What this consultation is about
This consultation sets out a proposal to put in place a formal partnership agreement for the delivery of the 0 to 19 public health school nursing and health visiting service.
We are seeking stakeholder views on this proposed partnership arrangement between ourselves and Derbyshire Community Health Services (DCHS) NHS Foundation Trust.
The formal partnership agreement (referred to as a section 75 partnership agreement) will enable DCHS to deliver the visiting service on our behalf.
The NHS and Local Authorities Partnership Arrangements Regulations 2000 stipulate that “the partners may not enter into any partnership agreements [under Section 75 of the NHS Act 2006] unless they have consulted jointly such persons as appear to them to be affected by such arrangements”
The consultation covers a range of services provided in Derbyshire; We've agreed a list of stakeholders with DCHS that may have an interest in the service. The following groups will be consulted:
- staff delivering the service and midwives (who transfer the care of babies into the health visiting team)
- nurseries and pre-school playgroups
- members of the public
The 0 to 19 public health school nursing and health visiting service (also referred to as the healthy child programme), as its name implies covers health visiting and school nursing. The health visiting service includes the 5 mandated universal health reviews conducted by health visitors, which are:
- antenatal motivational interview
- new birth review (undertaken between 10 and 14 days of birth)
- 6 to 8-week assessment
- 1 year review
- 2 to 2.5 years review
The overarching aim is for the service to focus on delivering the 6 high impact areas as defined by the national healthy child programme, they are:
- transition to parenthood and early weeks (for example, parenting and attachment)
- maternal mental health (pre and post-natal mental health)
- breastfeeding (initiation and duration)
- healthy weight
- managing minor illness and reducing accidents
- healthy 2-year-olds and getting ready for school (for example, physical, learning social and emotional development)
The school nursing service contributes to the model by providing a number of health reviews and screening services, including:
- school entry review
- year 6 review, hearing and vision screening
- coordination and delivery of the mandated National Childhood Measurement Programme (NCMP - weighing and measuring children at reception (4 to 5 years) and year 6 (10 to 11 years) in line with national guidance
- health promotion support to schools on smoking prevention
- delivery of a Healthy Schools Communities approach, including pupil support to schools
- enhanced drop-in clinic provision
- non-clinical provision within special schools
- support to electively home educated children and families
We understand people want and deserve the best possible public services, which protect and improve their health and wellbeing. In the NHS Act of 2006, Section 75 allows for flexibilities which can enable NHS organisations and local authorities to use partnership agreements so that they can respond effectively to improve services, either by joining up existing services or developing new, co-ordinated and co-produced services.
The Section 75 Partnership Agreement intends to improve services for users through ‘delegated functions’ (where one organisation exercises an agreed function on behalf of another). The partnership arrangement intends to offer flexibility to support better coordination and innovative approaches in services across a range of NHS and local authority functions.
We want to improve the health and wellbeing outcomes for children, young people and families who access the services and we believe that the most effective approach for delivering these outcomes is through a partnership arrangement between ourselves and DCHS. Our Cabinet approved permission to go ahead with the development of the Section 75 Partnership Agreement on 26 July 2018. View agenda item 16 for the background behind the proposed agreement.
Current provision and benefits of a partnership approach
The current 0 to 19 public health service consists of:
- health visiting (which supports children up to 5 years)
- school nursing (supporting school children between 5 and 19 years)
We currently contract DCHS to provide health visiting, school nursing and family nurse partnership services to Derbyshire residents until 30 September 2019.
The responsibility for making sure that health visiting services are in place transferred from NHS England to us in October 2015. We want to take this opportunity to transform these services into a model which is much more integrated for children and young people aged 0 to 19 years and their families.
The proposed partnership agreement between DCHS and ourselves will allow the Trust to provide the 0 to 19 service on our behalf. We believe this will enable both organisations to co-produce the best approach to improve support for children, young people and families through a more efficient service which enables the DCHS and ourselves to work more flexibly to continue to improve services.
Have your say
DCHS and ourselves are keen to hear your comments and feedback on the proposal to enter into a partnership agreement. We are keen to hear particularly from stakeholders who feel they may be affected by the partnership agreement.
Please provide feedback via the consultation questionnaire to ensure your responses are considered or request a hard copy using the contact details on this page. We will unfortunately not be able to offer an individual response to all feedback given.
Consultation responses and feedback will be collated and reviewed by DCHS and ourselves. At the end of the consultation period, both organisations will review the feedback and produce a summary report showing the themes and issues raised which will be reviewed by the Strategic Governance Group.
All consultation responses will be treated in confidence and will be kept securely for one year from the closure of the consultation, then destroyed.
A summary of the consultation responses and a summary report are attached to this page.