Healthy Child Programme Schedule of Interventions Guide
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Health and wellbeing development reviews
Screening
Immunisation
Mental and emotional health and wellbeing
Breastfeeding, healthy weight, nutrition and physical activity
Maintaining healthy relationships including sexual health
Alcohol, drugs and tobacco
Nurturing parenting
Promoting development
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
New baby review
Review whether newborn screening tests have been carried out and results recorded.
Where newborn screening tests have not been carried out, follow local guidance.
Where parents or carers have declined all or part of newborn screening, provide evidence-based information and guidance to inform decisions about their child’s health and wellbeing, using a strengths- or asset-based approach to build on strengths and attributes and address concerns.
Where there are concerns, complete an assessment to identify needs and strengths.
Where infants, have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
NHS.UK Your baby's health and development reviews
Screening tests for you and your baby
Newborn and infant examination (NIPE) screening: programme overview
Newborn blood spot screening: programme overview
Newborn hearing screening: programme overview
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 2: Supporting maternal and family mental health
Care continuity between midwifery and health visiting services: principles for practice
NHS.UK Your baby's health and development reviews
Screening (Universal)
Screening (Targeted)
Review whether the newborn and infant physical examination (NIPE) newborn screening examination for eye, heart, hip and testes (boys) conditions has been carried out and recorded.
Where the examination has not been carried out, follow local guidance. The examination should only be carried out by health professionals who have been trained (see programme handbook).
Where parents or carers have declined all or part of NIPE newborn screening, provide evidence-based information and guidance. Support parents and carers to take decisions about their child’s health by developing a collaborative relationship with families, using a strengths- or asset-based approach to build on their strengths and attributes and address concerns.
Where there are concerns, complete an assessment to identify needs and strengths.
Where infants, have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 2: Supporting maternal and family mental health
Care continuity between midwifery and health visiting services: principles for practice
Newborn and infant examination (NIPE) screening: programme overview
Newborn and infant physical examination (NIPE) screening programme handbook
Newborn and infant physical examination screening programme supporting information
Newborn and infant physical examination (NIPE) newborn screening pathway
NHS.UK Your baby's health and development reviews
Screening (Universal)
Screening (Targeted)
For babies born in hospital, it is recommended that the NIPE newborn screening examination is completed before discharge home. Local arrangements should be in place to meet national timescales when babies are:
born at home;
discharged home before newborn screening is completed;
transferred from one maternity or acute provider to another.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 2: Supporting maternal and family mental health
Care continuity between midwifery and health visiting services: principles for practice
Newborn and infant examination (NIPE) screening: programme overview
Newborn and infant physical examination (NIPE) screening programme handbook
Newborn and infant physical examination (NIPE) newborn screening pathway
NHS.UK Your baby's health and development reviews
Review whether newborn hearing screening programme (NHSP) tests have been completed and results recorded.
Where NHSP have not been carried out, follow local guidance.
Where parents or carers have declined newborn hearing screening, provide evidence-based information and guidance. Support parents and carers to take decisions about their child’s health by developing a collaborative relationship with families, using a strengths- or asset-based approach to build on their strengths and attributes and address concerns.
Where there are concerns, complete an assessment to identify needs and strengths.
Where infants, have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 2: Supporting maternal and family mental health
Care continuity between midwifery and health visiting services: principles for practice
Newborn hearing screening: programme overview
National IT system
NHS.UK Your baby's health and development reviews
Screening (Universal)
Screening (Targeted)
Review whether the newborn blood spot test has been carried out.
Where newborn blood spot has not been carried out, follow local pathways and guidance.
Where parents and carers have not received timely results following newborn blood screening, refer to local guidance and pathways for management.
Where parents and carers have declined the newborn blood spot test, provide evidence-based information and guidance. Support parents and carers to take decisions about their child’s health by developing a collaborative relationship with families, using a strengths- or asset-based approach to build on their strengths and attributes and address concerns.
Where there are concerns, complete an assessment to identify needs and strengths.
Where infants, have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 2: Supporting maternal and family mental health
Care continuity between midwifery and health visiting services: principles for practice
Newborn blood spot screening: programme overview
Newborn blood spot screening: movers in with no available records
Newborn blood spot screening: results to parents template
Newborn blood spot screening: programme handbook
Screening (Universal)
Screening (Targeted)
Review whether infants who are eligible for hepatitis B and tuberculosis (TB) vaccination have been offered vaccination according to the selective neonatal immunisation programmes.
Where infants have not received recommended immunisations, refer to the guide for uncertain or incomplete vaccinations.
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.
Where there are concerns, complete an assessment to identify needs and strengths.
Where infants, 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 infants have not received recommended immunisations or where parents or carers need additional input to support informed decision-making.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 2: Supporting maternal and family mental health
Care continuity between midwifery and health visiting services: principles for practice
UKHSA Infants born to hepatitis B infected mothers
UKHSA Hepatitis B: the green book, chapter 18
UKHSA Routine childhood immunisation schedule
Vaccination of individuals with uncertain or incomplete immunisation status
E-Learning for Healthcare Immunisation on neonatal units
UKHSA TB, BCG and your baby leaflet
NHS.UK BCG tuberculosis (TB) vaccine overview
Review whether the mother is protected against rubella for future pregnancies and has had two doses of MMR vaccine.
Where the mother has not received recommended vaccination, provide evidence-based information and guidance. Develop a collaborative relationship using a strengths- or asset-based approach to build on her strengths and attributes, address concerns and support her to make informed decisions.
Maternity high impact area 1: Improving planning and preparation for pregnancy
Early years high impact area 1: supporting the transition to parenthood
Care continuity between midwifery and health visiting services: principles for practice
UKHSA The Green Book chapter 28: Rubella
NHS.UK MMR Vaccine
Thinking of getting pregnant?
