Agenda item

Alex Hawley, Public Health Consultant, to present

Alex Hawley, Consultant in Public Health, presented a report on the Best Start and Beyond Framework.

Since Spring 2021, Public Health had led a partnership approach to developing the specification for a re-commissioned 0-19s Public Health Nursing Service, a process which was now approaching its conclusion, with mobilisation of the newly awarded contract due to commence in the Autumn, working towards and a go-live date of April 2023.

The Board then received the following powerpoint presentation:-

Purposes of Framework

System Overview

-        Services for children, young people and families

-        Activities affecting wider determinants

Toolkit

-        Mapping against wider determinants, principles, priority lenses, life stages, enabling outcomes

Vision

-        All children and young people get the best start in life and go on to achieve their potential

-        A best start to life means having the best possible health and wellbeing

Principles

-        Proportionate universalism

-        A whole pathway approach

-        Evidence-based

-        Involving local people

-        A compassionate approach

-        Making every contact count

-        Prevention – to tackle the ‘causes of the causes’

-        Challenging clinical variation

-        Acting at the earliest possible stage

-        Reducing the slope of inequality

Priority Lenses

-        Poverty

-        Compassionate approach

-        Parental health

-        Transitions

-        Mental health

Life Stages

-        1001 days (conception to 2^nd birthday) - Every child has the best start to life

·     Pregnancies are planned and well prepared for

·     A compassionate approach to weight in pregnancy

·     Harms of substances in pregnancy are reduced

·     Perinatal mental health is robust

·     Infant feeding – informed and supported choice

·     Breastfeeding initiation is supported and length of exclusive breastfeeding is supported

·     Continuity of care from midwifery to health visits is optimised

-        Early years (2-5) - All children are ready to start school at age 5

·     A compassionate approach to weight is adopted that influences the home environment and within Early Years settings

·     We take shared responsibility for building a culture where Early Years education is valued across all communities

·     All eligible children are enabled to take up their early education entitlement

·     Parents are seen as educators

·     Children achieve a good level of development at age 5

-        School age (including children not attending school) - All children and young people can reach their potential

·     Education settings adopt a whole school approach to child health

·     The health of children not attending school has parity of esteem

·     Good sleep habits are promoted

·     Good child emotional and mental wellbeing is promoted and supported

·     All children and young people have access to and good attendance at the most appropriate educational setting

·     Resilience and agency is built by ensuring young people can benefit from having places to go and things to do

-        Transition to adulthood - Every child ready to live as independently as is within their capacity

·     All young people have agency and resilience for a successful transition to adulthood and support is available when needed

·     Young people benefit from a person-centred understanding of need and choice of support/opportunity

It was noted that the steering group included representatives of Public Health, Children and Young People’s Services, Joint Commissioning, Early Help, Early Years Education, Foundation Trust, ICB and RDaSH.

Discussion ensued with the following issues raised/clarified:-

-        The need for clarity as to what work was taking place in the various groups/steering group to avoid duplication

-        Should the health written statement include SEND

-        The concept of family hubs was still being explored

Resolved:-  That the development and implementation of a Best Start and Beyond framework be supported.