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Universal

The following pathway should not be read as stand-alone and MUST be read in conjunction with Section 3: Pathways.

  • The Universal pathway is the core which supports the delivery of the HCP offered to all families. It provides the base line assessment with particular emphasis on keeping the child within the family safe.
  • The Universal HCP is designed to follow the child from 0-5 years detailing the interventions that would occur at specific age bands. The intention is that all children in England will receive the contents of this pathway.

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Preconception

Provision of information, advice and education

To promote and support healthy lifestyles choices and reduce health inequalities.

Supports early engagement with maternity and specialist services if required.

Increases optimum opportunity for early screening requirements.

Health Visiting

A-KPI

Provision of in relation to known families.

To provide the information that a woman and her partner need in order to make informed choices when planning a pregnancy and in early pregnancy to include for example:

  • nutrition and exercise advice
  • food hygiene
  • drug and alcohol use
  • smoking cessation
  • advice re pre-existing conditions.

Midwifery

A-KPI

To provide the information that a woman and her partner need in order to make informed choices when planning a pregnancy and in early pregnancy to include for example:

  • nutrition and exercise advice
  • food hygiene
  • drug and alcohol use
  • smoking cessation
  • advice re pre-existing conditions.

Childrens Centres & EYFS

A-KPI

Part of the early intervention programme.

To provide the information that a woman and her partner need in order to make informed choices when planning a pregnancy and in early pregnancy to include for example:

  • nutrition and exercise advice
  • food hygiene
  • drug and alcohol use
  • smoking cessation
  • advice re pre-existing conditions. Signposting to support services.

Primary Care & GP

A-KPI

To provide the information that a woman and her partner need in order to make informed choices about planning a pregnancy.

Pre-conceptual role of the GP to include:

  • discussing contraception and any fertility issues
  • folic acid supplementation
  • lifestyle issues (such as obesity management, smoking cessation and alcohol consumption)
  • rubella antibody screening
  • pre-existing conditions such as mental health conditions, diabetes or epilepsy and genetic counselling (for example, for thalassaemia, sickle-cell trait and consanguinity).

Supports those families with complex care needs. Supports early engagement with maternity and specialist services if required.

Antenatal

Notification of pregnancy to the service by pregnant woman or other

Services are notified in a timely manner to support early engagement with maternity and specialist services if required.

Increases optimum opportunity for early screening requirements ensure optimum communication and information sharing between midwifery and other services which would include GP, HV, adult mental health team.

Identify the most vulnerable target families.

Midwifery

On receipt of notification the midwife will inform as a minimum:-

  • GP
  • Adult mental health team (as required) Social Services (as required)
  • Other specialist services (as required).
  • Local Children’s Centre services with consent to contact.

Childrens Centres & EYFS

Register/provide apporpriate information.

Primary Care & GP

Register pregnancy provide appropriate information and referal to specialist services.

Management physical health and mental wellbeing.

Midwifery Assessment 8-10 weeks (Booking Appointment)

Promote health, wellbeing and positive mental health of mother.

  • Identification of risk factors Facilitate early antenatal screening.
  • Preparation for parenthood and the specific support fathers and wider community can give.
  • Promote neurological development of child. Promote breast feeding (to include the impact on reduction in incidence of infection such as URTI, gastroenteritis, to reduce obesity and associated conditions in adult life - hypertension, cardiac conditions, diabetes etc in adult life).

Midwifery

KPI

First Midwifery Assessment

8-10 week health and social care assessment of needs, risks and choices to develop a holistic approach to the new family (including fathers and partners) and making referrals to other agencies to provide care and support where needed.

Health information sharing to include for example: • nutrition and exercise advice

  • food hygiene
  • drug and alchohol use
  • smoking cessation
  • advice re pre-exisiting condition • folic acid supplementation.

Emotional health assessment using evidence based toolsin accordance with NICE guidance recommended predication questions and consider parental mental health, bonding/ attachment.

This provides a clear, objective indicator of level or severity of mental distress is essential to inform clinicians of next steps if required.

A supplementary mental health assessment may also be used e.g. HADS, EPDS and other risk assessment tools.

This may lead to the need for more in-depth risk assessment and specialist treatment. (see Universal Plus and Universal Parrtnership Plus Parental Mental Health Pathways)

Antenatal Screening 8 - 10 weeks

Identify abnormality and plan care accordingly.

