Healthy Child Programme Schedule of Interventions Guide
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Lifecourse stage
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3 to 5 years
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Health and wellbeing development review
Screening
Immunisation
Mental health and emotional wellbeing
Healthy weight, nutrition and physical activity
Maintaining healthy relationships including sexual health
Alcohol, drugs and tobacco
Nurturing parenting
Transition to education settings
Speech, language and communication
Vulnerabilities and identification of additional needs
Keeping safe and accident prevention
Oral health and dental care
Improving self-care and health literacy
Inequalities and disparities
Safeguarding
4 to 5 year-old health review
4 to 5 year-old health review
Universal
Metrics and outcomes indicators
Use evidence and data to monitor child health. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health early years
OHID Fingertips Child and maternal health early years supplementary
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
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Discuss any concerns with parents and carers s about their child’s vision or hearing.
Where there are concerns, complete referral for vision or hearing test in accordance with local commissioned pathways.
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School aged years high impact area 6: Supporting self-care and improving health literacy
Child vision screening
NHS.UK Hearing tests for children
Discuss with parents and carers whether vision screening and hearing tests have been carried out between age 4 to 5 years old in accordance with local commissioned pathways.
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School aged years high impact area 6: Supporting self-care and improving health literacy
Child vision screening
NHS.UK Hearing tests for children
Metrics and outcomes indicators
Use evidence and data to monitor screening. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health long-term conditions and complex needs
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
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Review the immunisation status of children according to the national routine immunisation schedule with parents and carers.
Where children have not received recommended immunisations, refer to the guide for uncertain or incomplete vaccinations.
Where there are concerns, complete an assessment to identify needs and strengths.
Where parents or carers have declined recommended immunisations, provide evidence-based information and guidance. Support parents and carers to take decisions about their child’s health and wellbeing by developing a collaborative relationship with families, using a strengths- or asset-based approach to build on their strengths and attributes and address concerns.
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School aged years high impact area 6: Supporting self-care and improving health literacy
Guidance on immunisation against infectious disease
Routine childhood immunisation schedule
NHS.UK 4-in-1 pre-school booster overview
NHS.UK MMR Vaccine
Pre-school vaccinations: guide to vaccinations from 2 to 5 years
Vaccination of individuals with uncertain or incomplete immunisation status
Where children have been identified as requiring targeted or specialist intervention, follow local pathways and guidance to provide targeted intervention or complete appropriate and timely referral. This includes where children have not received recommended immunisations or where parents or carers need additional input to support informed decision-making.
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School aged years high impact area 6: Supporting self-care and improving health literacy
Guidance on immunisation against infectious disease
Routine childhood immunisation schedule
NHS.UK 4-in-1 pre-school booster overview
NHS.UK MMR Vaccine
Pre-school vaccinations: guide to vaccinations from 2 to 5 years
Vaccination of individuals with uncertain or incomplete immunisation status
Immunisation
Provide evidence-based information and guidance about seasonal influenza vaccine for children over 2-years of age. Support parents and carers to take decisions about their child’s health and wellbeing by developing a collaborative relationship with families, using a strengths- or asset-based approach to build on their attributes and address concerns.
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School aged years high impact area 6: Supporting self-care and improving health literacy
UKHSA Annual flu programme
Metrics and outcomes indicators
Use evidence and data to monitor immunisations. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal vaccines and immunisations
OHID Fingertips TB Strategy monitoring indicators
OHID Fingertips Health Protection indicators
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
Close pop-up
Working in partnership with other agencies, children, young people and families, and other stakeholders, assess, prioritise and develop a response to local population health needs.
Population health needs assessment: a guide for 0 to 19 health visiting and school nursing services
Health visiting and school nursing delivery model
Community
Targeted
Child mental health and emotional wellbeing
Provide parents and carers with evidence-based information about the importance of building resilience including family relationships and how to meet their child’s emotional needs. Develop a collaborative relationship and use strengths- or asset-based approaches with families to encourage a positive relationship when interacting with their child.
Provide evidence-based information about factors that support child wellbeing, for example communication between the parent and child (including speech, language and communication development).
Provide information about local universal services, for example family hubs or children’s centres, where parents and carers can access community activities to support mental health and emotional wellbeing such as library sessions, play activities or parenting support to enhance skills and confidence.
Early years high impact area 2: Supporting maternal and family mental health
School aged years high impact area 1: supporting resilience and wellbeing
Collection - Public Mental Health
NHS.UK Every mind matters
E-Learning for Healthcare MindEd
Children and young people’s mental health: prevention evidence
Early Intervention Foundation Social and emotional learning: supporting children and young people’s mental
health
Future Learn Psychological First Aid for supporting children and young people in emergency and crisis
situations
Wellbeing and mental health: Applying All Our Health
Solihull Approach
Intensive parenting support
Speech, language and communication
Where there are concerns about relationships and child mental health and wellbeing complete an assessment to identify needs and strengths.
Consider the lived experience of the child and the effect that parental mental health may be having.
Based on need, provide information about local universal services, for example family hubs or children’s centres, where parents and carers can seek additional support and advice on family relationships and child mental health.
Where children, have been identified as requiring targeted or specialist intervention, follow local pathways and guidance to provide targeted intervention or complete appropriate and timely referral.
Early years high impact area 2: Supporting maternal and family mental health
School aged years high impact area 1: supporting resilience and wellbeing
Vulnerability in childhood: a public health informed approach
NICE Social and emotional wellbeing: early years public health guideline [PH40]
Solihull Approach Understanding your child
Wellbeing and mental health: Applying All Our Health
Mental and emotional health and wellbeing (Targeted)
Mental and emotional health and wellbeing (Specialist)
Provide evidence-based information and guidance about building resilience in the context of families, learning environments and within local communities.