Screening (Universal)
Screening (Targeted)
Review whether infants have been registered with a GP. If parents and carers are yet to register their infant, provide information and guidance on the importance of registering early and how to arrange registration.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 5: Improving health literacy, managing minor illness and reducing accidents
Care continuity between midwifery and health visiting services: principles for practice
NHS.UK Registering your baby with a GP
Review the health and wellbeing of infants, for example, look for signs of newborn jaundice or consider any concerns parents or carers have about their infant.
Where there are concerns, complete an assessment to identify needs and strengths.
Based on need, provide information about local universal services to support health and wellbeing. This might include additional support from GPs, family hubs or children’s centres and GPs or parenting support to improve confidence and skills.
Where infants, have been identified as requiring targeted or specialist intervention, follow local pathways and guidance to provide targeted intervention or complete appropriate and timely referral.
Care continuity between midwifery and health visiting services: principles for practice
Early years high impact area 1: supporting the transition to parenthood
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
Care continuity between midwifery and health visiting services: principles for practice
NHS.UK Newborn jaundice
NICE Jaundice in newborn babies under 28 days
NHS.UK Your baby's health and development reviews
OHID Healthy beginnings: applying All Our Health
Provide evidence-based information and guidance on nutrition and infant feeding to help families make informed decisions on feeding choices. This includes the benefits of breastfeeding, implications of not breastfeeding and safe formula feeding.
Provide advice on feeding where there are multiple births or where issues exist such as engorgement, poor positioning and attachment. Refer for specialist assessment if ankyloglossia (tongue-tie) is observed.
Where there are concerns about infant feeding, 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 support and advice on infant feeding.
Where infants, have been identified as requiring targeted or specialist intervention, follow local pathways and guidance to provide targeted intervention or complete appropriate and timely referral.
Maternity high impact area 3: supporting healthy weight before and between pregnancies
Early years high impact area 3: supporting breastfeeding
Early years high impact area 4: supporting healthy weight and nutrition
Care continuity between midwifery and health visiting services: principles for practice
Healthy Pregnancy Pathway birth to 6 to 8 weeks universal infant feeding
NHS.UK healthy diet advice
National breastfeeding helpline
NHS.UK advice on breastfeeding and bottle feeding: the first few days
NHS.UK advice on expressing milk
UNICEF Guide to bottle feeding leaflet
NHS.UK Bottle feeding advice
NICE Maternal and child nutrition
RCPCH Growth charts
NHS.UK Your baby's health and development reviews
NHS.UK Start4Life breastfeeding help and support
NHS.UK Healthy Start
First Steps Nutrition Trust
NHS.UK Cleft lip and palate
NICE Division of ankyloglossia (tongue-tie) for breastfeeding
NHS.UK tongue-tie
NHS.UK healthy diet advice
Breastfeeding, healthy weight, nutrition and physical activity (Universal)
Breastfeeding, healthy weight, nutrition and physical activity (Targeted)
Provide advice on vitamin D supplements for all babies who are exclusively breastfed. Ensure that families who qualify for Healthy Start know that they are entitled to free vitamin drops.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 3: supporting breastfeeding
NHS.UK Vitamins for children
NICE COVID-19 rapid guideline: vitamin D
NHS Healthy Start
Review the mother’s mental health and wellbeing and that of any partner.
Provide evidence-based information and resources to support positive mental wellbeing.
Where there are concerns about parental mental health, for example any indications of postnatal depression (PND), 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.
NHS.UK Overview – Postnatal depression
Royal College of Psychiatrists Postnatal depression
Maternity high impact area 2: Supporting good parental mental health
Early years high impact area 1: supporting the transition to parenthood
Care continuity between midwifery and health visiting services: principles for practice
Early years high impact area 2: supporting maternal and family mental health
NHS.UK Mental health in pregnancy
NHS.UK Every mind matters
NICE Depression - antenatal and postnatal
NHS.UK Your baby's health and development reviews
NICE Antenatal and postnatal mental health: clinical management and service guidance (CG192)
Mental and emotional health and wellbeing (Universal)
Mental and emotional health and wellbeing (Targeted)
Provide information about support available to the family for their overall health and wellbeing. Raise awareness of local services and national resources available to support families in their transition to parenthood.
Where there are concerns about family health and wellbeing, complete an assessment to identify needs and strengths.
Where families, 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 1: Supporting the transition to parenthood
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
NHS.UK Start4Life
GOV.UK Find a local support group for children, young people and families
NHS.UK Your baby's health and development reviews
Vulnerability and identifying additional needs
Unintentional injuries for the under-5s tend to happen in and around the home. Using local guidance, complete a safety assessment. Raise awareness of accident prevention in and out of the home, including choking, falls, bath time, safe use of baby equipment and car seat safety.
Early years high impact area 1: Supporting the transition to parenthood
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 Start4Life Safe weaning
Keeping safe and accident prevention (Universal)
Keeping safe and accident prevention (Community)
Review infant sleeping practices with parents and carers.
Provide evidence-based information and guidance, developing a collaborative relationship with families and using a strengths- or asset-based approach to help parents and carers reduce the risk of sudden unexpected deaths in infancy (SUDI).
Build on their strengths and attributes, address concerns and support self-care.
Where there are any additional risks, complete an assessment to identify needs and strengths.
Where infants, 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 1: Supporting the transition to parenthood
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
Care continuity between midwifery and health visiting services: principles for practice
Lullaby Trust What is sudden death infant syndrome
NHS.UK Your baby's health and development reviews
Lullaby Trust Safer sleep advice
Lullaby Trust Co-sleeping with your baby
Keeping safe and accident prevention (Universal)
Keeping safe and accident prevention (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 (Universal)
Safeguarding (Targeted)
Safeguarding (Specialist)
Safeguarding (Community)
Where parents, carers and the infant 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
6 to 8 week review
Review the mother’s mental health and wellbeing and that of any partner.
Provide evidence-based information about resources to support positive mental wellbeing.
Where there are concerns about parental mental health, for example any indications of postnatal depression (PND), 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.
