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8/14/2019 Pregnancy and Early Years - Sally Anderson
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Thursday April 2nd 2009
Central Hall, Westminster
Pregnancy and Early Years
Sally AndersonHealthy Child ProgrammePolicy Lead
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A healthy childhood is critically important
Improving children and young peoples physical and psychological health, byinvesting in childrens health from the early years, through childhood and
adolescence, will benefit children, families, society and the NHS.
Children and young people arehealthier than ever before
Supported by medical,technological, social and economicadvances
Helped by more information andsupport for parents and more skilledprofessionals
To address inequalities, currenttrends and public concern
The past decade has seencontinued improvements
But we need to do more tobecome world-class
The Strategy cements our standards and ambitions
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Continued improvement to services to support familiesfrom pregnancy onwards
World-class health
outcomes
Services of the highestquality
Excellent experiences inusing services
Minimise healthinequalities
Support to parents to give their
children a healthy start andpartners to deliver change inevery area
Achieve long-term aims for
children and young peopleshealth
Pregnancy and the earlyyears
School-age children
Young people
Children with acute andadditional needs
Delivery systems
transformation
Delivery systemstransformation
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The Child Health Strategy cements our standards andambitions
Realising these ambitions will require partnershipThe Strategy will help youngpeople to make healthy choices.
Children and YoungPeople
The Strategy will help parents andcarers to support their childrenshealthy development.
Parents and Carers
The Strategy sets out how thosedelivering health services tochildren and young people will besupported.
Practitioners
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From Child Health Promotion Programme toHealthy Child Programme
Following the publication of this strategy, the Child HealthPromotion Programme will be renamed the Healthy Child
Programme.
The aim is to encourage parents to ask for and use thoseservices that will promote their childrens health and
wellbeing in the early years.
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Support through pregnancy and theearly years
A wide range of guidance and care is available for parents, babies and young
children from before pregnancy through to the age of five delivered throughChildrens Centres as well as GPs and other health settings. The core programmeis the Healthy Child Programme:
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The expansion of the successful Family NursePartnership programme, providing intensive supportfor the most vulnerable first-time mothers with aninterim milestone to cover 70 areas by 2011.
Help for vulnerable first-time mothers
A strengthened role for Childrens Centres throughhealth-based programmes and each centre to haveaccess to a named health visitor.
Role of Sure Start
Childrens Centres
The expansion in the health visitor workforce to deliver
the Healthy Child Programme for 0-5s, working withthe NHS and the professions to promote recruitmentand support professional development.
Health visitor workforce
Commitments to strengthen support inpregnancy and the early years
The development and testing of a new Antenatal andPreparation for Parenthood programme for mothersand fathers.
Antenatal and postnatalsupport
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Action on Health Visiting Programme
Launched in March by Alan Johnson In response to Lord Laming review on child
protection
Explores the role & competency of healthvisitors
Looking at ways to improve training andrecruitment
Healthy Child Programme plays a key role inthis agenda
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The FNP journey
Small scale
testing 07-10
10 wave 1 sites
Large scale
testing 08-11
20 wave 2
20 wave 3
20 wave 4
Roll out?
2011-19
Evaluation
07/08 to 09/10
RCT 2b andwave1
Testing:
Programme delivery, training, organisational and service context,
workforce, commissioning, eligibility, recruitment pathways, roll out
Sharing the
learning
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FNP: what we have learnt so far
We can deliver FNP in this country The materials work in this country
It seems to be acceptable to clients
We seem to be reaching those who benefitmost
Fathers are involved
The nurses are highly committed
The clients value their nurses
The training is highly valued
Early impacts look promising
But it is difficult work and we have long wayto go
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Pregnancy, Birth & beyond
Universal model Antenatal and early postnatal preparation 09/10 development of model and
materials 10/11 early testing and refining
Progressive model
Group-based
Disadvantaged non-FNP clients
Antenatal and up to 1 year postnatal,following FNP approach
Early testing 09/10
Renewing how parents-to-be are prepared for
pregnancy, childbirth and parenthood, using aprogressive-universal approach
Current work - literature review, market research,
scoping of existing practice
2 strands to project
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Father involvement high
Young fathers show high levels of interest in FNP, andmany want to be present for visits or complete the activities
Out of 7500 visits, father present for 1820 visits
49% of clients, father present for at least one visit, mostcommonly for one to two thirds of visits
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What are the actions that need to be prioritised to deliver
the commitments identified in the pregnancy and earlyyears chapter?
What specific issues need to be picked up in the crosscutting workshops this afternoon to enable delivery for
pregnancy and early years?
What are the opportunities for integrated delivery throughthe following programmes and settings?
- Family Nurse Partnership
- Children Centres
- Healthy Child Programme