1. Is Suffolk following best practice for breastfeeding support? Linda Page Breastfeeding Coordinator

2. What is recommended? LA’s to prioritise support for breastfeeding Increase rates as measured at birth & 6 weeks. To achieve this NICE (2013) continues to recognise that breastfeeding support should be from a service which uses an evaluated, structured programme with UK BFI programme as a minimum standard. NICE (2008) also recommends provision of local, easily accessible breastfeeding peer support programme with peer supporters as part of a multidisciplinary team. Peer supporters should be trained using a recognised, externally accredited training course

3. Contact new mothers directly within 48 hours of their transfer home (or within 48 hours of a home birth) Offer mothers ongoing support according to their individual needs. This could be face to face, via text, telephone or through local groups. Peer supporters should be able to consult with an appropriate Health professional. This support should be delivered and co-ordinated across all providers including hospital, primary care, community services and children’s centres.

4. How far have we come ? Before 2011 No Compulsory breastfeeding training for all staff in either acute or Community settings. Training ad hoc & variable. Many staff with limited or no formal training. No training offered to GP’s or Paediatric staff. Peer support in Suffolk but limited contact with HV teams and not in all locations. Breastfeeding Policies did not reflect best practice standards. Data collection not robust.

5. What has changed? With commitment to BFI at both acute Trusts compulsory breastfeeding management training put in place. Stage 1 BFI achieved 2013 in both acute Trusts. SCH / CYP Health adopted BFI model & trained all health staff and now CC staff. NHS Suffolk offered BFI e learning to all Suffolk GP’s to support vision. Peer support contact with HV teams has grown and BfN now offering support in over 50 locations. Peer supporters introduced onto postnatal wards to give information & signpost to community groups.

6. Le Leche run breastfeeding support group at one CC and Baby Cafes now in 3 locations. Arrival CIC supports parents in one CC locality. Breastfeeding policies updated. Users informed of the service to expect via Parents Guides. CYP data collection improved. Now report no unknowns at 6 weeks. Monthly figures to allow closer scrutiny. We Now report partial & exclusive at 14 days and 6 weeks. Drop off rates calculated for each part of the service.

7. What has happened to breastfeeding rates?

8. How about the numbers? YearBirthsBF /BirthPercentageBF 6 wksPercentage 2009-106566420064%275045% 2010-116778432664%301546% 2011-126809444165%341948.9% 2012-136874493271.7% 317646.9%

9. East/Ipswich CCG 2012/13

10. Comparison with 2011/12 data: 55 more births than 2011/12 312 more mothers initiating breastfeeding 6.4% increase in initiation 372 more mothers breastfeeding at NBV 8% increase in breastfeeding at NBV 0.1% loss in prevalence of mother’s breastfeeding at 6-8 week check.

11. Suffolk overall breastfeeding performance including Waveney for 2012/13 Date% Total BF at 6-8 weeks Q145.6% Q246.1% Q347.5% Q443.8% Total45.8%