NHS.UK Your baby's health and development reviews
NHS.UK Overview – postnatal depression
Royal College of Psychiatrists Postnatal depression
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 2: supporting maternal and family mental health
Solihull Approach Understanding your child
NSPCC Parental mental health problems
NICE Antenatal and postnatal mental health: clinical management and service guidance (CG192)
NHS.UK Your baby's health and development reviews
NHS.UK Mental health in pregnancy
NHS.UK Every mind matters
Mental and emotional health and wellbeing
Provide information about support available to the family and their overall health and wellbeing. Raise awareness of local services, for example family hubs or children’s centres and GPs, and national resources available to support families in their transition to parenthood.
Where there are concerns about family health and wellbeing, complete an assessment to identify needs and strengths.
Where families, 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 1: Supporting the transition to parenthood
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
NHS.UK Start4Life
GOV.UK Find a local support group for children, young people and families
NHS.UK Your baby's health and development reviews
Vulnerability and identifying additional needs
Review the health, wellbeing and development of infants, for example where parents and carers have concerns about their infant.
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 to care for their infant’s health and wellbeing. This could include parenting support to enhance their skills and confidence.
Where infants, 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 1: supporting the transition to parenthood
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
NHS.UK Your baby's health and development reviews
Review infant sleeping practices with parents and carers.
Provide evidence-based information and guidance, developing a collaborative relationship with families and using a strengths- or asset-based approach to help parents and carers reduce the risk of sudden unexpected deaths in infancy (SUDI).
Build on their strengths and attributes, address concerns and support self-care.
Where there are any additional risks, complete an assessment to identify needs and strengths.
Where infants, 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 1: supporting the transition to parenthood
Early years high impact area 3: Supporting breastfeeding
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
NHS.UK Your baby's health and development reviews
Lullaby Trust What is sudden infant death syndrome (SIDs)
Lullaby Trust Safer sleep advice
Lullaby Trust Co-sleeping with your baby
Keeping safe and accident prevention (Universal)
Keeping safe and accident prevention (Community)
Review infant feeding practices with the parents and carers.
Provide evidence-based information and guidance on nutrition and infant feeding to help families make informed decisions on feeding choices. This includes the benefits of breastfeeding, implications of not breastfeeding and safe formula feeding.
Provide advice on feeding where there are multiple births or where issues exist such as engorgement, poor positioning and attachment. Refer for specialist assessment if ankyloglossia (tongue-tie) is observed.
Where there are concerns about infant feeding, 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 support and advice on infant feeding.
Where infants, have been identified as requiring targeted or specialist intervention, follow local pathways and guidance to provide targeted intervention or complete appropriate and timely referral.
Breastfeeding, healthy weight and nutrition (Universal)
Breastfeeding, healthy weight, nutrition and physical activity (Targeted)
Maternity high impact area 3: supporting healthy weight before and between pregnancies
Early years high impact area 3: supporting breastfeeding
Early years high impact area 4: supporting healthy weight, and nutrition
NHS.UK healthy breastfeeding diet advice
National breastfeeding helpline
NHS.UK advice on breastfeeding and bottle feeding: the first few days
NHS.UK advice on expressing milk
UNICEF Guide to bottle feeding leaflet
NHS.UK advice on bottle feeding
NICE Maternal and child nutrition
Breastfeeding, healthy weight, nutrition and physical activity (Universal)
Breastfeeding, healthy weight, nutrition and physical activity (Targeted)
Review whether newborn screening tests, including newborn bloodspot, NIPE newborn screening examination and newborn hearing, have been carried out and results recorded.
Where newborn screening tests have not been carried out, follow local guidance.
Where parents or carers have declined all or part of newborn screening, provide evidence-based information and guidance. Support parents and carers to take decisions about their child’s health by developing a collaborative relationship with families, using a strengths- or asset-based approach to build on their strengths and attributes and address concerns.
Where there are concerns, complete an assessment to identify needs and strengths. Where infants, have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 2: Supporting maternal and family mental health
Care continuity between midwifery and health visiting services: principles for practice
NHS.UK Your baby's health and development reviews
NHS.UK Newborn screening
NHS.UK Your baby's health and development reviews
Screening tests for you and your baby
Newborn and infant examination (NIPE) screening: programme overview
Newborn blood spot screening: programme overview
Newborn hearing screening: programme overview
National IT system
Screening (Universal)
Screening (Targeted)
Review whether NIPE infant 6 to 8-week screening examination has been carried out and results recorded.
Where the examinations have not been carried out, follow local guidance. The examination should only be carried out by health professionals who have been trained (see programme handbook).
Where parents or carers have declined all or part of NIPE screening, provide evidence-based information and guidance. Support parents and carers to take decisions about their child’s health by developing a collaborative relationship with families, using a strengths- or asset-based approach to build on their strengths and attributes and address concerns.
Where there are concerns, complete an assessment to identify needs and strengths.
Where infants, have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 2: Supporting maternal and family mental health
Care continuity between midwifery and health visiting services: principles for practice
Newborn and infant physical examination (NIPE) screening programme handbook
Newborn and infant physical examination (NIPE) infant screening pathway
Screening tests for you and your baby
NHS.UK Your baby's health and development reviews
Screening (Universal)
Screening (Targeted)
Review whether infants who are eligible for hepatitis B and tuberculosis (TB) vaccination have been offered vaccination according to the selective neonatal immunisation programmes and whether routine vaccinations from 8 weeks of age are booked.
Where infants have not received recommended immunisations, refer to the guide for uncertain or incomplete vaccinations and support parents and carers to make decisions.
Where there are concerns, complete an assessment to identify needs and strengths.