Early years high impact area 2: Supporting maternal and family mental health
School aged years high impact area 1: supporting resilience and wellbeing
Prevention concordat for better mental health: planning resource
NICE Social, emotional and mental wellbeing in primary and secondary education [NG223]
Future Learn Psychological first aid: supporting children and young people
Mental and emotional health and wellbeing (Community)
Where there are safeguarding concerns, follow statutory guidance and local safeguarding procedures.
DfE Working together to safeguard children
E-Learning for Healthcare Safeguarding children and young people programme
Safeguarding (Targeted)
Safeguarding (Specialist)
Where parents, carers and the child are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Parental mental health and wellbeing
Provide parents and carers with evidence-based information and suitable resources to support positive mental wellbeing. Highlight protective factors including accessing support from friends and family and wider social networks, 5 ways to wellbeing.
Identify and discuss emotional distress and mental health difficulties. Promote mental health through established models of self-care. Signpost parents to self-management resources.
Early years high impact area 2: Supporting maternal and family mental health
School aged years high impact area 1: supporting resilience and wellbeing
Mental Health Foundation Self-management: 10 things you need to know
NHS.UK Mental health
NHS.UK Every mind matters
NHS.UK 5 steps to mental wellbeing
MIND Peer support, MIND describes peer support services and lists places to access them by area
Hub of Hope
Young Minds Parent support helpline
Review parental and carer mental health and wellbeing.
Provide evidence-based information of suitable resources, including online sources of support, to support positive mental wellbeing.
Where there are concerns about parental mental health, for example any indications of depression, complete an assessment to identify needs and strengths.
Based on need, provide information about local universal services, for example family hubs or children’s centres and GPs, where parents and carers can seek additional support for positive mental health and wellbeing.
Where parents and carers, have been identified as requiring further assessment and intervention from targeted or specialist services, follow local pathways and guidance to provide targeted intervention or complete appropriate and timely referral.
Early years high impact 2: supporting maternal and family mental health
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School aged years high impact area 1: supporting resilience and wellbeing
School aged years high impact area 6: Supporting self-care and improving health literacy
NHS.UK Every mind matters
MIND Peer support
Hub of Hope
Young Minds parent helpline
Mental and emotional health and wellbeing (Targeted)
Mental and emotional health and wellbeing (Specialist)
Where parents, carers and the child are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Where there are safeguarding concerns, follow statutory guidance and local safeguarding procedures.
DfE Working together to safeguard children
E-Learning for Healthcare Safeguarding children and young people programme
Safeguarding (Targeted)
Safeguarding (Specialist)
Metrics and outcomes indicators
Use evidence and data to monitor mental health and wellbeing. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Children and young people's mental health and wellbeing
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
Close pop-up
Working in partnership with other agencies, children, young people and families, and other stakeholders, assess, prioritise and develop a response to local population health needs.
Population health needs assessment: a guide for 0 to 19 health visiting and school nursing services
Health visiting and school nursing delivery model
Community
Targeted
Where there are parent, carer or professional concerns about a child’s nutrition or growth, including being underweight or overweight, measure, record and plot growth. Complete an assessment to identify needs and strengths.
Based on need, provide information about local universal services, for example family hubs or children’s centres, where parents and carers can access community groups that support the development of healthy weight, nutrition, and physical activity.
Where children, have been identified as requiring targeted or specialist intervention, follow local pathways and guidance to provide targeted intervention or complete appropriate and timely referral.
Early years high impact area 4: supporting healthy weight and nutrition
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School aged years high impact area 3: supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
Promoting a healthier weight for children, young people and families: consistent messaging
RCPCH Growth charts
NHS.UK Better health - Healthier families
NHS.UK What to feed young children
The Eatwell Guide
NICE Obesity prevention
Provide parents and carers evidence-based information and guidance about providing a healthy family diet and establishing good routines, using a strengths-based approach to enable parents and carers in their decision-making.
Early years high impact area 4: supporting healthy weight and nutrition
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School aged years high impact area 3: supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
NHS.UK Better health - Healthier families
NHS.UK Vitamins for children
Child oral health: applying all our health
The Eatwell Guide
NICE maternal and child nutrition
NICE Obesity prevention
Provide parents and carers evidence-based information and guidance on vitamin A, C and D supplements for all children aged 6 months to 5 years.
Ensure that families who qualify for Healthy Start know that they are entitled to free vitamin drops.
Early years high impact area 4: supporting healthy weight, and nutrition
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
NHS.UK Vitamins for children
NHS.UK Start4Life Baby vitamins
GOV.UK Healthy Start
Provide evidence-based information and guidance on physical activity for children. Encourage parents to build physical activity into their children’s day, through play and supervised time outdoors.
Early years high impact area 4: supporting healthy weight and nutrition
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School aged years high impact area 3: supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
UK Chief Medical Officers’ report: physical activity guidelines
NHS.UK Physical activity guidelines for children (under 5 years)
NHS.UK Better health - Healthier families
Encourage participation in the National Child Measurement Programme (NCMP) aged 4-5.
Use the National Child Measurement Programme s as an opportunity to engage with parents to promote healthy weight, through pre-measurement and feedback letters. Provide follow-up support in line with local pathways.
