Family Nurse Partnership

Size: px
Start display at page:

Download "Family Nurse Partnership"

From this document you will learn the answers to the following questions:

  • What is one of the two programs shown to prevent child maltreatment?

  • What is the purpose of the specification?

  • What is the FNP leadership?

Transcription

1 Family Nurse Partnership Core Service Specification for 2015/16 07 May 2015 Issued by the Family Nurse Partnership National Unit

2 Index Introduction to the Family Nurse Partnership 3 Background and context 3 The FNP programme 4 FNP Coverage 5 Evidence 5 Purpose of the service specification and commissioning responsibilities 6 Changes to commissioning responsibilities from 1st October Aims and scope of FNP 7 Aims and objectives 7 Health outcomes 7 FNP target population 9 FNP Leadership and accountability 11 National service description 11 National leadership and licensing 11 Expectations of commissioners 12 Expectations of providers 13 FNP service model 15 Overview 15 Integration with the Healthy Child Programme 15 FNP service model 17 Workforce and staffing 17 Care pathway 19 Graduation from FNP and planning 20 Leaving FNP early 20 Location of service delivery 21 Materials, tools, equipment and other technical requirements 21 Record keeping, data collection systems and information sharing 22 Integration 22 Key national documents and guidance 24 References 28 Annexes 2

3 Introduction to the Family Nurse Partnership 1. This service specification sets out detailed information for both local authority and NHS commissioners of the Family Nurse Partnership (FNP) programme in 2015/16. It details the core elements for the commissioning of the FNP programme, including those set out by the FNP sub-licensing agreements and the FNP Management Manual. Further detail about the programme can be found at: 2. This specification should be read in the context of the transition of commissioning responsibility for 0-5 public health services, including the FNP programme, to local authorities from October Further information about the transfer can be found at: 3. FNP is not currently universally available across England and so this service specification should be used by those areas where FNP is currently commissioned, and those who are planning to commission the programme during (e.g. local authorities, CCGs). 4. This specification aims to support an integrated approach to meeting the needs of young children and their families and the delivery of improved outcomes. Family nurses will lead delivery of the Healthy Child Programme (HCP) to FNP clients and work in partnership with health visiting and a range of other services including maternity services, local authority provided or commissioned early years services, voluntary, private and independent services, primary and secondary care, schools, health improvement teams, and children's social care services. 5. This specification has been developed in conjunction with key stakeholders including the Local Government Association, the Department of Health and Public Health England. Background and context 6. Giving every child the best start in life is crucial to reducing health inequalities across the life course. The foundations for virtually every aspect of human development physical, intellectual and emotional are laid in early childhood. What happens during these early years (starting in the womb) has lifelong effects on many aspects of health and well-being, educational achievement and economic status. i Universal and specialist public health services for children are important in promoting the health and wellbeing of all children and reducing inequalities through targeted intervention for vulnerable and disadvantaged children and families. Successive reviews have demonstrated the economic and social value of prevention and early intervention programmes in pregnancy and the early years. ii,iii,iv,v 7. The Government, local government organisations, NHS England, Clinical Commissioning Groups (CCGs), Public Health England, Royal Colleges and others signed up to the pledge vi for Better health outcomes for children and young people in February The Pledge sets out shared ambitions to improve physical and mental health outcomes for all children and young people. 3

4 It commits signatories to putting children, young people and families at the heart of decision making and improving every aspect of health services from pregnancy through to adolescence and beyond. The FNP programme 8. The Family Nurse Partnership (FNP) is an evidence-based, preventive programme for first time young mothers. The programme was developed in the USA over 30 years ago. The first ten sites began testing FNP in the UK in 2007 and there are now FNP teams in 135 areas in England. FNP is a targeted programme which complements the Healthy Child Programme (HCP), the universal clinical and public health programme for all children and families from pregnancy to 19 years of age. It can also be an integral part of a local authority s early help offer. 9. Participation in the FNP programme is voluntary. When a mother joins the FNP programme, the HCP is delivered by the family nurse instead of by health visitors as part of delivering the FNP programme. The family nurse plays an important role in any necessary safeguarding arrangements, alongside statutory and other partners, to ensure children are protected. 10. The programme uses in-depth methods to work with young parents on attachment, relationships and psychological preparation for parenthood, helping them to overcome adverse life experiences. 11. High quality research into FNP in the USA over the last 30 years has shown significant benefits for vulnerable young families in the short, medium and long term across a wide range of outcomes including: improvements in antenatal health reductions in children s injuries, neglect and abuse improved parenting practices and behaviour fewer subsequent pregnancies and greater intervals between births improved early language development, school readiness and academic achievement increased maternal employment and reduced welfare use increases in fathers involvement In a review by the Lancet, FNP (MacMillan 2009) was cited as one of only two programmes shown to prevent child maltreatment. 12. FNP is a licensed programme, with the licence provided by the University of Colorado (UCD) to ensure fidelity to the programme model so that anticipated programme outcomes are realised. The licence for FNP in England is held by Department of Health/Public Health England and facilitates positive outcomes through ensuring fidelity and continuous investment in improvement. 13. Implementation of the programme is led by the FNP National Unit, which works in partnership with commissioners and provider bodies to ensure that the programme is delivered with fidelity to the expected model, thereby maximising the chances of reproducing the expected outcomes. The Core Model Elements and Fidelity Goals set out by the FNP licence are detailed in ANNEX B. An FNP Management Manual is provided to all existing and prospective sites to support implementation and programme quality. 4

5 FNP Coverage 14. The Government has committed to improving access to FNP by offering at least 16,000 places on the programme by the end of March This target has now been achieved, and the programme is now reaching 25-30% of the eligible population in 135 upper tier local authorities. 1 NHS England will work with the FNP National Unit until October 2015 to maintain the successes already achieved. Local authorities are then expected to maintain FNP delivery at least at the local service levels established at transition (though many are exploring opportunities for expansion). Local authorities are also encouraged to speak to their providers to establish a complete picture of service delivery. Those commissioners who would like to offer FNP or expand their existing provision should contact the FNP National Unit at enquiries@fnp.nhs.uk. Further information on commissioning the FNP programme is also available on the FNP National Unit website at: Evidence 15. FNP has a strong body of research evidence developed over 35 years in the USA with evidence reviews consistently identifying it as the most effective preventive early childhood programme for improving the health and development of vulnerable young mothers and their children. FNP is the UK replication of the Nurse Family Partnership Programme, developed by Professor David Olds and colleagues in the USA. Three large-scale randomised control trials of the programme in the US have shown a range of consistent benefits for children and mothers over the short, medium and long-term. vii 16. FNP has been tested in England since An independent evaluation of the first 10 pilot sites showed FNP could be implemented well in England, in accordance with the programme model and in the context of the NHS and that the potential for positive outcomes was good. Programme monitoring data has continued to show that the programme is being implemented well in England. A large-scale randomised control trial to assess the programme s effectiveness in an English context is underway and due to report initially in In England, the Early Intervention Foundation Guidebook 2 has assessed FNP as consistently effective and the Department for Education (DfE) Parenting Programme Commissioning Toolkit rates it as having the highest quality of evidence, one of only a few programmes rated at this level. viii In a review by the Lancet, FNP (MacMillan 2009) was cited as one of only two programmes shown to prevent child maltreatment. Further information about the evidence for FNP can be found at: 1 The level of FNP coverage of the eligible population in these areas varies 2 5

6 Purpose of the service specification and commissioning responsibilities 18. This service specification has been developed to support local authorities and NHS England with commissioning a consistent approach to FNP across England, in a way that is likely to produce the best outcomes. This document outlines the service model and quality indicators expected by Public Health England, the FNP licensing body (the University of Colorado, Denver) and the populations FNP serves. It also sets out the expectations for how these bodies will work together, alongside commissioners, providers and the FNP National Unit (FNP NU). 19. This service specification should be read in conjunction with additional guidance and literature (see later in this document) and importantly the Public Health Outcomes Framework for England , Specification No 27, Children s Public Health services (from pregnancy to age 5) published by the Department of Health and NHS England the National Health Visiting Core Service Specification and FNP Management Manual and Guidance for FNP Advisory Boards, which are issued to existing and prospective FNP sites. Further materials and information can also be found at Changes to commissioning responsibilities from 1st October For the first six months of 2015/16, NHS England will continue to commission public health services for children under 5. This includes maintaining the Government s commitment to expand FNP to at least 16,000 places. 21. From 1 October 2015, local authorities will take responsibility for commissioning (i.e. planning and paying for) public health services for children aged 0-5 from NHS England. These services include health visiting, the Healthy Child Programme (HCP) and FNP (where available). 22. This transfer of responsibilities will join up the commissioning of children s 0-5 public health commissioning with local authority commissioning of public health services for children and young people 5-19, (and up to age 25 for young people with Special Educational Needs and Disability) 23. For providers this will involve further progress towards an integrated approach to meeting the needs of young children and their families and the delivery of improved outcomes. This includes, in particular, working in partnership with local authority provided or commissioned early years and children's social care services as well as with primary care, with CCG commissioned services, public health programmes and alongside third sector organisations. 6

