NHS Healthy Child Programme

Transfer baby to postnatal ward or Transitional Care Ward.

Provide care in partnership with Paediatricians in accordance with relevant care pathway e.g for cold baby, low blood sugar, low birthweight etc.

Transfer baby to neonatal unit NICU where condition very poor at birth or worsening over time.

Very ill baby severe condition.

Congenital / cardiac condition, respiratory distress, very premature, hypoxic ischaemic encephalopathy.

Discharge home prior to 28 days P/N midwife to visit, post 28 days referral to relevant community professionals.

Proactive referral for additional support as required if baby very sick or mother has previous or existing mental health issues.

Discharge home notification to GP, HV and other relevant professionals.

Receives notification of discharge and provides ongoing care for baby as required.

Utilise information from family health needs assessment to agree in partnership with parents the management, support and onward referral for any concerns in relation to childhood development.

• Monitor development closely in situations where there are premature or small babies or where the birth has been traumatic on the neonate or suspected medical condition.
• Assess parental expectations and signs of attachment
• Promotion of age appropriate development, play and stimulation.
• Promotion of accident prevention.
• Liaison, information sharing and communication with GP and/or other appropriate professionals and specialist services.

Utilise information from family health needs assessment to agree in partnership with parents the management, support and onward referral for any concerns in relation to childhood development.

• Monitor development closely in situations where there are premature or small babies or where the birth has been traumatic on the neonate or suspected medical condition.
• Assess parental expectations and signs of attachment
• Promotion of age appropriate development, play and stimulation.
• Promotion of accident prevention.
• Liaison, information sharing and communication with GP and/or other appropriate professionals and specialist services.
• Schedule additional visits as appropriate.

As above in 3 – 6 weeks plus:

• Promote socialisation and development
• Signpost and encourage attendance at appropriate groups and Children’s Centre’s and facilitate access.

Promote appropriate child development for behaviour and development e.g. sleep and behaviour advice.

If indicated refer to:

• Sleep Clinic
• Children’s Centre for support regarding age appropriate behaviour.
• Use of Schedule of Growing Skills to assess development in detail where there are concerns.
• Promote awareness of risks to child through accidental injury with changing developmental milestones.
• Provide information on correct use of basic safety equipment and facilitate access to local schemes for the provision of safety equipment.
• Signpost and encourage attendance at appropriate groups and Children’s Centres and facilitate access.
• Liaison, information sharing and communication with GP and/ or other appropriate professionals and specialist services. Schedule additional visits as appropriate.

Signpost to a range of support service relevant to the individual families needs.

• Targeted groups sessions to reflect local demographic need.
• Needs led service encompasses issues such:
• Promoting positive bonding and parenting skills
• Support to parents and families regarding age appropriate behaviour
• Increase parent knowledge of early childhood development and improve parenting practice

Provide early detection of developmental delays and health issues Support to access appropriate groups/specialist groups.

Liaison with other agencies and communicate effectively and share information.

Promote appropriate child development for behaviour and development e.g. sleep, continence and behaviour advice.

• If indicated refer to:

  
  

  • Sleep Clinic
  • Children’s Centre for support regarding age appropriate behaviour.
• Use of Schedule of Growing Skills to assess development in detail where there are concerns.
• Promote awareness of risks to child through accidental injury with changing developmental milestones.
• Provide information on correct use of basic safety equipment and facilitate access to local schemes for the provision of safety equipment.
• Signpost and encourage attendance at appropriate groups and Children’s Centres and facilitate access.
• Liaison, information sharing and communication with GP and/or other appropriate professionals and specialist services.

Schedule additional visits as appropriate.

• Promote appropriate child development for behaviour and development e.g. sleep, continence and behaviour advice.
• If indicated refer to:
  
  • Sleep Clinic
  • Children’s Centre for support regarding age appropriate behaviour.
• Use of Schedule of Growing Skills to assess development in detail where there are concerns.
• Promote awareness of risks to child through accidental injury with changing developmental milestones.
• Provide information on correct use of basic safety equipment and facilitate access to local schemes for the provision of safety equipment.
• Partnership collaboration
• Signpost and encourage attendance at appropriate groups and Children’s Centre’s and facilitate access.
• Liaison, information sharing and communication with GP and/ or other appropriate professionals and specialist services. Schedule additional visits as appropriate.

Use of Solihull approach to support parents with childhood development concerns.

If this approach is unsuccessful at dealing with the behavioural issues consider referral to GP, Paediatrician to exclude any biological cause i.e. ADHD, Autism and other relevant agencies.