Presentation by Professor Viv Bennett at the Institute of Health Visiting Regional Professional Conferences 2015 - London. Professor Viv Bennett is Director of Nursing for Department of Health and Public Health England.

1. The Future is HV 456!
Viv Bennett, Director of Nursing, DH/PHE
March 2015

2. All HCPs
Primary and
Community care
Public health
Patient
Family
Community
Population
Population
health
outcomes
Good
patient
outcomes
Patients and the
Public
Health Care Professionals
(HCP) Roles
Population health - relationships as opportunities to improve health and wellbeing
Prevent Illness & Complication
Protect Health & Safety
Promote Positive Health & Well-Being

3. Supporting
Health
Wellbeing
and
Independence
Improving
Wider
Determinants
of Health
Lifecourse
Health
Improvement
– Making
Every
Contact
Count
Health
Protection
Healthcare
Public Health
Activities
for
Population
Health
Roles in Health Promoting Practice
6 Domains of
Measuring Outcomes
Maximizing the Opportunity: Putting the Health Promoting Practice into Action

4. 4200 more Health Visitors!

5. Policy and Plans

6. A Journey?

7. 4,200 extra
health
visitors from
8,092 (May 2010)
to
12,292 (April
2015)
Transformed
Health
Visitor
Service
(redesign and
new capacity)
• Improved
access to
evidence
based
services
• Delivery
progressive
model of
health
visiting
• Improved
experience
for children
and families
Leading to
better
outcomes
including
• Improved reach
and delivery
• Locally sensitive
commissioning
• Integrated 0-5
services efficient
and effective
• 0-19 joined up
CYP PH
commissioning
• Sustainable place
based family
services
• Improved public
health and
wellbeing
outcomes for
under-fives
• And ultimately
reduced health
inequalities
Transfer of
0-5 public
health
commissioning
to Local
Authorities
Professional
and service
transformation
Through
• Evidence
• Professional
Mobilisation
• Commissioning
and system
levers
• Improved
metrics
Health Visitor Programme: how the parts fit

8. Sustainable future
2014 onward
• 6 High Impact Areas
(HIAs)
• 2015-16 spec in
partnership with NHS
England/LAs.
• HV fellowships and
HV champions.
• HEE working with LAs
to sustain service
• CPD programme (s)
• Ongoing workforce
planning HEE
involving PHE&LGA
Foundation 2010
• Original
commitment
• Policy
development
• Understanding
political
intention
• Designing and
developing
service vision
• Engagement of
profession and
stakeholders
with
programme
Initial
implementation
2011-13
• Call to Action
launched
• Early
Implementer
Sites (EIS) Waves
1 and 2
• Professional
development
• Stakeholder
building
• Professional
Mobilisation and
leadership
• Initial workforce
planning &
trajectory
development
System-wide
implementation
2013-15
• National core HV
service spec
• Performance
management
• Early years
profiles
• DH and HEE
commissioned
professional
development
and support for
innovative
practice.
• NHS England
commissioner
led service
transformation.
• Workforce and
training
expansion
Transfer to LAs
• 0-5 transfer
agreement
• Mandation
finalised
• Agreeing funding
• Programme board
constituted
Health Visitor Programme: the professional and service transformation journey

9. 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. To be able to care for our child who is
ill or has a disability at home within a
normal family life
What parents told us they need……

10. S
A
F
E
G
U
A
R
D
I
N
G
Four level health visiting service model

11. Health Visitor/School Nurse
Predicted
Population level e.g.
PREview
Assessed by HV
(or others involved
with family)
Expressed by
Family/young person
Provide service/
Service contribution
With partners inc
CC/youth services
Delegate to
Team member
Signpost eg Children’s
Centre &/or build
community capacity
Refer on to
Specialist
Service
Types of Need
Service Response
Understanding and responding to local need

12. NOT
Information and Evidence
Visibility
engagement
commitment
How we do it: Personalised Care and Population Health Framework

