Re: Health visitor implementation plan

February 8, 2011

Thanks for clarifying the financial situation, Cheryll. I think that is very important for colleagues whose managers' first response is 'but where will the money come from?' Yes, it really is excellent news. On 8 Feb 2011, at 21:41, Cowley wrote:Message from Cheryll:The dream has finally come true, what fantastic news! Let’s all do a jig!! Please all spread the message to those at the coal face, as many still don’t seem aware even of the commitment to 4200, made many months ago now, let alone the acceptance of also needing to increase the number to 6000 new HVs over the next 4 years to cover retirements. Now the profession must feel empowered to challenge the status quo and demand their autonomy back so that they can play a significant part in ensuring this plan is delivered on. As I understand it the finance will be controlled by the national commissioning board, and allocated to the local areas against their delivery plans, which it would seem they will be held tightly accountable for. How better the future will now be for many children CheryllOn 8 Feb 2011, at 21:36, Dr Crome wrote:This is great news . Hope you are well.Kind regards, Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn

February 8, 2011

Thanks Margaret look forward to receiving your posting on senate..I think we should all celebrate but also give extra special thanks to and Cheryll for without them I am sure we would not be where we are now, thanks to all who have influenced!!LizSent using BlackBerry® from OrangeFrom: "Margaret Buttigieg" <margaret@...>Sender: Date: Tue, 8 Feb 2011 22:21:37 -0000< >Reply Subject: Re: Health visitor implementation plan Hi All This is brilliant and please believe it will happen despite what our Union and supposed professional body would say about dumming down of qualifications as I am convinced they - the Government - know that this is now a reality only if we have the right level of qualified staff at full time equivalents which I understand had been the arguing point and the delay but I am pleased the Prime Ministers Office won! I have followed up subsequent emails and funding on SENNATE and it is brilliant. I am also interested in the next email about S.E. Coast as having done work there, they did not believe me when I said how bad it was for them following the work but it reassures me I know what I am doing! Have some info about the actual technical implementation of the Operating Framework which I will post tomorrow on SENATE which just confirms the need to make this happen. We should all be proud of the work we have done and now need to get school nursing here as well Margaret. Health visitor implementation plan [1 Attachment]This has now been published, attached, or download from http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_124210Headline points after a very quick skim:The 'new service vision' as widely trailed is pretty well unchanged: good, I think we all agreed the five levels were clear and what is neededThree positive changes from the details released in the impact assessment document:- the 4200 extra health visitors will be whole time equivalents, not head count- recognition that additional health visitors need to be trained to cover retirements and other losses- the pace of increase has been scaled up as a 'minimum aspiration', so that instead of the increase over the next three years being 25%, 25% then 50%, it will be 25%, 37.5%, 37.5%, so that higher numbers will be in place soonerQuestion mark for me:Page 23, for the first stage of implementation "PCTs will need to reflect plans for health visitor expansion in their service commissioning plans, and SHAs will need to ensure that training plans and commissions support local requirements. Funding will be included in allocations to PCTs and in the Multi-Professional Education and Training budget, managed by SHAs" I really hope that doesn't mean the funding is to come existing budget (I haven't looked at the accompanying documents yet). The governance arrangements are incredibly robust, see annexes, so this is going to happen. I will be signing up to the 'call for action,' hope everyone else will too: this is really brilliant.best wishes Cowleysarahcowley183@...http://myprofile.cos.com/S124021COnThis has now been published, attached, or download from http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_124210Headline points after a very quick skim:The 'new service vision' as widely trailed is pretty well unchanged: good, I think we all agreed the five levels were clear and what is neededThree positive changes from the details released in the impact assessment document:- the 4200 extra health visitors will be whole time equivalents, not head count- recognition that additional health visitors need to be trained to cover retirements and other losses- the pace of increase has been scaled up as a 'minimum aspiration', so that instead of the increase over the next three years being 25%, 25% then 50%, it will be 25%, 37.5%, 37.5%, so that higher numbers will be in place soonerQuestion mark for me:Page 23, for the first stage of implementation "PCTs will need to reflect plans for health visitor expansion in their service commissioning plans, and SHAs will need to ensure that training plans and commissions support local requirements. Funding will be included in allocations to PCTs and in the Multi-Professional Education and Training budget, managed by SHAs" I really hope that doesn't mean the funding is to come existing budget (I haven't looked at the accompanying documents yet). The governance arrangements are incredibly robust, see annexes, so this is going to happen.I will be signing up to the 'call for action,' hope everyone else will too: this is really brilliant.best wishes Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn

