We are delighted to share a case study written by Helen, who is a health visitor working in the East of England. Helen’s case study demonstrates the breadth of the health visiting role and through using her specialist public health nursing skills, was able to identify several problems which were impacting on the whole family’s health and wellbeing.

What started out to be a mother’s request for sleep support for her 10-week-old baby was actually a cry for help as the mother was suffering with perinatal illness, alongside having relationship difficulties with her partner. Helen built a trusting relationship with both parents and identified what the problems were, to ensure the whole family were supported.

Many positive outcomes were achieved for the family:

  • There was an improvement in perinatal mental health symptoms
  • The parents’ relationship improved
  • The infant and parent relationship strengthened
  • The mother ceased seeking additional support from her GP and private consultants

Helen received the following feedback from the mother:

I just wanted to say a big thank you for your support for the past year. It feels like a huge milestone reaching 12 months. I really appreciate your steady and non-judgemental support, and we wouldn’t have made it here without you. Thank you.’

Helen was able to #TurnOffTheTaps and reduce the burden on the NHS


Calling all health visitors:

We invite you to find your inner warrior and share your stories on social media. How have you made a difference to babies, children and families? Support the #TurnOffTheTaps campaign and raise the profile of health visiting so every baby can get the best start in life. Together we are stronger. #InvestInHealthVisiting

We are delighted that the recently published case studies of innovative work of HVs who have transformed their services to ensure that families are supported have been recognised by The Academy of Fabulous NHS Stuff.

 

Fab NHS Stuff has published our “Making History: health visiting during COVID-19” case studies document as well as several of the individual case studies within it.

This iHV document is a window into the working lives of health visitors and families navigating the ups and downs of the COVID-19 pandemic and spotlights the vital “safety net” that health visitors have provided for babies and young children during the current pandemic.

 


See links below to the Fab NHS Stuff website:

 

This week is World Breastfeeding Week 2020, running from 1-7 August. The week aims to raise awareness of the links between good nutrition, food security, poverty reduction and breastfeeding, and galvanise action to increase breastfeeding rates.

2020 has brought new challenges as infant feeding support services have needed to quickly adapt to the restrictions of COVID-19 lockdown and physical distancing. However,  these conditions have also provided the opportunity for services to innovate and work together to ensure that women and babies receive the support that they need to successfully breastfeed.

We are delighted to be able to showcase the innovative work of the health visiting infant feeding service in Devon led by Gail Barker, Infant Feeding Coordinator Devon Public Health Nursing. This peer-reviewed case study has been selected for inclusion as part of our “Making History: Health Visiting during COVID-19” collection of case studies due to be published later this month.

 

Gail’s case study presents 12 learning points that contain a wealth of transferable tips gathered by the health visiting service in Devon during the first 12 weeks of the implementation of their adapted support service. Their experiences will resonate with others facing similar challenges which Gail outlines, “Staff were scared, families vulnerable. We needed to continue to keep everyone, families and staff alike safe, informed and supported with infant feeding challenges. We needed to be able to assess latch, build peer relationships, support growth and development, promote, protect and support breastfeeding, all whilst working in an integrated manner with our partners and parents”.

Commenting on the importance of supporting breastfeeding during these challenging times, Gail Barker said:

“Improving the UK’s breastfeeding rates is acknowledged as a key factor in improving the health of a population. Through being able to continue to support infant feeding via video teleconferencing at such a challenging time, we were able to support and promote the health of each baby and mother supported by our service. We know that infant feeding supports not only the building of close and loving relationships, which in turn promotes mental health of both mother and baby (Unicef, 2019), but it also has significant health impacts and reduces health inequalities (Victora et al 2016). At this time of COVID-19, it has never been more important to focus on children in view of these considerations for now and for the future, not just in the UK, but globally”.

Please see further resources and blogs to support breastfeeding during COVID-19:

Download iHV Parent Tips: Supporting breastfeeding during COVID-19

Read Dr Alison Spiro’s Voices blog published during England’s breastfeeding awareness week in June 2020 – Breastfeeding during the COVID-19 crisis

iHV is working collaboratively with Public Health England to capture the stories, workarounds, innovation and rapid learning that has taken place in the health visiting service since the country went into lockdown in March.

We plan to publish these in a special edition of our case study series as a record of this time when history is being made. Capturing your experiences in this way will help us celebrate your successes, learn from each other and provide a legacy for future generations to reflect on.

We invite you to be part of this by submitting your experiences in a variety of ways listed below. 

Tell us what it has been like for you

Demonstrate why health visiting matters

Whilst working in a pandemic has presented numerous challenges for the health visiting profession and the families that we work with, it has also provided a unique opportunity for the profession to demonstrate its crucial role, supporting children and families across the breadth of clinical, social and statutory need.

The pace and scale of change has been second to none and health visitors have risen to this challenge with professionalism and autonomy, flexing and developing innovative service “workarounds” to ensure that families receive the best possible support. Different areas have responded in different ways. No doubt some innovations have worked better than others – it is only by testing and refining that we can really learn and drive quality improvement.

