Vision for Health and Wellbeing in the Community – A Child Health Perspective

1. Vision for Health and Wellbeing in the Community – A Child Health perspective Dr. Stephanie O’Keeffe National Director, Health and Wellbeing For Institute of Community Health Nursing 18th May 2016

2. Healthy Ireland Framework – informing the approach in the community

3. HSE’sNational Implementation Plan 2015 – 17 • Actions relevant to child health Three Priority Areas • Reducing the burden of chronic disease • Health services reform • Improving staff health & wellbeing

4. HI in The Health Services

5. Implementation Governance Structure

6. Monitoring the Implementation • Hi Outcomes Framework (DoH) • Health Status • Determinants • Health and Social Care • Performance and Effectiveness Measures (HSE) • Corporate Plan • Service/Op Plans • Hi Implementation Plans HI Web site with Toolkit

7. Policy Priority Programme-Healthy Childhood • Hospital Group actions • CHO actions Healthy Childhood is one of the key national policy priority programmes under the Healthy Ireland in the Health Services - National Implementation Plan 2015-2017

8. Policy & Strategic Context for Child Health HSE • Best Health for Children (1999); Best Health for Children (2005); Supporting Parents Strategy (2002) • HSE Corporate Plan (2015-2017) • Healthy Ireland Implementation Plan (2015-2017) • National Healthy Childhood Programme • The Nurture Programme-Infant Health and Wellbeing • Key Service Design Areas • Paediatrics and Neonatology Clinical Programmes • Integrated Care Programme for Children • National Children’s Hospital Network Legislation- Legislative mandate for child health Strategy – • Healthy Ireland (2013-2025) - DoH • Better Outcomes Brighter Futures (2014-2020) - DCYA • Maternity Strategy 2016-2026 - DoH • National Early Years Strategy (in preparation) - DCYA

9. Why invest in early childhood development? INSERT GRAPH FROM HI ON IMPACTS OF EARLY INVESTMENT

10. Improving Health and Wellbeing in Ireland

11. Why invest in early childhood development cont. • The child population of Ireland increased by 13.4% between 2002 and 2011 • 25% of population are children-approx 68,000 births per year • Family profile in Ireland has changed • Approximately 9 in 10 children aged 10-17 report being happy with their lives at present • High screening uptake rates-Newborn Bloodspot Screening and Neonatal Hearing Screening Programmes • Improved immunisation rates • Low breastfeeding rates-56% on discharge from hospital • 18% of children at risk of poverty

12. Framework for the National Healthy Childhood Programme Key issues emerging from Evidence Review carried out by the Child Public Health Group • Acknowledgement that the wider determinants of health play a significant part in child and adult health • The benefits of a Child Health Programme based on a model of progressive universalism – help for all and more for those who need it • The impact of the antenatal period on the development of the foetus • The importance of maternal mental health on infant mental health and development • The pivotal role of the parents in child development • Early identification of issues can improve the outcome for the child

13. Principles of the National Healthy Childhood Programme • Clinical governance framework which supports the provision of quality services by: • Ensuring integrated care for children via clear referral pathways and formalised networks • Enabling a culture of continuous quality improvement • Providing appropriate professional training to the level of competency required • National Immunisation and Childhealth Information System (NICIS)-communication and integration between service providers • 10. Sharing of information with parents • Access to defined core (universal) services as underpinned in legislation - (progressive/proportionate universalism) • Access to high quality integrated services • The importance of antenatal care on long term maternal, child and adult health and the impact of good mental and emotional child and maternal health • Recognises early childhood development • Parents made aware of the right to universal child health screening and surveillance services • Empower parents as the primary educators during the critical early years of a child’s development • Evidence-based with a focus on prevention and early intervention

14. National Healthy Childhood Programme • GP • Public Health Nurse • Community services • Specialist hospital services • Early Childhood services • Parents, community • Health Promotion and Improvement • Infant Mental Health • Screening • Physical Health • Developmental Surveillance • Growth Monitoring • Immunisations • Needs Assessment • Dental Health Making Every Contact Count

15. Key success factors • Culture and Values • Leadership and Quality • Clarity • Investment • Data & systems • Evidence & analysis • Outcomes • Staff Health and Wellbeing

16. Vision for Health and Wellbeing in the Community – A Child Health Perspective Thank you