Where infants, 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 infants have not received recommended immunisations or where parents and carers need additional input to support them in making informed decisions.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 2: Supporting maternal and family mental health
Care continuity between midwifery and health visiting services: principles for practice
UKHSA Infants born to hepatitis B infected mothers
UKHSA Hepatitis B: the green book, chapter 18
Vaccination of individuals with uncertain or incomplete immunisation status
E-Learning for Healthcare Immunisation on neonatal units
UKHSA TB, BCG and your baby leaflet
NHS.UK Your baby's health and development reviews
NHS.UK BCG tuberculosis (TB) vaccine overview
UKHSA Routine childhood immunisation schedule
Immunisation (Universal)
Immunisation (Targeted)
Measure, record and plot growth including weight and head circumference. Where there are concerns, measure and record the baby’s length. Follow local protocols for follow up and referral of concerns.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 3: Supporting breastfeeding
Early years high impact area 4: supporting healthy weight and nutrition
RCPCH UK – WHO growth charts 0 to 4 years
NHS.UK Your baby's health and development reviews
Provide advice on vitamin supplements for all infants. Ensure that families who qualify for Healthy Start know that they are entitled to free vitamin drops.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 3: supporting breastfeeding
NHS.UK Vitamins for children
NICE COVID-19 rapid guideline: vitamin D
NHS Healthy Start
Breastfeeding, healthy weight, nutrition and physical activity
Unintentional injuries for the under-5s tend to happen in and around the home. Using local guidance, complete a safety assessment. Raise awareness of accident prevention in and out of the home, including choking, falls, bath time, safe use of baby equipment and car seat safety.
Early years high impact area 1: Supporting the transition to parenthood
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
Reducing unintentional injuries among children and young people
NHS.UK Your baby's health and development reviews
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 Accidents can be prevented
Office for Product Safety and Standards Button batteries campaign: how to stay safe
NHS.UK Start4Life Safe weaning
Keeping safe and accident prevention
Provide parents and carers with evidence-based information and guidance to support self-care and health literacy and manage minor illnesses.
Develop a collaborative relationship with families which uses strengths- or asset-based approaches to build on their strengths and attributes and addresses concerns, helping parents and carers to meet the needs of their infant and access services appropriately.
Early years high impact area 5: improving health literacy, managing minor illnesses and reducing accidents
Reducing unintentional injuries among children and young people
NHS.UK
NHS.UK Looking after a sick child
Healthier Together I’m worried about…
Health matters: giving every child the best start in life
E-Learning for Healthcare All Our Health: Best Start in Life
NHS.UK Registering your baby with a GP
NHS.UK Your baby's health and development reviews
NHS.UK Services
E-Learning for Healthcare All Our Health: Social prescribing
Improving self-care and health literacy (Universal)
Improving self-care and health literacy (Targeted)
Improving self-care and health literacy (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 (Universal)
Safeguarding (Targeted)
Safeguarding (Specialist)
Safeguarding (Community)
Where parents, carers and the infant 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
3 month contact
Use clinical and professional judgement to identify children and families with additional need, vulnerability or parental concern, such as health or development issues. Complete an assessment of 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 to care for their infant’s health and wellbeing.
Where infants, have been identified as requiring targeted or specialist intervention, follow local pathways and guidance to provide targeted intervention or 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
NHS.UK Your baby's health and development reviews
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 (Universal)
Safeguarding (Targeted)
Safeguarding (Specialist)
Safeguarding (Community)
Where parents, carers and the infant 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
6 month contact
Use clinical and professional judgement to identify children and families with additional need, vulnerability or parental concern, such as health or development issues, and complete an assessment of 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 to care for their infant’s health and wellbeing.
Where infants, have been identified as requiring targeted or specialist intervention, follow local pathways and guidance to provide targeted intervention or 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
NHS.UK Your baby's health and development reviews
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 (Universal)
Safeguarding (Targeted)
Safeguarding (Specialist)
Safeguarding (Community)
Where parents, carers and the infant 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 infant 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
Close pop-up
Review whether Newborn and Infant Physical Examination (NIPE) has been carried out for eye, heart, hip and testes (boys) conditions and results recorded.
Where the examinations have not been carried out, follow local guidance. The examination should only be carried out by health professionals who have been trained (see programme handbook).
Where parents or carers have declined all or part of the NIPE newborn or infant screening, provide evidence-based information and guidance. Support parents and carers to take decisions about their child’s health by developing a collaborative relationship with families, using a strengths-or asset-based approach to build on their strengths and attributes and address concerns.
Where there are concerns, complete an assessment to identify needs and strengths.
Where infants, have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
Newborn and infant examination (NIPE) screening: programme overview
Newborn and infant physical examination (NIPE) screening programme handbook
Newborn and infant physical examination screening programme supporting information
Newborn and infant physical examination (NIPE) newborn screening pathway
Newborn and infant physical examination (NIPE) infant screening pathway
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 2: Supporting maternal and family mental health
Care continuity between midwifery and health visiting services: principles for practice
Screening (Targeted)
Provide parents and carers evidence-based information and guidance about the NIPE infant screening examination to enable informed decision-making.
This examination typically takes place in a primary care setting.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 2: Supporting maternal and family mental health
Care continuity between midwifery and health visiting services: principles for practice
Newborn and infant physical examination (NIPE) screening programme handbook
Newborn and infant physical examination (NIPE) newborn screening pathway
Newborn and infant physical examination (NIPE) infant screening pathway
Screening tests for you and your baby
Screening (Targeted)
Review whether newborn hearing screening programme (NHSP) tests have been completed and results recorded.
Where NHSP have not been carried out, follow local guidance.
Where parents and carers have declined newborn hearing screening, provide evidence-based information and guidance. Support parents and carers to take decisions about their child’s health by developing a collaborative relationship with families, using a strengths- or asset-based approach to build on their strengths and attributes and address concerns.
Newborn hearing screening: programme overview
National IT system
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 2: Supporting maternal and family mental health
Care continuity between midwifery and health visiting services: principles for practice
Screening (Universal)
Screening (Targeted)
Check that the newborn blood spot test has been carried out and results recorded.
Where newborn blood spot has not been carried out, follow local pathways and guidance.