7 Aims and scope of FNP Aims and objectives 23. The overarching aim of public health services for children under five, including FNP, is to protect and promote the health and well-being of children in the early years. FNP, in addition, specifically promotes the health, well-being and economic self -sufficiency of first time young parents aged 19 and under. The key objectives of public health services for children under five are to: Improve the health and well-being of children and reduce inequalities in outcomes as part of an integrated approach to supporting children and families; Ensure a strong focus on prevention, health promotion, early identification of needs and clear packages of support; Ensure delivery of a universal core programme, that includes provision of the Healthy Child Programme, to all children and families; Identify and support those who need additional support and targeted interventions, for example, parents who need support with their emotional or mental health and women suffering from postnatal depression; Improve services for children, families and local communities through expanding and strengthening health visiting services; and Improve pregnancy outcomes, child health and development (including school readiness and achievement) and economic self-sufficiency for vulnerable firsttime young mothers and their children and families through the FNP programme. 24. Specific objectives for FNP are to: Health outcomes improve the outcomes of pregnancy by helping young women improve their ante-natal health and the health of their unborn baby; improve children s subsequent health and development by helping parents to provide consistent, competent care for their children; and improve women s life course by planning subsequent pregnancies, finishing their education and finding employment. 25. Children s public health services and FNP contribute to the Public Health Outcomes Framework for England (PHOF) which aims to improve and protect the nation s health and wellbeing and to improve the health of the poorest fastest. ix Specifically, FNP contributes to: Health Improvement Breastfeeding initiation and prevalence at 6-8 weeks after birth (PHOF 2.2) Child development at 2-2½ years (PHOF 2.5) Hospital admissions caused by unintentional and deliberate injuries in under 5s (PHOF 2.7) 7

8 Access to non-cancer screening programmes (PHOF 2.21) Health Protection Population vaccination coverage (PHOF 3.3) Healthcare public health and preventing premature mortality Infant mortality (PHOF 4.1) Tooth decay in children aged 5 (PHOF 4.2) Improving the wider determinants of health School readiness (PHOF 1.2) 26. FNP is part of the Universal Partnership Plus level of the four levels of health visiting service. Family nurses also deliver the Healthy Child Programme to their clients from pregnancy until the child is two. This means that family nurses will also deliver the five proposed mandated health checks: antenatal health promoting visits new baby review six to eight week assessment of the baby one year assessment two to two and a half year review 3 If an FNP client has a second or subsequent child while she is enrolled on the FNP programme, the family nurse will also deliver the Healthy Child Programme in relation to that subsequent child, until the first child reaches the age of two. 3 DH have published the draft regulations, they make it clear that there is no expectation of an uplift in performance at the point of transfer, and that LAs will only be expected to take a reasonably practicable approach to delivering the checks and to continuous improvement over time. Providers should be able to share information about the current level of performance so LAs know their pre-transfer baseline. Read the draft regulations here: 8

9 27. FNP also contributes to the Six Early Years High Impact Areas: Transition to parenthood and early weeks Maternal health (perinatal depression) Breast feeding (initiation and duration) Healthy weight, healthy nutrition (including physical activity) Managing minor illness and reducing accidents (including reducing hospital admission) Health, wellbeing and development of the child at age two years (including two year review and support to be ready for school) FNP target population 28. FNP is a voluntary programme for eligible clients. The programme is designed for first time mothers aged 19 and under (at last menstrual period). This reflects evidence about which groups will benefit most from FNP; and also whose children are shown to be at high risk of poor developmental outcomes. x,xi,xii,xiii,xiv The aim is to enrol women on the programme as early as possible in pregnancy, ideally before 16 weeks and no later than 28 weeks gestation. Hall and Hall xv provide further background on the rationale for these criteria. Family nurses also work with fathers as far as possible supporting them to be effective co-parents. 29. Nationally, FNP is not currently delivered universally to the eligible population. Current coverage is between 25-30% of the eligible population, 4 with 4 The population eligible for FNP is all first time mothers aged 19 and under at last menstrual period enrolled by the 28 th week of pregnancy. The coverage of eligible population is currently estimated on the basis of all live births to first time mothers to be in this age group over a 2.5 year period, which is the maximum length of the 9

10 considerable variation between areas. A map of FNP coverage as of March 2015 is set out in ANNEX A. 30. Identifying the extent of need for FNP is undertaken at local level usually as part of Joint Strategic Needs Assessment process. Data should include analysis of all conceptions leading to maternities in the eligible age range, not just teenage conceptions; these data will support service planning by identifying geographic distribution of eligible women. FNP programme. This is then adjusted to remove a small proportion of this group estimated to not be eligible for FNP and divided by the total number of available FNP places. 10

11 FNP Leadership and accountability National service description 31. The FNP programme consists of structured home visits from early in pregnancy until the child is two, delivered by family nurses. The visits cover the six domains of: personal health, environmental health, life course development, maternal role, family and friends, and health and human services. Family nurses use licensed programme guidelines, materials, methods and practical activities to work with the mother as well as the father and wider family, on developing and maintaining positive healthy lifestyle choices, understanding their baby, making changes to their behaviour, increasing their parenting capacity, developing emotionally, building positive relationships, interacting with other local services and making plans to return to education or employment. FNP is based on the theories of human ecology, attachment and self-efficacy. 32. FNP is delivered in an integrated way with maternity, general practice, community health services, health visiting, children s centres, social care, Job Centres and third sector providers within the context of integrated children s services and the Healthy Child Programme (HCP). 33. The service will be flexible and responsive, adapting to the individual needs of children and families whilst ensuring fidelity to the licensed FNP programme model. National leadership and licensing 34. The FNP programme is a licensed programme and therefore has a well-defined and detailed service model, which must be adhered to. The Core Model Elements and Fidelity Goals from the FNP licence are set out in ANNEX B. The purpose of the licence is to ensure that the programme is implemented as in the original research conditions so as to maximise the likelihood that similar outcomes will be achieved. 35. Provider organisations are critical to the effective delivery of FNP and to replication of the outcomes from the research for young mothers and their babies. From October 2015 local authorities across England will be responsible for commissioning the programme, and as such are also critical to the high quality implementation of FNP in England. 36. Four key organisations are involved in delivery of the FNP programme in England. The Department of Health retains responsibility for the overarching policy. Public Health England (PHE) holds the national licence for FNP on behalf of the University of Colorado, Denver, and must ensure that the programme is delivered in England in accordance with that licence. PHE also funds the FNP National Unit to lead implementation and support of FNP in England. PHE also manages the contract with the Tavistock and Portman NHS Foundation Trust for the delivery of National Unit functions (see below).nhs England is currently responsible for commissioning providers to FNP.These bodies take advice from the FNP National Unit regarding readiness of sites to deliver FNP following a preparation phase and on the quality of delivery and fidelity to licensing requirements across all sites. Local authorities will commission FNP from 1 October 2015, and have access to the services of the FNP National Unit. The National Unit can be contacted via 11

12 37. The FNP National Unit is responsible for leading implementation of the FNP programme and supporting its delivery to the licence standards. It exercises this role through: Advising Local Authorities on high quality delivery of FNP and fidelity to the core model elements of the programme in a locality. Sub-licensing organisations when they are ready to deliver FNP. It may also withdraw the licence in the event of ongoing failure; Assuring programme fidelity and adherence to licence conditions; Supporting initial implementation in FNP sites and supporting ongoing quality improvement Delivering the family nurse and supervisor learning programme; Reporting to Public Health England, the national FNP licence holder, on quality improvement nationally; Working with local and national partners to provide strategic direction for FNP, to influence decision and policy making where this is relevant to FNP, and to ensure effective communications about FNP and relevant matters. 38. To support this activity, the FNP NU manages an Information System which collects data on delivery, input by local teams. This does not replace commissioners roles and responsibilities for monitoring and managing provider contracts for the delivery of FNP locally, or provider responsibilities for ensuring high quality delivery and clinical governance. Commissioners and providers will have access to regular local delivery data reports from the FNP Information System as part of the local FNP Advisory Board governance and oversight, and to inform their contract management activity. 39. The FNP National Unit will support LAs who take on commissioning responsibilities for FNP as part of the public health 0-5 transition arrangements. It would also, subject to discussion, support those LAs who do not currently commission FNP but who may wish to commission and fund it locally. Expectations of commissioners 40. Commissioners have an important strategic role in commissioning and leading FNP locally so that it contributes to the achievement of strategic priorities by: Ensuring sustainability of services to families, specifically until the child is aged two as required by the FNP licence; Maintaining the coverage of the FNP programme at the levels achieved by 31 March 2015; Ensuring coherence across the system aligning the FNP Programme with the Healthy Child Programme, health screening, immunisation, general practice, maternity services and integrated into the Early Help offer; Ensuring the needs of children and families are identified early and responded to effectively to reduce escalation to acute services; Developing links to the national Troubled Families initiative targeting the most complex needs families through intensive interventions; Ensuring through commissioning, the local transfer of data to support effective programme planning and delivery between maternity services, HCP, FNP and local authorities with FNP teams as appropriate; 12