February 8, 2011

Thanks Liz, yes thanks to all who have influenced, and to Viv as well, for delivering such an excellent piece of policy, I don't think we should underestimate the amount of work it takes, and thanks to her for remembering school nurses behind the scenes, and making sure ministers include them, even though they are not included in this headline policy. I don't think we should forget the part played by CPHVA in getting the whole thing started when Alan was at the DH, because it was the Labour government's Action on Health Visiting that is underpinning a lot of this policy (I know, it was also the Labour government who took health visiting out of statute and presided over the big fall in numbers too . . !). It was the RCN quoted in HSJ as worrying about 'dumbing down' the training - an old article recycled. But let's just all celebrate and not carp for now, and get on board with recruiting and promoting so that we can get back tot he business of supporting children and families.best wishesOn 8 Feb 2011, at 22:35, liz.plastow@... wrote:Thanks Margaret look forward to receiving your posting on senate..I think we should all celebrate but also give extra special thanks to and Cheryll for without them I am sure we would not be where we are now, thanks to all who have influenced!!LizSent using BlackBerry® from OrangeFrom: "Margaret Buttigieg" <margaret@...>Sender: Date: Tue, 8 Feb 2011 22:21:37 -0000< >Reply Subject: Re: Health visitor implementation plan Hi All This is brilliant and please believe it will happen despite what our Union and supposed professional body would say about dumming down of qualifications as I am convinced they - the Government - know that this is now a reality only if we have the right level of qualified staff at full time equivalents which I understand had been the arguing point and the delay but I am pleased the Prime Ministers Office won! I have followed up subsequent emails and funding on SENNATE and it is brilliant. I am also interested in the next email about S.E. Coast as having done work there, they did not believe me when I said how bad it was for them following the work but it reassures me I know what I am doing! Have some info about the actual technical implementation of the Operating Framework which I will post tomorrow on SENATE which just confirms the need to make this happen. We should all be proud of the work we have done and now need to get school nursing here as well Margaret. Health visitor implementation plan [1 Attachment]This has now been published, attached, or download from http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_124210Headline points after a very quick skim:The 'new service vision' as widely trailed is pretty well unchanged: good, I think we all agreed the five levels were clear and what is neededThree positive changes from the details released in the impact assessment document:- the 4200 extra health visitors will be whole time equivalents, not head count- recognition that additional health visitors need to be trained to cover retirements and other losses- the pace of increase has been scaled up as a 'minimum aspiration', so that instead of the increase over the next three years being 25%, 25% then 50%, it will be 25%, 37.5%, 37.5%, so that higher numbers will be in place soonerQuestion mark for me:Page 23, for the first stage of implementation "PCTs will need to reflect plans for health visitor expansion in their service commissioning plans, and SHAs will need to ensure that training plans and commissions support local requirements. Funding will be included in allocations to PCTs and in the Multi-Professional Education and Training budget, managed by SHAs" I really hope that doesn't mean the funding is to come existing budget (I haven't looked at the accompanying documents yet). The governance arrangements are incredibly robust, see annexes, so this is going to happen. I will be signing up to the 'call for action,' hope everyone else will too: this is really brilliant.best wishes Cowleysarahcowley183@...http://myprofile.cos.com/S124021COnThis has now been published, attached, or download fromhttp://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_124210Headline points after a very quick skim:The 'new service vision' as widely trailed is pretty well unchanged: good, I think we all agreed the five levels were clear and what is neededThree positive changes from the details released in the impact assessment document:- the 4200 extra health visitors will be whole time equivalents, not head count- recognition that additional health visitors need to be trained to cover retirements and other losses- the pace of increase has been scaled up as a 'minimum aspiration', so that instead of the increase over the next three years being 25%, 25% then 50%, it will be 25%, 37.5%, 37.5%, so that higher numbers will be in place soonerQuestion mark for me:Page 23, for the first stage of implementation "PCTs will need to reflect plans for health visitor expansion in their service commissioning plans, and SHAs will need to ensure that training plans and commissions support local requirements. Funding will be included in allocations to PCTs and in the Multi-Professional Education and Training budget, managed by SHAs" I really hope that doesn't mean the funding is to come existing budget (I haven't looked at the accompanying documents yet). The governance arrangements are incredibly robust, see annexes, so this is going to happen.I will be signing up to the 'call for action,' hope everyone else will too: this is really brilliant.best wishes Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn

February 9, 2011

I have just finished studying the Implementation Plan and there is stunning reason to congratulate . It is not often that this kind of leadership emerges in a professional field alongwith the persistence needed in order to ensure that all the detail for successful implementation is in place.

That this has been achieved during a period of such difficult financial constraint and such radical political change is all the more heartening.

I hope it can be a template for development of the school nurse services across the country -- a workforce that is needed for a population of 11.3m children of school age.

Now for the pleasurable but hard work of full implementation, monitoring, research, and long-term development.

