the school nursing service as crucial to the effective delivery of the Healthy Child Programme

• Assists local areas to ensure services:

are based on a robust needs assessment

utilise effective practice and prioritise evidence based

programmes

make best use of their workforce

Healthy Child Programme 5-19

• Universal- Heath Assessment at School entry, vision and hearing, emotional health, psychological well being and mental health, promoting healthy weight, on going support through primary school, support for parent carers. (11-16 includes sexual health, immunisations transition health review, 16-19 also includes emphasis on transition into further education)

• Progressive- immunisations for at risk CYP, emotional health, psychological well being and mental health tier 2,3,4, overweight and obese children, specific groups of at risk children and families, support for parents and carers

Links to Shropshire Children’s Trust priorities

Priority 3

Ensuring the mental wellbeing of children and young people by focusing on prevention and early intervention

Priority 4

Keeping more children healthy and reducing health inequalities.

HCP links to Public Health Outcomes 2013-2016

• Increased healthy life expectancy

• Reduced difference in life expectancy and healthy life expectancy between communities.

HCP links to Public Health Outcomes Indicators

Health improvement

Objective: People are helped to live healthy lifestyles, make healthy choices and reduce health inequalities.

Health Protection

Objective: The population’s health is protected from major incidents and other threats, while reducing health inequalities

Healthcare public health and preventing premature

Objective: Reduced numbers of people living with preventable ill health and people dying prematurely, while reducing the gap between communities

School Nurse Review

Local Health Economy Shared Vision

Consultation methodsFocus groups/ interviews/ presentations

Questionnaires Stakeholder Events

School Nursing LeadsPublic Health LeadsHealth Visitors and Children’s CentresFamily SolutionsEarly HelpSafeguardingDomestic ViolenceLooked after childrenTargeted Youth SupportYouth Offending ServiceLeads for children not in mainstream educationLead for travelling communitiesVoluntary SectorPolice

Children and young peopleParentsStaffPrimary Care

CCGCommissionersProvidersSchoolsHealthwatchLooked after children leadNHS EnglandPublic Health EnglandSchool Nurses

National maximum caseload requirements

• National estimates suggest that a school nurse (Band 6) has a maximum of 2,500 children on caseload. This shows actual levels but doesn’t take into account workload or travel

Area the school is in

Number of children

Actual WTE Band 6 school nurses

Caseload per WTE

Estimated WTE required

school nurses

Caseload per WTE

Difference in WTE

North East 8,460 2.56 3,305 3.4 2,500 -0.8

North West 4,456 1.22 3,652 1.8 2,500 -0.6

North 12,916 3.78 3,417 5.2 2,500 -1.4

S&A 11,636 3.32 3,508 4.7 2,500 -1.3

South East 6,182 2.52 2,453 2.5 2,500 0.0

South West 4,868 1.75 2,782 1.9 2,500 -0.2

South 11,050 4.26 2,593 4.4 2,500 -0.2

Shropshire 35,602 11.36 3,134 14.2 2,500 -2.9

WTE Activity Model by Work stream  NE NW North SA SE SW South Shropshire

Core HCP activity 0.2 0.1 0.3 0.3 0.1 0.1 0.2 1.4 (4.3%)

Delivery of health promotion programmes

0.1 0.0 0.1 0.1 0.1 0.1 0.1 0.3 (0.9%)

Safeguarding 1.8 1.0 2.8 2.4 1.0 0.8 1.8 6.9 (20.9%)

Teacher training 0.1 0.1 0.2 0.2 0.1 0.1 0.2 0.6 (1.7%)

Other activity 3.2 2.0 5.2 5.2 3.6 3.2 6.9 15.9 (48.2%)

Public health leadership

0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 (0.0%)

Travel time 0.3 0.1 0.4 0.4 0.3 0.4 0.7 1.5 (4.7%)

Total workstreams 5.7 3.3 9.0 8.5 5.2 4.7 9.9 26.6 (80.7%)

Additional admin 1.4 1.0 2.4 2.5 1.7 2.1 3.8 6.3 (19.3%)

Total WTE 7.0 4.3 11.4 11.1 6.9 6.9 13.8 32.9 (100%)

Next Steps

• Feedback of School Nursing Service consultation with recommendations

• New School Nursing service specification in place

• From April 2015 commissioning responsibility for Health Visiting Service will be transferred to Local Authority

• Re-establish Healthy Child Programme Steering Groups 0-5 and 5-19 years

Harry Cade

Short Breaks/ Participation Fund

Family Information Service (0-19)

Free information, advice and support on all aspects of family life, whether you are expecting a baby or are the parent or carer of a toddler or teenager.

Childcare Act 2006• Local Authority statutory duty to provide

information, advice and assistance• Brokerage service• Care, advice and support services for

disabled children• Services, facilities or publications which

may be of benefit to parents, young people or children

FIS Vision

For families to have access to quality, up to date and comprehensive information to help make a difference to their lives and the lives of children and young people in Shropshire.

FIS Aims• To ensure Shropshire Council is meeting its statutory duty

as detailed in section 12 of the Childcare Act 2006, and referred to as the Information Duty.

• To ensure children, young people and families are at the heart of the service. We will operate in a family focused and child centred way.

• For services to be integrated and co-ordinated around individuals and to work in partnership for the benefit of children, young people and families.

• To provide free, impartial access to high quality information that supports families and their children.

Aims Cont…

• To ensure the service is delivered by a trained and skilled workforce.

• To ensure information is available through a variety of channels.

• To work with other agencies and departments to deliver a co-ordinated and seamless approach to services for families.

• Meet current and future information needs through ongoing consultation.

• Embrace and evaluate new technologies to ensure further access to the FIS.

• To provide the best value for money service.

Delivery Routes

• Telephone helplines• Face to face appointments• Outreach events • Email/website• Social Media• On-line directory of services• Ebooks/Apps

FIS Enquiry Statistics

Family Information Service

Information to make a difference

Tina Dyke & Suzanne Treherne

Early Help