Where parents and carers have not received timely results following newborn blood screening, refer to local guidance and pathways for management.
Where parents or carers have declined newborn blood spot screening, provide evidence-based information and guidance. Support parents and carers to take decisions about their child’s health by developing a collaborative relationship with families, using a strengths- or asset-based approach to build on their strengths and attributes and address concerns.
Where there are concerns, complete an assessment to identify needs and strengths.
Where infants, have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
Newborn blood spot screening: programme overview
Newborn blood spot screening: movers in with no available records
Newborn blood spot screening: results to parents template
Newborn blood spot screening: programme handbook
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 2: Supporting maternal and family mental health
Care continuity between midwifery and health visiting services: principles for practice
Screening (Targeted)
Provide parents and carers evidence-based information and guidance about infant hearing and development. Work with parents to support self-care and improve health literacy to help them access services appropriately if they have any concerns about their infant’s hearing.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
Care continuity between midwifery and health visiting services: principles for practice
Screening (Targeted)
RCPCH Personal child health record
Where parents, carers and the infant 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 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
Close pop-up
Provide evidence-based information and guidance about routine and selective immunisation programmes. Develop a collaborative relationship with families which takes a strengths- or asset-based approach to build on their strengths and attributes to address concerns and help parents and carers take decisions.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
Care continuity between midwifery and health visiting services: principles for practice
UKHSA Immunisation against infectious disease (Green Book)
UKHSA Routine childhood immunisation schedule
UKHSA Vaccination of individuals with uncertain or incomplete immunisation status
UKHSA Immunisations: babies up to 13 months of age
NHS.UK 6 in 1 vaccine overview
NHS.UK Rotavirus vaccine overview
NHS.UK MenB vaccine overview
NHS.UK Pneumococcal vaccine overview
UKHSA TB, BCG and your baby leaflet
UKHSA Complete routine immunisation schedule
UKHSA The impact of vaccines infographic
Review the immunisation status of infants eligible to be vaccinated according to the national routine and selective neonatal immunisation programmes (hepatitis B and tuberculosis).
Where infants 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 1: supporting the transition to parenthood
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
Care continuity between midwifery and health visiting services: principles for practice
UKHSA Complete routine immunisation schedule
UKHSA The impact of vaccines infographic
UKHSA Guidance on immunisation against infectious disease
UKHSA Vaccination of individuals with uncertain or incomplete immunisation status
UKHSA Infants born to hepatitis B infected mothers
UKHSA Hepatitis B: the green book, chapter 18
E-Learning for Healthcare Immunisation on neonatal units
UKHSA TB, BCG and your baby leaflet
NHS.UK BCG tuberculosis (TB) vaccine overview
Where infants 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 infants have not received recommended immunisations or where parents or carers need additional input to support informed decision-making.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
Care continuity between midwifery and health visiting services: principles for practice
UKHSA Complete routine immunisation schedule
UKHSA The impact of vaccines infographic
UKHSA Guidance on immunisation against infectious disease
UKHSA Vaccination of individuals with uncertain or incomplete immunisation status
UKHSA Infants born to hepatitis B infected mothers
UKHSA Hepatitis B: the green book, chapter 18
E-Learning for Healthcare Immunisation on neonatal units
UKHSA TB, BCG and your baby leaflet
NHS.UK BCG tuberculosis (TB) vaccine overview
Targeted
Specialist
Where parents, carers and the infant 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
Targeted
Specialist
Community
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, use population health needs assessment, to 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
Targeted
Specialist
Community
Infant mental health and wellbeing
Provide parents and carers evidence-based information and guidance about the importance of early relationships including how to meet their baby’s emotional needs (emotional regulation and attunement), and the baby’s cues. Develop a collaborative relationship and use strengths- or asset-based approaches with families to build strengths and attributes to encourage a positive relationship when interacting with their infant.
Provide parent and carers with evidence-based information about factors that support infant wellbeing. These include communication between the parent and child (including speech, language and communication development), attachment, attunement and breastfeeding.
Wellbeing and mental health: Applying All Our Health
Solihull Approach training can be accessed to improve workforce culture, skills and competencies
Healthy beginnings: applying All Our Health
DHSC The best start for life: a vision for the 1,001 critical days
Maternity high impact area 2: supporting good parental mental health
Early years high impact 2: supporting maternal and family mental health
Care continuity between midwifery and health visiting services: principles for practice
UNICEF Building a happy baby: a guide for parents
Where there are concerns about early relationships and infant 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 early relationships and infant mental health.
Where infants, have been identified as requiring targeted or specialist intervention, follow local pathways and guidance to provide targeted intervention or complete appropriate and timely referral.
No child left behind: a public health informed approach to improving outcomes for vulnerable children
Wave Trust A quick guide to conception to age 2 – the age of opportunity
Maternity high impact area 2: supporting good parental mental health
Early years high impact area 1: Supporting the transition to parenthood
Early years high impact area 2: Supporting maternal and family mental health
Care continuity between midwifery and health visiting services: principles for practice
Solihull Approach Understanding your child
DHSC The best start for life: a vision for the 1,001 critical days
Wellbeing and mental health: Applying All Our Health
Healthy beginnings: applying All Our Health
UNICEF Building a happy baby: a guide for parents
Mental and emotional health and wellbeing (Targeted)
Mental and emotional health and wellbeing (Specialist)
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 (Universal)
Safeguarding (Targeted)
Safeguarding (Specialist)
Safeguarding (Community)
Where parents, carers and the infant 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
Targeted
Specialist
Community
Parental mental health and wellbeing
Provide evidence-based information and suitable resources to support positive mental wellbeing during the postnatal period for both parents.
Maternity high impact area 2: supporting good parental mental health
Early years high impact area 1: Supporting the transition to parenthood
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
Care continuity between midwifery and health visiting services: principles for practice
NHS.UK Start4Life Your mental health
Early years high impact 2: supporting maternal and family mental health
NHS.UK Every Mind Matters
E learning for Healthcare Perinatal Mental Health
MIND Peer support
Hub of Hope
Young Minds parent helpline
Review the mother’s mental health and wellbeing and that of any partner.