Midwifery

Antenatal blood screening, BMI screening and Family of Origin Questionaire (FOQ)

Antenatal Screening 10-14 weeks

Identify abnormality offer diagnostic testing and plan care accordingly.

Midwifery

KPI

Combined blood test between 10 weeks + 0 days to 14 weeks + 1 day. Or quadruple blood test 14 - 20 weeks screening test for downs syndrome.

Nuchal Translucency USS 11+2 - 14+1

Diagnostic testing 10-15 weeks

Identification of fetal abnormality and plan care accordingly

Midwifery

KPI

Diagnostic Test CVS/Amniocentisis

subsequent to identification of high risk result from combined or quadruple test. CVS 10 - 13 weeks. Amnio 15+1 weeks

Results notification of screening and diagnostic testing

Information sharing to support care plan delivery.

Primary Care & GP

Actively support delivery of care plan.

Information Sharing - Immediately Following Midwifery assessment

Information sharing to support care plan delivery.

Health Visiting

A-KPI

Following Midwifery assessment, the Health Visitor will receive notification of pregnancy (by 20 weeks) with information relating to issues such as:

  • Actual or potential vulnerability of the family
  • Previous sudden infant deaths
  • History of physical and mental health problems
  • Abnormal results of Diagnositic testing
  • Safeguarding issues and any child protection concerns
  • Domestic abuse

Childrens Centres & EYFS

Register / provide apporpriate information.

Identify the most vulnerable target families and their needs and those at risk of domestic abuse.

Promote parenting skills.

Promote health, wellbeing and positive mental health of mother.

Primary Care & GP

Information sharing and co-ordination and delivery of appropriate care.

Support early engagement with maternity, HV and specialist services if required.

Routine antenatal follow-ups -as per Nice Guidance (primiparous and multiparous schedules)

To provide an appropriate, standardised care pathway, to promote health and emotional wellbeing of the mother and support opportunistic advice and information giving.

Provision of regular clinical reviews, identification of complications and appropriate referral.

Midwifery

Clinical examination as per Nice Guidance

Health information sharing to include for example:

  • nutrition and exercise advice;
  • food hygiene;
  • drug and alchohol use;
  • smoking cessation;
  • advice re pre-exisiting condition.

Promote positive mental health of mother the importance of the involvement of the father.

Promote breastfeeding.

Primary Care & GP

Standard follow-ups - as per Nice Guidance

In partnership with Midwife recognising and referring:

  • acute conditions directly to hospital;
  • women with a significant mental health history to a psychiatric service – preferably a specialist perinatal service;
  • women who misuse drugs and alcohol.

Provision of GMS (Management of pre-existing conditions - Universal Plus)

18 - 20 weeks

Identification of fetal abnormalities, plot growth, identification of placental position etc.

Midwifery

KPI

Anomaly Scan.

Primary Care & GP

Receive Diagnostic Test CVS/Amniocentesis results.

From 20 weeks Antenatal Groups

Preparation of Pregnancy, Birth and Beyond to support greater understanding and knowledge base regarding:

  • physiological aspects of pregnancy and birth;
  • the emotional transition to and physical preparation for parenthood;
  • Environment, social issues, financial issues, family and community networks, English as a second language;
  • Sudden Infant Deaths Syndrome (SIDS) prevention information/Care of the Next Infant (CONI) support information;
  • Educate parents on the importance of early attachment and brain development.

Health Visiting

A-KPI

Provision of consistent, evidence based programmes delivered by a multi-disciplinary team to support pregnancy, birth and beyond with midwifery and Children’s Centre’s.

Midwifery

A-KPI

Provision of consistent, evidence based programmes delivered by a multi-disciplinary team to support pregnancy, birth and beyond with Health Visiting and Children’s Centre’s.

Childrens Centres & EYFS

A-KPI

Provision of consistent, evidence based programmes delivered by a multi- disciplinary team to support pregnancy, birth and beyond with Midwifery and Health Visiting.

Antenatal Contact - 28 weeks optimum

  • Introduce the Health Visiting Service , the HCP and Healthy Start.
  • Promote positive mental health and wellbeing of mother.
  • Explain the approach of partnership working with midwifery services and other relevant professionals.
  • Assess family health needs to develop and deliver a tailored information/education package and care plan suitable for the families needs.
  • Encourage attendance and signpost to multiagency groups,forums and services.
  • Obtain Consent to Share information.
  • Provide information in line with Department of Health guidance on reducing the risk of Sudden Infant Death Syndrome (SIDS).
  • Delivery of Public Health messages for e.g.
    • Stop Smoking – Delivery of referral for smoking cessation interventions at Level and above.
    • Diet - obesity Safety

Health Visiting

KPI

Use an evaluated assessment framework e.g. Framework for the Assessment of Children In Need and Their & Families (DH 2000) and a recognised enquiry process e.g. antenatal promotional guides/interveiwing technique to inform the family health needs assessment.

