An Overview of the Healthy Child Programme Bev DennisCommissioning Project Manager (Community) NHS Eastern and Coastal Kent and NHS West Kent Directorate of Commissioning Child Health

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An Overview of the Healthy Child
Programme Bev Dennis Commissioning
Project Manager (Community) NHS Eastern and
Coastal Kent and NHS West Kent Directorate of
Commissioning Child Health
Partners within
NHS West Kent
NHS Eastern Coastal Kent
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Content

• Key Strategic Documents
• What is the Healthy Child Programme
• Principles involved in implementing the programme
• Goals of the HCP
• Overview - Pregnancy the First Five Years of
  Life
• Overview of the HCP from 5 -19 yrs old
• Key Health Priorities in the HCP from 5-19 yrs
• Health and Developmental Reviews
• Key Messages in the HCP

Kent Primary Care Trusts
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Key Strategic Documents

• Children Act 2004
• Every Child Matters
• NSF DH 2004
• National Child Health Strategy, Healthy Lives,
  Brighter Futures DH/DCSF 2009
• Apprenticeship, Skills, Children and Learning Act
  2009

Kent Primary Care Trusts
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What is the Healthy Child Programme

• Early intervention prevention public health
  programme lies at heart of universal services
  for CYP
• Based on a model of Progressive Universalism
• Offers every family a programme
• screening, immunisations, developmental
  reviews, information/guidance to support
  parenting and healthy choices
• Aim All children families achieve optimum
  health wellbeing

Kent Primary Care Trusts
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Principles involved in implementing the programme

• Services provided in a range of accessible
  community settings GP Surgeries, Childrens
  Centres, health centres, schools, extended
  schools and other community venues.
• Children families able to access services at
  times convenient to them
• Fathers routinely involved and supported
• Children and parents - active participants
• Services culturally and religiously appropriate

Kent Primary Care Trusts
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Goals of the HCP 0-5yrs

• Strong parent- child attachment ve parenting
• Better social emotional wellbeing among
  children
• Children are healthy and safe
• Reduction in unhealthy weight
• Prevention of serious communicable diseases
  through increased immunisation rates
• Increased breastfeeding initiation continuation
  rates
• Readiness for school improved learning

Kent Primary Care Trusts
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Goals of the HCP 0-5yrs contd

• Early recognition growth disorders risk
  factors for unhealthy weight
• Early detection of and action to address
  developmental delay, abnormalities ill health
  concerns re safety
• Identification of factors that could influence
  health wellbeing in families
• Better short long term outcomes for those at
  risk of social inclusion

Kent Primary Care Trusts
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Overview - Pregnancy the First Five Years of
Life - Universal

• Health development review
• Screening physical examinations
• Immunisations
• Promotion of health well-being, smoking diet
  physical activity, breastfeeding healthy
  weaning, keeping safe, prevention of sudden
  infant death, maintaining infant health, dental
  health
• Promotion of sensitive parenting child
  development
• Involvement of fathers
• Mental health needs assessment
• Preparation support with transition to
  parenthood family relationships
• Signposting to information services

Kent Primary Care Trusts
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Overview - Pregnancy the First Five Years of
Life - Progressive

• Emotional psychological problems addressed
• Promotion extra support with breastfeeding
• Support with behaviour change (smoking, diet,
  keeping safe, SIDS, dental health)
• Parenting support programmes, including
  assessment promotion of parent-baby interaction
• Promoting child development, including language
• Additional support monitoring for infants with
  health/developmental problems
• Common Assessment Framework completed
• Topic-based groups learning opportunities
• Help with accessing other services sources of
  information advice

Kent Primary Care Trusts
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Overview - Pregnancy the First Five Years of
Life - Higher risk

• High intensity based interventions
• Intensive structured home visiting programmes by
  skilled practitioners
• Action to safeguard the child contribution to
  care packages led by specialist services

Kent Primary Care Trusts
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Overview of the HCP from 5 -19 yrs old

• Good practice guidance
• For all organisations commissioners providers
• Recognises key role of health non health
  professionals
• Aimed at full range of practitioners which
  include
• Health services providers e.g. school nurses,
  GPs, paediatricians, sexual health practitioners,
  CAMHs
• Education providers e.g. staff within schools,
  Healthy Schools coordinators PE teachers, FE
  institutions short stay schools (PRUs)
• Wider services for CYP e.g. youth workers, local
  youth justices the voluntary sector

Kent Primary Care Trusts
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Key Health Priorities in the HCP from 5-19 yrs

• Health inequalities
• Emotional health, psychological wellbeing
  mental health
• Promotion of healthy weight
• Longstanding illness or disability
• Teenage pregnancy sexual health
• Drugs, alcohol tobacco
• Safeguarding

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Health and Developmental ReviewsEvidence
suggests key transition points that provide
logical opportunities to review CYPs health.

• The core purpose of health and development
  reviews is to
• assess the childs, young persons and
  familys strengths, needs and risks
• give children, YP, parents carers
  opportunity to discuss concerns and aspirations
• assess physical health, growth development
  immunisation status
• assess any mental or emotional health issues
  and
• ensure appropriate support is available to
  meet educational /health needs such as language
  communication.
• It is recommended that these reviews occur at the
  following transition points
• reception/Year 1 (age 45) school entry
  assessment (transition from 05 HCP school entry
  questionnaire
• Year 6/7 (age 1012) assessment at
  transition from primary to secondary school
• mid-teens, when YP are embarking on the next
  transition stage.
• In addition, reviews are described for
• LAC
• children YP with disabilities/special
  educational needs (SEN) at transition.

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Key Messages in the HCP

• Lead role for the Health Visitor, working across
  Childrens Centres and General Practice in
  Pregnancy to First Five years of Life
• 5-19 yr section delivered in schools by School
  Health Teams key link between health, education
  and wider CYPs services in most cases will
  have school nurses at core
• Multi-skilled team working involving a range of
  practitioners across services
• Up to date knowledge and skills
• Working in partnership with children and families
• Working effectively across service boundaries

Kent Primary Care Trusts
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Information

• www.dh.gov.uk for copy of Healthy Child Programme
  
• Contact senior commissioner Linda Denne
• linda.denne_at_kent.gov.uk

Kent Primary Care Trusts