13 Focusing on national Public Health priorities. Influencing FNP investment decisions Chairing and providing the Secretariat for the FNP Advisory Board. 41. Specifically NHS England will, as commissioner of FNP until October 2015: Ensure sustainability of the FNP programme by preparing local systems for the transfer of commissioning responsibilities to local authorities from 2015 by continuing to engage local authorities and commissioners. Work towards achieving the joint sign-off of local FNP commissioning plans for by their Local Teams with local authority chief executives. contribute to the development of Joint Strategic Needs Assessments and Joint Health and Wellbeing Strategies; input into local Health and Well-being Boards; and In partnership with PHE, develop its Public Health commissioners to ensure they can work effectively with LAs in the lead up to the transfer of commissioning of 0-5 health services from October Expectations of providers 42. The provider will deliver the implementation and delivery requirements for the FNP programme as set out in the FNP Sub-licensing Agreement for Providers and the FNP Management Manual. These documents are made available to prospective and existing local sites. 43. Specifically, providers are expected to: Identify a lead person for FNP who will provide senior local strategic leadership within the provider organisation and across the local system, sit on the FNP Advisory Board, be a key advocate for and supporter of FNP across the local strategic system, be responsible for overseeing local quality and license fidelity in line with the FNP Quality Improvement Process, which is made available to existing and prospective FNP sites; Ensure clinical and support staff are appointed in line with licensing expectations and replace staff who leave in a timely and efficient manner; Ensure appropriate safeguarding arrangements are in place for the FNP team, in line with local protocols and guidance issued by the FNP National Unit; Have effective systems in place for early recruitment of young women (before 16 weeks gestation) to maximise the enrolment of eligible clients in early pregnancy, enabling them to get maximum benefit from the programme (see section below on recruitment pathways); Have clear operational standards in place, in relation to how the FNP interfaces with, and relates to, all of the agencies supporting the delivery of the HCP; Have pathways in place for families moving from FNP to universal HCP and children s services; Provide strong organisational leadership and support so the FNP programme can be delivered well in their area; Ensure family nurses work in partnership with parents using the licensed FNP guidelines, other programme materials and methods to enable mothers and fathers to increase their knowledge and understanding, set goals, make behaviour changes and develop their reflective capacity. This will enable them 13

14 to build strong attachments with their baby, enhance their self-efficacy, develop effective strategies for good infant and toddler care-giving, strengthen and adapt to their parenting role, resulting in improved outcomes for themselves and their child; Recruit an FNP supervisor to lead the clinical implementation of the FNP programme with families in collaboration with the FNP NU. The FNP supervisor is responsible for the quality of programme delivery, using the FNP Information System to support their assessment and improvement of implementation quality. 14

15 FNP service model Overview 44. FNP is a structured home visiting programme delivered by a team of trained family nurses, led by a supervisor and accountable to a local FNP Advisory Board. The licence for FNP sets out the programme model including the number of visits nurses should make and the topics they should cover; the structure of the team, their qualifications and supervision requirements; monitoring and data collection requirements; and provides access to copyrighted materials, clinical methods and tools (see core model elements at ANNEX B). The FNP National Unit has developed a range of guidance to support the introduction and delivery of FNP, and this is made available to sites who are delivering, or preparing to deliver the programme. Integration with the Healthy Child Programme 45. FNP is a targeted element of the Healthy Child Programme (HCP) and family nurses deliver the HCP to clients until their child is two. The table below sets out the schedule of universal elements of the HCP, and those elements which are incorporated into the FNP programme. Schedule of universal elements of the HCP Review Description Delivered by Commissioned by Antenatal health promoting visits Includes preparation for parenthood Health visitors Family nurse (where the family is accessing NHS England Local authorities from October 2015) New Baby Review 6 8 Week Assessment Face-to-face review by 14 days with mother and father to include: - Infant feeding - Promoting sensitive parenting - Promoting development - Assessing maternal mental health - SIDS - Keeping safe - If parents wish or there are professional concerns: o An assessment of baby s growth o On-going review and monitoring of the baby s health o Safeguarding Includes: - On-going support with breastfeeding involving both parents FNP) Health visitors Family nurse (where the family is accessing FNP) Health visitors Family nurse (where the NHS England ( Local authorities from October 2015) NHS England (Local authorities from October 2015) 15

16 Review Description Delivered by Commissioned by - Assessing maternal mental health family is accessing By 1 Year By 2 2½ Years Includes: - Assessment of the baby s physical, emotional and social needs in the context of their family, including predictive risk factors - Supporting parenting, provide parents with information about attachment and the type of developmental issues that they may now encounter - Monitoring growth - Health promotion, raise awareness of dental health and prevention, healthy eating, injury and accident prevention relating to mobility, safety in cars and skin cancer prevention Includes: - Review with parents the child s social, emotional, behavioural and language development - Respond to any parental concerns about physical health, growth, development, hearing and vision - Offer parents guidance on behaviour management and opportunity to share concerns - Offer parent information on what to do if worried about their child - Promote language development - Encourage and support to take up early years education - Give health information and guidance - Review immunisation status - Offer advice on nutrition and physical activity for the family - Raise awareness of dental care, accident prevention, FNP) Health visitors Family nurse (where the family is accessing FNP) Health visitors Family nurse (where the family is accessing FNP) Clients on the FNP programme will leave the programme when the child is two and receive usual universal health visiting services. NHS England NHS England. (Local authorities from October 2015) NHS England (Local authorities from October 2015) 16

17 Review Description Delivered by Commissioned by sleep management, toilet training and sources of parenting advice and family information - This review will be integrated with the Early Years Foundation Stage two year old summary from FNP service model 46. The programme of FNP visits, as required by the FNP licence, is: 1 per week first month Every other week during pregnancy 1 per week first 6 weeks after delivery Every other week until 21 months Once a month until age Visits last approximately one hour and cover the following domains: Personal health women s health practices and mental health Environmental health adequacy of home and neighbourhood Life course development women s future goals Maternal role skills and knowledge to promote health and development of their child Family and friends helping to deal with relationship issues and enhance social support Health and human services linking to other services 48. The provider will implement the programme in accordance with the FNP Sublicensing agreements and the expectations set out in the latest FNP Management Manual, provided by the FNP National Unit. This includes providing local safeguarding arrangements. Workforce and staffing 49. The FNP Core Model Elements state that a Family Nurse can carry no more than 25 families per full-time employee and a Supervisor should carry a caseload of a minimum 2-3 families. It should be anticipated that a full working caseload will operate at around 23 clients per WTE nurse, given that some clients will be in the process of graduating and others in the process of being recruited and that it is helpful to retain some capacity for occasional specific referrals. 5 ed-review-faqs 17

18 50. To determine capacity at a site and national level, the National Unit has worked to a model of 25 clients per Family Nurse (assuming that each nurse is 1 x WTE) and none for the Supervisor - e.g. a team of 4 with Supervisor would have a modelled maximum capacity of 100 places. 51. In practice, providers of FNP will need to consider how they will make provision for capacity in the case of staff illness and absence, turnover, hours worked, levels of vulnerability and/or additional needs of clients including those involved with child protection, children looked after and the need for interpreters plus locally agreed strategies for keeping places open for transfers in and the geography and location / reallocation of clients. Commissioners should also note that it typically takes a year for a family nurse to build up a full caseload. There may be discrepancies between current WTE and the modelled capacity at site level. Providers and commissioners should be aware of these discrepancies and agree a true capacity for each site as a priority. These discrepancies may have occurred where existing Family Nurses have changed their working hours, been appointed on a part-time basis or where there have been historic contracting or commissioning challenges. Commissioners should be commissioning FNP to a maximum (theoretical) capacity and not to actual caseloads 52. Implementing sites are responsible for ensuring that they appoint practitioners who meet the expectations of the standard FNP job description and person specifications. Each independent team should have a supervisor at AfC Band 8a; a minimum of 4 and a maximum of 8 family nurses at AfC band 7; and a quality support/ administrative officer as set out in the programme s core model elements. Standard job descriptions and person specifications are provided in the FNP Management Manual which is issued to all existing and prospective sites, together with guidance and further requirements in relation to recruitment and management of the local FNP team. There is also a requirement for each FNP team to be supported by an appropriately qualified and skilled psychological consultant who will offer monthly consultancy. The FNP supervisor is responsible for leading the local FNP team, clinical and safeguarding supervision, management of the family nurses, meeting their learning needs and team functioning. Training and development 53. The FNP National Unit plans and delivers all FNP-related workforce training for family nurses across England. Family nurses are recruited from existing registered nurses with community experience. HEE and LETBs do not therefore have a role in family nurse training or workforce planning (beyond ensuring that there are sufficient numbers of suitably qualified nurses available to be recruited). 54. Implementing sites are responsible for ensuring that family nurses and supervisors access the full FNP learning programme and any additional HCP or other learning they require. This may include additional training required to maintain competencies and/or professional registration (e.g. midwifery practice, nurse prescribing). This includes taking dedicated time for completing online learning modules and other site based learning. It also includes ensuring that expectations for preparation and consolidation of learning and ongoing learning are also met. The FNP supervisor will manage the family nurse s team based learning and achievement of FNP competencies and the provider lead will ensure that the supervisor achieves the FNP supervisor competencies. 18