Early years high impact area 4: supporting healthy weight and nutrition
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School aged years high impact area 3: supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
National child measurement programme: operational guidance
Healthier weight promotion: consistent messaging
National Child Measurement Programme: conversation framework
Where parents, carers and the child are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Metrics and outcomes indicators
Use evidence and data to monitor healthy weight, nutrition and physical activity. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health
OHID Fingertips Obesity profile NCMP prevalence data
OHID Fingertips Obesity profile NCMP quality data
OHID Fingertips Obesity profile NCMP small area data
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips Physical activity
OHID Fingertips user guidance
Close pop-up
Working in partnership with other agencies, children, young people and families, and other stakeholders, assess, prioritise and develop a response to local population health needs.
Population health needs assessment: a guide for 0 to 19 health visiting and school nursing services
Health visiting and school nursing delivery model
Community
Targeted
Develop a collaborative relationship with families, providing parents and carers with evidence-based information and guidance to help them manage difficult and challenging issues that are affecting their parenting. Use strengths- or asset-based approaches to build on their attributes and address concerns. Where there are concerns, complete an assessment to identify needs and strengths.
Based on need, provide information about local universal services, for example family hubs or children’s centres and GPs, where parents and carers can seek additional support and advice for healthy relationships and mental health.
Where parents and carers, have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
Early years high impact area 2: Supporting maternal and family mental health
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School-aged years high impact area 1: Supporting resilience and wellbeing
School aged years high impact area 3: supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
DWP Reducing Parental Conflict programme and resources
Race Equality Foundation Reducing Parental Conflict
Home Office Tackling violence against women and girls strategy
DfE Working together to safeguard children
Vulnerability in childhood: a public health informed approach
NICE Domestic violence and abuse
NHS.UK Domestic violence and abuse
DLUHC, DfE Supporting families
Home Office Domestic abuse how to get help
NHS.UK Sexual health
NICE Domestic violence and abuse: multi-agency working
Safeguarding (Universal)
Safeguarding (Targeted) including domestic violence and abuse
Intensive parenting support
Maintaining healthy relationships including sexual health (Targeted)
Where domestic violence or abuse is suspected, discuss concerns safely, when the individual is away from the abuser and there is no risk of being overheard. This will usually be when an individual is alone except where they wish to have a friend or family member present for support.
No child left behind: a public health informed approach to improving outcomes for vulnerable children
Early years high impact area 2: Supporting maternal and family mental health
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School-aged years high impact area 1: Supporting resilience and wellbeing
School aged years high impact area 6: Supporting self-care and improving health literacy
DfE Working together to safeguard children
Barnardo’s Families affected by domestic abuse
NICE Domestic violence and abuse
NHS.UK Domestic violence and abuse
DLUHC, DfE Supporting families
Home office Domestic abuse how to get help
NHS.UK Sexual health
NICE Domestic violence and abuse: multi-agency working
Home Office Tackling violence against women and girls strategy
Race Equality Foundation Reducing parental conflict toolkit
Safeguarding including domestic violence and abuse
Domestic violence and abuse
Develop a collaborative relationship and use a strengths- or asset-based approach with families to support family relationships. Build on their strengths and attributes to improve wellbeing, address concerns and support self-care. Recognise when individuals or families may have experienced trauma or adverse childhood experiences.
Scottish Government Trauma-informed practice: toolkit
South Yorkshire Violence Reduction Unit Trauma-informed practice
Gloucestershire County Council Frameworks for being trauma-informed
Early Intervention Foundation Trauma-informed care: Understanding the use of trauma-informed approaches within children’s social care
Adverse Childhood Experience Support Hub Cymru and Wrexham University ‘Trauma-informed’: Identifying key language and terminology through a review of the literature
Provide parents and carers with evidence-based information and guidance about sexual health, raising awareness of sexual health services as required.
NHS.UK Sexual health
NHS.UK Guide to sexual health services
Sexual and reproductive health and HIV: applying All Our Health
Where parents, carers and the child are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Where there are safeguarding concerns, follow statutory guidance and local safeguarding procedures.
DfE Working together to safeguard children
E-Learning for Healthcare Safeguarding children and young people programme
Safeguarding (Targeted)
Safeguarding (Universal)
Metrics and outcomes indicators
Use evidence and data to monitor sexual and reproductive health. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health pregnancy and birth
OHID Fingertips Teenage pregnancy and young parents reports
OHID Fingertips Sexual and reproductive health profiles
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
Close pop-up
Working in partnership with other agencies, children, young people and families, and other stakeholders, assess, prioritise and develop a response to local population health needs.
Population health needs assessment: a guide for 0 to 19 health visiting and school nursing services
Health visiting and school nursing delivery model
Community
Targeted
Alcohol
Provide parents and carers with evidence-based information and guidance about alcohol use, supporting parents to understand the risks and effect of alcohol use on their ability to provide safe, consistent care for their child’s safety and development.
Early years high impact area 2: Supporting maternal and family mental health
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
NICE Fetal alcohol spectrum disorder
E-Learning for Healthcare Alcohol Identification and Brief Advice
UK Chief Medical Officers’ low risk drinking guidelines
Talk to Frank Honest information about drugs
Talk to Frank Find support near you
Alcohol: applying all our health
E-Learning for Healthcare All our health: alcohol
Keeping safe and accident prevention
Inequalities and disparities including parents in contact with the criminal justice system
Safeguarding
Ask all parents and carers about alcohol use.
