This document discusses leading public health initiatives in Haringey, London. It outlines key steps for public health professionals, including understanding local strategic plans, investing in relationships with council members, and ensuring service performance metrics are reported. The document also describes Haringey's transformation of its health visiting services between 2015-2017 to integrate services, implement a new healthy child programme, and transition to smaller neighborhood-based teams aligned with early help services.

1. Leading in a new landscape
Susan Otiti
Assistant Director of Public Health
haringey.gov.uk

2. haringey.gov.uk
Understand the strategic context
Where is children’s health and wellbeing prioritised locally?
Familiarise yourself with:
• Council’s corporate plan
• Health and wellbeing strategy
• NHS led – sustainability and transformation plan

3. haringey.gov.uk
Invest in relationships
Do you know your Council:
• Public Health Consultant
• Commissioner
• Lead member
• Director of Children’s Services

4. haringey.gov.uk
Service performance
Take responsibility to:
• Know your contract and service specification with your
local authority
• Ensure your team record and report all activity to the
Commissioner
• Share ‘soft intelligence’ with your Council

5. haringey.gov.uk
Haringey’s transformation programme
2015 - 2017
1. Workforce; recruitment and skill mix
2. Integration; children’s centres and early help
3. Changing ‘day to day’ practice; phased implementation of the
Healthy Child Programme
http://ihv.org.uk/news-and-views/voices/joint-health-commissioning-
approach-transforming-health-visiting-service-haringey/

6. haringey.gov.uk
Haringey’s new service model
Service model pre October 2015
Service delivery
1 universal contact - new birth
visit
All other contacts were targeted
Workforce
Band 6&7 HVs 24.52wte
Skill mix 10.04wte
Teams
4 large locality teams
New service model Oct 2016
Service delivery
Universal - all 5 mandated elements
Workforce
Band 6 &7 HVs 43.00wte
Skill mix 24.40wte
Teams
10 small teams aligned with the
Council’s early help teams

7. haringey.gov.uk
Contemporary principles of health visiting first
published in 1977
They are:
• Search for health needs;
• Stimulation of an awareness of health needs;
• Influence policies affecting health;
• Facilitate health enhancing activities