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 postnatal depression (PND), 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.
Maternity high impact area 2: supporting good parental mental health
Early years high impact area 1: Supporting the transition to parenthood
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
Care continuity between midwifery and health visiting services: principles for practice
NICE Antenatal and postnatal mental health: clinical management and service guidance
NICE The Perinatal Mental Health Care Pathways
MIND Peer support
Hub of Hope
Young Minds parent helpline
Mental and emotional health and wellbeing (Targeted)
Mental and emotional health and wellbeing (Specialist)
Highlight protective factors including accessing support from friends and family and wider social networks and 5 ways to wellbeing.
Maternity high impact area 2: supporting good parental mental health
Early years high impact area 1: Supporting the transition to parenthood
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
Care continuity between midwifery and health visiting services: principles for practice
NICE Early years: promoting health and wellbeing in under 5s
NHS.UK 5 steps to mental wellbeing
MIND Peer support
Where parents, carers and the infant 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
Targeted
Specialist
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 (Universal)
Safeguarding (Targeted)
Safeguarding (Specialist)
Safeguarding (Community)
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 Perinatal mental health
OHID Fingertips Mental health in pregnancy and infants 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
Provide evidence-based information and guidance on nutrition and infant feeding to enable families to make informed decisions about how they feed their infant. This includes the benefits of breastfeeding, implications of not breastfeeding and safe formula feeding.
Provide advice on feeding where there are multiple births or where issues exist such as engorgement, poor positioning and attachment.
Early years high impact area 3: supporting breastfeeding
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
GOV.UK Healthy start
Providing support and guidance on breastfeeding
NHS.UK Start4Life Breastfeeding
Breastfeeding and dental health
NHS.UK Start4Life Introduction of solid foods and diversification of the diet
NICE Maternal and child nutrition
NHS.UK advice on breastfeeding and bottle feeding: the first few days
NHS.UK advice on expressing milk
UNICEF Guide to bottle feeding leaflet
NHS.UK advice on bottle feeding
RCPCH Growth charts
Where there are parent, carer or professional concerns about infant feeding, faltering or rapid growth, or ankyloglossia (tongue-tie), 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 healthy weight, nutrition, and physical activity.
Where infants, 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 3: supporting breastfeeding
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
NICE Maternal and child nutrition
RCPCH Growth charts
NHS.UK healthy breastfeeding diet advice
National breastfeeding helpline
NHS.UK advice on breastfeeding and bottle feeding: the first few days
NHS.UK advice on expressing milk
UNICEF Guide to bottle feeding leaflet
NHS.UK advice on bottle feeding
NICE Maternal and child nutrition
Breastfeeding, healthy weight, nutrition and physical activity (Targeted)
Breastfeeding, healthy weight, nutrition and physical activity (Community)
Provide evidence-based information and guidance on safe and effective formula feeding for parents who do not wish to breastfeed.
Helping families to bottle feed as responsively as possible can help support the development of a close and loving parent-infant relationship. Babies will feel more secure if most feeds are given by their parents or main caregiver, especially in the early weeks, as this will help bonding with each other.
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 advice on breastfeeding and bottle feeding: the first few days
NHS.UK advice on expressing milk
UNICEF Guide to bottle feeding leaflet
NHS.UK advice on bottle feeding
NICE Maternal and child nutrition
NICE Obesity prevention
Provide parents and carers evidence-based information and guidance on vitamin D supplements for all babies who are exclusively breastfed.
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
GOV.UK Healthy start
NICE COVID-19 rapid guideline: vitamin D
NHS.UK Vitamin D
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.
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
NICE COVID-19 rapid guideline: vitamin D
NHS.UK Vitamin D
Develop a collaborative relationship with families, providing parents and carers with evidence-based information and guidance to support them in taking decisions about the introduction of solid foods from around six months old. Use a strengths- or asset-based approach to build on their strengths and attributes and address concerns.
Early years high impact area 3: supporting breastfeeding
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 Weaning and feeding
NHS.UK Your baby’s first solid foods
NHS.UK Start4Life What is weaning
Delivering better oral health: an evidence-based toolkit for prevention
Where parents, carers and the infant 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 breastfeeding, 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 breastfeeding
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
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 strengths and 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, for example 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 1: supporting the transition to parenthood
Early years high impact area 2: Supporting maternal and family mental health
Care continuity between midwifery and health visiting services: principles for practice
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
Safeguarding including domestic violence and abuse
Intensive parenting support
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
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
Domestic violence and abuse
Develop a collaborative relationship and use a strengths- or asset-based approach with families to assess and support parents and carers, building on their strengths and attributes to improve wellbeing, address concerns and support self-care. Recognise when people 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 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 infant 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 (Universal)
Safeguarding (Targeted)
Safeguarding (Specialist)
Safeguarding (Community)
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
Universal
Community
Alcohol
Provide parents and carers evidence-based information and guidance about alcohol use, supporting parents to understand the risks and effect of alcohol use on their ability to provide consistent care for their infant’s safety and development.
Maternity high impact area 4: Reducing the incidence of harms caused by alcohol in pregnancy
Early years high impact area 1: Supporting the transition to parenthood
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
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 parents and carers about alcohol use.
Where appropriate, use the Alcohol, Smoking and Substance Involvement Screening Tool - Lite (ASSIST-Lite) 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 1: Supporting the transition to parenthood
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
Parents with alcohol and drug problems: support resources
ASSIST-Lite alcohol and drug use, and tobacco smoking screening tool
Maternity high impact area 4: reducing the incidence of harms caused by alcohol in pregnancy
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 1: Supporting the transition to parenthood
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
Parents with alcohol and drug problems: support resources
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
Alcohol, drugs and tobacco (Targeted)
Alcohol, drugs and tobacco (Specialist)
Alcohol, drugs and tobacco (Community)
Where parents, carers and the infant 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 (Universal)
Safeguarding (Targeted)
Safeguarding (Specialist)
Safeguarding (Community)
Drugs
Provide parents and carers evidence-based information and guidance about alcohol use, supporting parents to understand the risks and effect of alcohol use on their ability to provide consistent care for their infant’s safety and development.