Congratulations,

Diane

Health visitor implementation plan [1 Attachment]

This has now been published, attached, or download from http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_124210

Headline points after a very quick skim:

The 'new service vision' as widely trailed is pretty well unchanged: good, I think we all agreed the five levels were clear and what is needed

Three positive changes from the details released in the impact assessment document:

- the 4200 extra health visitors will be whole time equivalents, not head count

- recognition that additional health visitors need to be trained to cover retirements and other losses

- the pace of increase has been scaled up as a 'minimum aspiration', so that instead of the increase over the next three years being 25%, 25% then 50%, it will be 25%, 37.5%, 37.5%, so that higher numbers will be in place sooner

Question mark for me:

Page 23, for the first stage of implementation "PCTs will need to reflect plans for health visitor expansion in their service commissioning plans, and SHAs will need to ensure that training plans and commissions support local requirements. Funding will be included in allocations to PCTs and in the Multi-Professional Education and Training budget, managed by SHAs" I really hope that doesn't mean the funding is to come existing budget (I haven't looked at the accompanying documents yet). The governance arrangements are incredibly robust, see annexes, so this is going to happen.

I will be signing up to the 'call for action,' hope everyone else will too: this is really brilliant.

best wishes

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

This has now been published, attached, or download fromhttp://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_124210Headline points after a very quick skim:The 'new service vision' as widely trailed is pretty well unchanged: good, I think we all agreed the five levels were clear and what is neededThree positive changes from the details released in the impact assessment document:- the 4200 extra health visitors will be whole time equivalents, not head count- recognition that additional health visitors need to be trained to cover retirements and other losses- the pace of increase has been scaled up as a 'minimum aspiration', so that instead of the increase over the next three years being 25%, 25% then 50%, it will be 25%, 37.5%, 37.5%, so that higher numbers will be in place soonerQuestion mark for me:Page 23, for the first stage of implementation "PCTs will need to reflect plans for health visitor expansion in their service commissioning plans, and SHAs will need to ensure that training plans and commissions support local requirements. Funding will be included in allocations to PCTs and in the Multi-Professional Education and Training budget, managed by SHAs" I really hope that doesn't mean the funding is to come existing budget (I haven't looked at the accompanying documents yet). The governance arrangements are incredibly robust, see annexes, so this is going to happen.I will be signing up to the 'call for action,' hope everyone else will too: this is really brilliant.best wishes Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

February 9, 2011

Excellent news - well done everyone who has put so much hard work in to this.

Jane.

Thanks Margaret look forward to receiving your posting on senate..I think we should all celebrate but also give extra special thanks to and Cheryll for without them I am sure we would not be where we are now, thanks to all who have influenced!!Liz

Sent using BlackBerryÂ® from Orange

From: "Margaret Buttigieg" <margaret@...>

Sender:

Date: Tue, 8 Feb 2011 22:21:37 -0000

< >

Reply

Subject: Re: Health visitor implementation plan

Hi All

This is brilliant and please believe it will happen despite what our Union and supposed professional body would say about dumming down of qualifications as I am convinced they - the Government - know that this is now a reality only if we have the right level of qualified staff at full time equivalents which I understand had been the arguing point and the delay but I am pleased the Prime Ministers Office won! I have followed up subsequent emails and funding on SENNATE and it is brilliant.

I am also interested in the next email about S.E. Coast as having done work there, they did not believe me when I said how bad it was for them following the work but it reassures me I know what I am doing!

Have some info about the actual technical implementation of the Operating Framework which I will post tomorrow on SENATE which just confirms the need to make this happen.

We should all be proud of the work we have done and now need to get school nursing here as well

Margaret.

Health visitor implementation plan [1 Attachment]

This has now been published, attached, or download from http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_124210

Headline points after a very quick skim:

The 'new service vision' as widely trailed is pretty well unchanged: good, I think we all agreed the five levels were clear and what is needed

Three positive changes from the details released in the impact assessment document:

- the 4200 extra health visitors will be whole time equivalents, not head count

- recognition that additional health visitors need to be trained to cover retirements and other losses

- the pace of increase has been scaled up as a 'minimum aspiration', so that instead of the increase over the next three years being 25%, 25% then 50%, it will be 25%, 37.5%, 37.5%, so that higher numbers will be in place sooner

Question mark for me:

Page 23, for the first stage of implementation "PCTs will need to reflect plans for health visitor expansion in their service commissioning plans, and SHAs will need to ensure that training plans and commissions support local requirements. Funding will be included in allocations to PCTs and in the Multi-Professional Education and Training budget, managed by SHAs" I really hope that doesn't mean the funding is to come existing budget (I haven't looked at the accompanying documents yet). The governance arrangements are incredibly robust, see annexes, so this is going to happen.

