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The 0-19 service works in partnership to enable children in Bedfordshire to fulfil their health potential. The service is based on delivering the Department of Health, Healthy Child Programme 0-5 & 5-19, underpinned by evidence, in a variety of settings, with a skill mixed team and a focus on families with children 0-19 years of age.
Specialist Community Public Health Nurses (Health Visitors) are specially trained in family and community health for children aged 0-5 and are key to meeting the needs of families. They are trained to deliver care within the community and family environment and on an individual level. They are skilled at spotting early issues, which may develop into risks or problems if not addressed and working with families to build on strengths and improve parenting confidence. Health Visitors will do this through leading and delivering the Healthy Child Programme (HCP) – Pregnancy and the first 5 years of life (DH, 2009) in collaboration with other health and social care partners. They are also critically, the gateway to other services which families may need for more specialist help and the delivery of the Family Nurse Partnership Programme or similar intensive support programmes for the most vulnerable.
Every family is offered a programme of screening test, immunisations, developmental reviews and information and guidance to support parenting and healthy choices so that children and families can achieve their optimum health and wellbeing.
The universal Programme for 0-5 Includes antenatal contact between 28-34 weeks pregnancy, New Birth visit 10-14 days, Maternal mood assessment 6-8 weeks postnatally, 9-12 month child assessment review and 2 year assessment review.
Interventions over and above these will be for targeted families experiencing short or long
The key objectives of the health visiting service are to:
• Improve the health and wellbeing 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 the HCP to all children and families, starting in the antenatal period;
• Promote secure attachment, positive maternal mental health and parenting skills using evidence based assessments and effective interventions - evidence based groups to promote parenting
• 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;
• Work with families on positive parenting through motivational interviewing and evidence based approaches, and to support behaviour change leading to positive lifestyle choices;
• Develop ongoing relationships and support as part of a multi-agency team where the family has complex needs e.g. a child with special educational needs or disability, or where there are identified safeguarding concerns;
• Improve services for children, families and local communities through expanding and strengthening health visiting services to respond to need at individual, community and population level.
Together with our research partner, the UCL Institute of Child Health (ICH), we form the UK’s only academic biomedical research centre specialising in paediatrics.
Since its formation in 1852, the hospital has been dedicated to children’s healthcare and to finding new and better ways to treat childhood illnesses.
Healthwatch is the consumer champion, for both health and social care services for children and adults living in England. At a local level Healthwatch Bedford Borough (HBB) will:-
• Enable all people of all ages to share their views and concerns about local health and social care services such as GPs, dentists, pharmacists hospitals, day care services and care homes.
• Help and support Bedfordshire Clinical Commissioning Group to make sure that services really are designed to meet the local communities needs.
• Provide authoritative, evidence-based feedback to organisations responsible for commissioning or delivering local health and social care services.
• Be inclusive - we know that people can feel excluded from services and we know that access to services is not always equal. Healthwatch will reflect the diversity of the community it serves.
Hinchingbrooke Health Care NHS Trust provides high quality health care for the people of Huntingdonshire and surrounding areas. More than 160,000 people rely on our district general hospital for a range of services and we are renowned locally for our warm and friendly approach.