1. School Nursing Service for Children and Young People – May 2012
Theresa Bradley, Service Manager

2. Background and Structure
The School Nursing within Somerset service is provided to the school aged population i.e children and young people and their families/carers aged years.
School Nursing teams act as an effective bridge between education, health and social care, supporting work on health issues in school and making health services more accessible to pupils, parents, carers and staff
The teams are based in 6 bases across the county:
Taunton
Williton
Bridgwater
Wells
Chard
Wincanton
Each Secondary School and the feeder Primary Schools has a Named School Nurse

3. Legacy Issues Establishment of one Somerset PCT
4 previous organisations
4 previous service models
Less that 20 WTE
Until very recently no defined role
Lack of commissioned training places

4. Current Establishment
Banding
Head Count
WTE
Band 6/7 (Qualified School Nurse) 7
5.15
Band 6 6
3.1
Band 5 13
8.62
Band 4 (Nursery Nurses) 2
1.24
Band 3 (Admin) 1
0.46
Band 2 (Admin)
0.63
Total 31
19.2

5. School Nurse Development programme
Released in March 2012 alongside Getting it right for children, young people and families: Maximising the contribution of the school nursing team: Vision and call to action
The School Nurse development programme builds on health visiting programme for 0-5s, thus providing the opportunity for synergy between the public health input initiated within early years and provision for school-aged children. This programme of work would support the development of a strengthened and well-equipped school nurse workforce, who would deliver public health and health care support to school-aged children.
The specific aim being to develop a service model for school nurse contribution to:
Child young people and family public health delivery
Educational inclusion through supporting children and young people with, long-term conditions or disabilities including mental health problems in both school and community settings.

6. The programme will…… maximise the school nursing team contribution to;
increase the focus on school nursing and the health of children and young people 5-19;
provide information for Public Health England/Local Authorities on the contribution of school nurses to both public health and the care and support of children with disability/illness in school.
raise the profile of school nursing as a career and the profession
raise the profile and opportunities of the current workforce as leaders, co-ordinators and delivers of public health to children and young people

7. School Nursing for improved health and wellbeing for children and young people
Outcomes: School Nurses leading & contributing to ‘
Healthy Happy children and young people’
Improved health outcomes and a reduction in health inequality
Reaching and influencing the wider community, promoting health lifestyles and social cohesion
Improved planning of local services to reduce health inequalities
Reduction in the variation in quality of service provision and coverage of the HCP 5-19
Children and young people feel supported and able to make positive changes to their health and wellbeing
Children, young people and families are offered preventative services tailored to their needs and all families can access evidence-based programmes.
Young people reporting a high level of satisfaction with the school nursing service provided.
Improved mental health and well being including bullying
Early identification of need and appropriate response to meet need
A reduction in rates of obesity
Reduction school absence due to poor health
Increase in sexual health screening and reduction in rates of Under 18 conception
A reduction in proportion of young people who frequently use illicit drugs or alcohol or smoke
Improved access to support for emotional health and wellbeing Consistent training delivered to school staff
Seamless support and MAT provision to support pupils with complex health / and /or additional need
Early identification and support for Parental needs (e.g. mental health concerns)
‘The Offer’
Your Community has a range of health services (including GP and community services) for children and young people and their families. School nurses develop and provide these and make sure you know about them.
Universal services from your school nurse team provide the Healthy Child Programme to ensure a healthy start for every child (e.g., immunisations, health checks). They support children and parents to ensure access to a range of community services.
Universal plus delivers a swift response from your School nurse Service when you need specific expert help (e.g., with sexual health, mental health concerns, long-term conditions and additional health needs
Universal partnership plus delivers ongoing support by your SN team from a range of local services working together and With you, to deal with more complex issues over a period
of time (e.g. with charities and your local authority).
Services and pathways
Services led by qualified School Nurse and delivered in a range of settings:
School
Primary care
Youth and Community
Other education settings
Home and residential settings
Developing Pathways
Transition from HV – SN
Complex needs (School setting)
Safeguarding (including DV and sexual exploitation)
Youth Justice
* Additional pathways may include LAC & CAMHs .
Quality standards
The service provided should encapsulate the You’re Welcome Quality Criteria
Accessibility
Publicity
Confidentiality and consent
Environment
Staff training, skills, attitudes and values
Joined-up working
Young people’s involvement in monitoring and evaluation of patient experience
Health issues for young people
Sexual and reproductive health services
*BYC 2011, DH May 2011
SAFEGUARDING
SAFEGUARDING
Developing the services for an effective Healthy Child Programme 5-19
wendy
The role of the qualified school nurse:
To improve children and young people’s health and wellbeing by:
Leading, delivering and evaluating universal Public Health programmes for school-aged children and young people, both within school and within community settings
Referring and delegating within the team to maximise resources and utilise expertise of other skilled professionals
Managing seamless transition into school, from primary to secondary school and transition into adulthood
Leading for support children and young people with complex and/or additional needs including support, education and training for families, carers and school staff
Providing proactive ‘early help’ and leadership as part of a multi-agency team, with a main focus on children, young people and families with multiple problems (link to contribution to big society – young offenders/gangs)
supporting vulnerable children including children in care and support for their carers (including YP in contact with Youth Justice service)
Evidence based approach to delivering cost effective programmes or interventions to contribute to children and young people’s health and wellbeing e.g. reductions in: childhood obesity and teenage pregnancy rates
Skills and knowledge:
Graduate workforce
Children and young people Public health specialist skills in;
assessment
needs analysis / population data
evaluation and review
Developing and implementing care plans
Leadership
Experts for wider health and wellbeing; for prevention and
public health; for building family and community capacity
Clinical skills
Outcome focussed approaches
Defined Communication and negotiating skills
Coaching and mentoring
Developing the profession to lead and deliver seamless services for child, young people and families