I will be signing up to the 'call for action,' hope everyone else will too: this is really brilliant.

best wishes

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

This has now been published, attached, or download fromhttp://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_124210Headline points after a very quick skim:The 'new service vision' as widely trailed is pretty well unchanged: good, I think we all agreed the five levels were clear and what is neededThree positive changes from the details released in the impact assessment document:- the 4200 extra health visitors will be whole time equivalents, not head count- recognition that additional health visitors need to be trained to cover retirements and other losses- the pace of increase has been scaled up as a 'minimum aspiration', so that instead of the increase over the next three years being 25%, 25% then 50%, it will be 25%, 37.5%, 37.5%, so that higher numbers will be in place soonerQuestion mark for me:Page 23, for the first stage of implementation "PCTs will need to reflect plans for health visitor expansion in their service commissioning plans, and SHAs will need to ensure that training plans and commissions support local requirements. Funding will be included in allocations to PCTs and in the Multi-Professional Education and Training budget, managed by SHAs" I really hope that doesn't mean the funding is to come existing budget (I haven't looked at the accompanying documents yet). The governance arrangements are incredibly robust, see annexes, so this is going to happen.I will be signing

up to the 'call for action,' hope everyone else will too: this is really brilliant.best wishes Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

February 9, 2011

ï»¿

Yes, Jane, I should have said ", Senate, and professional colleagues".

Health visitor implementation plan [1 Attachment]

This has now been published, attached, or download from http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_124210

Headline points after a very quick skim:

The 'new service vision' as widely trailed is pretty well unchanged: good, I think we all agreed the five levels were clear and what is needed

Three positive changes from the details released in the impact assessment document:

- the 4200 extra health visitors will be whole time equivalents, not head count

- recognition that additional health visitors need to be trained to cover retirements and other losses

- the pace of increase has been scaled up as a 'minimum aspiration', so that instead of the increase over the next three years being 25%, 25% then 50%, it will be 25%, 37.5%, 37.5%, so that higher numbers will be in place sooner

Question mark for me:

Page 23, for the first stage of implementation "PCTs will need to reflect plans for health visitor expansion in their service commissioning plans, and SHAs will need to ensure that training plans and commissions support local requirements. Funding will be included in allocations to PCTs and in the Multi-Professional Education and Training budget, managed by SHAs" I really hope that doesn't mean the funding is to come existing budget (I haven't looked at the accompanying documents yet). The governance arrangements are incredibly robust, see annexes, so this is going to happen.

I will be signing up to the 'call for action,' hope everyone else will too: this is really brilliant.

best wishes

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

This has now been published, attached, or download fromhttp://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_124210Headline points after a very quick skim:The 'new service vision' as widely trailed is pretty well unchanged: good, I think we all agreed the five levels were clear and what is neededThree positive changes from the details released in the impact assessment document:- the 4200 extra health visitors will be whole time equivalents, not head count- recognition that additional health visitors need to be trained to cover retirements and other losses- the pace of increase has been scaled up as a 'minimum aspiration', so that instead of the increase over the next three years being 25%, 25% then 50%, it will be 25%, 37.5%, 37.5%, so that higher numbers will be in place soonerQuestion mark for me:Page 23, for the first stage of implementation "PCTs will need to reflect plans for health visitor expansion in their service commissioning plans, and SHAs will need to ensure that training plans and commissions support local requirements. Funding will be included in allocations to PCTs and in the Multi-Professional Education and Training budget, managed by SHAs" I really hope that doesn't mean the funding is to come existing budget (I haven't looked at the accompanying documents yet). The governance arrangements are incredibly robust, see annexes, so this is going to happen.I will be signing up to the 'call for action,' hope everyone else will too: this is really brilliant.best wishes Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

February 9, 2011

As an overworked CPHVA representative and a front line worker in North Yorkshire I would like to send a huge thank you on behalf of us all, to Cowley, the CPHVA and all the other extremely hard workers who have helped to influence this. Great news!

Best Wishes

++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Health

Visitor

; Staff side CPHVA/ Unite rep

Health and safety rep

CPHVA/UNITE

CPHVA local forum branch secretary

North Yorkshire and York PCT

From: Cowley <sarahcowley183@...> Sent: Wednesday, 9 February, 2011 7:12:45Subject: Re: Health visitor implementation plan

Thanks Liz, yes thanks to all who have influenced, and to Viv as well, for delivering such an excellent piece of policy, I don't think we should underestimate the amount of work it takes, and thanks to her for remembering school nurses behind the scenes, and making sure ministers include them, even though they are not included in this headline policy.