13. Caring for populations across the lifecourse
Contents Introduction The Framework Applying the
Framework
Beginning of Life: First 1001 days
Activities for Population Health
Lifecourse
BACK NEXT
Interventions Outcome Measures
Interventions: Family/ Individual level
 Transition to parenthood and the early weeks.
 Maternal mental health (PND).
 Breastfeeding (initiation and duration)
 Obesity – including nutrition and physical
activity.
 Health and wellbeing - the 2 year old integrated
review and support to be ‘ready for school’.
 Managing minor illness and reducing accidents.
All interventions link in with the Healthy Child Programme evidence
base
NEW!! Six
high impact
areas

14. Public Health Outcomes Framework
Data from the Public Health Outcomes Framework that
are relevant to the Early Years can be accessed
below:
 Low birth rate of babies
 Breastfeeding prevalence
 Smoking status at time of delivery
 Under 18 conceptions
 Excess weight at age 4-5 years
 Vaccination coverage
 Infant mortality
 Tooth decay in children age 5
Caring for populations across the lifecourse
Contents Introduction
The Framework
Applying the
Framework
Beginning of Life
Activities for Population Health
Wider Determinants of Health
Health Improvement
Health Protection
Healthcare Public Health
Health, Wellbeing & Independence
Lifecourse
BACK NEXTHOME
Interventions Outcome Measures
| Outcome Measures
(1)

15. • Transition to
parenthood and the
early weeks
• Maternal (perinatal)
mental health
• Breastfeeding
• Healthy weight,
(healthy diet and
being active)
• Managing minor
illnesses & reducing
accidents
• Health, wellbeing &
development at 2
years & support to be
‘ready for school’
• Antenatal health
promoting visits
• New baby
review
• 6-8 week
assessment
• 1 year
assessment
• 2 to 2 ½ year
review
Improved access
Improved experience
Improved outcomes
Reduced health inequalities
• Your Community
• Universal
• Universal Plus
• Universal
Partnership Plus
5
Mandated Elements
6
High Impact Areas
4
Level service model
“Transformed” Health Visiting Services

16. Local Authority commissioning HCP 0-19 real opportunities for
• Joining up children’s services locally - public health, Children’s Centres early years
/wider family services,
• Integration with children’s social care safeguarding and education
• Streamlining universal access to Healthy Child Programme with early intervention
and targeted interventions/programmes for families needing more help
• Joining up 0 – 5 Healthy Child Programme with 5 – 19 Healthy Child Programme
(which is already commissioned by LAs)
• Improved communication between (foundation) children’s services and primary care
• Better integration of services at point of delivery with improved access and
experience for families .. ‘one stop shop?’
• Improved communication for families with complex needs and in safeguarding
• Health programmes
• Integrated reviews
• Joint training
• Other local priorities
16
Challenge
• Information sharing
• Technology supported
service
Sustainable Services 2015 and beyond

17. Share what we do
key messages…
Healthier through health visiting
•Empowering families for healthier
future
•Leading families and communities to
better health
•Building the future health of our
community
•Designing and delivering care to
families
•Promoting public health to the
community
•A healthier start for children
•Making a difference in your
community
•Better health outcomes and reducing
inequalities
•Leaders in improving the public’s
health
Leadership for improved services and outcomes

18. Leadership lessons (1) understand what people want and need (and have fun!)

19. Leadership lessons (2) stay connected (and have fun!)

20. Viv Bennett appeals to Outer
Space for health visitors
Leadership lessons (3) think outside the box (literally!)
Leadership lessons (4) keep a sense of humour!

21. Leadership lessons (5) be doggedly determined

22. Courage does not mean being without fear.
Courage means acting in spite of fear
From the book ‘A Teaspoon of Courage’ by Bradley Trevor Greive
Leadership lessons (6) taking opportunities requires courage …….

23. Leadership lessons (7 and 8) Take every opportunity, social movement and social
media – celebrate!

24. Email viv.bennett@dh.gsi.gov.uk
Tweet @vivjbennett
Blog - http://vivbennett.dh.gov.uk/