Elaine McInnes The Role of the Health Visitor in the multi–agency team

“Transformed” Health Visiting Services 1.Transition to parenthood and the early weeks 2.Maternal (perinatal) mental health 3.Breastfeeding 4.Healthy weight, (healthy diet and being active) 5.Managing minor illnesses & reducing accidents 6.Health, wellbeing & development at 2 years & support to be ‘ready for school’ 1.Antenatal health promoting visits 2.New baby review week assessment 4.1 year assessment 5.2 to 2 ½ year review Improved access Improved experience Improved outcomes Reduced health inequalities 1.Your Community 2.Universal 3.Universal Plus 4.Universal Partnership Plus 1.Your Community 2.Universal 3.Universal Plus 4.Universal Partnership Plus 5 Mandated Elements 5 Mandated Elements 6 High Impact Areas 6 High Impact Areas 4 Level Service Model 4 Level Service Model

Understanding / responding to local need Health Visitor Predicted Population level e.g. PREview Assessed by HV (or others involved with family) Expressed by the Family Provide sole service Or with partners incl. CC/ social services Delegate to Team member Signpost eg Children’s Centre &/or build community capacity Refer on to Specialist Service Types of Need Service Response

Case study - Integrated 2 year review Holistic joint assessment framework used to help support family and to meet identified needs. Child Parents Children Centre Other services Health Visitor

Holistic assessment Health visitor, child, parents and key worker at the children centre meet to jointly undertake the 2 year review. Identified needs: Speech and language delay Behavioural issues Maternal depression Relationship issues Financial worries

Benefits of integrated model Improved multi-agency working and information sharing. Reduced duplication and smoother processes. Clearer and more consistent information for parents. A more holistic understanding of children’s needs. Earlier identification of need and earlier access to relevant support. Contributing to improved outcomes for children, including improved school- readiness.

What do parents want? How will HV service provide it? Your Community Working with local people to develop services and making sure you know what is available Universal Making sure you and your family receive the healthy child programme including your baby/child’s checks and immunisations and providing health and parenting advice when you need it Universal Plus Providing a rapid response and a range of services if you have a problem for example post natal depression or child who doesn’t sleep Universal Partnership Plus By working with you alongside others such as you local Sure Start Children Centre on tackling problems and supporting you to give you child the best start A community that supports children and families. Services that give our baby/child healthy start. Best advice on a being a parent. To know our health visitor and how to contact them. A quick response if we have a problem and to be given expert advice and support by the right person. To have the right people to help over a longer term when things are really difficult. To know those people and that they will work together and with us.

Whole time equivalent (WTE) health visitors employed in England (1988) Source: Information Centre for Health and Social Care ESR = NHS electronic staff record

iHV – what can we do to support the commissioning transfer? Setting professional standards. Promoting CPD and staff retention. Fellows Programme - developing professional leaders. Offering advice and support to Commissioners on service structures and standards. Promoting models of integrated working good practice.