19 55. The FNP learning programme for supervisors and for family nurses will start at two time points each year from 15/16: notice of this is important in regard to recruitment processes. Care pathway 56. The following is an outline of the FNP care pathway: Women who meet the eligibility criteria are notified (rather than referred) to the FNP team by midwives following pregnancy booking, or by other service providers, in order that allocation and recruitment can be undertaken in a timely way to meet the fidelity goal of 60% enrolment of eligible clients by 16 weeks. First time young mothers aged 19 and under will be offered FNP as part of the preventive pathway within the HCP as far as there is capacity in the FNP team to do so. Local commissioners will need to be clear about the pathway for eligible women not offered or not wishing to take up FNP. Young mothers enrolling on the programme will be visited, as far as possible, by the same family nurse until the completion of the programme when the child is 2 years of age; The programme will be delivered to young mothers within the context of the immediate and extended families involving fathers/ partners parents and grandparents; Young mothers who accept the programme will receive structured visits from the family nurse in line with the licensed FNP programme model; The family nurse will work closely with the midwives who will be responsible for the young mother s midwifery care; Babies born into the programme will receive the HCP as part of the FNP. The family nurse will deliver the HCP and is responsible for ensuring access to the physical examination, new born hearing screening, blood spot screening and immunisations; Before children reach the age of two years, the family nurse will notify the health visitor lead for the HCP team, and agree future service delivery. Families will be supported to access wider children s services to meet their individual needs; The FNP Supervisor will have systems in place for effective communication, audit and information sharing for all aspects of the FNP with midwives, social care, health visitors, GPs and children s centres; Young mothers who choose not to enrol on FNP will be notified back to the midwife who will continue to coordinate care for the family until days after the birth of the baby ensuring the young mother has access to the universal and progressive aspects of the HCP; Every effort will be made by the family nurse to ensure continued engagement of the client in FNP. Clients who leave the programme before their child is 2 years old will be notified to the health visitor who is responsible for universal 19

20 services, ensuring access to preventive services and to others providing the HCP (e.g. GPs). FNP teams will follow the FNP National Unit s guidance and local guidance regarding clients who cannot be traced and will act to safeguard the child or other family members where risks are identified requiring further actions; In addition to existing provider systems, family nurses and supervisors will use the FNP Information System to record data about their clients and use this to inform how they deliver the programme; and, Where the FNP client has a second child during the time of her involvement with FNP, the family nurse will be responsible for delivery of the HCP to the family for the second child, in addition to the first, until the first child reaches the age of two. Graduation from FNP and planning 57. A client graduates from the FNP programme when the child reaches two years of age and responsibility for HCP delivery is transferred back to universal services at this point. The programme includes materials and activities to prepare the client for the end of the programme and the family nurse will have introduced the client and her child to local services before this time. 58. Before children reach the age of two years the family nurse will notify the health visitor lead for the HCP team and discuss the handover process with the client. Local areas will want to develop a step-down pathway identifying how a client s ongoing needs are assessed and met within universal or and targeted services as required. Families will be supported to access children s centres and the HCP will match services and interventions to their individual needs. Leaving FNP early 59. When a child and family leave the area, there will be a clear local protocol in place to ensure continuity of services for the family. This may include the client continuing to access FNP from another FNP team or continuing to provide the FNP programme into another local area. 60. Family nurses will continue to make all efforts to locate clients who cannot be found and persist in their efforts to re-engage clients who indicate that they no longer wish to receive the programme, either directly or by repeated missed visits. 61. Once six months have passed with no client contact, the client will be classified as being an inactive case on the nurse s caseload and the nurse can re-recruit to that vacancy. Inactive clients can subsequently return to the programme if they wish and if there is capacity in the FNP team. Local sites will put into place local protocols to manage clients who are not accessing the programme or who are inactive to ensure that the children continue to receive the HCP. Guidance for FNP Advisory Boards is provided by the FNP National Unit. 62. If a client with significant risk or safeguarding factors is not receiving programme visits for any reason, local safeguarding processes should be implemented. Young mothers who choose not to accept FNP will be notified to the midwife who will continue to coordinate care for the family until days after the birth of the baby ensuring the young mother has access to the universal and progressive aspects of the HCP. 20

21 Location of service delivery 63. FNP is a home based visiting programme, however family nurses will be expected to be able to offer parents a choice of location where this is most appropriate e.g. GP surgeries, children s centres, community health services, extended schools, health centres, café etc. Other factors to take into account are: Subject to local determination, it is expected that family nurses will follow their clients across organisational and geographical boundaries, when feasible, to maintain engagement in the programme in response to the known patterns of mobility of this vulnerable group of young people. Hours of operation and nurses working hours need to fit around the needs of mothers and fathers. Providers are therefore expected to support nurses to work flexibly and out of hours. The team will need access to an N3 connection (an NHS secure broadband network, through which NHS information systems are delivered and accessed) in order to access the FNP Information System. Consideration should also be given to hot-desking, mobile, and working requirements. Materials, tools, equipment and other technical requirements 64. FNP teams will require: Suitable office accommodation, including storage and desk facilities and meeting space; Access to NHS IT systems, the internet and mobile technology for recording interventions and outcomes in local clinical record systems, Child Health Information Systems (CHIS) 6 and FNP Information System; A mobile phone for contacting clients by text; Use of social networking and other web based tools to enable workforce training and information and support for parents; FNP programme materials; Reading materials and texts recommended by the FNP National Unit to support the learning programme; Clinical tools and equipment to support delivery of the FNP and HCP; IT equipment and access to the internet to enable online learning; Appropriate secure storage for licensed materials; 65. Further details are available in the FNP Management Manual. In addition, sites will identify and provide any additional functionality to ensure local expectations for record-keeping, reporting or additional HCP requirements are met. 6 CHIS are patient administration systems that provide a clinical record for individual children and support a variety of child health and related activities, including universal services for population health and support for statutory functions. Commissioning of CHIS will remain with NHS England 21

22 Record keeping, data collection systems and information sharing 66. In line with clause 21 Service User Records and clause 27 Data Protection and Freedom of Information, providers will ensure that robust systems are in place to meet the legal requirements of the Data Protection Act 1998 and the safeguarding of personal data at all times. 67. In line with the above and following good practice guidance, the provider will have agreed data sharing protocols with partner agencies including other health care providers, children s social care and the police to enable effective holistic services to be provided to children and their families. The Personal Child Health Record (PCHR) will be kept by parents and carers and will be completed routinely by both them and professionals working in the provider service. Appropriate records will be kept in the CHIS to enable data collection to support the delivery, review and performance management of services 68. Providers will ensure that all staff have access to information sharing guidance including sharing information to safeguard or protect children. For FNP specifically: Providers will be expected to have in place mechanisms for the systematic collection of high quality data to meet the core fidelity requirements of data collection for the FNP programme. Use of FNP data forms and the FNP Information System (FNP IS) are central to this requirement and can be accessed via a web-based interface using the N3 network and NHS Open Exeter Portal; Family nurses will be required to keep and review records to monitor fidelity to the programme, visit content and for evaluation; The supervisor will monitor the collection of the data and ensure its use as a clinical tool; The supervisor will generate reports on programme delivery using the FNP IS that are to be used with the team and the FNP Advisory Board to improve and maintain the quality of the programme; The FNP team will use local CHIS systems to record information about each child including those required as part of statutory child health datasets; Family nurses and supervisors will be required to collect high quality data as set out in the programme guidelines and input this into the FNP IS. They will use this to monitor fidelity to the programme and inform continuous quality improvement of programme delivery; The FNP team will use local systems to maintain clinical records; and Provider leads and Advisory Board members will ensure that local systems are coordinated so that clinicians do not need to input the same information into more than one system. Integration 69. As a prevention and early intervention programme FNP relies on local integration and partnership working with the following systems that are out of scope of this service specification: 22

23 Joint planning and monitoring of child health outcomes, HCP and FNP delivery with local authorities (social care, early years and public health) and general practice, in particular to ensure a seamless transition at age two; Integrated pathways of care with maternity and other services such as those for disabled children; Strategic integration within the local authority early help offer, supporting children s preparedness for life and learning linking with school readiness strategies. Strategic integration within the local authority resilience, family support and child protection strategies. Referral pathways to other NHS secondary care services that address identified needs including speech and language therapy, Child and Adolescent mental health services (CAMHS), adult mental health services, NHS safeguarding supervision and advice, primary care, paediatrics, smoking cessation, contraceptive services, maternity services and specialist services for children and young people with disabilities or special needs; Referral pathways to and collaborative working with non-nhs services including safeguarding, social care, children s centres, early year s education and parenting support; and, Information sharing agreements with wider health and local authority services. 23

