Wendy Nicholson National Lead Nurse: Children, Young People and Families Public Health England October 2016

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1 The future of public health services for children 0-19 years Wendy Nicholson National Lead Nurse: Children, Young People and Families Public Health England October 2016

2 PHE national priorities 2 The future Longer Getting of public Lives it Right health in services Early Years for children 0-19 years Improving health outcomes - reducing inequalities Tackling obesity, particularly among children Reducing smoking and stopping children starting Reducing harmful drinking and alcohol-related hospital admissions Ensuring every child has the best start in life Tackling the growth in antimicrobial resistance Public Health England (2014) From Evidence into Action: Opportunities to Protect and Improve the Nation s Health

3 CYP and Families: a life course approach The first years of life are a critical opportunity for building healthy, resilient and capable children, young people and adults Public Health Nursing and Midwifery Marmot 2010, Fair Society, Healthy Lives: The Marmot Review Our Children Deserve Better: Prevention Pays* CMO 2012 events that occur in early life (indeed in foetal life) affect health and wellbeing later, it makes sense to intervene early the evidence still points to room for improvement. We need everyone in the public services to think family and children and young people at every interaction 3 The future of public health services for children 0-19 years

4 The circle of life Family building 4 The future of public health services for children 0-19 years

5 The importance of Healthy Pregnancy 5 The future Presentation of public health title services - edit in Header for children and 0-19 Footer years

6 Best Start in Life Healthy Maternity Ready to Learn at 2 Ready for School at 5 Reducing Childhood Obesity Evidence for prevention and early Intervention National support for local leadership (PLACE) Parent/public information Reducing inequalities Increase breastfeeding Improve oral health Support development of speech, language and communication Reduce injury from accidents Immunisation 6 The future of public health services for children 0-19 years

7 Reducing inequalities - School readiness 7 The future Longer of public Lives health services for children 0-19 years

8 Reducing inequalities - the school-aged years Mental health matters Oral health Childhood obesity Child safety Transition Complex needs 8 The future of public health services for children 0-19 years

9 Place-based commissioning for children young people and families 9 The future of public health services for children 0-19 years

10 Health visitors and school nurses leading public health delivery Re-affirming the leadership role of health visitors & school nursing services in the delivery of public health to schoolage children Holistic care and support both in and out of school settings Delivery centred around the child, young people and family 10 The future of public health services for children 0-19 years

11 Transformed Services Evidence Based Practice 11 The future of public health services for children 0-19 years

12 Supporting evidenced based delivery 456 integrated model and HIAs Health literacy Impact assessment toolkit Week of action 31 st October #5to19 New pathways and guidance Aspiring leaders SN You re Welcome phase 2 Childhood obesity and NCMP Safeguarding UASC, modern slavery, FGM Junior antibiotic guardian programme and junior health checks National school nurse leadership scholarship (FNF) Digital CPD school nurses Regional events 12 The future of public health services for children 0-19 years

13 Success will mean.. Add ready for life slide 13 The future of public health services for children 0-19 years Getting it Right in Early Years

14 Positive places for children young people and families Getting it right for children s services using all local resource public health, Children s Centres, early years, schools, wider family services One Healthy Child Programme 0-19 Improved communication between children s services and primary care Improved integration of services - access and experience for families.. one stop shop e.g. integrated 2 year review Improved communication for families with complex needs and in safeguarding Improved inter-professional working with joint training improving continuity and communication for families 14 The future of public health services for children 0-19 years Getting it Right in Early Years

15 Data from the Public Health Outcomes Framework that are relevant to the Early Years Low birth rate of babies Breastfeeding prevalence Smoking status at time of delivery Under 18 conceptions Excess weight at age 4-5 years Vaccination coverage Infant mortality Success : measuring impact Tooth decay in children age 5 Data from the Public Health Outcomes Framework that are relevant to the 5-19 Under 18 conceptions Excess weight at age 4-5 years & 11-12yrs Vaccination coverage Tooth decay in children age 5 School absences NEET 15 The future Measuring of public impact health services for children 0-19 years

16 @WendyJNicholson Public health contribution of nurses and midwives: Guidance Nana Quawson 16 The Improving future Getting of public early it health Right years services in Early for a children public Years 0-19 health years approach