Particular consideration is given to the following areas:

  • Early Childhood Development;
  • Infant Mental Health;
  • Parental Mental Health;
  • Parenting support;
  • Vulnerable families;
  • Safeguarding.

Detailed guidance is given in Project 4; Delivering the Health Visiting Offer.

Distribute and introduce personal child health record. Discuss new-born screening leaflet.

Vaccinations

Health protection

Midwifery

Signpost for Flu vac/Pertussis.

Primary Care & GP

KPI

Administer Flu vac/Pertussis.

Notification of termination or miscarriage or still birth to GP and HV - any point - within 48 hours

May come from:- Midwifery services, gynaecology services, USS dept, FMU (dependent on gestation).

To ensure appropriate care pathways are followed and that relevant health care professionals and others are informed

Midwifery

A-KPI

Provide notification to stakeholders within 48 hours.

Primary Care & GP

A-KPI

Provide appropriate follow up care.

Birth - 8 weeks

Immediate

Care of the newborn to identify abnormality Thermo regulatory control to:

  • promote early attachment
  • promote early breast feeding

Midwifery

Following 3rd Stage of delivery.

“Skin to skin” and breast feeding initiation Immediate new-born check Administration Vitamin K.

Check baby weight.

Immediate

To provide physical and emotional care to the mother

Midwifery

KPI

Immediate maternal check

perineal inspection to ensure identification of perineal trauma and subsequent repair.

Breastfeeding initiation/support.

Within 48 hours

Legal requirement, initiates NHS No, local registry and birth processes.

Midwifery

Completion of birth notification.

0-10 days

Ongoing provision of care in accordance with NICE Guidance for Postnatal Care

Midwifery

Transfer to ward or to Community Care.

Issue of personal child health record if not previously given antenatally.

0-10 days

To identify and refer all children born with congenital abnormalities of the heart, hips, eyes or testes, where these are detectable, within 72 hours of birth and thereby reduce morbidity and mortality.

Repeated at 6 - 8 weeks.

Timely identification of jaundice and referral to appropriate care pathway in accordance with NICE.

Midwifery

KPI

NIPE - new baby examination Midwife or paediatrician.

Assess jaundice in accordance with NICE guidance Neonatal Jaundice.

Primary Care & GP

KPI

NIPE - To identify and refer all children born with congenital abnormalities of the heart, hips, eyes or testes, where these are detectable, within 72 hours of birth and thereby reduce morbidity and mortality.

Local contractual agreement.

0-10 days

Health Protection - Mother.

Midwifery

MMR vaccination for mother (as required).

0-10 days

Health Protection - High risk babies.

Midwifery

BCG /HepB vaccination for baby.

Initial assessment within 10 days follow-up by 5 weeks

Identification of hearing abnormality, referral to appropriate care pathway.

Health Visiting

KPI

Newborn hearing screening in community (where special arrangement exists).

Direct referral for audiology assessment.

Midwifery

KPI

Newborn hearing screening (as part of PbR) Direct referral for audiology assessment.

Primary Care & GP

Receipt of abnormal results.

Postnatal visits - minimum of x3

  • To provide an appropriate, standardised care pathway in accordance with NICE guidance
  • To promote health and emotional wellbeing of the mother & baby and support opportunistic advice and information giving.
  • To support identification and effective management and treatment early onset of mental health issues.
  • To support appropriate parenting skills and identify any attachment issues. Inform the HV team/FNP, Children’s Centre’s if concerns.
  • To develop problem-solving abilities within the family.
  • Health information sharing to include for example:
    • promote breastfeeding;
    • nutrition and exercise advice;
    • drug and alcohol use;
    • smoking cessation;
    • contraception advice;
    • provide safe infant feeding information;
    • promote steps to take, to prevent Sudden Infant Death Syndrome (SIDS).

Midwifery

Provision of clinical review and identification of health problems in both mother and baby and appropriate referral.

Assessment and promotion of positive mental health of mother. Usually undertaken in home environment or clinic.