Early years high impact area 1: Supporting the transition to parenthood
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?
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
Safeguarding
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) 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.
Review drug use at each contact.
Early years high impact area 1: Supporting the transition to parenthood
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
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
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 1: Supporting the transition to parenthood
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
Parents with alcohol and drug problems: support resources
Talk to Frank Honest information about drugs
Talk to Frank Find support near you
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
Alcohol, drugs and tobacco (Targeted)
Alcohol, drugs and tobacco (Specialist)
Alcohol, drugs and tobacco (Community)
Where parents, carers and the infant 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 (Universal)
Safeguarding (Targeted)
Safeguarding (Specialist)
Safeguarding (Community)
Tobacco and vaping
Provide parents and carers evidence-based information and guidance on smoking cessation and the benefits of a smokefree home (including for other members of the household). Provide information about local smoking cessation services as required.
Where parents or carers are smokers who wish to stop smoking, offer brief intervention and provide information about local smoking cessation services.
Where additional targeted or specialist services are required, follow local pathways to complete appropriate and timely referral.
Early years high impact area 1: Supporting the transition to parenthood
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
Maternity high impact area 5: Supporting parents to have a smokefree pregnancy
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)
Alcohol, drugs and tobacco (Community)
Where parents, carers and the infant 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 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 Child and maternal health pregnancy and birth
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 alcohol consumption, smoking and other harmful behaviours.
Early years high impact area 1: Supporting the transition to parenthood
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
DWP Reducing parental conflict: tools for commissioners, managers and leaders
Maternity high impact area 5: Supporting parents to have a smokefree pregnancy
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 1: Supporting the transition to parenthood
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
NHS.UK Keeping fit and healthy with a baby
NHS.UK Sleep and tiredness after having a baby
NHS.UK Better Health
NHS.UK Start4Life
Provide parents and carers with evidence-based information and guidance about the importance of creating a healthy smoke-free and safe home. Discuss how they can create a caring family context and positive interaction which nurtures attachment.
Early years high impact area 1: Supporting the transition to parenthood
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
NHS.UK Start4Life
Provide parents and carers with evidence-based information about temperament-based anticipatory guidance. Give practical guidance on managing crying and healthy sleep practices; bath, book, bed routines and activities; and encouraging parent–infant interaction and attachment.
Early years high impact area 1: Supporting the transition to parenthood
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
ICON Parents Advice – Infants crying
Lullaby Trust How to reduce the risk of SIDS
Lullaby Trust Promoting safe baby care
Safeguarding children at risk from sudden unexpected infant death
Child Safeguarding Practice Review Panel Out of routine: A review of sudden unexpected death in infancy in families where children are considered at risk of significant harm
UNICEF Building a happy baby: a guide for parents
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 the return to work and childcare.
Early years high impact area 1: Supporting the transition to parenthood
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
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 infants 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 1: Supporting the transition to parenthood
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
Solihull Approach
DHSC The best start for life: a vision for the 1,001 critical days
UNICEF Building a happy baby: a guide for parents
Healthy beginnings: applying all our health
Safeguarding
Intensive parenting support including nurturing parenting
Where parents, carers and the infant 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 (Universal)
Safeguarding (Targeted)
Safeguarding (Specialist)
Safeguarding (Community)
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
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Provide parents and carers with evidence-based information about healthy infant development, including using play, books, music and interactive activities to support development and a healthy parent–infant 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 parent and baby groups for songs, music and interactive activities.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 6: Ready to learn and narrowing the word gap
Healthy beginnings: applying all our health
DfE Early years foundation stage statutory framework
Where there are concerns about infant development, including 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 baby sensory, baby massage and parent and baby groups.
Where infants 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 1: Supporting the transition to parenthood
Early years high impact area 6: Ready to learn and narrowing the word gap
Care continuity between midwifery and health visiting services: principles for practice
No child left behind: a public health informed approach to improving outcomes for vulnerable children
DHSC The best start for life: a vision for the 1,001 critical days
Healthy beginnings: applying all our health
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 (Targeted)
Children with additional health and development needs (Specialist)
Where parents, carers and the infant 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 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 0 to 2 years
Early years high impact area 6: Ready to learn and narrowing the word gap
Provide parents and carers with evidence-based information and guidance about infant hearing and development. Work with parents to support self-care and improve health literacy to enable them to access services appropriately with any concerns about their infant’s hearing.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
Care continuity between midwifery and health visiting services: principles for practice
Screening
RCPCH Personal child health record
Where parents, carers and the infant 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
Vulnerable children 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 is significantly shaped by the social determinants of health into which they are born, live, learn and grow.
For those infants 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 infants, 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)
Targeted
Specialist
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 evidence-based information and guidance to enable families to create nurturing relationships, reducing the sources of stress in a child’s life and promoting resilience and stability.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
Care continuity between midwifery and health visiting services: principles for practice
NSPCC Positive parenting
No child left behind: a public health informed approach to improving outcomes for vulnerable children
Where a child 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 (Targeted)
Safeguarding (Community)
Develop a collaborative relationship and use a strengths- or asset-based approach with families to assess and support parents and carers, building on their strengths and attributes to improve wellbeing, address concerns and support self-care. Recognise when people 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
Use effective communication and engagement strategies to explore parental concerns and identify factors which have an effect on the infant and family.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
Care continuity between midwifery and health visiting services: principles for practice
DfE Review of best practice in parental engagement
Where parents, carers and the infant 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
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
Metrics and outcomes indicators
Use evidence and data to monitor the health and wellbeing of vulnerable infants. 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 following local guidance. Raise awareness of accident prevention in and out of the home, including choking, falls, bath time, sun safety, safe use of baby equipment and car seat safety.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
Care continuity between midwifery and health visiting services: principles for practice
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 Start4Life Safe weaning
NHS.UK Sunscreen and sun safety
British Skin Foundation Sun safety advice for parents
Keeping safe and accident prevention
Provide evidence-based information and guidance, developing a collaborative relationship with families and using a strengths- or asset-based approach to help parents and carers reduce the risk of sudden unexpected deaths in infancy (SUDI). Build on their strengths and attributes, address concerns and support self-care.