Where appropriate, use the Alcohol, Smoking and Substance Involvement Screening Tool - Lite (ASSIST-Lite) short screening tool with adults (aged 18 or over) covering alcohol, tobacco, cannabis, stimulants, sedatives, opioids, and other psychoactive substances including use of medicines not as prescribed.
Where there are concerns, complete an assessment to identify needs and strengths.
Based on need, provide information about local universal services, for example family hubs or children’s centres and GPs, where parents and carers can seek additional support and advice about alcohol use and parenting.
Alcohol use should be reviewed at each contact.
Early years high impact area 2: Supporting maternal and family mental health
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
Parents with alcohol and drug problems: support resources
ASSIST-Lite alcohol and drug use, and tobacco smoking screening tool
E-Learning for Healthcare Alcohol Identification and Brief Advice
UK Chief Medical Officers' low risk drinking guidelines (PDF)
Talk to Frank Find support near you
Alcohol: applying all our health
E-Learning for Healthcare All our health: alcohol
Where parents and carers, have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
Provide details of local specialist alcohol or drug treatment service by going to the FRANK website and searching using a postcode.
Early years high impact area 2: Supporting maternal and family mental health
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
Parents with alcohol and drug problems: support resources
Talk to Frank Honest information about drugs
Talk to Frank Find support near you
Alcohol, drugs and tobacco (Targeted)
Alcohol, drugs and tobacco (Specialist)
Where parents, carers and the child are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Where there are safeguarding concerns, follow statutory guidance and local safeguarding procedures.
DfE Working together to safeguard children
E-Learning for Healthcare Safeguarding children and young people programme
Safeguarding (Targeted)
Safeguarding (Specialist)
Drugs
Provide parents and carers with evidence-based information and guidance about drug use, supporting parents to understand the risks and effect of drug use on their ability to provide safe, consistent care for their child’s safety and development.
Early years high impact area 2: Supporting maternal and family mental health
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
Alcohol and drug prevention, treatment and recovery: why invest?
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
Misuse of illicit drugs and medicine: applying all our health
Talk to Frank Honest information about drugs
Parents with alcohol and drug problems: support resources
Talk to Frank Find support near you
Drugs commissioning support: principles and indicators
NICE Drug misuse prevention: targeted interventions
E-Learning for Healthcare All our health Misuse of illicit drugs and medicines
Misuse of illicit drugs and medicine: applying all our health
Safeguarding (Targeted)
Ask parents and carers vulnerable to illicit drug and medicine misuse about their use.
Where appropriate, use the Alcohol, Smoking and Substance Involvement Screening Tool - Lite (ASSIST-Lite) short screening tool with adults (aged 18 or over) covering alcohol, tobacco, cannabis, stimulants, sedatives, opioids, and other psychoactive substances including use of medicines not as prescribed.
Where there are concerns, complete an assessment to identify needs and strengths.
Based on need, provide information about local universal services, for example family hubs or children’s centres and GPs, where parents and carers can seek additional support and advice about drug use and parenting.
Drug use should be reviewed at each contact.
Early years high impact area 2: Supporting maternal and family mental health
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
Parents with alcohol and drug problems: support resources
ASSIST-Lite alcohol and drug use, and tobacco smoking screening tool
Misuse of illicit drugs and medicine: applying all our health
Talk to Frank Honest information about drugs
NICE Drug misuse prevention: targeted interventions
E-Learning for Healthcare All our health Misuse of illicit drugs and medicines
Alcohol, drugs and tobacco (Targeted)
Alcohol, drugs and tobacco (Specialist)
Where parents and carers, have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
Provide details of local specialist alcohol or drug treatment service by going to the FRANK website and searching using a postcode.
Early years high impact area 2: Supporting maternal and family mental health
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
Parents with alcohol and drug problems: support resources
Talk to Frank Honest information about drugs
Talk to Frank Find support near you
E-Learning for Healthcare All our health Misuse of illicit drugs and medicines
Misuse of illicit drugs and medicine: applying all our health
Where parents, carers and the child are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Where there are safeguarding concerns, follow statutory guidance and local safeguarding procedures.
DfE Working together to safeguard children
E-Learning for Healthcare Safeguarding children and young people programme
Safeguarding (Targeted)
Safeguarding (Specialist)
Tobacco and vaping
Provide parents and carers with evidence-based information and guidance on smoking cessation and benefits of maintaining a smokefree home (including for other members of the household). Provide information about local smoking cessation services as required.
Where parents or carers present as smokers wishing to stop smoking, offer brief intervention and provide information about local smoking cessation services to support them to stop.
Where additional targeted or specialist services are required, follow local pathways to complete appropriate and timely referral.
Early years high impact area 2: Supporting maternal and family mental health
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
E-Learning for Healthcare Supporting a smokefree pregnancy and smokefree families (SCP)
Smoking and tobacco: applying All Our Health
NICE Tobacco: preventing uptake, promoting quitting and treating dependence (NG209)
Alcohol, drugs and tobacco (Targeted)
Alcohol, drugs and tobacco (Specialist)
Metrics and outcomes indicators
Use evidence and data to monitor alcohol, drug and tobacco use. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Local alcohol profiles for England
OHID Fingertips Local tobacco control profiles
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
Close pop-up
Working in partnership with other agencies, children, young people and families, and other stakeholders, assess, prioritise and develop a response to local population health needs.
Population health needs assessment: a guide for 0 to 19 health visiting and school nursing services
Health visiting and school nursing delivery model
Community
Targeted
Provide evidence-based information and guidance to encourage sensitive parenting. Support parents to adopt healthy coping strategies, raising awareness of the implications of using strategies such as alcohol consumption, smoking and other harmful behaviours.