Childrens Centres & EYFS

Host clinic sessions for midwifery postnatal visits.

Primary Care & GP

Management of unwell baby/mother.

Management physical health and mental wellbeing.

Between 5 - 7 days

Identification of phenylketonuria, congenital hypothyroidism,sickle cell disease, cystic fibrosis and MCADD to support appropriate care pathways for timely management.

Midwifery

KPI

Postntatal screening Newborn Blood Spot Clinic or home environment.

Primary Care & GP

Documented and appropriate action taken by GP if positive screen.

To ensure the appropriate co-ordination of care.

Discharge visit

Provision of continuity of care through transfer of care to Health Visitor.

Midwifery

Discharge examinaton, transfer paperwork, completion of child health record.

Clinic or home environment.

10 -14 days NBV

  • Handover from midwifery service.
  • Complete/review family health needs assessment.
  • Registering / sharing information and identifying level of risk and those at risk of domestic abuse.
  • Identify the most vulnerable target families and their needs.
  • Discuss Public Health messages for e.g.
    • Stop Smoking – Referral to smoking cessation initiatives and discussion regarding smoke-free environments for children including cars.
    • Diet - obesity
    • Safety
    • Parenting
    • Dental

Health Visiting

KPI A-KPI

Use an evaluated assessment framework e.g. Framework for the Assessment of Children In Need and Their & Families (DH 2000) and a recognised enquiry process e.g. antenatal promotional guides/interveiwing technique to inform the family health needs assessment.

Particular consideration is given to the following areas:

Early Childhood Development;

  • Infant Mental Health;
  • Nutritional Healthy Start;
  • Parental Mental Health;
  • Parenting support;
  • Vulnerable families;
  • Safeguarding.

Detailed guidance is given in Project 4; Delivering the Health Visiting Offer.

Childrens Centres & EYFS

New birth notification.

0 - 6 weeks Follow-up visit

For further assessment needs concerning one or more issues.

Health Visiting

Provide specific support to address common issues e.g. breast feeding attachment. Signpost to other support services.

All Age 0 - 6 week

Core Purpose 1, 2, 3.

Childrens Centres & EYFS

Baby massage sessions. 3

Additional Universal groups to reflect local demographic data and needs e.g. twins, volunteer programme. 1 & 2

Promote responsive/positive parenting through:

  • Postnatal support sessions (formally evaluated);
  • Encourage father involvement;
  • Promotion of age applicable play, stimulation - importance of talking to baby, singing (groups) 2.

Home safety/accident prevention – signpost and information

Healthy Start vitamin distribution

Public Health Promotion e.g. healthy eating options, exercise - pram pushers

Promote immunisations via posters, literature, signposting

Healthy lifestyle campaigns e.g. stop smoking

Signpost and encourage attendance at clinic’s, peer support groups other CC’s activities/groups. 3

Provision of toy library. 1

Empowerment sessions to build parents self-esteem and self-worth.

Signpost families with relationship problems to relevant agencies. 2

Signpost to a range of support service relevant to the individual family’s needs. 1, 2 & 3

Adult and family learning programme - need more information on this.

All Age 0 - 6 week

Management of unwell baby/mother.

Management physical health and mental wellbeing.

Health Visiting

Indentification of unwell baby/mother.

Referral to appropriate services - e.g. GP, Consultants, Early Support, specialist services.

Midwifery

Identification of unwell baby/mother.

Childrens Centres & EYFS

Identification of unwell baby/mother.

Primary Care & GP

Care/treatment of mother and baby.

Baby/child health clinics (can be especially for new babies)

  • Introduction to the Health Visiting Team/service.
  • To monitor growth and development, provide feeding support and address any other parental concerns.
  • Identify the most vulnerable target families and their needs.
  • Ongoing promotion of public health issues.

Health Visiting

Open access to all families.

During clinic’s particular consideration should be given to the areas identified during the New Birth Visit.

Childrens Centres & EYFS

Hosted in Children’s Centre’s with HV lead other health care professionals.

6 - 8 Week Postnatal Examination of Mother and Baby

To detect those abnormalities that may become detectable by 6-8 weeks of age and thereby reduce morbidity and mortality.

To provide clinical review of mother to identify any medical or mental health issues.

Primary Care & GP

KPI

NIPE baby examination.

Clinical and psychological examination of the mother and contraception advice.

Check blood spot result.

