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0-19 Healthy Child Programme Teams

Considerations. Children and young people are the focusIndividual health needs assessmentBuild on existing best practicePromoting staff skills and experienceInvesting in staffSustainability?Structures not content'. Review Health Visiting

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0-19 Healthy Child Programme Teams

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    1. 0-19 Healthy Child Programme Teams South West Essex PCT

    2. Considerations Children and young people are the focus Individual health needs assessment Build on existing best practice Promoting staff skills and experience Investing in staff Sustainability ‘Structures not content’

    3. Review Health Visiting & Revised NSF 1&2 Two roles – Lead and Complex / Challenging Families Ante-natal contact Home visits 10-14 day visit 1yr developmental 2 ˝ yr check Entry school Year 6, 8 and 13 HNA - Future

    4. Healthy Child Programme Teams Medium Super Output Areas - data Broadly modelled on TASCC, MAG and Children’s Trust Boundaries Linked to Children’s Centres and co-located where possible Team Lead for each Healthy Child Programme Team Team dependent on Need

    6. Team Lead / Co-ordinators HCP Team Lead in each MSOA (Not Manager) Accountable for delivery of HCP by skill mix team All remaining HV & SN – defined area to lead e.g. parenting, behaviour management, obesity, infant feeding etc Accountable for developing care pathway, maintaining knowledge, signposting etc

    7. Advanced Practitioner Partnerships One Matron per locality Role is to link with key partners Listen to Frontline staff – issues Raise issues at team meeting – take to strategic level when necessary Refuse to take ‘no’ for an answer – C+YP advocate Reinforce boundaries with partners

    8. Advanced Practitioner Epidemiology One per SW Essex Aspiration Responsible collating individual health needs assessment Link to commissioning public health team Monitor performance outcome measures Alert CHP team lead when targets are low Assist Team Lead when service provision needs re-focusing to address need

    9. Advanced Practitioner Safeguarding & LAC Safeguarding nurses attached to each team Co-ordinate practice for SG & LAC in each MSOA Ensure supervision and training in place- gaps Resource- knowledge and expertise Liaise with Matron Partnerships – Strategic level Review safeguarding frameworks – safe and FfP Channel communication ?and ? Facilitate partnership working across all levels

    10. Complex and Challenging Families All qualified HV’s and SN’s work with most challenging and complex families Team Leads equal responsibility with qualified HV’s - initial ante-natal assessment Although within teams HV / SN accountable for individuals Responsible for ensuring families are delegated appropriately when issues resolved Principle families empowered no longer considered ‘challenging’

    11. CHPP Team (Responsive to population need) Matron / Data Collection Team Lead Staff Nurses Nursery Nurses Primary mental health workers Adolescent health workers – one stop shop Health care support workers/trainers Community Mothers HIT team etc Future – integrated with social care and education

    12. Staff Nurses Adult, Paediatric, Mental Health Aware of limitations Work as part of team – accountable to team lead Report to team lead weekly team mtg Responsible for monitoring input to families and feeding back any concerns

    13. Nursery Nurses Key role and experts in child development Assist in parenting programmes Assist in healthy eating programmes Health promotion initiatives Supporting Team Leads and Staff Nurses in delivery services

    14. IHNA Undertake seven IHNA from 0-19 years Determine universal or selected progressive service Undertaken by most relevant person Incorporate into CAF Incorporate BCFPI Mirrors School Health Questionnaire (Balding) Incorporates NWMP

    15. Links with other Commissioned Programmes Midwifery BCFPI SARC Aiming High Breastfeeding NCMP

    16. Summary Single point access Dependent on need Using skills highly skilled staff most effectively Provides a career pathway for skill mix Requires shift in culture Closer working with LA staff -Safeguarding

    17. Future Long way to go Economic downturn Innovative with resource Integration with social care HIT need to be more visible within teams Teams will evolve in response to need which will be a challenge Greater performance management –WCC ‘Getting it Right For Children and Families’

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