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In this section we aim to provide you up to date information on working in partnership with your Local Authority commissioners.

We have produced a series of briefings to help you understand local government working and how to work closer together such as:

  • The Economics of health visiting.
  • Local authority child public health briefings.
  • The “Why a HV?” series of briefings on the 5 mandated visits can be used by Service Leads who are redesigning their service specification with their local commissioners.

Certain documents within this section are for members only. For non health visitors who work in public health related areas, they may join the iHV as Friends to access all our documents.  As a charity the iHV relies on its member income to produce such documents.

For Health Visitors/ School Nurses/ Leads


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Who is Who in Local Government



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Early Intervention



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Influencing skills for health visitors



Economics of health visiting

The Economics of health visiting 

This important document explains the economics of health visiting: a universal preventative child and family health promotion programme.

This is a member only document. Non health visitors who work in public health related areas may join the iHV as Friends to access all our documents.  As a charity the iHV relies on its member income to produce such documents.


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Health and Wellbeing Boards



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A Model of Health Visiting: 4-5-6



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Local Safeguarding Children Boards



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PHE 0-19 years pathways



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PHE Guidance: Health matters - giving every child the best start in life



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PHE: Short version Health Matters - giving every child the best start in life



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PHE: Supporting references for early years - giving every child the best start in life



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Now is the time for Principle 3 – ‘Influencing policies affecting health’



Why a HV?: 5 mandated visits

These excellent briefings series written by Dr Robert Nettleton, can be used by Service Leads who are redesigning their service specification with their local commissioners.


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Why a HV?: Antenatal Visit



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Why a HV?: New Birth Visit



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Why a HV?: 6-8 week assessment



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Why a HV?: one year review



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Why a HV?: 2.5 year assessment


For Commissioners


Economics of health visiting

This important document explains the economics of health visiting: a universal preventative child and family health promotion programme.

This is a member only document. Non health visitors who work in public health related areas may join the iHV as Friends to access all our documents.  As a charity the iHV relies on its member income to produce such documents.


LGA - Improving outcomes for children and families in the early years: a key role for health visiting services

In 2015 health visiting was brought into the local government fold for the first time since 1974.

As with so much of public health, the move into local government offers fresh opportunities. By integrating health visiting with other services, such as children’s centres, early help, safeguarding and public health teams, we can provide better support to children and their families.

These case studies demonstrate examples of innovation. But there have also been challenges. Concerns have been raised that in some areas health visitor posts are being cut as a consequence of the reductions to local government funding.

The cuts to local authority public health budgets make it more important than ever for health visitors and commissioners to work together to monitor and evaluate the impact of the service.


MECSH programme


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Statement on MECSH programme in response to EIF report - July 2016



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Local Authority Child Public Health Briefing (1): The Health Visiting contribution to Preventative Work



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Local Authority Child Public Health Briefing (2): The Health Visiting contribution to early help and prevention of child abuse and neglect



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Local Authority Child Public Health Briefing (3):The Health Visiting contribution to children's mental health



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Local Authority Child Public Health Briefing (4): The Health Visiting contribution to children's readiness for school



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Local Authority Child Public health Briefing (5): The Health Visiting contribution to family stability



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Local Authority Child Public Health Briefing (6): The Health Visiting contribution to maternal (perinatal) mental health



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Local Authority Child Public Health Briefing (7): The Health Visiting contribution to working with fathers



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Local Authority Child Public Health Briefing (8): The Health Visiting skill mix teams



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Local Authority Child Public Health Briefing (9): The role of the health visitor in reducing childhood accidents



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PHE Guidance: Health matters - giving every child the best start in life



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PHE: Short version Health Matters - giving every child the best start in life



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PHE: Supporting references for early years - giving every child the best start in life


This publication provides guidance to help local commissioners protect, promote and support breastfeeding. The document is jointly branded by Public Health England and Unicef UK

Workforce development

The Calderdale Framework (CF) provides a clear and systematic method of reviewing skill mix and roles within a service to ensure quality and safety for patients.  It is wholly transferable to any health or social care setting, and enables patient focused development of new roles and new ways of working, leading to improved efficiency in utilisation of roles.

Videos and Presentations


Health Visiting Service: Key points Local Authorities

Watch a video of Dame Sarah Cowley on the value of a Health Visiting Service: Key points Local Authorities need to know.


Overview of the 6 High Impact Areas

Watch a video of Professor Viv Bennett providing an overview of the 6 high impact areas and how health visitors can use them to explain the importance of their role to local authority commissioners.


Influencing for public health improvement


How to use the PREview Tool to influence Health Visiting Practice

This free webinar was created for health visitors to explain how the PHE PREview Tool can be used to influence their practice.


Influencing your JSNA

How health visitors can influence their JSNA

This new free webinar, created for health visitors, explains the purpose and function of a local Joint Strategic Needs Assessment (JSNA) and how it relates to the local Health and Wellbeing Board and Health and Wellbeing Strategy.

It offers suggestions as to what information health visitors can provide to inform their local JSNA.