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Healthy Start Scheme in Islington

Healthy Start Scheme in Islington. Claire Bennett Assistant Public Health Strategist NHS Islington. Case Study. Context of Healthy Start in Islington History of Healthy Start in Islington Mapping exercise Ordering Monitoring Finance Publicity Next steps.

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Healthy Start Scheme in Islington

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  1. Healthy Start Scheme in Islington Claire Bennett Assistant Public Health Strategist NHS Islington

  2. Case Study • Context of Healthy Start in Islington • History of Healthy Start in Islington • Mapping exercise • Ordering • Monitoring • Finance • Publicity • Next steps

  3. Context of Islington • 4th most deprived Borough in England • 65% of Islington population live in 20% most deprived areas nationally • High levels of obesity • High rates of teenage pregnancy • Early years priority within borough

  4. Healthy Start and Islington Strategies • Islington Health Inequalities Strategy (2010) • Joint Strategic Needs Assessment – 2010 & 2011 • Islington Food Strategy • Islington Healthy Children’s Centre Programme

  5. Take up

  6. History of HS scheme in Islington • Scheme started November 2006 • Review carried out July 2008 • Identified where vitamins were stocked (8 health centres) • Only 1 stocked Vitamin Tablets • Only 1 health centre ordered via NHS supply chain • Rest ordering via pharmacy department • Lack of awareness of the scheme • Project group established in response to the review

  7. Project Group • Aims: • To review & improve current distribution • To develop promotional plan to raise the profile of scheme • Group Membership • Health visiting, dietetics, infant feeding co-ordinator, midwifery, early years. • Co-ordinated by public health

  8. What we needed to find out? How do the women get the drops? Who is responsible? Why are vitamin tablets not available? Ordering system? What were the number of claimants?

  9. Mapping Exercise Women claim vitamin drops from health centre Women receive form from Midwife/ HV/ GP Women complete form and send to DH Health centre completes “beneficiary form” Health centre sends form to NHS Camden Camden sends from to DH for both Islington and Camden

  10. Ordering • All health centres were given the correct ordering code • Were able to order both tablets and drops • Ordering increased • Health centre managers now order and manage own stock

  11. Pathway Ensure all eligible women are signed up to healthy start and all women are aware of the benefits of supplementary vitamins. Midwifery Health Visitors ensure eligible families are signed up to Healthy Start and discuss vitamins supplements with families at the new birth visit Health Visiting Named HCA/FHA orders vitamins from NHS Supply Chain via Supplies Department Children’s Vitamin drops: ABX 072 Women’s vitamin tablets: ABX 073 Complete beneficiary form and send to Public health on monthly basis

  12. Pathway Named administrator orders vitamins from NHS Supply Chain via Supplies Department Children’s Vitamin drops: ABX 072 Women’s vitamin tablets: ABX 073 Health Centre Reception Staff Dispense vitamins to beneficiaries and purchasers Complete beneficiary form Send to public health on monthly basis Display point of sale kits and promote health start within health centres

  13. Pathway Health Centre Reception Staff Children’s Centre staff Midwifery GP’s Health Visiting All frontline staff promote healthy start to those families that are eligible and inform parents how to apply for healthy start vouchers and where to obtain them. Provide flyer with list of locations where vitamins can be obtained to all parents Notify parents that healthy start vitamins can be purchased

  14. Monitoring • Monthly claims • Monitoring form in place • Allows monitoring of uptake • Postcode data for all vitamin claimants • Automatic reminders go to all health centres, continuous communication

  15. Finance • Not sending invoices to DH • Health centres not being reimbursed • Provider vs. commissioning split • Finance broken down for each centre so reimbursed

  16. Claims

  17. Take up

  18. Future Direction • Publicity to increase take up • A5 flyer printed for every red book • Life channel • Increased communication regarding scheme • Children’s centres involved • Mapping of claimants using postcode data

  19. Contact Details • Claire Bennett Assistant Public Health Strategist – children & young people NHS Islington • claire.bennett@islingtonpct.nhs.uk 020 7527 1259

  20. Healthy Start Scheme in Islington Claire Bennett Assistant Public Health Strategist NHS Islington

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