24 Key national documents and guidance The FNP Information Pack: The Healthy Child Programme Pregnancy to 5 years was developed nationally and is based on relevant evidence bases. Full details can be found within: Healthy Child Programme Pregnancy and the first five years of life (DH, 2009 amended August 2010) Healthy Child Programme The two year review (DH, 2009) The evidence base and key policy documents include: The Children and Young People s Health Outcomes Strategy (DH, 2012) Allen, G. (2011a) Early Intervention: The Next Steps. HM Government: London Allen, G. (2011b) Early Intervention: Smart Investment, Massive Savings. HM Government: London Field, F. (2010) The Foundation Years: preventing poor children becoming poor adults. HM Government: London. Health visitor implementation plan : A call to action (DH, 2011) The National Health Visitor Plan: progress to date and implementation 2013 onwards (DH, 2013) The Operating Framework for the NHS in England 2012/13 (DH, 2011) The NHS Outcomes Framework 2012/13 (DH, 2011) Improving outcomes and supporting transparency, Part 1: A public health outcomes framework for England, (DH, 2012) Improving outcomes and supporting transparency, Part 2: Summary technical specifications of public health indicators, (DH, 2012) The Marmot Review (2010) Strategic Review of Health Inequalities in England, post-2010 (Available at Dame Clare Tickell (2011) The Early Years: Foundations for life, health and learning An Independent Report on the Early Years Foundation Stage to Her Majesty s Government (Available at Hall D and Elliman D (2006) Health for All Children (revised 4th edition). Oxford: Oxford University Press. Service vision for health visiting in England (CPHVA conference October 2010) 24

The Family Nurse Partnership Programme

The Family Nurse Partnership Programme The Family Nurse Partnership Programme Information leaflet DH INFORMATION READER BOX Policy Clinical Estates HR / Workforce Commissioner Development IM & T Management Provider Development Finance Planning

More information

Sure Start children s centres statutory guidance. For local authorities, commissioners of local health services and Jobcentre Plus

Sure Start children s centres statutory guidance. For local authorities, commissioners of local health services and Jobcentre Plus Sure Start children s centres statutory guidance For local authorities, commissioners of local health services and Jobcentre Plus April 2013 Contents Summary 3 Sure Start children s centres statutory guidance

More information

Connection with other policy areas and (How does it fit/support wider early years work and partnerships)

Connection with other policy areas and (How does it fit/support wider early years work and partnerships) Illness such as gastroenteritis and upper respiratory tract infections, along with injuries caused by accidents in the home, are the leading causes of attendances at Accident & Emergency and hospitalisation

More information

29 June 2016 PHE Gateway number: 2016-106. Dear Colleague, Re: Children s public health 0-5 years review of mandation

29 June 2016 PHE Gateway number: 2016-106. Dear Colleague, Re: Children s public health 0-5 years review of mandation West Offices Station Rise York YO1 6GA T +44 (0)113 857440 www.gov.uk/phe To: Leaders of the Council, Local Authority Chief Executives, Directors of Public Health, Directors of Children s Services, Local

More information

Maximising the school nursing team contribution to the public health of schoolaged

Maximising the school nursing team contribution to the public health of schoolaged Maximising the school nursing team contribution to the public health of schoolaged children Guidance to support the commissioning of public health provision for school aged children 5-19 April 2014 This

More information

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE CENTRE FOR CLINICAL PRACTICE QUALITY STANDARDS PROGRAMME

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE CENTRE FOR CLINICAL PRACTICE QUALITY STANDARDS PROGRAMME NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE CENTRE FOR CLINICAL PRACTICE QUALITY STANDARDS PROGRAMME standard topic: Specialist neonatal care Output: standard advice to the Secretary of State

More information

Local action on health inequalities: Good quality parenting programmes

Local action on health inequalities: Good quality parenting programmes Local action on health inequalities: Good quality parenting programmes Health equity briefing 1a: September 2014 About PHE Public Health England exists to protect and improve the nation s health and wellbeing,

More information

Directors of Public Health in Local Government. Roles, Responsibilities and Context

Directors of Public Health in Local Government. Roles, Responsibilities and Context Directors of Public Health in Local Government Roles, Responsibilities and Context October 2013 You may re-use the text of this document (not including logos) free of charge in any format or medium, under

More information

Maternal and Child Health Service. Program Standards

Maternal and Child Health Service. Program Standards Maternal and Child Health Service Maternal and Child Health Service Program Standards Contents Terms and definitions 3 1 Introduction 6 1.1 Maternal and Child Health Service: Vision, mission, goals and

More information

Nursing and midwifery actions at the three levels of public health practice

Nursing and midwifery actions at the three levels of public health practice Nursing and midwifery actions at the three levels of public health practice Improving health and wellbeing at individual, community and population levels June 2013 You may re-use the text of this document

More information

Executive Summary. Evaluating the Family Nurse Partnership programme in England: The Building Blocks randomised controlled trial

Executive Summary. Evaluating the Family Nurse Partnership programme in England: The Building Blocks randomised controlled trial Executive Summary Evaluating the Family Nurse Partnership programme in England: The Building Blocks randomised controlled trial The study aimed to: Compare the effectiveness of the Family Nurse Partnership

More information

The Way Forward: Strategic clinical networks

The Way Forward: Strategic clinical networks The Way Forward: Strategic clinical networks The Way Forward Strategic clinical networks First published: 26 July 2012 Prepared by NHS Commissioning Board, a special health authority Contents Foreword...

More information

Transfer of the Commissioning of 0-5 Years Children s Public Health Services from NHS England to Local Authorities Commissioning data covering

Transfer of the Commissioning of 0-5 Years Children s Public Health Services from NHS England to Local Authorities Commissioning data covering Transfer of the Commissioning of 0-5 Years Children s Public Health Services from NHS England to Local Authorities Commissioning data covering mandated services and other key indicators About Public Health

More information

Caring for Vulnerable Babies: The reorganisation of neonatal services in England

Caring for Vulnerable Babies: The reorganisation of neonatal services in England Caring for Vulnerable Babies: The reorganisation of neonatal services in England LONDON: The Stationery Office 13.90 Ordered by the House of Commons to be printed on 17 December 2007 REPORT BY THE COMPTROLLER

More information

HEALTH SYSTEM. Introduction. The. jurisdictions and we. Health Protection. Health Improvement. Health Services. Academic Public

HEALTH SYSTEM. Introduction. The. jurisdictions and we. Health Protection. Health Improvement. Health Services. Academic Public FUNCTIONS OF THE LOCAL PUBLIC HEALTH SYSTEM Introduction This document sets out the local PH function in England. It was originally drafted by a working group led by Maggie Rae, FPH Local Board Member

More information

Improving outcomes and supporting transparency. Part 1A: A public health outcomes framework for England, 2013-2016

Improving outcomes and supporting transparency. Part 1A: A public health outcomes framework for England, 2013-2016 Improving outcomes and supporting transparency Part 1A: A public health outcomes framework for England, 2013-2016 November 2013 DH INFORMATION READER BOX Title Author Document Purpose Public Health Outcomes

More information

Early Years Educator (Level 3): Qualifications Criteria

Early Years Educator (Level 3): Qualifications Criteria Early Years Educator (Level 3): Qualifications Criteria July 2013 Context The criteria lay out the minimum requirements for a high quality Early Years Educator qualification. It is the role of the National

More information

Directors of Public Health in Local Government

Directors of Public Health in Local Government Directors of Public Health in Local Government i) Roles, responsibilities and context 1 DH INFORMATION READER BOX Policy Clinical Estates HR / Workforce Commissioner Development IM & T Management Provider

More information

Health Visitor Service Delivery Metrics, England. Quarter 2 2013/14 (July to September 2013) to Quarter 3 2014/15 (October to December 2014)

Health Visitor Service Delivery Metrics, England. Quarter 2 2013/14 (July to September 2013) to Quarter 3 2014/15 (October to December 2014) Health Visitor Service Delivery Metrics, England Quarter 2 2013/14 (July to September 2013) to Quarter 3 2014/15 (October to December 2014) Published 22 nd May 2015 Background The Health Visiting service

More information

Patient Choice Strategy

Patient Choice Strategy Patient Choice Strategy Page 1 of 14 Contents Page 1 Background 4 2 Putting Patients and the Public at the Heart of Health and 5 Healthcare in West Lancashire 3 Where are we now and where do we need to

More information

JOB DESCRIPTION. Specialist Community Practitioner School Nurse (Child and Family Health)

JOB DESCRIPTION. Specialist Community Practitioner School Nurse (Child and Family Health) JOB DESCRIPTION Title: Specialist Community Practitioner School Nurse (Child and Family Health) Band: Band 6 Location/Base: Designated Locality within the Trust Directorate/Dept.: Children s Provider Services

More information

Working Together to Safeguard Children

Working Together to Safeguard Children Working Together to Safeguard Children A guide to inter-agency working to safeguard and promote the welfare of children March 2013 Contents Summary 5 About this guidance 5 What is the status of this guidance?