It is imperative that we capture this learning to ensure that we are better prepared for any future pandemics.

What do we need to celebrate? and what have we collectively learned to strengthen future planning?

To avoid reinventing the wheel, or investing time in ideas that have been proven not to work elsewhere, it is important that we all learn from our collective successes as well as our failures.

Help us to capture this by submitting:

  • Service level case studies that describe your journey and the ways you adapted your service. We are particularly interested to include case studies which detail the ways you managed social distancing, including use of PPE and technology. 

What issues did you face locally? What were the most pressing needs of the families in your area? How did you address these? What did you learn along the way (what worked – what didn’t/ benefits and limitation)? What was the impact/ outcomes (include any data/ direct service user feedback and quotes). 
(Your case study should be written following the PHE case study guidelines for standard format, and the additional information listed in the iHV case study template – 1800 words maximum)

  • Family stories – families have faced considerable challenges – tell their story. What challenges did they face, why did this matter? what did you do? and how did your intervention make a difference? – what would the outcomes have looked like without health visiting input? We are interested to receive submissions from the breadth of the health visiting role outlined in the 15 High Impact Areas in the iHV Vision (800 words maximum)
  • Creative submission – for those of you with a creative flair – have you captured your experiences of working in a pandemic in an artistic way? A poem, a piece of art? We would love to share your stories of working during a pandemic through a variety of mediums.

How to submit

If you would like the work that you are doing to be considered for this publication, please complete your application following the guidelines (please use the iHV case study template).

We welcome the inclusion of photographs which capture your experiences and the ways that your service has adapted during the pandemic. Please ensure that you have gained consent from all subjects in the photographs (service users and staff) for their use within the iHV case study publication.

Please send your completed application to [email protected] by midnight on Monday 29 June.

All submissions will be peer reviewed and applicants will be notified of the outcome within 3 weeks of the closing date.

If you would like to talk through your ideas – please contact Alison Morton [email protected]

 

Call for Case Studies

iHV is working collaboratively with Public Health England to capture the stories, workarounds, innovation and rapid learning that has taken place in the health visiting service since the country went into lockdown in March.

We plan to publish these in a special edition of our case study series as a record of this time when history is being made. Capturing your experiences in this way will help us celebrate your successes, learn from each other and provide a legacy for future generations to reflect on.

We invite you to be part of this by submitting your experiences in a variety of ways listed below. 

Tell us what it has been like for you? Demonstrate why health visiting matters?

Whilst working in a pandemic has presented numerous challenges for the health visiting profession and the families that we work with, it has also provided a unique opportunity for the profession to demonstrate its crucial role, supporting children and families across the breadth of clinical, social and statutory need.

The pace and scale of change has been second to none and health visitors have risen to this challenge with professionalism and autonomy, flexing and developing innovative service “workarounds” to ensure that families receive the best possible support. Different areas have responded in different ways. No doubt some innovations have worked better than others – it is only by testing and refining that we can really learn and drive quality improvement. It is imperative that we capture this learning to ensure that we are better prepared for any future pandemics.

What do we need to celebrate? and what have we collectively learned to strengthen future planning?

To avoid reinventing the wheel, or investing time in ideas that have been proven not to work elsewhere, it is important that we all learn from our collective successes as well as our failures.

We are looking for:

  • Service level case studies that describe your journey and the ways you adapted your service. We are particularly interested to include case studies which detail the ways you managed social distancing, including use of PPE and technology.

What issues did you face locally? What were the most pressing needs of the families in your area? How did you address these? What did you learn along the way (what worked – what didn’t/ benefits and limitation)? What was the impact/ outcomes (include any data/ direct service user feedback and quotes). 
(Your case study should be written following the PHE case study guidelines for standard format, and the additional information listed in the iHV case study template – 1800 words maximum)

  • Family stories – families have faced considerable challenges – tell their story. What challenges did they face, why did this matter? what did you do? and how did your intervention make a difference? – what would the outcomes have looked like without health visiting input? We are interested to receive submissions from the breadth of the health visiting role outlined in the 15 High Impact Areas in the iHV Vision  (800 words maximum)
  • Creative submission – for those of you with a creative flair – have you captured your experiences of working in a pandemic in an artistic way? A poem, a piece of art? We would love to share your stories of working during a pandemic through a variety of mediums.

How to submit your case study:

If you would like the work that you are doing to be considered for this publication, please complete your application following the guidelines (see iHV case study template).

We welcome the inclusion of photographs which capture your experiences and the ways that your service has adapted during the pandemic. Please ensure that you have gained consent from all subjects in the photographs (service users and staff) for their use within the iHV case study publication.

Please send your completed application to [email protected] by midnight on Monday 29 June.

All submissions will be peer reviewed and applicants will be notified of the outcome within 3 weeks of the closing date.

If you would like to talk through your ideas – please contact Alison Morton [email protected]

 

The Local Government Association (LGA) has produced a booklet, with some great case studies, to help local authorities to understand the role of health visitors in improving the outcomes for children and families in the early years.

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

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

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.