Re: Child health Programme

[Guest guest]

Hi , here in Enfield we are still seeing all 2 year olds,

sometimes at home sometimes in clinic or groups. I know we are about to

move away from universal to targeting, not sure how yet, would be

interested in hearing from others how they have acheived this and if it

works. I suppose we won't know that until these untargetted kids are in

school with speech delays etc!!! regards Kathy soderquist

Child health Programme

Dear All,

I am wondering what is happening to the health visitor input at the

present

NSF requirement for a review of a child's progress at age 2-3 years.

With

all the cuts that are taking place is a face to face contact still

happening

in your area if so where does the contact take place at the clinic or

in the

home? Do you see all clients or are the contacts targetted?

I am trying to establish if it is realistic to observe health visitors

generally at this time for research purposes. If you reply to this

email it

would be helpful if you could say where you work or the general area

anyway.

Many thanks,

[Guest guest]

Thanks Kathy that's useful to know. How much is this agenda led by the NSF or is it that you don't have the staff to keep up the face to face contacts?

Best wishes,

Child health Programme Dear All,I am wondering what is happening to the health visitor input at the presentNSF requirement for a review of a child's progress at age 2-3 years. Withall the cuts that are taking place is a face to face contact still happeningin your area if so where does the contact take place at the clinic or in thehome? Do you see all clients or are the contacts targetted?I am trying to establish if it is realistic to observe health visitorsgenerally at this time for research purposes. If you reply to this email itwould be helpful if you could say where you work or the general area anyway.Many thanks,

[Guest guest]

Hvs and Community Nursery Nurses in Herefordshire see all children at 2 years for a developmental screen. Usually in clinic plus some targetted at home. At 3 years all children are offered a vision test and a quick review of development. Plus targetted developmental screening. Jane

-- Child health Programme

Dear All,

I am wondering what is happening to the health visitor input at the present

NSF requirement for a review of a child's progress at age 2-3 years. With

all the cuts that are taking place is a face to face contact still happening

in your area if so where does the contact take place at the clinic or in the

home? Do you see all clients or are the contacts targetted?

I am trying to establish if it is realistic to observe health visitors

generally at this time for research purposes. If you reply to this email it

would be helpful if you could say where you work or the general area anyway.

Many thanks,

[Guest guest]

Thank you, Jane. You write HVS and Nursery Nurses does this mean that there is some division of labout here? Are HVs delegating to NNEBs some families?

Best wishes,

Child health Programme

Dear All,

I am wondering what is happening to the health visitor input at the present

NSF requirement for a review of a child's progress at age 2-3 years. With

all the cuts that are taking place is a face to face contact still happening

in your area if so where does the contact take place at the clinic or in the

home? Do you see all clients or are the contacts targetted?

I am trying to establish if it is realistic to observe health visitors

generally at this time for research purposes. If you reply to this email it

would be helpful if you could say where you work or the general area anyway.

Many thanks,

[Guest guest]

Hi

My sense is that many areas have readjusted their child health promotion

input following Hall 4 which links to the NSF - some areas I have been

working with are no longer undertaking 2 year checks and have moved to three

year checks with little contact other than perhaps a letter with children

and families not considered to be vulnerable after 1 year.

It appears that contact is a mixture of Hv and nursery nurses but in some

places I have had contact with the nursery nurses are taking responsibility

for it all unless there are real needs.

I think it also all links in with the info I put on SENATE a couple of weeks

ago about the conflict in the policy and the pressure of children in need

and safeguarding and child protection.

Could send you some revised child health promotion documents if it would be

helpful

Regards

Margaret

Child health Programme

> Dear All,

>

> I am wondering what is happening to the health visitor input at the

> present

> NSF requirement for a review of a child's progress at age 2-3 years. With

> all the cuts that are taking place is a face to face contact still

> happening

> in your area if so where does the contact take place at the clinic or in

> the

> home? Do you see all clients or are the contacts targetted?