Developmental Assessment

  • Developmental assessment of the baby.
  • Assess and promote early identification of current concerns regarding Emotional Mental Health.
  • & Wellbeing of mother and other close family members.
  • Identify the most vulnerable target families and their needs.

Health Visiting

KPI

Undertake developmental assessment and consideration should be given to the following areas:

  • Early Childhood Development;
  • Infant Mental Health;
  • Nutritional Healthy Start;
  • Parental Mental Heath;
  • Parenting Support;
  • Vulnerable Families;
  • Safeguarding.

Refer, signpost, provide intervention where appropriate.

Identify any change in family dynamics and explore domestic abuse potential.

Primary Care & GP

KPI

Developmental assessment of baby (This assessment is undertaken according to local contracting arrangements either by the GP and/or Health Visitor).

Mental health assessment of mother.

8 weeks - 1 year

Baby/child health clinics (can be especially for new babies)

  • Introduction to the Health Visiting Team/service for new to area families.
  • To monitor growth and development, provide support and address any other parental concerns.
  • Identify the most vulnerable target families and their needs.
  • Ongoing promotion of public health issues.

Health Visiting

Open access to all families.

During clinic’s particular consideration should be given to the areas identified during previous visits.

Childrens Centres & EYFS

Hosted in Children’s Centre’s with HV lead other health care professionals.

All Age 6 week - 1 year

  • Core Purpose 1, 2, 3

Health Visiting

A-KPI

Postnatal Health Promotion Group

6 week programme between 6 weeks to 6 months explore different aspects of parenting support to include a separate session for fathers only.

Include public health messages:

  • Weaning;
  • Socialising and parenting issues;
  • Flexible routines and living with babies;
  • Play;
  • Child safety;
  • Childhood illnesses;
  • Importance of good mental health and attachment.

Childrens Centres & EYFS

A-KPI

Promote responsive parenting through:

  • Parenting Classes (formally evaluated)
  • Light touch parenting programmes around child development & behaviour management such as PEEP, Nurturing Programme & 123 Magic. 2
  • On-going support and advice on infant feeding - breast/bottle feeding; plus specific sessions addressing key milestones of development i.e. weaning. 3
  • Baby massage sessions. 2
  • Home safety/accident prevention – signpost and information
  • Healthy Start vitamin distribution
  • Public Health Promotion e.g. healthy eating options, exercise - pram pushers
  • Promote immunisations via posters, literature, signposting
  • Healthy lifestyle campaigns e.g. stop smoking
  • Signpost and encourage attendance at clinic’s, peer support groups other CC’s activities/ groups. 3
  • Provision of toy library 1
  • Stay & Play sessions - tailored to the developmental stage of the child. For the younger age range e.g. Little Explorers. 1 & 3
  • Provide a range of stimulating sessions and activities to promote the 3 prime areas of learning. 1
  • Communication, language and literacy information and support. 1
  • Signpost to a range of support service relevant to the individual family’s needs. 1, 2 &3
  • Empowerment sessions to build parents self-esteem and self-worth. Signpost families with relationship problems to relevant agencies. 2
  • Home safety/accident prevention – signpost and information
  • Public Health Promotion e.g. healthy eating options, exercise
  • Promote immunisations via posters, literature, signposting
  • Healthy lifestyle campaigns e.g. stop smoking
  • Signpost and encourage attendance at clinic’s, peer support groups other CC’s activities/groups. 3
  • Adult and family learning programme - need more information on this. 3

All Age 8 week - 1 year

  • Management of common conditions, illness/injury, short / long term conditions.
  • Management of physical health and mental wellbeing.
  • Parent education.

Primary Care & GP

Effective management and treatment of common conditions for both the mother and baby and the wider family unit.

Parent education - signposting to a range of support services e.g. Children’s Centre’s, breastfeeding services.

Referral to appropriate services for condition management - e.g. HV, Consultants, Early Support, specialist services.

8, 12, 16 week Immunisations

  • Health Protection - Child

Health Visiting

KPI

Use of Child Health Dept. recall system to follow-up any immunisationn DNA.

Primary Care & GP

KPI

Deliver the immunisation programme.

With multi-disciplinary team and Child Health Dept. recall system follow-up any DNA.

3 - 4 month review

  • Review family health needs assessment.
  • Share information and identify level of risk and those at risk of domestic abuse.
  • Identify the most vulnerable target families and their needs.

Health Visiting

KPI A-KPI

Assessment paying particular attention to:

  • Parental mental health and wellbeing;
  • Public health messages appropriate to needs of family;
  • Accident prevention;
  • Dental health education;
  • Infant nutrition.