Early years high impact area 2: Supporting maternal and family mental health
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
DWP Reducing parental conflict: tools for commissioners, managers and leaders
Intensive parenting support
Provide parents and carers with evidence-based information and guidance about the importance of self-care as a parent, for example adequate sleep and rest, healthy diet, physical activity, accessing support networks, and developing positive coping strategies.
Early years high impact area 2: Supporting maternal and family mental health
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
NHS.UK Every Mind Matters
NHS.UK Better Health
NHS.UK Start4Life
Improving self-care and health literacy (Universal)
Improving self-care and health literacy (Targeted)
Improving self-care and health literacy (Community)
Provide parents and carers with evidence-based information and guidance about the importance of creating a healthy environment for their child, for example smoke free, safe homes, caring family context, and positive interaction that nurtures attachment.
Early years high impact area 2: Supporting maternal and family mental health
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
NHS.UK Start4Life
Provide parents and carers with evidence-based information about establishing and reinforcing healthy behaviours and routines for their child. This may include healthy eating, physical activity, twice daily toothbrushing, screen time, sleep, accident prevention and the importance of play.
Early years high impact area 4: supporting healthy weight and nutrition
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School-aged years high impact area 1: Supporting resilience and wellbeing
School aged years high impact area 3: supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
NHS.UK Start4Life
NHS.UK Better health - Healthier families
NHS.UK Sleep problems in young children
NICE Behaviour change: general approaches
NICE Maternal and child nutrition
NICE Obesity prevention
Improving self-care and health literacy
Healthy weight, nutrition and physical activity
Oral health and dental care
Where parents and carers are returning to work, provide evidence-based information and guidance. Develop a collaborative relationship with families which uses a strengths- or asset-based approach to build on their strengths and attributes to address concerns and helps parents and carers take decisions about childcare, early years education, school and the Early Years Foundation Stage (EYFS).
Early years high impact area 2: Supporting maternal and family mental health
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
No child left behind: a public health informed approach to improving outcomes for vulnerable children
NHS.UK Start4Life Going back to work
NHS.UK Breastfeeding and going back to work
GOV.UK Working and time off when you’re having a baby
Where there are concerns about parenting, complete an assessment to identify needs and strengths.
Based on need, provide information about local universal services, for example family hubs or children’s centres, where parents and carers can seek additional parenting support.
Where children and their parents and carers have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
Early years high impact area 2: Supporting maternal and family mental health
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School-aged years high impact area 1: Supporting resilience and wellbeing
School aged years high impact area 6: Supporting self-care and improving health literacy
No child left behind: a public health informed approach to improving outcomes for vulnerable children
Solihull Approach
Safeguarding
Intensive parenting support including nurturing parenting
Where parents, carers and the child are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Where there are safeguarding concerns, follow statutory guidance and local safeguarding procedures.
DfE Working together to safeguard children
E-Learning for Healthcare Safeguarding children and young people programme
Safeguarding (Targeted)
Safeguarding (Specialist)
Metrics and outcomes indicators
Use evidence and data to monitor factors which may benefit from parenting support. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health
OHID Fingertips Teenage pregnancy and young parents reports
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
Close pop-up
Provide parents and carers evidence-based information about healthy child development, including using play, books, music and interactive activities to promote development and a healthy parent–child relationship.
Provide information about local universal services, for example family hubs or children’s centres, where parents and carers can access community activities such as libraries, music and singing, play groups and physical activities.
Early years high impact area 6: Ready to learn and narrowing the word gap
Healthy beginnings: applying all our health
BookTrust
The Literacy Trust
BBC Tiny Happy People
Community
Provide information on the local early years learning provision.
Provide information and guidance to support parents and carers to prepare their child for the transition to early years education, primary school and the Early Years Foundation Stage (EYFS) or other education setting, including identification of any health and wellbeing concerns.
Early years high impact area 2: Supporting maternal and family mental health
Early years high impact area 6: Ready to learn and narrowing the word gap
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
No child left behind: a public health informed approach to improving outcomes for vulnerable children
DfE Early years foundation stage (EYFS) statutory framework
GOV.UK Childcare, working and parenting
GOV.UK Early years foundation stage
Work in partnership including health visitors, school nurses, and education settings, to support children starting school or moving between education settings. Identify children in need of support for physical, emotional and mental health and wellbeing issues, or health care plans in their education setting.
Early years high impact area 6: Ready to learn and narrowing the word gap
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
School-aged years high impact area 5: Supporting additional and complex health needs
Better Health Every Mind Matters – Dealing with Change and Transition to secondary school lesson plans
Children with additional health and development needs including SEND
Where there are concerns about child development, including special educational needs (SEND) or complex needs and disability, complete an assessment to identify needs and strengths.
Based on need, provide information about local universal services and community groups, for example family hubs or children’s centres, where parents and carers can seek additional support such as parent and toddler groups.
Where children and their parents and carers have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
Early years high impact area 6: Ready to learn and narrowing the word gap
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
School-aged years high impact area 5: Supporting additional and complex health needs
Guidance to support commissioning of the healthy child programme 0 to 19 Commissioning guide 2: model specification
No child left behind: a public health informed approach to improving outcomes for vulnerable children
Healthy beginnings: applying all our health
DfE, DHSC SEND code of practice: 0 to 25 years
GOV.UK Children with special educational needs and disabilities (SEND)
E-Learning for Healthcare: Early developmental support programme
Children with additional health and development needs including SEND
Where appropriate, work in partnership including parents, carers, children, school nurses, health visitors and education settings, to develop health care plans to support children in their education setting.