8. ‘ ‘The Offer’ The service SAFEGUARDING wendy
Your Community has a range of health services (including GP and community services) for children and young people and their families. School nurses develop and provide these and make sure you know about them.
Universal services from your school nurse team provide the Healthy Child Programme to ensure a healthy start for every child (e.g., immunisations, health checks). They support children and parents to ensure access to a range of community services.
Universal plus delivers a swift response from your School nurse Service when you need specific expert help (e.g., with sexual health, mental health concerns, long-term conditions and additional health needs
Universal partnership plus delivers ongoing support by your SN team from a range of local services working together and With you, to deal with more complex issues over a period of time (e.g. with charities and your local authority).
The service
Interactions and community level: building capacity to improve health outcomes and leading the health child (5-19) for a population
Universal services for all children and young people working with school nurses (re transition), building strong relationship and planning future contacts with CYP and leading the Healthy Child programme for CYP between 5-19
Additional services that any CYP may need some of the time, for example care packages for mental health, sexual health – where the School nurses may provide, delegate or refer. Intervening early to prevent problems developing or worsening
Additional services for vulnerable CYP requiring ongoing support for a range of special needs for example disadvantaged CYP, disability, mental health or substance mis-use (risk taking behaviour)
SAFEGUARDING
wendy

9. The Offer
The Community has a range of health services (including GP and community services) for children and young people and their families. School nurses develop and provide these and make sure young people and their families know about them.
Universal services from the school nurse team who will deliver the Healthy Child Programme to ensure a healthy start for every child (e.g., immunisations, health checks). They support children and parents to ensure access to a range of community services.
Universal plus delivers a swift response from the School Nurse Service when specific expert help is required (e.g., with sexual health, mental health concerns, long-term conditions and additional health needs
Universal partnership plus delivers ongoing support by the SN team from a range of local services working together and with clients, to deal with more complex issues over a period of time (e.g. with charities and local authority).

10. The role of the school Nurse
Delivering Public Health
Healthy Child Programme 5-19
Early help – intervention, support and referral
Readiness for transition – at primary and secondary school and into further education, training or employment
wendy
Partnership
working
Collaboration
and Negotiation
Using the evidence base
Communication
Delivering the Universal offer

11. The role of the qualified school nurse:
To improve children and young people’s health and wellbeing by:
Leading, delivering and evaluating universal Public Health programmes for school-aged children and young people, both within school and within community settings
Referring and delegating within the team to maximise resources and utilise expertise of other skilled professionals
Managing seamless transition into school, from primary to secondary school and transition into adulthood
Leading for support children and young people with complex and/or additional needs including support, education and training for families, carers and school staff
Providing proactive ‘early help’ and leadership as part of a multi-agency team, with a main focus on children, young people and families with multiple problems (link to contribution to big society – young offenders/gangs)
supporting vulnerable children including children in care and support for their carers (including YP in contact with Youth Justice service)
Evidence based approach to delivering cost effective programmes or interventions to contribute to children and young people’s health and wellbeing e.g. reductions in: childhood obesity and teenage pregnancy rates

12. Skills and knowledge: Graduate workforce
Children and young people Public health specialist skills in;
assessment
needs analysis / population data
evaluation and review
Developing and implementing care plans
Leadership
Experts for wider health and wellbeing; for prevention and
public health; for building family and community capacity
Clinical skills
Outcome focussed approaches
Defined Communication and negotiating skills
Coaching and mentoring

13. Outcomes Measure
Improved: • readiness for school; • population vaccination cover; • Emotional wellbeing of looked after children Reduced: • School absences; • Tooth decay in children aged 5; • Excess weight in 4-5 and year olds; • Hospital admissions due to intentional or deliberate injuries • Under 18 conception rates; • Chlamydia in year olds; • Smoking prevalence in 15 year olds; • Alcohol and drug mis-use. Public Health Outcomes Framework (2012)

14. Service Priorities Safeguarding responsibility
School Based Young Peoples Clinics
HPV Delivery- Target 90%
National Child Measurement Programme
Children in Care Review Health Assessments- Target 90%