Network Name Alexandra Hammond Infant Feeding Coordinator / Vitamin D Lead Janyce Sutherland Public Health Midwife Vitamin Supplementation Audit Feedback.

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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

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Alexandra Hammond

Infant Feeding Coordinator / Vitamin D Lead

Jane Greenwood

Healthy Start Lead

Janyce Sutherland

Public Health Midwife

01254 358046