Healthy Child Programme

Closed 10 May 2016

Opened 29 Mar 2016

Feedback Updated 11 Jul 2016

We Asked

We asked you for your thoughts and comments on the proposed 0-19 Healthy child Programme in Leicester.

You Said

  1. The questions in this consultation don’t reflect what I want to say about these service
  2. Staff can’t work across the whole 0-19 age range.
  3. Please can we have some weekend clinics

 

We Did

  1. We visited the group, collect their thoughts and ensured they were represented in the service specification
  2. We clarified that we expect the most appropriate Healthy Child Programme (HCP) staff to work with a child, and this may mean overlap between the current 0-5, 5-19, but we would not expect all HCP staff to be working across the whole age range as a matter our course
  3. We have included in the service specification that the provider meets the needs of the service users- having services available at locations and times that suit the service user

 

Overview

The Healthy Child Programme is the main universal health service for improving the health and wellbeing of children and young people through health and development reviews, health promotion and parenting support.

In Leicester, the 0-19 Healthy Child Programmes are public health programmes provided by professionals through the following services:

0-5 Healthy Child Programme
Health Visiting Service - Children aged 0-5 years and their families
Family Nurse Partnership Service - a home visiting service for some teenagers pregnant with their first child

5-19 Healthy Child Programme
School Aged Nursing Service - children aged 5-19 years and their families

These services offer ALL children, young people and their families a programme of developmental checks, information and guidance to support parenting and healthy choices.

Why We Are Consulting

We want to find out what you think of a new way of delivering one integrated 0-19 Healthy Child Programme, which will provide a better, more joined up way of delivering these essential services.

You have already told us what you think about some aspects of the provision of these services in Leicester, through facilitated focus groups, questionnaire completion and soft market testing.  For example, you said that you wanted more clarity on who your child's Public Health Nurse is and how to contact them. We have included this in the new proposal.

The new model for the Healthy Child Programme will not only improve coordination across health visiting, school nursing and support for vulnerable families but also integrate the delivery of other services within it i.e. breastfeeding peer support service, oral health promotion resources, healthy schools, heathy tots.

We won’t use the terms Health Visitors and School Nurses, we will be using the term Public Health Nurses, this is to create an integrated workforce with one identity, and a team that can respond more to the needs of your child and your family, for example some children are home educated and the term ‘school nurse’ doesn’t connect with them, also, currently Health Visitors work with children till they are 5, then school nurses take over. In the new model, Health Visitors who have a rapport with the family might carry on working with them once the child enters school, or school nurses might begin working with a 2 year old to help them be ready for school entry.

We are also proposing a shift in skill mix between Health Visitors and Nursery Nurses within 4 years (due to natural staff turnover rather than service re-design).  The impact on parents and children is that for some appointments, especially where extra support is required (e.g. around sleep or behaviour) they will see a Nursery Nurse rather than a Health Visitor.  Nursery Nurses are trained, qualified and skilled professionals.

In summary the proposed changes in the new model are as follows:

 

Features

Current provision

Proposed new model

New role of public health nurse

Separation between work of health visitors (work with children until they are 5) and school nurses (take over when children are 5).

No distinction between health visitor and school nurses. Public health nurse may continue to work with families once a child enters school, or start working with a 2 year old to help them be ready to go to school.

Points of contact between school age children and public health nurse

Limited to reception and year 6.

Additional points of contact with a child either through survey or face to face.

Increased contact between public health nurses and school aged children, particularly children aged 16-19

Currently digital offer only.

Digital offer will remain; other forms of links with 16-19 year olds will be trialled. More face to face contact for school children under 16.

Healthy child programme offer in Special Schools

Currently inconsistent offer in Special Schools.

Consistent delivery of the Healthy Child Programme in all Special Schools.

 

 

The key benefits of the proposed new model of delivering the Healthy Child Programme in Leicester are:

  • to create one integrated public health nurse workforce across Leicester, delivered under a single contract - meaning the team can respond more quickly and effectively to childrens' needs
  • that Public Health Nurses will work across the current age boundaries and provide a single point of contact for families
  • to create more opportunities for all children, young people and their familiies to access a Public Health Nurse
  • to ensure consistent delivery of the healthy child programme into special schools
  • to re establish the healthy schools programme
  • to establish a healthy tots programme for early years settings
  • to improve school readiness
  • to improve oral health
  • to lead and coordinate a network of breastfeeding peer support

 

 

 

 

 

What Happens Next

This consultation will run for 6 weeks.

After this time the results will be analysed and the new Healthy Child Programme model will be announced.

We will then advertise for a new provider to be appointed.

We anticipate that the new integrated Healthy Child Programme will be in place by July 2017.

Areas

  • Abbey
  • Aylestone
  • Beaumont Leys
  • Belgrave
  • Braunstone Park & Rowley Fields
  • Castle
  • Evington
  • Eyres Monsell
  • Fosse
  • Humberstone & Hamilton
  • Knighton
  • North Evington
  • Rushey Mead
  • Saffron
  • Spinney Hills
  • Stoneygate
  • Thurncourt
  • Westcotes

Audiences

  • Children and young people
  • Working-age people
  • All residents
  • Carers
  • School governors
  • Carers' network
  • Early years providers (child minders, nurseries, etc)
  • FE colleges
  • Schools

Interests

  • Public health
  • Schools
  • Children's social care and safeguarding
  • Services for young people
  • Services for younger children and families
  • Education and children's services
  • Children, young people and families
  • Neighbourhood services