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East Lancashire’s Experience of Implementing a Vitamin D Supplementation Scheme. Alexandra Hammond Infant Feeding Coordinator / Vitamin D Lead Janyce Sutherland Public Health Midwife Vitamin Supplementation Audit Feedback - Regional Conference June 29th 2011. Network Name.

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  1. East Lancashire’s Experience of Implementing a Vitamin D Supplementation Scheme Alexandra Hammond Infant Feeding Coordinator / Vitamin D Lead Janyce Sutherland Public Health Midwife Vitamin Supplementation Audit Feedback - Regional Conference June 29th 2011 Network Name

  2. A STEP BACK IN TIME …

  3. New product, same concerns • Inequalities • Funding • Monitoring

  4. Defining the Policy Criteria… The first challenge! • Free vitamin supplementation with Healthy Start vitamins to: • All pregnant women • All children: 5 years and under • All breastfeeding women

  5. Free vitamin supplementation with Healthy Start vitamins to: All pregnant women All children: 5 years and under All postnatal women up to 1 year Breastfeeding women for as long as they continue The Policy…..

  6. The Complexity of Implementation Workforce 5 very Distinct Boroughs 3 Footprints of East Lancashire

  7. One approach does not fit all…. The Solutions …. Generic Operating Procedure • Local Consultation enabling development of: • Informal local delivery agreements or • Formal MOU

  8. CC Outreach and Family Support Workers Midwives Health Visitors IFC / HIS Admin Health Coordinators Public Health Midwives The Solutions …… Strategic planning, workforce development 1:1 contact with families at key contacts Events, targeted work Health Development Practitioners Health Improvement Assistant Practitioners Neighbourhood Health Workers

  9. Funding 2. Systems, processes and monitoring 3. Initial Launch Event 4. Training 5. Negotiating local delivery pathways / facilitating partnerships and relationships 6. Database / monitoring 7. Evidencing outcomes Specialist advice 9. Updates / Cascades 10. Troubleshooting 11. Other policies What role have the strategic leads played?

  10. CC Outreach and Family Support Workers Midwives Health Visitors IFC / HIS Health Coordinators Public Health Midwives The Solutions …… Strategic planning, workforce development 1:1 contact with families at key contacts Events, targeted work Health Development Practitioners Health Improvement Assistant Practitioners Neighbourhood Health Workers

  11. HIS team approach PH MWs providing additional training for MWs PH MWs engaging boundary MWs Audit of and feedback to CFIT and MSLC – recommendations made, emphasises importance New database developed HIS spreading key messages further afield Providing resources as aide memoir Undertaking the Regional Audit! Link to Sun Safety Campaign What’s worked?

  12. Next Steps? Continue to keep admin closely involved in development - training Implement recommendations of the regional audit Train Primary School Nurses, Practice Nurses, NCMP staff, GPs, Pharmacists Reporting re HS beneficiaries to DH Retargeting BME community Develop training for Childminders / HomeStart

  13. Alexandra Hammond Infant Feeding Coordinator / Vitamin D Lead Jane Greenwood Healthy Start Lead Janyce Sutherland Public Health Midwife 01254 358046 Network Name

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