>

> I am trying to establish if it is realistic to observe health visitors

> generally at this time for research purposes. If you reply to this email

> it

> would be helpful if you could say where you work or the general area

> anyway.

>

> Many thanks,

>

>

>

>

>

>

>

[Guest guest]

In answering the question - my sense is the agenda is not being led by the NSF but by Hall 4 - I know that is recommended in the NSF but I hear Hall 4 mentioned not the NSF.

The other thing here is that I believe the agenda and who does what is being led by the availability of staff - and I have found my self on several occasions in the last couple of months saying to a PCT - with the level of Hv and Sn staff you have including skill mix - you will not be able to meet the Children's NSF targets.

HOpe thsi helps

Margaret

Child health Programme Dear All,I am wondering what is happening to the health visitor input at the presentNSF requirement for a review of a child's progress at age 2-3 years. Withall the cuts that are taking place is a face to face contact still happeningin your area if so where does the contact take place at the clinic or in thehome? Do you see all clients or are the contacts targetted?I am trying to establish if it is realistic to observe health visitorsgenerally at this time for research purposes. If you reply to this email itwould be helpful if you could say where you work or the general area anyway.Many thanks,

[Guest guest]

If we have assessed the family/know them well or there has been no concerns before the Nursery Nurse sees them. Targetted families are seen by the Health Visitor but we may also see others as well. Jane

-- Re: Child health Programme

Thank you, Jane. You write HVS and Nursery Nurses does this mean that there is some division of labout here? Are HVs delegating to NNEBs some families?

Best wishes,

Child health Programme

Dear All,

I am wondering what is happening to the health visitor input at the present

NSF requirement for a review of a child's progress at age 2-3 years. With

all the cuts that are taking place is a face to face contact still happening

in your area if so where does the contact take place at the clinic or in the

home? Do you see all clients or are the contacts targetted?

I am trying to establish if it is realistic to observe health visitors

generally at this time for research purposes. If you reply to this email it

would be helpful if you could say where you work or the general area anyway.

Many thanks,

[Guest guest]

Hi . In the D-SCOVOR national survey carried out at the start

of last year, we asked specifically about 3 year checks. Of the 867 who

answered that question, 56% said the core service included face to face

contact with child (although that may have been by nursery nurse or

other team member, not just HV);

3% scheduled a telephone contact and 18% by post. It was not scheduled

by 23%. There were some 300 or so free comments setting out variations

on the theme of scheduled checks. Also, we asked if it was always

feasible to complete the whole of the core service as scheduled; 49%

said it was.

best wishes

Bidmead wrote:

>Dear All,

>

>I am wondering what is happening to the health visitor input at the present

>NSF requirement for a review of a child's progress at age 2-3 years. With

>all the cuts that are taking place is a face to face contact still happening

>in your area if so where does the contact take place at the clinic or in the

>home? Do you see all clients or are the contacts targetted?

>

>I am trying to establish if it is realistic to observe health visitors

>generally at this time for research purposes. If you reply to this email it

>would be helpful if you could say where you work or the general area anyway.

>

>Many thanks,

>

>

>

>

>

>

>

[Guest guest]

In response to your posting regarding the 2-3 year review of a child's

progress. In the area which I work, a questionnaire is sent to

parents/carers at 2 years and again at 3 and a half years. This may result

in a contact visit depending on the response. Aside from this, specific

contacts will be targeted and may occur at home or in a clinic.

Loveluck

Specialist Public Health Nurse - Communities

East Devon PCT

[Guest guest]

Hi , not sure if it is to do with the NSF at all just our

diresctor and Hall 4

Re: Child health Programme

Thanks Kathy that's useful to know. How much is this agenda led by

the NSF or is it that you don't have the staff to keep up the face to

face contacts?

Best wishes,

Child health Programme

Dear All,

I am wondering what is happening to the health visitor input at the

present

NSF requirement for a review of a child's progress at age 2-3 years.