Early years high impact area 2: Supporting maternal and family mental health
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
School-aged years high impact area 5: Supporting additional and complex health needs
School aged years high impact area 6: Supporting self-care and improving health literacy
Children with additional health and development needs including SEND
Where parents, carers and the child are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Metrics and outcomes indicators
Use evidence and data to monitor healthy development. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health early years
OHID Fingertips Child and maternal health early years supplementary
OHID Fingertips Child and maternal health long-term conditions and complex needs
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
Close pop-up
Follow guidance in the speech, language and communication pathway
E-Learning for Healthcare Speech, language and communication pathway 2 to 3 years
E-Learning for Healthcare Speech, language and communication pathway 3 to 5 years
Early years high impact area 6: Ready to learn and narrowing the word gap
Provide parents and carers evidence-based information and guidance about child hearing and development. Support self-care and health literacy to enable them to access services appropriately with any concerns about their child’s hearing.
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
School aged years high impact area 6: Supporting self-care and improving health literacy
Screening
RCPCH Personal child health record
Where parents, carers and the child are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Metrics and outcomes indicators
Use evidence and data to monitor speech, language and communication needs. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health early years
OHID Fingertips Child and maternal health early years supplementary
OHID Fingertips Child and maternal health long-term conditions and complex needs
OHID Fingertips Child and maternal health vulnerable children and young people
OHID Fingertips Speech, language and communication reports
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
Close pop-up
Working in partnership with other agencies, children, young people and families, and other stakeholders, assess, prioritise and develop a response to local population health needs.
Population health needs assessment: a guide for 0 to 19 health visiting and school nursing services
Health visiting and school nursing delivery model
Community
Targeted
Identify vulnerable children who are at greater risk of experiencing poor outcomes because of one or more factors in their lives, for example families in poverty, poor housing or at risk of hidden harms. Children and young people’s physical, emotional and mental wellbeing are significantly shaped by the social determinants of health into which they are born, live, learn and grow.
For those children who may have additional needs, complete an assessment including family relationships and dynamics, and chronology of events to identify needs, strengths and vulnerabilities.
Based on need, provide information about local universal services, for example family hubs or children’s centres and GPs, where parents and carers can seek additional support and advice. This could include household budgeting support to enhance their skills and confidence.
Where children, have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
Guidance to support commissioning of the healthy child programme 0 to 19 Commissioning guide 2: model specification
No child left behind: a public health informed approach to improving outcomes for vulnerable children
Narrative report about improving health outcomes for vulnerable children and young people
DLUHC, DfE Supporting families
DfE Working together to safeguard children
E-Learning for Healthcare All Our Health: Homelessness
Citizens Advice
Shelter Housing advice
Safeguarding (Targeted)
Safeguarding (Community)
Avoid a deterministic narrative for individual children. While the presence of risk factors increases the likelihood that a child may experience poorer outcomes, many will not, often because other aspects of their lives, such as a supportive family, protect them. Provide parents and carers with evidence-based information and guidance about creating nurturing relationships, reducing the sources of stress in a child’s life and promoting resilience and stability.
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
School aged years high impact area 6: Supporting self-care and improving health literacy
NSPCC Positive parenting
Vulnerability in childhood: a public health informed approach
Where a child and / or family transfers into area, follow local guidance and best practice to review the child’s health records, make appropriate follow up and take relevant action.
Guidance to support commissioning of the healthy child programme 0 to 19 Commissioning guide 2: model specification
DfE Working together to safeguard children
Safeguarding (Universal)
Safeguarding (Community)
Develop a collaborative relationship and use a strengths- or asset-based approach with families to support family relationships. Build on their strengths and attributes to improve wellbeing, address concerns and support self-care. Recognise when individuals or families may have experienced trauma or adverse childhood experiences.
Scottish Government Trauma-informed practice: toolkit
South Yorkshire Violence Reduction Unit Trauma-informed practice
Gloucestershire County Council Frameworks for being trauma-informed
Early Intervention Foundation Trauma-informed care: Understanding the use of trauma-informed approaches within children’s social care
Adverse Childhood Experience Support Hub Cymru and Wrexham University ‘Trauma-informed’: Identifying key language and terminology through a review of the literature
Follow statutory guidance and local safeguarding procedures where there is cause for concern.
DfE Working together to safeguard children
No child left behind: a public health informed approach to improving outcomes for vulnerable children
NSPCC Spotting the signs of child abuse
E-Learning for Healthcare Safeguarding children and young people programme
Safeguarding
Where parents, carers and the child are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Metrics and outcomes indicators
Use evidence and data to monitor the health and wellbeing of vulnerable children. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health vulnerable children and young people
OHID Fingertips Improving health outcomes for vulnerable children and young people reports
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips Wider determinants of health
OHID Fingertips user guidance
Close pop-up
Working in partnership with other agencies, children, young people and families, and other stakeholders, assess, prioritise and develop a response to local population health needs.
Population health needs assessment: a guide for 0 to 19 health visiting and school nursing services
Health visiting and school nursing delivery model
Community
Targeted
Complete a safety assessment alongside local guidance. Raise awareness of accident prevention in and out of the home, including around water and roads, button batteries, falls, thermal injuries, sun safety, and the correct use of safety equipment such as stairgates and car seats.
Provide information about local schemes for the provision of safety equipment.
