iHV welcomes a new report published today by the First 1001 Days Movement (F10001D) which provides insight into the impacts of COVID-19 and the Spring 2020 lockdown on babies.

The report, Working for Babies: Lockdown lessons from local systems, presents hard-hitting findings about the direct and indirect harm to babies, young children and their families caused by the pandemic. These “hidden harms” were broad and significant, and experienced unevenly depending on family circumstances and background.  Historically inadequate or insecure funding, and a rising tide of need, has inhibited the ability of some services and local systems to respond to the needs of babies and their families during the pandemic. There were often ‘baby blind-spots’ where babies’ needs were overlooked in policy, planning and funding.

However, the report also provides some “good news stories” of organisations and systems which reacted and adapted positively to the pandemic. The report introduces the concept of “baby-positive” local responses and provides the beginnings of a formula for what good local systems should look like. In particular, it sets out the positive difference that was made by professionals who were connected to each other, and to their communities, and were empowered to meet families’ needs.

Most importantly, the report seeks to ensure that lessons are learned for the future of service provision for this age group. It provides further evidence of the importance of many things that the iHV campaigns for, such as clear leadership, a focus on babies’ needs, and a joined-up response.

Alison Morton, Acting Executive Director of the iHV said:

This report adds further weight to the growing body of evidence on the direct and indirect impact of the COVID-19 pandemic on families with babies and young children. The message is clear, despite the indisputable evidence that the first 1001 days are the most crucial period of human development, babies and young children have largely been forgotten in the national pandemic response. Now we know better, we must do better.

“We hope the report brings a much-needed tipping point for change. It provides a powerful impetus to the Government to focus their efforts on the things that matter most by investing in our youngest citizens, to put things right and achieve their ambition to ‘build back better’.”

Working for Babies: Lockdown lessons from local systems

The report will be officially launched today at the APPG on Conception to Age Two meeting. For those not able to secure a space on at the APPG meeting itself, F1001D will be live streaming it at 3pm this afternoon via the Parent Infant Foundation YouTube channel. It will also be available to watch back later.

Please get involved by talking about the report on your social media channels! Get involved with the conversation and the report by using the hashtags #WorkingForBabies  #BabyBlindSpots on social media.

 

 

Paediatricians, health visitors and GPs have joined forces to produce guidance for parents who are worried about their new baby.

The Royal College of Paediatrics and Child Health (RCPCH) has joined forces with the British Association of Perinatal Medicine (BAPM – part of the RCPCH), the Institute of Health Visiting (iHV), and the Royal College of General Practitioners (RCGP) to produce a ‘fridge’ poster which signposts when and where parents should seek help for babies aged three months and under.

Over the summer, paediatricians reported that a small number of children may have become seriously ill because of delays in accessing health services*.  Health professionals are concerned that such delays could happen again this winter as some paediatricians are reporting seeing far fewer children than they would have expected.

Parents may not know they are still able to have face-to-face consultations, may find it difficult to get an appointment quickly when worried, or may be concerned about COVID transmission.  Added to this, new parents in some parts of the country have not had the usual access to health visitors (many of whom were redeployed into other roles during the pandemic), and lockdowns have meant some have not been able to see their extended families, friends and other parents.

Dr Helen Mactier, President of BAPM, said:

“Being a new parent can be daunting at any time, but having a new baby during a pandemic can throw up a lot of additional challenges for many families – even more so under lockdown.

“Many parents haven’t had the usual access to routine face-to-face appointments with a healthcare professional or been able to discuss a change in their baby’s appearance or behaviour with other new parents or their own friends and family. That can be really worrying.

“We want to let parents know what should or shouldn’t be of concern with regard to their baby’s health, and to put their minds at rest that the NHS is here for them if their baby is unwell.”

Dr Cheryll Adams, Executive Director of the Institute of Health Visiting, said:

“We’re delighted to support the publication of these new information posters and will be distributing them widely to health visitors and parents.  COVID-19 has shone a light on the challenges for new parents who may not be sure whether a change of behaviour or appearance in their new baby suggests that they are unwell.  These posters make clear when they should seek help which will be very reassuring.”

Professor Martin Marshall, Chair of the Royal College of GPs, said:

“Children rarely become ill with COVID-19 but there are other conditions which can be serious if left untreated.  We want parents of young children to seek medical help when they are concerned about the health of their child – and to know that despite lockdown restrictions, general practice services are available, although they might be delivered in a different way than usual. Where necessary, face-to-face appointments will be facilitated in as safe a way as possible. This guidance will help people to decide when they should get help as well as when they don’t need to worry.”

*https://adc.bmj.com/content/early/2020/11/02/archdischild-2020-320565

   https://adc.bmj.com/content/early/2020/06/24/archdischild-2020-319848

A new e-learning programme has been launched to help healthcare professionals improve outcomes for babies, mothers and families through the delivery of safer care.

The learning modules, developed by Health Education England e-Learning for Healthcare, NHS Improvement and a range of experts, focus on four clinical areas:

  • respiratory conditions
  • hypoglycaemia
  • jaundice
  • asphyxia (perinatal hypoxia–ischaemia).

An additional module also raises awareness of the importance of keeping mother and baby together.

The programme is part of the Avoiding Term Admissions unto Neonatal units “Atain” initiative, which aims to reduce avoidable causes of harm that can lead to infants born at term (ie ≥ 37+0 weeks gestation) being admitted to a neonatal unit.