With

all the cuts that are taking place is a face to face contact still

happening

in your area if so where does the contact take place at the clinic or

in the

home? Do you see all clients or are the contacts targetted?

I am trying to establish if it is realistic to observe health visitors

generally at this time for research purposes. If you reply to this

email it

would be helpful if you could say where you work or the general area

anyway.

Many thanks,

[Guest guest]

,remember me, what process are you using to target children. I am interested to know.

Ann Kim Mc

at

kimmcandrew@...

or

kim.mcandrew@...

From: " Loveluck" <julia@...>Reply- To: < >Subject: RE: Child health ProgrammeDate: Tue, 6 Jun 2006 10:25:21 +0100>>>In response to your posting regarding the 2-3 year review of a child's>progress. In the area which I work, a questionnaire is sent to>parents/carers at 2 years and again at 3 and a half years. This may result>in a contact visit depending on the response. Aside from this, specific>contacts will be targeted and may occur at home or in a clinic.>> Loveluck>Specialist Public Health Nurse - Communities>East Devon PCT>>>>>>

[Guest guest]

Hi Margaret,

Thank you for your thoughtful replies to my queries. At present it might be better not to send me any documentation but I will contact you again if this becomes necessary.

best wishes,

Child health Programme> Dear All,>> I am wondering what is happening to the health visitor input at the > present> NSF requirement for a review of a child's progress at age 2-3 years. With> all the cuts that are taking place is a face to face contact still > happening> in your area if so where does the contact take place at the clinic or in > the> home? Do you see all clients or are the contacts targetted?>> I am trying to establish if it is realistic to observe health visitors> generally at this time for research purposes. If you reply to this email > it> would be helpful if you could say where you work or the general area > anyway.>> Many thanks,> >>>>>>

[Guest guest]

Thank you ,

This is extremely useful.

Many thanks,

Re: Child health Programme

Hi . In the D-SCOVOR national survey carried out at the start of last year, we asked specifically about 3 year checks. Of the 867 who answered that question, 56% said the core service included face to face contact with child (although that may have been by nursery nurse or other team member, not just HV);3% scheduled a telephone contact and 18% by post. It was not scheduled by 23%. There were some 300 or so free comments setting out variations on the theme of scheduled checks. Also, we asked if it was always feasible to complete the whole of the core service as scheduled; 49% said it was. best wishes Bidmead wrote:>Dear All,>>I am wondering what is happening to the health visitor input at the present >NSF requirement for a review of a child's progress at age 2-3 years. With >all the cuts that are taking place is a face to face contact still happening >in your area if so where does the contact take place at the clinic or in the >home? Do you see all clients or are the contacts targetted?>>I am trying to establish if it is realistic to observe health visitors >generally at this time for research purposes. If you reply to this email it >would be helpful if you could say where you work or the general area anyway.>>Many thanks,> >>>>> >

[Guest guest]

What do you do about those families who you really need to reach and

they don't respond to the questionaire? Kathy Soderquist

RE: Child health Programme

In response to your posting regarding the 2-3 year review of a child's

progress. In the area which I work, a questionnaire is sent to

parents/carers at 2 years and again at 3 and a half years. This may

result

in a contact visit depending on the response. Aside from this, specific

contacts will be targeted and may occur at home or in a clinic.

Loveluck

Specialist Public Health Nurse - Communities

East Devon PCT

[Guest guest]

That is fine - just let me know if you want anything

Margaret

Child health Programme> Dear All,>> I am wondering what is happening to the health visitor input at the > present> NSF requirement for a review of a child's progress at age 2-3 years. With> all the cuts that are taking place is a face to face contact still > happening> in your area if so where does the contact take place at the clinic or in > the> home? Do you see all clients or are the contacts targetted?>> I am trying to establish if it is realistic to observe health visitors> generally at this time for research purposes. If you reply to this email > it> would be helpful if you could say where you work or the general area > anyway.>> Many thanks,> >>>>>>