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
Reducing unintentional injuries among children and young people
Institute of Health Visiting How to reduce unintentional injuries in children under 5 years (accident prevention)
GOV.UK Driving and Transport Child car seats: the law
NHS.UK Choosing a baby car seat
ROSPA Keeping kids safe
Child Accident Prevention Trust
Office for Product Safety and Standards Button batteries campaign: how to stay safe
NHS.UK Baby and toddler safety
NHS.UK Burns and scalds
NHS.UK Sunscreen and sun safety
British Skin Foundation Sun safety advice for parents
Keeping safe and accident prevention
Where there are safeguarding concerns, follow statutory guidance and local safeguarding procedures.
DfE Working together to safeguard children
E-Learning for Healthcare Safeguarding children and young people programme
Safeguarding (Targeted)
Safeguarding (Specialist)
Metrics and outcomes indicators
Use evidence and data to monitor accidents and injuries. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health healthcare use
OHID Fingertips Child and maternal health unintentional injuries
OHID Fingertips Unintentional injuries in and around the home
OHID Fingertips Unintentional injuries on the roads
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
Close pop-up
Working in partnership with other agencies, children, young people and families, and other stakeholders, assess, prioritise and develop a response to local population health needs.
Population health needs assessment: a guide for 0 to 19 health visiting and school nursing services
Health visiting and school nursing delivery model
Community
Targeted
Poor oral health impacts on school readiness and language development.
Provide evidence-based information and guidance on toothbrushing using appropriate fluoride toothpaste. Parents and carers should supervise toothbrushing to ensure teeth are brushed thoroughly.
Provide information about community programmes such as supervised toothbrushing programmes in early years and school settings and community fluoride varnish programmes.
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
E-Learning for Healthcare Oral health townscape
OHID, DHSC, NHS England and NHS Improvement Delivering better oral health: an evidence-based toolkit for
prevention
Health matters: child dental health
Child oral health: applying all our health
BSPD Smiles for life
Local authorities improving oral health: commissioning better oral health for children and young people
Provide evidence-based information and guidance to encourage parents and carers to take their child to the dentist for dental care including fluoride varnish applications and preventive advice, and that NHS dental treatment is free.
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
OHID, DHSC, NHS England and NHS Improvement Delivering better oral health: an evidence-based toolkit for
prevention
Health matters: child dental health
NHS.UK Dentists
BSPD Smiles for life
NICE Oral health: local authorities and partners
Encourage participation in the National Children's Dental Health Survey of 5-year-old children.
NHS Digital Children’s dental health survey
Oral health survey of 5-year-old children 2019
Provide evidence-based information and guidance to enable parents and carers to make informed decisions about oral health and lowering the risk of tooth decay, for example healthy snacks and drinks, and avoiding sugary foods or drinks.
For children taking medication, where possible, all medicines given should be sugar-free. Encourage parents to choose or request sugar-free medicines if possible.
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
NHS.UK Medicines for babies and children
OHID, DHSC, NHS England and NHS Improvement Delivering better oral health: an evidence-based toolkit for
prevention
eLearning for health Oral health townscape
Health matters: child dental health
NHS Food Scanner
NHS.UK Better health - Healthier Families Sugar
NHS.UK Sugar: the facts
Where there are parent, carer or professional concerns about a child’s oral health, for example the siblings of children who have attended hospital for dental extractions due to tooth decay or children taking long term medications, complete an assessment to identify needs and strengths.
Based on need, provide information about local universal services, for example dental services.
Where children, have been identified as requiring targeted or specialist intervention, follow local pathways and guidance to provide targeted intervention or complete appropriate and timely referral. This may include targeted community programmes for application of fluoride varnish or supervised toothbrushing.
Local authorities improving oral health: commissioning better oral health for children and young people
OHID, DHSC, NHS England and NHS Improvement Delivering better oral health: an evidence-based toolkit for
prevention
Health matters: child dental health
Child oral health – applying all our health
BSPD Smiles for life
NHS.UK Dentists
Oral health and dental care (Targeted)
Where there are safeguarding concerns, follow statutory guidance and local safeguarding procedures.
DfE Working together to safeguard children
E-Learning for Healthcare Safeguarding children and young people programme
Safeguarding (Targeted)
Safeguarding (Specialist)
Metrics and outcomes indicators
Use evidence and data to monitor oral health and dental care. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health oral health
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
Close pop-up
Working in partnership with other agencies, children, young people and families, and other stakeholders, assess, prioritise and develop a response to local population health needs.
Population health needs assessment: a guide for 0 to 19 health visiting and school nursing services
Health visiting and school nursing delivery model
Community
Targeted
Provide evidence-based information and guidance to enable families to develop a good understanding of positive health and wellbeing. Develop a collaborative relationship and use a strengths- or asset-based approach with families to assess and support parents and carers. Build on their strengths and attributes to address concerns and supports parents and carers to take decisions about their child. Topics could include weight and nutrition, mental health and emotional wellbeing, keeping safe and accident prevention, immunisations, oral health, drugs, alcohol and tobacco.
Early years high impact area 5: Improving health literacy, managing minor illness and reducing accidents
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
Health matters: giving every child the best start in life
E-Learning for Healthcare All Our Health: Best Start in Life
Review whether parents have registered their child with a GP and a dentist. If parents are yet to register their child, advise on the importance of registering and how to arrange registration.