Where there are any additional risks, complete an assessment to identify needs and strengths.
Where infants, 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 1: Supporting the transition to parenthood
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
Care continuity between midwifery and health visiting services: principles for practice
Lullaby Trust What is sudden death infant syndrome
Early years high impact area 5: improving health literacy, managing minor illnesses and reducing accidents
Lullaby Trust Safer sleep advice
Lullaby Trust Co-sleeping with your baby
Where parents, carers and the infant 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 (Universal)
Safeguarding (Targeted)
Safeguarding (Specialist)
Safeguarding (Community)
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 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 parents and carers to make informed decisions on feeding choices with lower risk of tooth decay. This could include the benefits of breastfeeding, avoiding sugary foods or drinks and only giving breast, infant formula milk or cooled boiled water in feeding bottles or cups.
Where possible, all medicines should be sugar-free.
Early years high impact area 1: Supporting the transition to parenthood
Early years high impact area 3: supporting breastfeeding
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
Care continuity between midwifery and health visiting services: principles for practice
Breastfeeding and dental health
E-Learning for Healthcare Child oral health interactive townscape
Scientific Advisory Committee on Nutrition Feeding in the first year of life
OHID, DHSC, NHS England and NHS Improvement Delivering better oral health: an evidence-based toolkit for
prevention
NHS.UK Your baby’s first solid foods
NHS.UK Bottle feeding advice
NHS.UK Start4Life weaning
Provide evidence-based information and guidance on toothbrushing using appropriate fluoride toothpaste as soon as the first tooth erupts at about 6 months of age. Parents and carers should supervise toothbrushing to ensure teeth are brushed thoroughly.
Early years high impact area 1: Supporting the transition to parenthood
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
Improving oral health: an evidence- informed toolkit for local authorities
Child oral health: applying All Our Health
E-Learning for Healthcare Child oral health interactive townscape
Health matters: child dental health
OHID, DHSC, NHS England and NHS Improvement Delivering better oral health: an evidence-based toolkit for
prevention
Provide evidence-based information and guidance to parents and carers to take their infant to the dentist as soon as the first tooth erupts or by the age of one-year for preventive advice. Make sure parents know that NHS dental treatment is free for all children aged under 18, or under 19 and in qualifying full-time education. Other family members may also be entitled to free NHS dental treatment.
Early years high impact area 5: Improving health literacy, managing minor illnesses and reducing accidents
BSPD Smiles for life
NHS.UK Dentists
NHS.UK Get help with dental costs
E-Learning for Healthcare Child oral health interactive townscape
Health matters: child dental health
Provide parents and carers with evidence-based information and guidance about smoking and alcohol use which have an effect on oral health, supporting parents to understand the risks and helping them make informed decisions.
National Centre for Smoking Cessation and Training Very brief advice on smoking for dental patients
NHS.UK Smoking and oral health poster (PDF)
E-Learning for Healthcare Alcohol identification and brief advice
NICE Tobacco: preventing uptake, promoting quitting and treating dependence (NG209)
E-Learning for Healthcare Child oral health interactive townscape
Where parents, carers and the infant 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 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 with families which uses a strengths-based approach to build on their strengths and attributes to address concerns and supports parents and carers to take decisions about their child. Topics could include infant feeding, healthy weight, 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
Health matters: giving every child the best start in life
E-Learning for Healthcare All Our Health: Best Start in Life
Parents should make sure their infant is registered with a GP. If parents are yet to register their infant, provide information and guidance on the importance of registering early and how to arrange registration.
Early years high impact area 1: supporting the transition to parenthood
Early years high impact area 5: Improving health literacy, managing minor illness and reducing accidents
Care continuity between midwifery and health visiting services: principles for practice
NHS.UK Registering your baby with a GP
Develop a collaborative relationship with families which uses a strengths- or asset-based approach to 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
NHS.UK Children and young people’s services
Healthier Together I’m worried about…
NHS.UK
NHS.UK Services
NHS.UK Looking after a sick child
E-Learning for Healthcare All Our Health: Social prescribing
Where parents, carers and the infant 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, partners, children, young people and families, 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
RCPCH Wellbeing and health action portal
Community
Targeted
Identify parents and families at risk of experiencing inequalities in outcomes, for example minority groups, families in contact with the criminal justice system, armed forces and veteran families, workless and low income households.
For those infants 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 breastfeeding peer support networks.
Where infants, 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
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
Health equity
RCPCH Wellbeing and health action portal
Inequalities and disparities
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 is significantly shaped by the social determinants of health into which they are born, live, learn and grow.
For those infants 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 infants, 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
RCPCH Wellbeing and health action portal
Citizens Advice
Shelter Housing advice
Safeguarding (Targeted)
Safeguarding (Community)
Inequalities and disparities (Targeted)
Where parents, carers and the infant 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 (Universal)
Safeguarding (Targeted)
Safeguarding (Specialist)
Safeguarding (Community)
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
Be alert to the risk of physical injury in babies under 1 year. Follow local protocols for bruising and injuries in immobile babies and children.
ROSPA Accidents to children
DfE Working together to safeguard children
Develop a collaborative relationship and use a strengths- or asset-based approach with families 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 people 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 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 (Targeted)
Safeguarding (Community)
Where parents, carers and the infant 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 infants 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