I don't think we should forget the part played by CPHVA in getting the whole thing started when Alan was at the DH, because it was the Labour government's Action on Health Visiting that is underpinning a lot of this policy (I know, it was also the Labour government who took health visiting out of statute and presided over the big fall in numbers too . . !). It was the RCN quoted in HSJ as worrying about 'dumbing down' the training - an old article recycled. But let's just all celebrate and not carp for now, and get on board with recruiting and promoting so that we can get back tot he business of supporting children and families.

best wishes

On 8 Feb 2011, at 22:35, liz.plastow@... wrote:

Thanks Margaret look forward to receiving your posting on senate..I think we should all celebrate but also give extra special thanks to and Cheryll for without them I am sure we would not be where we are now, thanks to all who have influenced!!Liz

Sent using BlackBerryÂ® from Orange

From: "Margaret Buttigieg" <margaret@...>

Sender:

Date: Tue, 8 Feb 2011 22:21:37 -0000

< >

Reply

Subject: Re: Health visitor implementation plan

Hi All

This is brilliant and please believe it will happen despite what our Union and supposed professional body would say about dumming down of qualifications as I am convinced they - the Government - know that this is now a reality only if we have the right level of qualified staff at full time equivalents which I understand had been the arguing point and the delay but I am pleased the Prime Ministers Office won! I have followed up subsequent emails and funding on SENNATE and it is brilliant.

I am also interested in the next email about S.E. Coast as having done work there, they did not believe me when I said how bad it was for them following the work but it reassures me I know what I am doing!

Have some info about the actual technical implementation of the Operating Framework which I will post tomorrow on SENATE which just confirms the need to make this happen.

We should all be proud of the work we have done and now need to get school nursing here as well

Margaret.

Health visitor implementation plan [1 Attachment]

This has now been published, attached, or download from http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_124210

Headline points after a very quick skim:

The 'new service vision' as widely trailed is pretty well unchanged: good, I think we all agreed the five levels were clear and what is needed

Three positive changes from the details released in the impact assessment document:

- the 4200 extra health visitors will be whole time equivalents, not head count

- recognition that additional health visitors need to be trained to cover retirements and other losses

- the pace of increase has been scaled up as a 'minimum aspiration', so that instead of the increase over the next three years being 25%, 25% then 50%, it will be 25%, 37.5%, 37.5%, so that higher numbers will be in place sooner

Question mark for me:

Page 23, for the first stage of implementation "PCTs will need to reflect plans for health visitor expansion in their service commissioning plans, and SHAs will need to ensure that training plans and commissions support local requirements. Funding will be included in allocations to PCTs and in the Multi-Professional Education and Training budget, managed by SHAs" I really hope that doesn't mean the funding is to come existing budget (I haven't looked at the accompanying documents yet). The governance arrangements are incredibly robust, see annexes, so this is going to happen.

I will be signing up to the 'call for action,' hope everyone else will too: this is really brilliant.

best wishes

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

This has now been published, attached, or download fromhttp://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_124210Headline points after a very quick skim:The 'new service vision' as widely trailed is pretty well unchanged: good, I think we all agreed the five levels were clear and what is neededThree positive changes from the details released in the impact assessment document:- the 4200 extra health visitors will be whole time equivalents, not head

count- recognition that additional health visitors need to be trained to cover retirements and other losses- the pace of increase has been scaled up as a 'minimum aspiration', so that instead of the increase over the next three years being 25%, 25% then 50%, it will be 25%, 37.5%, 37.5%, so that higher numbers will be in place soonerQuestion mark for me:Page 23, for the first stage of implementation "PCTs will need to reflect plans for health visitor expansion in their service commissioning plans, and SHAs will need to ensure that training plans and commissions support local requirements. Funding will be included in allocations to PCTs and in the Multi-Professional Education and Training budget, managed by SHAs" I really hope that doesn't mean the funding is to come existing budget (I haven't looked at the accompanying documents yet). The governance arrangements are incredibly robust, see annexes, so this is going to happen.I will be signing up to the 'call for action,' hope everyone else will too: this is really brilliant.best wishes Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

February 9, 2011

Incredible achievement and a historic landmark fro health visiting, thank you to

all those who made this happen.

Sally

Sally Kendall, PhD, B.Sc(Hons), RGN,RHV

Professor Nursing

Director, CRIPACC

Visiting Professor Washington State University, USA

Co-editor Primary Health Research and Development

Co-Convenor ICCHNR (www.icchnr.org)

Phone: +44(0)1707 286380 or 285990 (sec)

www.nursing.ualberta.ca/icchnr/

________________________________________

From: [ ] On Behalf Of

jane appleton [jvappleton@...]

Sent: 09 February 2011 08:18

Subject: Re: Health visitor implementation plan

Excellent news - well done everyone who has put so much hard work in to this.

Jane.

Thanks Margaret look forward to receiving your posting on senate..

I think we should all celebrate but also give extra special thanks to and

Cheryll for without them I am sure we would not be where we are now, thanks to

all who have influenced!!