Early years high impact area 5: Improving health literacy, managing minor illness and reducing accidents
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
NHS.UK Registering your baby with a GP
NHS.UK Dentists
Develop a collaborative relationship and use a strengths- or asset-based approach with families to assess and support parents and carers. Build on their strengths and attributes to improve wellbeing, address concerns and support self-care. Develop parents’ and carers’ confidence and self-efficacy in understanding and accessing health and care information, advice and services appropriately. This could include what to do in the event of illness and when and how to access health services.
Early years high impact area 5: Improving health literacy, managing minor illness and reducing accidents
School aged years high impact area 6: Supporting self-care and improving health literacy
NHS.UK
NHS.UK Services
NHS.UK Looking after a sick child
Healthier Together I’m worried about…
E-Learning for Healthcare All Our Health: Social prescribing
Improving self-care and health literacy (Universal)
Where parents, carers and the child are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Metrics and outcomes indicators
Use evidence and data to monitor self-care and health literacy. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
Close pop-up
Working in partnership with other agencies, children, young people and families, and other stakeholders, assess, prioritise and develop a response to local population health needs.
Population health needs assessment: a guide for 0 to 19 health visiting and school nursing services
Identify children who are at risk of experiencing inequalities in outcomes, for example young carers, minority groups, families in contact with the criminal justice system, armed forces and veteran families, workless and low income households.
For those children who may be experiencing inequality, complete an assessment to identify needs, strengths and vulnerabilities.
Based on need, provide information about local universal services, for example family hubs or children’s centres and GPs, where parents and carers can seek additional support and advice, for example budgeting support or peer support networks.
Where children, have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
Guidance to support commissioning of the healthy child programme 0 to 19 Commissioning guide 2: model specification
Early years high impact area 5: Improving health literacy, managing minor illness and reducing accidents
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
School aged years high impact area 6: Supporting self-care and improving health literacy
E-Learning for Healthcare All Our Health: inclusion health
No child left behind: a public health informed approach to improving outcomes for vulnerable children
Reducing health inequalities: system, scale and sustainability
NHS.UK Children and young people’s services
Health equity
Inequalities and disparities including young carers
Work in partnership with other agencies and professionals to identify and support groups of children and families who may require additional resources and support for early identification and prevention of poor physical and mental health outcomes, such as young carers or asylum seekers and refugees.
Guidance to support commissioning of the healthy child programme 0 to 19 Commissioning guide 2: model specification
E-Learning for Healthcare All Our Health: inclusion health
No child left behind: a public health informed approach to improving outcomes for vulnerable children
Reducing health inequalities: system, scale and sustainability
NHS.UK Children and young people’s services
Inequalities and disparities including young carers
Identify vulnerable children who are at greater risk of experiencing poor outcomes because of one or more factors in their lives, for example families in poverty, poor housing or at risk of hidden harms. Children and young people’s physical, emotional and mental wellbeing are significantly shaped by the social determinants of health into which they are born, live, learn and grow.
For those children who may have additional needs, complete an assessment to identify needs, strengths and vulnerabilities.
Based on need, provide information about local universal services, for example family hubs or children’s centres and GPs, where parents and carers can seek additional support and advice. This could include household budgeting support to enhance their skills and confidence.
Where children, have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
Guidance to support commissioning of the healthy child programme 0 to 19 Commissioning guide 2: model specification
No child left behind: a public health informed approach to improving outcomes for vulnerable children
DLUHC, DfE Supporting families
DfE Working together to safeguard children
E-Learning for Healthcare All Our Health: Homelessness
Citizens Advice
Shelter Housing advice
Safeguarding (Targeted)
Safeguarding (Community)
Where parents, carers and the child are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Where there are safeguarding concerns, follow statutory guidance and local safeguarding procedures.
DfE Working together to safeguard children
E-Learning for Healthcare Safeguarding children and young people programme
Safeguarding (Targeted)
Safeguarding (Specialist)
Metrics and outcomes indicators
Use evidence and data to monitor inequalities and disparities. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips Wider determinants of health
OHID Fingertips user guidance
Close pop-up
Follow statutory guidance and local safeguarding procedures where there is cause for concern.
DfE Working together to safeguard children
No child left behind: a public health informed approach to improving outcomes for vulnerable children
NSPCC Spotting the signs of child abuse
E-Learning for Healthcare Safeguarding children and young people programme
Safeguarding
Develop a collaborative relationship and use a strengths- or asset-based approach to assess need including family relationships and dynamics, and chronology of events. Support parents and carers, building on their strengths and attributes to improve wellbeing, address concerns and support self-care. Recognise when individuals or families may have experienced trauma or adverse childhood experiences.
Scottish Government Trauma-informed practice: toolkit
South Yorkshire Violence Reduction Unit Trauma-informed practice
Gloucestershire County Council Frameworks for being trauma-informed
Early Intervention Foundation Trauma-informed care: Understanding the use of trauma-informed approaches within children’s social care
Adverse Childhood Experience Support Hub Cymru and Wrexham University ‘Trauma-informed’: Identifying key language and terminology through a review of the literature
Where a child transfers into area, follow local guidance and best practice to review the child’s health records, make appropriate follow up and action.
Guidance to support commissioning of the healthy child programme 0 to 19 Commissioning guide 2: model specification
DfE Working together to safeguard children
Safeguarding (Targeted)
Safeguarding (Community)
Where parents, carers and the child are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Metrics and outcomes indicators
Use evidence and data to monitor the health and wellbeing of vulnerable children and those with safeguarding needs. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health vulnerable children and young people
OHID Fingertips Improving health outcomes for vulnerable children and young people reports
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips Wider determinants of health
OHID Fingertips user guidance
Close pop-up