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150 years of health visiting – better health for generations of families
 

150 years of health visiting – better health for generations of families

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    150 years of health visiting – better health for generations of families 150 years of health visiting – better health for generations of families Document Transcript

    • 150 years of health visiting – better health for generations of families Focus of work Time period Impact Home visitors’, the early name for health visitors, Infant mortality reduces to 150 deaths/1000 live births visit local communities to improve environmental and 1862 in 1860s. 1912 public health Improved home environments Home visitors are a ‘mother’s friend,’ taking a Early campaigns include for sweated labour and non–judgmental, practical approach to tackling the protective legislation for women causes of ill health including sanitation and diet In the 1890s, Florence Nightingale establishes the first training course in health visiting Infant mortality reduced to 100 deaths/1000 live births Birth Acts of 1909 – 1915 mark the beginning of a state–sponsored profession Close collaboration with midwifery 1912 Health visitors help families focus on personal, Campaign ‘to improve the undesirable condition of 1922 preventive measures such as family planning and lavatories for women on railway stations’ early immunisation Improved child health A home visit in the first month of an infant’s life Network of Infant Welfare Clinics develops becomes a statutory requirement for all mothers under 1922 Reduced infectious disease 1932 the Local Government Act 19291940, British Ministry of Health proposed introduction Improved national diet despite introduction of of mass childhood diphtheria immunisation WWII rationing Advice offered to mothers to improve their diet by, for 1932 By end of 1942, a third of English children were example, drinking national dried milk and orange juice 1942 immunised against diphtheria Health visitors and Infant Welfare Clinics set up Growth of community networks for mothers offering mothers sewing circles and cookery sessions to and children reduce family isolation 1948, the NHS is launched. The health visiting service is contained in the first NHS Act 1942 Free Milk Act in 1946, requiring all children in school Clear focus on infection control and promoting 1952 or nursery to receive a third of a pint of milk daily. healthy diet 1955, the polio vaccination is introduced in the UK1956, health visitor work extends to providing social and emotional health as well as physical health for the whole 1952 Infant mortality reduced to 30 deaths/1000 live births family, cradle to grave. 1962 Health visitor support extends to families with chronic disease and children with special needs.
    • 150 years of health visiting – better health for generations of families Focus of work Time period Impact Health visitor role firmly grounded in public health encompassing environmental, preventative and 1962 1972 therapeutic interventions.Promotion of pertussis vaccination for whooping cough 1972 Last recorded outbreak of indigenous polio. 1982 The ‘Back to Sleep’ cot death awareness campaign is led by health visitors, who reduce the risk of cot death Start of cot death reduction in UK through interventions such as regular weighing. Reduced prevalence of whooping cough, slow increase Promotion of breast feeding 1982 breast feeding and better early identification of Introduction of the Good Neighbour scheme for the 1992 disabilities and development needs elderly and toddler groups, heralding a community– Increased parental involvement due to introduction of based approach the Child Health Record Introduction of parent health Child Health Record Health visitors continue to lead the national ‘Back Reduction cot death nationally and slow increase in to sleep’ campaign and are at the forefront of drive number of mothers breast feeding to detect Post Natal Depression (PND) and promote 1992 Improved uptake MMR and reduced cases of measles, breast feeding 2002 mumps and rubella Sure Start Children’s Centres open across England and Improved services for PND with multi–professionalmany health visitors begin joint working arrangements, care pathwayssome teams relocating so they are children centre based Infant mortality reduced to 5 deaths/1000 live births. Rise in health visitor numbers for the first time Health visitors lead delivery of the Healthy in almost a decade Child Programme. Unprecedented levels of nurses entering health Emphasis on reduced smoking and child safety visitor training Promotion of MMR vaccination 46 Early Implementer Sites across England spearhead2010, Government makes first national commitment on 2002 2012 new service vision, improving coverage and quality health visiting, to increase workforce by 4,200 and to of services improve the universal service offer by 2015 Larger, re–energised workforce will bring The new service model means all families will receive improved public health outcomes for children, the Healthy Child Programme, with targeted support families and communities tailored to their needs. Breast-feeding rates in England are the highest ever recorded at 83%