Liz

Sent using BlackBerry® from Orange

________________________________

From: " Margaret Buttigieg " <MailScanner has detected a possible fraud attempt

from " uk.mc241.mail. " claiming to be MailScanner has detected a

possible fraud attempt from " uk.mc241.mail. " claiming to be

margaret@...<http://uk.mc241.mail./mc/compose?to\

=margaretmabconsult (DOT) freeserve.co.uk>>

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fraud attempt from " uk.mc241.mail. " claiming to be

<http://uk.mc241.mail./mc/compose?to=SENATE-\

HVSN >

Date: Tue, 8 Feb 2011 22:21:37 -0000

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HVSN >

Subject: Re: Health visitor implementation plan

Hi All

This is brilliant and please believe it will happen despite what our Union and

supposed professional body would say about dumming down of qualifications as I

am convinced they - the Government - know that this is now a reality only if we

have the right level of qualified staff at full time equivalents which I

understand had been the arguing point and the delay but I am pleased the Prime

Ministers Office won! I have followed up subsequent emails and funding on

SENNATE and it is brilliant.

I am also interested in the next email about S.E. Coast as having done

work there, they did not believe me when I said how bad it was for them

following the work but it reassures me I know what I am doing!

Have some info about the actual technical implementation of the Operating

Framework which I will post tomorrow on SENATE which just confirms the need to

make this happen.

We should all be proud of the work we have done and now need to get school

nursing here as well

Margaret.

Health visitor implementation plan [1 Attachment]

This has now been published, attached, or download from

http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcollea\

gueletters/DH_124210

Headline points after a very quick skim:

The 'new service vision' as widely trailed is pretty well unchanged: good, I

think we all agreed the five levels were clear and what is needed

Three positive changes from the details released in the impact assessment

document:

- the 4200 extra health visitors will be whole time equivalents, not head count

- recognition that additional health visitors need to be trained to cover

retirements and other losses

- the pace of increase has been scaled up as a 'minimum aspiration', so that

instead of the increase over the next three years being 25%, 25% then 50%, it

will be 25%, 37.5%, 37.5%, so that higher numbers will be in place sooner

Question mark for me:

Page 23, for the first stage of implementation " PCTs will need to reflect plans

for health visitor expansion in their service commissioning plans, and SHAs will

need to ensure that training plans and commissions support local requirements.

Funding will be included in allocations to PCTs and in the Multi-Professional

Education and Training budget, managed by SHAs " I really hope that doesn't mean

the funding is to come existing budget (I haven't looked at the accompanying

documents yet). The governance arrangements are incredibly robust, see annexes,

so this is going to happen.

I will be signing up to the 'call for action,' hope everyone else will too:

this is really brilliant.

best wishes

Cowley

MailScanner has detected a possible fraud attempt from " uk.mc241.mail. "

claiming to be MailScanner has detected a possible fraud attempt from

" uk.mc241.mail. " claiming to be

sarahcowley183@...<http://uk.mc241.mail./mc/compose?to=sarah\

cowley183btinternet>

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________________________________

This has now been published, attached, or download

fromhttp://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearco\

lleagueletters/DH_124210

Headline points after a very quick skim:

The 'new service vision' as widely trailed is pretty well unchanged:

good, I think we all agreed the five levels were clear and what is

needed

Three positive changes from the details released in the impact

assessment document:

- the 4200 extra health visitors will be whole time equivalents, not

head count

- recognition that additional health visitors need to be trained to

cover retirements and other losses

- the pace of increase has been scaled up as a 'minimum aspiration',

so that instead of the increase over the next three years being 25%,

25% then 50%, it will be 25%, 37.5%, 37.5%, so that higher numbers

will be in place sooner

Question mark for me:

Page 23, for the first stage of implementation " PCTs will need to

reflect plans for health visitor expansion in their service

commissioning plans, and SHAs will need to ensure that training plans

and commissions support local requirements. Funding will be included

in allocations to PCTs and in the Multi-Professional Education and

Training budget, managed by SHAs " I really hope that doesn't mean the

funding is to come existing budget (I haven't looked at the

accompanying documents yet). The governance arrangements are

incredibly robust, see annexes, so this is going to happen.

I will be signing up to the 'call for action,' hope everyone else will

too: this is really brilliant.

best wishes

Cowley

MailScanner has detected a possible fraud attempt from " uk.mc241.mail. "

claiming to be MailScanner has detected a possible fraud attempt from

" uk.mc241.mail. " claiming to be

sarahcowley183@...<http://uk.mc241.mail./mc/compose?to=sarah\

cowley183btinternet>

http://myprofile.cos.com/S124021COn

Cowley

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claiming to be MailScanner has detected a possible fraud attempt from

" uk.mc241.mail. " claiming to be

sarahcowley183@...<http://uk.mc241.mail./mc/compose?to=sarah\

cowley183btinternet>

http://myprofile.cos.com/S124021COn

February 9, 2011

I don't think there is anything else to add - but that it is just simply WONDERFUL. All those working so hard behind the scenes have done a tremendous job.

Thank you especially to , Cheryll and the CPHVA.

