Post on 05-Jan-2016
description
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Alexandra Hammond
Infant Feeding Coordinator / Vitamin D Lead
Janyce Sutherland
Public Health Midwife
Vitamin Supplementation Audit Feedback - Regional
Conference June 29th 2011
East Lancashire’s Experience of
Implementing a Vitamin D
Supplementation Scheme
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A STEP BACK IN TIME …
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New product, same concerns
•Inequalities
•Funding
•Monitoring
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Defining the Policy Criteria… The first challenge!
Free vitamin supplementation with Healthy Start vitamins to:
• All pregnant women
• All children: 5 years and under
• All breastfeeding women
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The Policy…..Free vitamin supplementation with Healthy Start
vitamins to:
• All pregnant women
• All children: 5 years and under
• All postnatal women up to 1 year
• Breastfeeding women for as long as they continue
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The Complexity of Implementation
3 Footprints of East Lancashire
Workforce
5 very Distinct
Boroughs
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One approach does not fit all….
The Solutions ….
Generic Operating Procedure
Local Consultation enabling development of:
• Informal local delivery agreements or
• Formal MOU
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The Solutions ……
CC Outreach and Family Support Workers
Midwives
Health Visitors
IFC / HIS Admin
Health Coordinators
Public Health Midwives
Health Development Practitioners
Health Improvement Assistant Practitioners
Neighbourhood Health Workers
Strategic planning, workforce
development
1:1 contact with families at key
contacts
Events,
targeted work
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1. Funding 2. Systems, processes and monitoring
3. Initial Launch Event 4. Training
5. Negotiating local delivery pathways / facilitating partnerships and relationships
6. Database / monitoring 7. Evidencing outcomes
8. Specialist advice 9. Updates / Cascades
10. Troubleshooting 11. Other policies
What role have the strategic leads played?
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The Solutions ……
CC Outreach and Family Support Workers
Midwives
Health Visitors
IFC / HIS
Health Coordinators
Public Health Midwives
Health Development Practitioners
Health Improvement Assistant Practitioners
Neighbourhood Health Workers
Strategic planning, workforce
development
1:1 contact with families at key
contacts
Events,
targeted work
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Quarter 1 Quarter 2 Quarter 3 Quarter 4 Annual 2010/11
Vit Drops 2792 1948 1936 2488 9164
Vit Tabs 2492 2129 1905 2275 8801
Total Units 5284 4077 3841 4763 17,965
Distribution Points 31 (28=HDA) 37 (34=HDA) 37 (34=HDA) 37 (34=HDA)
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Area Vit Drops No BME % BME Vit Tabs No BME % BME Total Drops and Tabs
Burnley
632 243 38.45% 571 168 29.42% 1203
Pendle
747 450 60.24% 690 307 44.49% 1437
Rossendale
355 47 13.24% 324 37 11.42% 679
Hyndburn
534 237 44.38% 475 204 42.95% 1009
Ribble Valley
220 26 11.82% 215 23 10.70% 435
TOTAL
2488 1003 40.31% 2275 739 32.48% 4763
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What’s worked?
• HIS team approach• PH MWs providing additional training for MWs• PH MWs engaging boundary MWs• Audit of and feedback to CFIT and MSLC –
recommendations made, emphasises importance• New database developed• HIS spreading key messages further afield• Providing resources as aide memoir• Undertaking the Regional Audit!• Link to Sun Safety Campaign
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Next Steps?
Continue to keep admin closely involved in development - training
Implement recommendations of the regional audit
Train Primary School Nurses, Practice Nurses, NCMP staff, GPs,
Pharmacists
Reporting re HS beneficiaries to DH
Retargeting BME community
Develop training for Childminders / HomeStart
Network NameNetwork Name
Alexandra Hammond
Infant Feeding Coordinator / Vitamin D Lead
Jane Greenwood
Healthy Start Lead
Janyce Sutherland
Public Health Midwife
01254 358046