    • 150 years of health visiting – better health for generations of families Focus of work Home visitors’, the early name for health visitors, visit local communities to improve environmental and public health Home visitors are a ‘mother’s friend,’ taking a non–judgmental, practical approach to Birth Acts of 1909 – 1915 mark the beginning tackling the causes of ill health including of a state–sponsored profession A home visit in the first month of an sanitation and diet Health visitors help families focus on personal, infant’s life becomes a statutory In the 1890s, Florence Nightingale establishes preventive measures such as family planning requirement for all mothers under the the first training course in health visiting and early immunisation Local Government Act 1929Time period 1862 1912 1922 1912 1922 1932 Infant mortality reduces to 150 deaths/1000 Infant mortality reduced to Network of Infant Welfare Clinics develops live births in 1860s. 100 deaths/1000 live births Reduced infectious disease Improved home environments Close collaboration with midwifery Early campaigns include for sweated labour Campaign ‘to improve the undesirable and protective legislation for women condition of lavatories for women on railway stations’ Improved child health Impact
    • 150 years of health visiting – better health for generations of families Focus of work 1940, British Ministry of Health proposed introduction of mass childhood 1955, the polio vaccination is introduced diphtheria immunisation in the UK Advice offered to mothers to improve their diet 1956, health visitor work extends to providing by, for example, drinking national dried milk 1948, the NHS is launched. social and emotional health as well as physical Health visitor role firmly grounded in and orange juice The health visiting service is contained in health for the whole family, cradle to grave. public health encompassing environmental, Health visitors and Infant Welfare Clinics set the first NHS Act Health visitor support extends to families with preventative and therapeutic interventions. up offering mothers sewing circles and cookery Clear focus on infection control and chronic disease and children with Promotion of pertussis vaccination for sessions to reduce family isolation promoting healthy diet special needs. whooping coughTime period 1932 1942 1952 1962 1942 1952 1962 1972 Improved national diet despite introduction of Free Milk Act in 1946, requiring all Infant mortality reduced to 30 deaths/1000 WWII rationing children in school or nursery to receive a live births By end of 1942, a third of English children third of a pint of milk daily. were immunised against diphtheria Growth of community networks for mothers and children Impact
    • 150 years of health visiting – better health for generations of families Focus of work Health visitors lead delivery of the Healthy Child Programme. The ‘Back to Sleep’ cot death awareness Emphasis on reduced smoking and child safety campaign is led by health visitors, who reduce Health visitors continue to lead the Promotion of MMR vaccination the risk of cot death through interventions such national ‘Back to sleep’ campaign and are at the forefront of drive to detect Post 2010, Government makes first national as regular weighing. Natal Depression (PND) and promote commitment on health visiting, to increase Promotion of breast feeding workforce by 4,200 and to improve the breast feeding Sure Start Children’s Introduction of the Good Neighbour scheme Centres open across England and many universal service offer by 2015 for the elderly and toddler groups, heralding a health visitors begin joint working The new service model means all families will community– based approach arrangements, some teams relocating so receive the Healthy Child Programme, with Introduction of parent health Child Health Record they are children centre based targeted support tailored to their needs.Time period 1972 1982 1992 2002 1982 1992 2002 2012 Last recorded outbreak of indigenous polio. Start of cot death reduction in UK Reduction cot death nationally and Infant mortality reduced to 5 deaths/ Reduced prevalence of whooping slow increase in number of mothers 1000 live births. cough, slow increase breast feeding and breast feeding Rise in health visitor numbers for the first time better early identification of disabilities and Improved uptake MMR and reduced in almost a decade development needs cases of measles, mumps and rubella Unprecedented levels of nurses entering health Increased parental involvement due to Improved services for PND with multi– visitor training introduction of the Child Health Record professional care pathways 46 Early Implementer Sites across England spearhead new service vision, improving coverage and quality of services Larger, re–energised workforce will bring improved public health outcomes for children, families and communities Breast-feeding rates in England are the highest ever recorded at 83% Impact