Pregnancy and Early Years - Sally Anderson

8/14/2019 Pregnancy and Early Years - Sally Anderson

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Thursday April 2nd 2009

Central Hall, Westminster

Pregnancy and Early Years

Sally AndersonHealthy Child ProgrammePolicy Lead


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A healthy childhood is critically important

Improving children and young peoples physical and psychological health, byinvesting in childrens health from the early years, through childhood and

adolescence, will benefit children, families, society and the NHS.

Children and young people arehealthier than ever before

Supported by medical,technological, social and economicadvances

Helped by more information andsupport for parents and more skilledprofessionals

To address inequalities, currenttrends and public concern

The past decade has seencontinued improvements

But we need to do more tobecome world-class

The Strategy cements our standards and ambitions


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Continued improvement to services to support familiesfrom pregnancy onwards

World-class health

outcomes

Services of the highestquality

Excellent experiences inusing services

Minimise healthinequalities

Support to parents to give their

children a healthy start andpartners to deliver change inevery area

Achieve long-term aims for

children and young peopleshealth

Pregnancy and the earlyyears

School-age children

Young people

Children with acute andadditional needs

Delivery systems

transformation

Delivery systemstransformation


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The Child Health Strategy cements our standards andambitions

Realising these ambitions will require partnershipThe Strategy will help youngpeople to make healthy choices.

Children and YoungPeople

The Strategy will help parents andcarers to support their childrenshealthy development.

Parents and Carers

The Strategy sets out how thosedelivering health services tochildren and young people will besupported.

Practitioners


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From Child Health Promotion Programme toHealthy Child Programme

Following the publication of this strategy, the Child HealthPromotion Programme will be renamed the Healthy Child

Programme.

The aim is to encourage parents to ask for and use thoseservices that will promote their childrens health and

wellbeing in the early years.


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Support through pregnancy and theearly years

A wide range of guidance and care is available for parents, babies and young

children from before pregnancy through to the age of five delivered throughChildrens Centres as well as GPs and other health settings. The core programmeis the Healthy Child Programme:


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The expansion of the successful Family NursePartnership programme, providing intensive supportfor the most vulnerable first-time mothers with aninterim milestone to cover 70 areas by 2011.

Help for vulnerable first-time mothers

A strengthened role for Childrens Centres throughhealth-based programmes and each centre to haveaccess to a named health visitor.

Role of Sure Start

Childrens Centres

The expansion in the health visitor workforce to deliver

the Healthy Child Programme for 0-5s, working withthe NHS and the professions to promote recruitmentand support professional development.

Health visitor workforce

Commitments to strengthen support inpregnancy and the early years

The development and testing of a new Antenatal andPreparation for Parenthood programme for mothersand fathers.

Antenatal and postnatalsupport


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Action on Health Visiting Programme

Launched in March by Alan Johnson In response to Lord Laming review on child

protection

Explores the role & competency of healthvisitors

Looking at ways to improve training andrecruitment

Healthy Child Programme plays a key role inthis agenda


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The FNP journey

Small scale

testing 07-10

10 wave 1 sites

Large scale

testing 08-11

20 wave 2

20 wave 3

20 wave 4

Roll out?

2011-19

Evaluation

07/08 to 09/10

RCT 2b andwave1

Testing:

Programme delivery, training, organisational and service context,

workforce, commissioning, eligibility, recruitment pathways, roll out

Sharing the

learning


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FNP: what we have learnt so far

We can deliver FNP in this country The materials work in this country

It seems to be acceptable to clients

We seem to be reaching those who benefitmost

Fathers are involved

The nurses are highly committed

The clients value their nurses

The training is highly valued

Early impacts look promising

But it is difficult work and we have long wayto go


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Pregnancy, Birth & beyond

Universal model Antenatal and early postnatal preparation 09/10 development of model and

materials 10/11 early testing and refining

Progressive model

Group-based

Disadvantaged non-FNP clients

Antenatal and up to 1 year postnatal,following FNP approach

Early testing 09/10

Renewing how parents-to-be are prepared for

pregnancy, childbirth and parenthood, using aprogressive-universal approach

Current work - literature review, market research,

scoping of existing practice

2 strands to project


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Father involvement high

Young fathers show high levels of interest in FNP, andmany want to be present for visits or complete the activities

Out of 7500 visits, father present for 1820 visits

49% of clients, father present for at least one visit, mostcommonly for one to two thirds of visits


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What are the actions that need to be prioritised to deliver

the commitments identified in the pregnancy and earlyyears chapter?

What specific issues need to be picked up in the crosscutting workshops this afternoon to enable delivery for

pregnancy and early years?

What are the opportunities for integrated delivery throughthe following programmes and settings?

- Family Nurse Partnership

- Children Centres

- Healthy Child Programme

Documents

Pregnancy and Early Years - Sally Anderson