1 - 3 years

1 year - 2 / 2 ½ year Review

  • Assessment of infant’s physical, emotional and social needs in the context of their family. For older children this includes behavioural and language development.
  • Identify the most vulnerable target families and their needs
  • Discuss Public Health messages for e.g:
    • Stop Smoking;
    • Diet - obesity;
    • Safety;
    • Parenting;
    • Dental.

Health Visiting

KPI A-KPI

One Stop Service to deliver:

  • 1 year & 2-2.5year review/developmental assessment using material such as Ages and Stages Questionnaire.

Particular consideration is given to the following areas:

  • Early Childhood Development;
  • Infant Mental Health;
  • Nutritional Healthy Start;
  • Parental Mental Health;
  • Parenting support;
  • Vulnerable families;
  • Safeguarding.

Detailed guidance is given in Project 4; Delivering the Health Visiting.

Childrens Centres & EYFS

KPI A-KPI

Integrated 1 year review to include immunisations at 12 - 13 months. 1 & 3

Support integrated 2.5 year review. 1 & 3

Delivery of key support opportunities for parents available within the Children’s Centre and through other agencies.

Primary Care & GP

KPI

Delivery of immunisations (12-13 months).

All ages 1 - 3 years

  • Core Purpose 1, 2, 3

Childrens Centres & EYFS

KPI A-KPI

Stay & Play sessions - tailored to the developmental stage of the child. For the younger age range e.g. Little Explorers. 1 & 3

Provide a range of stimulating sessions and activities to promote the 3 prime areas of learning. 1 & 3

Provision of toy library. 1

Provision of sessions specifically addressing key milestones of development e.g. potty training, behaviour management. 1

Signpost to a range of support service relevant to the individual family’s needs. 1, 2, 3 Empowerment sessions to build parents self-esteem and self-worth.

Signpost families with relationship problems to relevant agencies. 2 Communication, language and literacy information and support.

Communication, language and literacy information and support. 1

(Through provision of Speech & Language Therapist 1-3 years only)

All ages 1 - 3 years

  • Management of common conditions, illness/injury, short / long term conditions.
  • Management of physical health and mental wellbeing.
  • Parent education.

Health Visiting

Ad hoc advice and treatment of common conditions, illness/ injury e.g. infection, minor illness.

Referral to appropriate services - e.g. GP, Consultants, Early Support, specialist services, Children’s Centre’s.

Primary Care & GP

Effective management and treatment of common conditions for both the mother and baby and the wider family unit.

Parent education - signposting to a range of support services e.g. Children’s Centres.

Referral to appropriate services for condition management - e.g. HV, Consultants, Early Support, specialist services.

3 - 5 years

3 ½ year Immunisations

  • Health Protection - Child.

Primary Care & GP

KPI

Deliver the immunisation programme.

With Child Health Dept. recall system follow-up any DNA.

All Ages 1 - 3 years

  • Management of common conditions, illness/injury, short / long term conditions.
  • Management of physical health and mental wellbeing.
  • Parent education.

Health Visiting

Ad hoc advise and treatment of common conditions, illness/ injury e.g. infections, minor illness.

Referral to appropriate services - e.g. GP, Consultants, Early Support, specialist services, Children’s Centres.

Primary Care & GP

Effective management and treatment of common conditions for both the mother and baby and the wider family unit.

Parent education - signposting to a range of support services e.g. Children’s Centre’s, breastfeeding services.

Referral to appropriate services for condition management - e.g. HV, Consultants, Early Support, specialist services.

School Age Entry

  • Provision of continuity of care through transfer of care to School Nursing service.

Health Visiting

Handover to School Nursing service using appropriate local documentation and exception reporting.

0 - 5 years

0 - 5 years Links/ Liaison with Child Care & Early Years Providers

Ensure families take up funded child care and early education placements.

Health Visiting

Promote and support families to access appropriate child care and early years provision.

Delivery of key messages regarding:

  • Promoting child health and maintaining health lifestyles Nutrition;
  • Active play;
  • Accident prevention;
  • Dental health.

Childrens Centres & EYFS

KPI

Identify 2 year old entitled to funded childcare.

Ensure families take up funded 3 and 4 year old early education place.

Support transitions for children.

To act as link workers and promote and support quality and undertake joint training with local providers.

0 - 5 years

Adult and family learning programme.