Health and Wellbeing Strategy

1.1

Healthy child development in the 1,001 critical days (conception to 2 years old)

GREEN

1.1.1

Clear 'Start for Life' offer for parents. The Family Hub programmes will be critical to bring activity together and ensuring an integrated offer across the 0 to 19 (25) years pathway. Information sharing agreements to be agreed.

Watch - Family Hub programme receiving oversight from the Rutland CYP Partnership.

2022-24

GREEN

1.1.2

Healthy lifestyle information and advice for pregnant women or those planning to conceive, including:

1. implementation of MECC+ healthy conversations across prevention services
2. targeted communication campaigns
3. increase awareness of postnatal depression and social isolation through midwifery and 0-10 children's public health service
4. immunisations in pregnancy (flu/covid)
5. ensuring women are also reached who have chosen to give birth out of area

Link to:

• 2.1.1 Communications
• 2.2.3 Healthy conversations
• 7.1.1 Perinatal mental health support.         

2022-23

GREEN

1.1.3

Local implementation of the Maternity Transformation Programme considering:

• improving quality and safety for mother and babies
• improving quality of pathway
• implementing neonatal critical care review, improving access to perinatal health services.  

Link to above actions. LLR LMS Transformation Funding

2023-24

GREEN

1.1.4

Implementation of 0-19 Healthy Child Programme, to support Rutland's Family Hub Programme. Including:

• 0-10 year mandated child development checks (including 3-4 month and 3.5 year checks)
• a digital offer
• evidence-based interventions for children (antenatal, breastfeeding, dental care and peer support for developing active, resilient children
• awareness around shaking and head trauma (ICON)
• safeguarding

Consideration of accessibility of related health health services, including dental. Specific consideration for military population.11 plus Public Health Teen Health contract and Offer for young people in Rutland. 

From Sept 2022

GREEN

1.1.5

Further investigation into:

• high proportion of low birth weights at term in Rutland
• children and young people’s dental care in Rutland, including dental education and access to services

2022-23

GREY

1.2

Confident families and young people

GREEN

1.2.1

Implementation of 0-19 Healthy Child Programme, 11-19year element, which supports the Rutland Family Hub  programme - including:

• face to face offer for families 
• a digital offer
• health promotion campaigns including via schools
• health behaviours survey
• safeguarding
• evidence-based interventions for healthy, active resilient children and young people who are able to transition effectively into adulthood

Specific work on transitions for children with LD (up to the age of 25 years.) 

Integrated offer that include a whole family approach, (fathers/grandparents), and is supported by local and voluntary groups and communities.

• 1.4 for vaccinations
• 2.1 communication campaigns
• 4.4.1 Digital inclusion
• 7.1.3 Children and Young People’s mental health needs    

From Sept 2022

GREEN

1.2.2

Targeted, coordinated support for Rutland's most disadvantaged or vulnerable children, representative of Rutland's demographic, to access their Early Years and Inclusion Offer and provision. Reduce the impact of Adverse Childhood Experiences on children and their families by embedding a ‘trauma informed approach’ to the workforce. Integrated Early Help, SEND, Health  and Social Care offer.

2022-23

GREEN

1.3

Access to health services

GREEN

1.3.1

Increase health checks for SEND children aged14 years and over ensuring that status is built into the education and health provision set in a Child’s Education and Health Care Plan. Funding RCC - DSG HNF, CHC CCG. 

2022-23

GREEN

1.3.2

Increase immunisation take-up for children and young people where this is low, including identifying sub-groups where take-up is lower and understanding why. 

2022-23

GREEN

1.3.3

Coordinated services for children and young people with long term conditions (LTCs) and SEND. Long term condition support for children and young people with asthma, diabetes and obesity including access to appropriate medication, care planning and information to self-manage their conditions, and to relevant support services. To include learning from the Leicester City CYP asthma review and take-up of Tier 3 weight management services.

• 3.2 Integrated care for LTCs
• 7.1 Integrated Neighbourhood Team development ND Pathway programnme, and Key Worker programme.

To explore early planning for ASD/ADHD families between GP and schools.

2022-24

GREEN