More information

A fresh start for the regulation of independent healthcare. Working together to change how we regulate independent healthcare

A fresh start for the regulation of independent healthcare. Working together to change how we regulate independent healthcare A fresh start for the regulation of independent healthcare Working together to change how we regulate independent healthcare The Care Quality Commission is the independent regulator of health and adult

More information

A NEW LOOK AT HALL 4 The Early Years Good Health for Every Child

A NEW LOOK AT HALL 4 The Early Years Good Health for Every Child A NEW LOOK AT HALL 4 The Early Years Good Health for Every Child A NEW LOOK AT HALL 4 The Early Years Good Health for Every Child The Scottish Government, Edinburgh, 2011 Crown copyright 2011 ISBN: 978-0-7559-9421-2

More information

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY COUNCIL OF GOVERNORS 2 ND DECEMBER 2014

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY COUNCIL OF GOVERNORS 2 ND DECEMBER 2014 SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST C EXECUTIVE SUMMARY COUNCIL OF GOVERNORS 2 ND DECEMBER 2014 Subject: Supporting Director: Author: Status 1 NHS England Five Year Forward View A Summary

More information

JOB DESCRIPTION. Clinical Nurse Specialist in Attention Deficit Hyperactivity Disorder (ADHD) Specialist Hospitals, Women & Child Health Directorate

JOB DESCRIPTION. Clinical Nurse Specialist in Attention Deficit Hyperactivity Disorder (ADHD) Specialist Hospitals, Women & Child Health Directorate JOB DESCRIPTION Title of Post: Grade/ Band: Directorate: Reports to: Accountable to: Location: Hours: Clinical Nurse Specialist in Attention Deficit Hyperactivity Disorder (ADHD) Band 8A Specialist Hospitals,

More information

Update on NHSCB Key features of (proposed) NHSCB operating model for primary care

Update on NHSCB Key features of (proposed) NHSCB operating model for primary care Aim to cover Update on NHSCB Key features of (proposed) NHSCB operating model for primary care NHSCB dental commissioning strategy all dental services Concept and context of local professional networks

More information

Best start in life and beyond: Improving public health outcomes for children, young people and families

Best start in life and beyond: Improving public health outcomes for children, young people and families Best start in life and beyond: Improving public health outcomes for children, young people and families Guidance to support the commissioning of the Healthy Child Programme 0-19: Health Visiting and School

More information

Nurse Family Partnership. MIHP Coordinator s Meetings

Nurse Family Partnership. MIHP Coordinator s Meetings Nurse Family Partnership MIHP Coordinator s Meetings Nurse Family Partnership History Founded by Dr. David Olds, a professor of pediatrics, psychiatry, and preventive medicine at the University of Colorado,

More information

What Works in Reducing Inequalities in Child Health? Summary

What Works in Reducing Inequalities in Child Health? Summary What Works in Reducing Inequalities in Child Health? Summary Author: Helen Roberts Report Published: 2000 The 'What Works?' series Some ways of dealing with problems work better than others. Every child

More information

Children s Trust Board Sponsor: Dr Kate Allen, Consultant in Public Health

Children s Trust Board Sponsor: Dr Kate Allen, Consultant in Public Health Report to Children s Trust Board 6 th November 2014 Agenda Item: 4 Children s Trust Board Sponsor: Dr Kate Allen, Consultant in Public Health NOTTINGHAMSHIRE SCHOOL NURSING SERVICE REVIEW IMPLICATIONS

More information

Nursing and Midwifery Contribution to Public Health. Improving health and wellbeing

Nursing and Midwifery Contribution to Public Health. Improving health and wellbeing Nursing and Midwifery Contribution to Public Health Improving health and wellbeing June 2013 1 Nursing and Midwifery Contribution to Public Health Introduction The challenges we face in terms of population

More information

JOB DESCRIPTION: DIRECTORATE MANAGER LEVEL 3. Job Description

JOB DESCRIPTION: DIRECTORATE MANAGER LEVEL 3. Job Description JOB DESCRIPTION: DIRECTORATE MANAGER LEVEL 3 Job Description Job Title: Directorate Manager Level 3 Band: Post Type: Location: Managerially Accountable to: Professionally Accountable to: 8C Permanent UHNS

More information

Public health functions to be exercised by NHS England. Variation to the 2013-14 agreement

Public health functions to be exercised by NHS England. Variation to the 2013-14 agreement Public health functions to be exercised by NHS England Variation to the 2013-14 agreement April 2013 You may re-use the text of this document (not including logos) free of charge in any format or medium,

More information

Westminster Health & Wellbeing Board

Westminster Health & Wellbeing Board Westminster Health & Wellbeing Board Date: 20 November 2014 Classification: Title: Report of: Wards Involved: Policy Context: Financial Summary: Report Author and Contact Details: General Release School

More information

Warrington Safeguarding Children Board Neglect Strategy

Warrington Safeguarding Children Board Neglect Strategy Warrington Safeguarding Children Board Neglect Strategy Every child and young person in Warrington should be able to grow up safe from maltreatment, neglect, bullying, discrimination and crime -receiving

More information

Neglect Strategy 2014-2016

Neglect Strategy 2014-2016 Local Safeguarding Children Board For Hammersmith and Fulham, Kensington and Chelsea And Westminster Neglect Strategy 2014-2016 1. Introduction and Background This strategy has been developed in response

More information

SERVICE SPECIFICATION

SERVICE SPECIFICATION SERVICE SPECIFICATION Provision of a Service for Young Carers Wokingham Borough Council OFFICIAL - SENSITIVE Page 1 1. Introduction This is the service specification for the provision of a Young Carers

More information

The Robert Darbishire Practice JOB DESCRIPTION. Nursing Team Leader

The Robert Darbishire Practice JOB DESCRIPTION. Nursing Team Leader The Robert Darbishire Practice JOB DESCRIPTION Nursing Team Leader JOB SUMMARY To provide a practice nursing service to patients, including in chronic disease management and other specialist areas. To

More information

Research and Innovation Strategy: delivering a flexible workforce receptive to research and innovation

Research and Innovation Strategy: delivering a flexible workforce receptive to research and innovation Research and Innovation Strategy: delivering a flexible workforce receptive to research and innovation Contents List of Abbreviations 3 Executive Summary 4 Introduction 5 Aims of the Strategy 8 Objectives

More information

NHS England London Southside 4th Floor 105 Victoria Street London SW1E 6QT. 24 th July 2014. Dear Daniel, Nicola and Sue, Re: CCG Annual Assurance

NHS England London Southside 4th Floor 105 Victoria Street London SW1E 6QT. 24 th July 2014. Dear Daniel, Nicola and Sue, Re: CCG Annual Assurance NHS England London Southside 4th Floor 105 Victoria Street London SW1E 6QT 24 th July 2014 Dear Daniel, Nicola and Sue, Re: CCG Annual Assurance Many thanks for meeting with us on 6 th June 2014 to discuss

More information

Below you will find information relevant to CCPS members which has been taken from the Single Outcome Agreement published in June 2009.

Below you will find information relevant to CCPS members which has been taken from the Single Outcome Agreement published in June 2009. East Ayrshire Below you will find information relevant to CCPS members which has been taken from the Single Outcome Agreement published in June 2009. Information is ordered in the following topic groups:

More information

Occupational Therapy Strategy. Mental health and wellbeing

Occupational Therapy Strategy. Mental health and wellbeing Occupational Therapy Strategy Mental health and wellbeing 2015 2020 2015 2020 Background Occupational Therapy (OT) is an integral part of the services Derbyshire Healthcare NHS Foundation Trust (DHCFT)

More information

Surrey Antenatal Pathway Project: mapping provision and developing services across a mixed health economy.

Surrey Antenatal Pathway Project: mapping provision and developing services across a mixed health economy. Surrey Antenatal Pathway Project: mapping provision and developing services across a mixed health economy. Autumn 2013 You may re-use the text of this document (not including logos) free of charge in any

More information

Health visiting. Introduction

Health visiting. Introduction Health visiting Introduction 1 This document has been drafted to reflect the NMC's position on health visiting (HV) and to support the application of NMC standards as flexibly as possible. It supports

More information

THE FUNCTIONS OF CLINICAL COMMISSIONING GROUPS (UPDATED TO REFLECT THE FINAL HEALTH AND SOCIAL CARE ACT 2012)

THE FUNCTIONS OF CLINICAL COMMISSIONING GROUPS (UPDATED TO REFLECT THE FINAL HEALTH AND SOCIAL CARE ACT 2012) THE FUNCTIONS OF CLINICAL COMMISSIONING GROUPS (UPDATED TO REFLECT THE FINAL HEALTH AND SOCIAL CARE ACT 2012) DH INFORMATION READER BOX Policy Clinical Estates HR / Workforce Commissioner Development IM

More information

Commissioning fact sheet for clinical commissioning groups

Commissioning fact sheet for clinical commissioning groups Commissioning fact sheet for clinical groups July 2012 This fact sheet sets out the services to be commissioned by clinical groups (CCGs) from April 2013. It also sets out the complementary services to

More information

Public Health Wales NHS Trust Job Description Professional Lead Consultant for Health Protection