From: Diane DeBell <ddebell@...> Sent: Wednesday, 9 February, 2011 8:02:37Subject: Re: Health visitor implementation plan

I have just finished studying the Implementation Plan and there is stunning reason to congratulate . It is not often that this kind of leadership emerges in a professional field alongwith the persistence needed in order to ensure that all the detail for successful implementation is in place.

That this has been achieved during a period of such difficult financial constraint and such radical political change is all the more heartening.

I hope it can be a template for development of the school nurse services across the country -- a workforce that is needed for a population of 11.3m children of school age.

Now for the pleasurable but hard work of full implementation, monitoring, research, and long-term development.

Congratulations,

Diane

Health visitor implementation plan [1 Attachment]

This has now been published, attached, or download from http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_124210

Headline points after a very quick skim:

The 'new service vision' as widely trailed is pretty well unchanged: good, I think we all agreed the five levels were clear and what is needed

Three positive changes from the details released in the impact assessment document:

- the 4200 extra health visitors will be whole time equivalents, not head count

- recognition that additional health visitors need to be trained to cover retirements and other losses

- the pace of increase has been scaled up as a 'minimum aspiration', so that instead of the increase over the next three years being 25%, 25% then 50%, it will be 25%, 37.5%, 37.5%, so that higher numbers will be in place sooner

Question mark for me:

Page 23, for the first stage of implementation "PCTs will need to reflect plans for health visitor expansion in their service commissioning plans, and SHAs will need to ensure that training plans and commissions support local requirements. Funding will be included in allocations to PCTs and in the Multi-Professional Education and Training budget, managed by SHAs" I really hope that doesn't mean the funding is to come existing budget (I haven't looked at the accompanying documents yet). The governance arrangements are incredibly robust, see annexes, so this is going to happen.

I will be signing up to the 'call for action,' hope everyone else will too: this is really brilliant.

best wishes

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

This has now been published, attached, or download fromhttp://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_124210Headline points after a very quick skim:The 'new service vision' as widely trailed is pretty well unchanged: good, I think we all agreed the five levels were clear and what is neededThree positive changes from the details released in the impact assessment document:- the 4200 extra health visitors will be whole time equivalents, not head

count- recognition that additional health visitors need to be trained to cover retirements and other losses- the pace of increase has been scaled up as a 'minimum aspiration', so that instead of the increase over the next three years being 25%, 25% then 50%, it will be 25%, 37.5%, 37.5%, so that higher numbers will be in place soonerQuestion mark for me:Page 23, for the first stage of implementation "PCTs will need to reflect plans for health visitor expansion in their service commissioning plans, and SHAs will need to ensure that training plans and commissions support local requirements. Funding will be included in allocations to PCTs and in the Multi-Professional Education and Training budget, managed by SHAs" I really hope that doesn't mean the funding is to come existing budget (I haven't looked at the accompanying documents yet). The governance arrangements are incredibly robust, see annexes, so this is going to happen.I will be signing up to the 'call for action,' hope everyone else will too: this is really brilliant.best wishes Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

February 9, 2011

That is my understanding to Cheryll and SHAs are already working on this and holding to account so all out there in the front line need to tell their employing organisation that this is real and will happen. No further cutting back on health visiting and also I understand they are to look at the skill mix as there is an increasing realisation that it has gone to far.

The thing I think we also need to note is that the increase is WTE not people and I understands this was at Cameron's insistence and that was what was holding up the publication of the action plan..

Margaret

Re: Health visitor implementation plan

Message from Cheryll:

The dream has finally come true, what fantastic news! Let’s all do a jig!!

Please all spread the message to those at the coal face, as many still don’t seem aware even of the commitment to 4200, made many months ago now, let alone the acceptance of also needing to increase the number to 6000 new HVs over the next 4 years to cover retirements.

Now the profession must feel empowered to challenge the status quo and demand their autonomy back so that they can play a significant part in ensuring this plan is delivered on.

As I understand it the finance will be controlled by the national commissioning board, and allocated to the local areas against their delivery plans, which it would seem they will be held tightly accountable for.

How better the future will now be for many children

Cheryll

On 8 Feb 2011, at 21:36, Dr Crome wrote:

This is great news . Hope you are well.

Kind regards,

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

February 9, 2011

Wonderful news after so long! It's incredible that it's actually

happening when you see how far things have slipped in very neglected

areas. Families will finally start to get the services they need.

and colleagues have worked long and hard for this and it's all

due to their splendid efforts. We may not have our registration yet,

but with such leadership, I'm confident about the future.

" " <SENATE-

HVSN >

From: " Kendall, Sally " <s.kendall@...>

Date sent: Wed, 9 Feb 2011 10:07:26 +0000

Subject: RE: Health visitor implementation plan

Send reply to:

> Incredible achievement and a historic landmark fro health visiting,

> thank you to all those who made this happen.

