1.
Strengthening Health Visiting into
the future, needs and opportunities
Theresa Bishop, Professional Lead for
Health Visiting for Warwickshire

2.
2
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.
What do parents want? How will HV services 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
Transforming Health Visiting

3.
• 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
Universal Elements
(Mandated)
6
High Impact Areas
4
Level service model
Transforming Health Visiting

4.
SWOT

5.
Strengths
• HVs identified as key prime health
professional to be able to make a difference to
families (DH, 2011)
• Well accepted and welcomed by families
• HVs – no hard to reach families – universal
service
• HVs key in supporting parents with secure
attachments with their infants

6.
Weaknesses
• Evidence base specific to HV
• Many outcomes long term
• Prevention difficult to prove e.g. baby steps
• Data collection and IT

7.
Opportunities (1)
• Moving into being commissioned by Public
Health
• 456 HV model
• 5 Universal Contacts - mandated
• 6 High Impact Areas
• Public Health Outcomes Framework
• Influencing
• Marketing, Using social media

8.
Opportunities (2)
• 5 year forward plan is emphasis on health
inequalities
• Chimat PreVIEW
• Health Visiting – lot of interest – build on this
• Linking in with 1001 critical days

9.
Threats
• Building the evidence base to show we have
made a difference – we’ve increased the
numbers – transformed the service – so what
• Targets and associated tensions
• Moving to new commissioners
• Other services being reduced e.g. CC
• GP commissioning
• Skill mix

10.
Needs for Health Visiting
• Research
• Influencing
• Marketing and shouting out about HV
• IT – infrastructure and also skills
• Using the medium that our families use –
what do parents say about HVs – how can we
influence this?

11.
Opportunities
6 High
Impact
AreasInfluencing
policy
Personalised
Care –
Population
health
iHV
Fellows
Marketing

12.
Grasp the opportunities to create
the future …..
Don't overlook any opportunities that
come your way because they seem too
small. You never know when taking the
right chance may greatly your situation in
the future…..

13.
Health Visiting Programme
Public Health Nursing and Midwifery
Lifecourse 0-5
• Six priorities for demonstrating
success and building sustainable
services post 2015
• Transition to parenthood and the early
weeks
• Maternal mental health (PND)
• Breast feeding (initiation and duration)
• Obesity to include nutrition and physical
activity
• Health and wellbeing at 2 (development of
the child two year old review (integrated
review) and support to be ‘ready for school’
• Managing minor illness and reducing
accidents (reducing hospital
attendance/admissions)

14.
•AMR: information education
behaviour change
•Importance of HCP
immunisation programme
•Resurgence of childhood illnesses
when immunisation rates fall –
whooping cough (pertussis),
measles
•Flu – protection in pregnancy
•Protection before immunisation
programme – pertussis for
pregnant women
•New campaigns – childhood flu
immunisation
Public Health Nursing and Midwifery 15
Health Protection
Sharing responsibilities to
protect children’s health