Public Health Wales NHS Trust Job Description Professional Lead Consultant for Health Protection Public Health Wales NHS Trust Job Description Professional Lead Consultant for Health Protection Accountable to Director of Health Protection (managerially) and the Executive Director of Public Health

More information

Children s centre self-evaluation form guidance

Children s centre self-evaluation form guidance Children s centre self-evaluation form guidance Age group: 0 5 Published: March 2010 Reference no: 100008 The Office for Standards in Education, Children's Services and Skills (Ofsted) regulates and inspects

More information

JOB DESCRIPTION. Job Title: Macmillan Integrated Palliative Social Worker. Day Therapy department, Outpatient Service & Community

JOB DESCRIPTION. Job Title: Macmillan Integrated Palliative Social Worker. Day Therapy department, Outpatient Service & Community JOB DESCRIPTION Job Title: Macmillan Integrated Palliative Social Worker Reports to: Day Unit Therapy Lead Location: Salary: Hours of work Annual Leave: Day Therapy department, Outpatient Service & Community

More information

Health and Education

Health and Education Health and Education Working Together for all Children The Role of the School Health Nurse Summary Historically, the school nursing service has been perceived as one which offers advice to school age children

More information

Children First Labor s plan to give our children the best start in life

Children First Labor s plan to give our children the best start in life Children First Labor s plan to give our children the best start in life Authorised and printed by R Lindell, 360 King St, West Melbourne 3003. PUTTING VICTORIA S CHILDREN FIRST Children are our future.

More information

Improving outcomes and supporting transparency

Improving outcomes and supporting transparency Improving outcomes and supporting transparency Part 1: A public health outcomes framework for England, 2013-2016 Contents Chapter one Chapter two Chapter three Chapter four Chapter five Annex A Annex

More information

Children's Services in Newham - A Guide

Children's Services in Newham - A Guide for children, young people and families A guide to services in Newham www.newham.gov.uk www.newham.gov.uk/triage 020 3373 4600 2014 Newham Council Communications 02761 Contents PAGE 1. Introduction 2.

More information

Getting it right for children, young people and families

Getting it right for children, young people and families Getting it right for children, young people and families Maximising the contribution of the school nursing team: Vision and Call to Action DH INFORMATION READER BOX Policy Clinical Estates HR / Workforce

More information

Early Help Strategy 2013-2015. Children, Young People and Families. www.manchester.gov.uk

Early Help Strategy 2013-2015. Children, Young People and Families. www.manchester.gov.uk Early Help Strategy Children, Young People and Families 2013-2015 www.manchester.gov.uk 1. INTRODUCTION EARLY HELP STRATEGY 1.1 The Early Help Strategy endorsed by the Manchester Children s Board is a

More information

Somerset s transformation plan for children and young people s mental health and wellbeing (2015-2020)

Somerset s transformation plan for children and young people s mental health and wellbeing (2015-2020) Somerset s transformation plan for children and young people s mental health and wellbeing (2015-2020) Deborah Howard Joint Head of Mental Health Services, Somerset CCG & Somerset CC 27 th January 2016

More information

Services for Children and Young People with Special Educational Needs and Disabilities. Lancashire s Local Offer. Lancashire s Health Services

Services for Children and Young People with Special Educational Needs and Disabilities. Lancashire s Local Offer. Lancashire s Health Services Services for Children and Young People with Special Educational Needs and Disabilities Lancashire s Local Offer Lancashire s Health Services 1. Name of the service and what the service provides Lancashire

More information

Report. The. Surrey Parent-Infant Mental Health Service

Report. The. Surrey Parent-Infant Mental Health Service Report On The Surrey Parent-Infant Mental Health Service Lynda Dawson Health visitor Specialist Cathy Madley-Dowd Health Visitor Specialist Introduction The Parent-Infant Mental Health (PIMH) service is

More information

Standards for pre-registration nursing education

Standards for pre-registration nursing education Standards for pre-registration nursing education Contents Standards for pre-registration nursing education... 1 Contents... 2 Section 1: Introduction... 4 Background and context... 4 Standards for competence...

More information

and Entry to Premises by Local

and Entry to Premises by Local : the new health protection duty of local authorities under the Local Authorities (Public Health Functions and Entry to Premises by Local Healthwatch Representatives) Regulations 2013 1 Purpose of this

More information

Health visitors & school nurses working together. Presentation for PSA on Thursday 5 th July 2012 Fullwell Cross Library

Health visitors & school nurses working together. Presentation for PSA on Thursday 5 th July 2012 Fullwell Cross Library Health visitors & school nurses working together Presentation for PSA on Thursday 5 th July 2012 Fullwell Cross Library Health visiting Trained nurses with a minimum of 2 years post qualification experience

More information

Local Offer: Community Paediatrics (West Lancashire)

Local Offer: Community Paediatrics (West Lancashire) Local Offer: Community Paediatrics (West Lancashire) Service Provider Nominated Individual Ormskirk & District General Hospital Southport and Ormskirk NHS Trust Dr Anthony Asakpa Speciality Doctor Community

More information

Level 8 - Job description for an advanced nurse practitioner in general practice

Level 8 - Job description for an advanced nurse practitioner in general practice Level 8 - Job description for an advanced nurse practitioner in general practice Title: Advanced nurse practitioner in general practice Agenda for Change (AfC) banding: 8 Hours of duty: Responsible to:

More information

Essex Early Years and Childcare Strategy 2015 2018

Essex Early Years and Childcare Strategy 2015 2018 Essex Early Years and Childcare Strategy 2015 2018 2 Essex Early Years and Childcare Strategy 2015 2018 Contents Page Foreword...4 1. Introduction...5 2. Our vision...7 3. National context...8 4. Local

More information

EARLY INTERVENTION AND PREVENTION STRATEGY 2012-15 Summary

EARLY INTERVENTION AND PREVENTION STRATEGY 2012-15 Summary EARLY INTERVENTION AND PREVENTION STRATEGY 2012-15 Summary Plymouth Children, Young People and Families Partnership INTRODUCTION Why do we need early intervention in Plymouth? We know that effective early

More information

Working together to safeguard children. A guide to inter-agency working to safeguard and promote the welfare of children

Working together to safeguard children. A guide to inter-agency working to safeguard and promote the welfare of children Working together to safeguard children A guide to inter-agency working to safeguard and promote the welfare of children March 2015 Contents Introduction 5 About this guidance 6 What is the status of this

More information

World Health Day Diabetes and RMNCAH in Africa: R for Reproductive Health

World Health Day Diabetes and RMNCAH in Africa: R for Reproductive Health World Health Day Diabetes and RMNCAH in Africa: R for Reproductive Health Managing diabetes and reproductive health in developing contexts. The 2016 World Health Day theme to scale up prevention, strengthen

More information

4. Proposed changes to Mental Health Nursing Pre-Registration Nursing

4. Proposed changes to Mental Health Nursing Pre-Registration Nursing Developments in nurse education in England Summary BSMHFT employs 1319 registered nurses and 641 health care assistants 53% of the total workforce. BSMHFT works in partnership with Birmingham City University

More information

Smoking. cessation. in pregnancy. A call to action

Smoking. cessation. in pregnancy. A call to action Organisations endorsing this report ASH, Action on Smoking and Health Community Practitioners and Health Visitors Association Faculty of Public Health FRESH Smoke Free North East Institute of Health Visiting

More information

Scottish Parliament Health and Sport Committee s Inquiry into Teenage Pregnancy in Scotland Evidence from CHILDREN 1 ST

Scottish Parliament Health and Sport Committee s Inquiry into Teenage Pregnancy in Scotland Evidence from CHILDREN 1 ST Scottish Parliament Health and Sport Committee s Inquiry into Teenage Pregnancy in Scotland Evidence from CHILDREN 1 ST February 2013 For over 125 years CHILDREN 1 ST has been working to build a better

More information

Summary of the role and operation of NHS Research Management Offices in England

Summary of the role and operation of NHS Research Management Offices in England Summary of the role and operation of NHS Research Management Offices in England The purpose of this document is to clearly explain, at the operational level, the activities undertaken by NHS R&D Offices

More information

Deputy Sister/Charge Nurse. Staff Nurse. Nursing Assistant

Deputy Sister/Charge Nurse. Staff Nurse. Nursing Assistant JOB DESCRIPTION Job Title: Nursing Assistant Job Reference No. 2622 Department: Band: 3 Location/Base: Adult Mental Health, Inpatient Units Hours: 37.5 JOB SUMMARY The staff nurse role is designed to meet

More information

A Health and Wellbeing Strategy for Bexley Listening to you, working for you

A Health and Wellbeing Strategy for Bexley Listening to you, working for you A Health and Wellbeing Strategy for Bexley Listening to you, working for you www.bexley.gov.uk Introduction FOREWORD Health and wellbeing is everybody s business, and our joint aim is to improve the health

More information

Submission by the Australian College of Midwives (Inc.) in relation to The Australian Safety and Quality Goals for Health Care

Submission by the Australian College of Midwives (Inc.) in relation to The Australian Safety and Quality Goals for Health Care Submission by the Australian College of Midwives (Inc.) in relation to The Australian Safety and Quality Goals for Health Care The Consultation Paper titled Australian Safety and Quality Goals for Health