>

> Sally

>

> Sally Kendall, PhD, B.Sc(Hons), RGN,RHV

> Professor Nursing

> Director, CRIPACC

> Visiting Professor Washington State University, USA

> Co-editor Primary Health Research and Development

> Co-Convenor ICCHNR (www.icchnr.org)

> Phone: +44(0)1707 286380 or 285990 (sec)

> www.nursing.ualberta.ca/icchnr/

>

> ________________________________________

> From: [ ] On

> Behalf Of jane appleton [jvappleton@...] Sent: 09 February

> 2011 08:18 Subject: Re:

> Health visitor implementation plan

>

> Excellent news - well done everyone who has put so much hard work in

> to this.

>

> Jane.

>

> Thanks Margaret look forward to receiving your posting on senate.. I

> think we should all celebrate but also give extra special thanks to

> and Cheryll for without them I am sure we would not be where we

> are now, thanks to all who have influenced!! Liz Sent using

> BlackBerry® from Orange ________________________________ From:

> " Margaret Buttigieg " <MailScanner has detected a possible fraud

> attempt from " uk.mc241.mail. " claiming to be MailScanner has

> detected a possible fraud attempt from " uk.mc241.mail. "

> claiming to be

> margaret@...<http://uk.mc241.mail./mc/

> compose?to=margaret@...>> Sender: MailScanner

> has detected a possible fraud attempt from " uk.mc241.mail. "

> claiming to be MailScanner has detected a possible fraud attempt from

> " uk.mc241.mail. " claiming to be

> <http://uk.mc241.mail./mc/compose?

> to= > Date: Tue, 8 Feb 2011 22:21:37 -0000

> <MailScanner has detected a possible fraud attempt from

> " uk.mc241.mail. " claiming to be MailScanner has detected a

> possible fraud attempt from " uk.mc241.mail. " claiming to be

> <http://uk.mc241.mail./mc/compose?

> to= >> ReplyMailScanner has detected a

> possible fraud attempt from " uk.mc241.mail. " claiming to be

> MailScanner has detected a possible fraud attempt from

> " uk.mc241.mail. " claiming to be

> <http://uk.mc241.mail./mc/compose?

> to= > Subject: Re: Health

> visitor implementation plan

>

> Hi All

>

> This is brilliant and please believe it will happen despite what our

> Union and supposed professional body would say about dumming down of

> qualifications as I am convinced they - the Government - know that

> this is now a reality only if we have the right level of qualified

> staff at full time equivalents which I understand had been the arguing

> point and the delay but I am pleased the Prime Ministers Office won!

> I have followed up subsequent emails and funding on SENNATE and it is

> brilliant.

>

> I am also interested in the next email about S.E. Coast as

> having done work there, they did not believe me when I said how bad

> it was for them following the work but it reassures me I know what I

> am doing!

>

> Have some info about the actual technical implementation of the

> Operating Framework which I will post tomorrow on SENATE which just

> confirms the need to make this happen.

>

> We should all be proud of the work we have done and now need to get

> school nursing here as well

>

> Margaret.

> Health visitor implementation

> plan [1 Attachment]

>

> This has now been published, attached, or download from

> http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/

> Dearcolleagueletters/DH_124210

>

> Headline points after a very quick skim:

> The 'new service vision' as widely trailed is pretty well unchanged:

> good, I think we all agreed the five levels were clear and what is

> needed Three positive changes from the details released in the impact

> assessment document: - the 4200 extra health visitors will be whole

> time equivalents, not head count - recognition that additional health

> visitors need to be trained to cover retirements and other losses -

> the pace of increase has been scaled up as a 'minimum aspiration', so

> that instead of the increase over the next three years being 25%, 25%

> then 50%, it will be 25%, 37.5%, 37.5%, so that higher numbers will be

> in place sooner

>

> Question mark for me:

> Page 23, for the first stage of implementation " PCTs will need to

> reflect plans for health visitor expansion in their service

> commissioning plans, and SHAs will need to ensure that training plans

> and commissions support local requirements. Funding will be included

> in allocations to PCTs and in the Multi-Professional Education and

> Training budget, managed by SHAs " I really hope that doesn't mean the

> funding is to come existing budget (I haven't looked at the

> accompanying documents yet). The governance arrangements are

> incredibly robust, see annexes, so this is going to happen.

>

> I will be signing up to the 'call for action,' hope everyone else will

> too: this is really brilliant.

>

> best wishes

>

> Cowley

> MailScanner has detected a possible fraud attempt from

> " uk.mc241.mail. " claiming to be MailScanner has detected a

> possible fraud attempt from " uk.mc241.mail. " claiming to be

> sarahcowley183@...<http://uk.mc241.mail./mc/compos

> e?to=sarahcowley183@...>

> http://myprofile.cos.com/S124021COn

>

> ________________________________

>

> ________________________________

>

> This has now been published, attached, or download

> fromhttp://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcircul

> ars/Dearcolleagueletters/DH_124210