More information

London Child Safety Update Sudden Unexpected Deaths in Infancy: Advice for people working with children, young people and families

London Child Safety Update Sudden Unexpected Deaths in Infancy: Advice for people working with children, young people and families London Child Safety Update Sudden Unexpected Deaths in Infancy: Advice for people working with children, young people and families Aims: to summarise the evidence about sudden unexpected deaths in infancy

More information

Australian Nursing Federation (Victorian Branch)

Australian Nursing Federation (Victorian Branch) Australian Nursing Federation (Victorian Branch) 17 th February 2012 Lisa Fitzpatrick State Secretary Box 12600 A Beckett Street PO Melbourne Victoria Telephone: 03 9275 9333 Fax: 03 9275 9344 www.anfvic.asn.au

More information

Policy for delegating authority to foster carers. September 2013

Policy for delegating authority to foster carers. September 2013 Policy for delegating authority to foster carers September 2013 Purpose and scope of policy 1.1 Introduction Decision-making around the care of looked after children can be an area of conflict between

More information

Evidence translation for effective early childhood intervention

Evidence translation for effective early childhood intervention Evidence translation for effective early childhood intervention Catherine Chittleborough, 1,2 Debbie Lawlor, 1,3 John Lynch 1,2 1 Social and Community Medicine, Bristol 2 Population Health and Clinical

More information

Guide to the National Safety and Quality Health Service Standards for health service organisation boards

Guide to the National Safety and Quality Health Service Standards for health service organisation boards Guide to the National Safety and Quality Health Service Standards for health service organisation boards April 2015 ISBN Print: 978-1-925224-10-8 Electronic: 978-1-925224-11-5 Suggested citation: Australian

More information

Quality standard Published: 11 June 2015 nice.org.uk/guidance/qs89

Quality standard Published: 11 June 2015 nice.org.uk/guidance/qs89 Pressure ulcers Quality standard Published: 11 June 2015 nice.org.uk/guidance/qs89 NICE 2015. All rights reserved. Contents Introduction... 6 Why this quality standard is needed... 6 How this quality standard

More information

Top Tips for Involving Fathers in Maternity Care

Top Tips for Involving Fathers in Maternity Care Compared with past generations, society s expectations are increasingly for fathers to play a full role throughout pregnancy, labour, childbirth and in the postnatal period. Most expectant mothers want

More information

Education and Support for Pregnant Students and School Age Parents

Education and Support for Pregnant Students and School Age Parents Education and Support for Pregnant Students and School Age Parents Contents Page Introduction.... 3 The Responsibility of Schools. 3 The Equalities Act 2010... 4 Accessing Support. 5 Pregnancy... 8 Ante-natal

More information

Delivering high quality, effective, compassionate care: Developing the right people with the right skills and the right values

Delivering high quality, effective, compassionate care: Developing the right people with the right skills and the right values Delivering high quality, effective, compassionate care: Developing the right people with the right skills and the right values A mandate from the Government to Health Education England: April 2014 to March

More information

Children s Trust Board Sponsor: Dr Kate Allen, Consultant in Public Health NOTTINGHAMSHIRE SCHOOL NURSING SERVICE PROPOSED REMODELLING PLANS

Children s Trust Board Sponsor: Dr Kate Allen, Consultant in Public Health NOTTINGHAMSHIRE SCHOOL NURSING SERVICE PROPOSED REMODELLING PLANS Report to Children s Trust Board 23 rd April 2015 Agenda Item: 2 Children s Trust Board Sponsor: Dr Kate Allen, Consultant in Public Health NOTTINGHAMSHIRE SCHOOL NURSING SERVICE PROPOSED REMODELLING PLANS

More information

The Rotherham NHS Foundation Trust. Rotherham School Nursing Service For children and young people. School Nursing Services.

The Rotherham NHS Foundation Trust. Rotherham School Nursing Service For children and young people. School Nursing Services. The Rotherham NHS Foundation Trust Rotherham School Nursing Service For children and young people School Nursing Services Community Health What do we do? Every child deserves to be as fit and healthy

More information

Lambeth and Southwark Action on Malnutrition Project (LAMP) Dr Liz Weekes Project Lead Guy s & St Thomas NHS Foundation Trust

Lambeth and Southwark Action on Malnutrition Project (LAMP) Dr Liz Weekes Project Lead Guy s & St Thomas NHS Foundation Trust Lambeth and Southwark Action on Malnutrition Project (LAMP) Dr Liz Weekes Project Lead Guy s & St Thomas NHS Foundation Trust Page 0 What is the problem? Page 1 3 million (5 % population) at risk of malnutrition

More information

Children s Health and Nursing:

Children s Health and Nursing: Children s Health and Nursing: A Summary of the Issues What s the issue? The foundation for healthy growth and development in later years is established to a large degree in the first six years of life.

More information

The National Health Plan for Young Australians An action plan to protect and promote the health of children and young people

The National Health Plan for Young Australians An action plan to protect and promote the health of children and young people The National Health Plan for Young Australians An action plan to protect and promote the health of children and young people Copyright 1997 ISBN 0 642 27200 X This work is copyright. It may be reproduced

More information

CCG: IG06: Records Management Policy and Strategy

CCG: IG06: Records Management Policy and Strategy Corporate CCG: IG06: Records Management Policy and Strategy Version Number Date Issued Review Date V3 08/01/2016 01/01/2018 Prepared By: Consultation Process: Senior Governance Manager, NECS CCG Head of

More information

GREATER MANCHESTER HEALTH AND SOCIAL CARE PARTNERSHIP STRATEGIC PARTNERSHIP BOARD

GREATER MANCHESTER HEALTH AND SOCIAL CARE PARTNERSHIP STRATEGIC PARTNERSHIP BOARD 7a GREATER MANCHESTER HEALTH AND SOCIAL CARE PARTNERSHIP STRATEGIC PARTNERSHIP BOARD Date: 30 June 2016 Subject: Adult Social Care Report of: Lord Peter Smith, AGMA Portfolio Holder Health and Wellbeing

More information

Newborn and Infant Physical Examination Screening Programme Standards 2016/17

Newborn and Infant Physical Examination Screening Programme Standards 2016/17 Newborn and Infant Physical Examination Screening Programme Standards 2016/17 Publication Date: April 2016 Review Date: March 2017 Public Health England leads the NHS Screening Programmes About Public

More information

How To Help A Pregnant Woman In Texas

How To Help A Pregnant Woman In Texas Public Health Nurse Home Visiting Programs Presented by Meredith Krugel, RN, LCSW Douglas County Public Health Nurse Home Visiting Oregon currently has four different nurse home visiting programs: Maternity

More information

Planning and Developing Special Educational Provision

Planning and Developing Special Educational Provision Planning and Developing Special Educational Provision A Guide for Local Authorities and Other Proposers For further information: SEN and Disability Division Department for Education Caxton House 6-12 Tothill

More information

HEAD START PERFORMANCE STANDARDS W/ MENTAL HEALTH FOCUS

HEAD START PERFORMANCE STANDARDS W/ MENTAL HEALTH FOCUS HEAD START PERFORMANCE STANDARDS W/ MENTAL HEALTH FOCUS This list represents a variety of Head Start Performance Standards that include some aspect of mental health; however, it is not exhaustive of every

More information

World Class Education and Training, for World Class Healthcare

World Class Education and Training, for World Class Healthcare World Class Education and Training, for World Class Healthcare Introducing Health Education England 2 Contents Foreword... Page 4 Overview... Page 5 Vision and Purpose... Page 6 Shared Principles... Page

More information

3. Frequently asked questions about CAF and Lead Professional 3.1 List of Frequently asked Questions 3.2 Frequently Asked Questions and Answers

3. Frequently asked questions about CAF and Lead Professional 3.1 List of Frequently asked Questions 3.2 Frequently Asked Questions and Answers Contents Overview 1. Common Assessment Framework 1.1 Introduction 1.2 The Doncaster CAF Paperwork 1.3 How we have introduced the CAF in Doncaster 1.4 An overview of the CAF 1.5 Using the CAF in Doncaster:

More information

NMC Standards of Competence required by all Nurses to work in the UK

NMC Standards of Competence required by all Nurses to work in the UK NMC Standards of Competence required by all Nurses to work in the UK NMC Standards of Competence Required by all Nurses to work in the UK The Nursing and Midwifery Council (NMC) is the nursing and midwifery

More information

A locality approach to tackling childhood obesity: London Borough of Hackney

A locality approach to tackling childhood obesity: London Borough of Hackney A locality approach to tackling childhood obesity: London Borough of Hackney LGA/ADPH Annual Public Health Conference 3 rd February 2016 Amy Wilkinson Head of Service (Children s) Public Health Hackney:

More information

Managing individual cases: the Framework for the Assessment of Children in Need and their Families

Managing individual cases: the Framework for the Assessment of Children in Need and their Families Managing individual cases: the Framework for the Assessment of Children in Need and their Families Preface 1.1 A consistent message from cases involving harm to children is the importance of identifying

More information