Thanks to generous funding from the Leieune Clinic for Children with Down Syndrome, the Institute of Health Visiting has updated, and made ‘open access’, its Good Practice Points (GPP) for health visitors supporting children with Down’s syndrome and their families.

People with Down’s syndrome have a genetic variation. Whilst they share some common features, it must be emphasised they are all individuals with their own abilities, needs, interests and aspirations. Down’s syndrome is not a disease and people who have Down’s syndrome are not ill.

The evidence base of what families with babies and children with Down’s syndrome value from health and related services has increased in recent years and should be acted upon in the design of services including health visiting. In November 2022, the iHV submitted evidence for the Department of Health and Social Care’s Down Syndrome Act 2022 guidance: call for evidence.

Colette Lloyd, Trustee of the Lejeune Clinic for Children with Down Syndrome, says:

“It is so important that all children, including children with Down Syndrome, are given the support they need to live happy and healthy lives from an early age. Therefore, we wanted to ensure that health visitors had access to the latest information on the additional support that children with Down Syndrome benefit from. We are delighted to partner with the Institute of Health Visiting to make these Good Practice Points available to all.”

There are two GPPs in this series:

The iHV developed these resources using co-production methods, with Down’s syndrome charities and parents with lived experience. As part of our scoping, families reported a postcode lottery of support – the quality of the service that they receive, and the skills of the staff that deliver it, really does depend on where they live. These GPPs are designed to address this gap by providing a summary of evidence-based information to support quality improvement in health visiting practice.

Like all children, children with Down’s syndrome are all different and will benefit from early intervention that is personalised to their identified needs. Personalised support should be in place as soon as the early signs are detected – for Down’s syndrome, this is likely to be at the antenatal screening when a ‘high chance’ of Down’s syndrome is detected. All parents are different and will respond to the diagnosis in an individual way. It is therefore extremely important that professionals take their lead from the parents. The Good Practice Points provide guidance in the specific areas of: growth, infant feeding, child development, managing minor illnesses, tailored support, and language/ terminology, as well as signposting to other resources for babies and young children with Down’s syndrome.

 

We are delighted to share 5 updated Parent Tips (providing advice for parents and families) and an updated Good Practice Points resource providing up-to-date evidence and references for our members.

Updated Parent Tips

(advice to share with parents and families)

 

Updated GPPs

Please note that GPPs are available to iHV members only do remember to sign in to access them:

 


Please note that GPPs are available to iHV members only.

If you’re not a member, please join us to get access to all of our resources.

The iHV is a self-funding charity – we can only be successful in our mission to strengthen health visiting practice if the health visiting profession and its supporters join us on our journey. We rely on our membership to develop new resources for our members.

So do join us now!

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Health visitors play a vital role in listening to and supporting parents or carers when they have health or developmental concerns about their children. Health visitors also play a vital role in observing and detecting the early signs of complex conditions and disabilities in infants and children.

They are well placed to observe infants who may have Spinal Muscular Atrophy Type 1 (SMA Type 1) for example, which, although is a rare condition, is incredibly important to spot early as this improves the outcomes for infants.

We are delighted to launch our new Good Practice Points (GPPs) on SMA Type 1. The aim of this GPP is to support health visitors to recognise the early and important signs and symptoms of SMA, and optimise on all their contacts with young infants and their families. Early recognition is important as it speeds up the diagnosis and treatment which can make a significant and life-changing difference to outcomes and prognosis.

There are 3 very specific symptoms to be aware of in infants and these are:

  • An infant who cannot raise their head when on their tummy
  • An infant who has floppy arms and legs
  • An infant who is not reaching for things.

Health visitors should look out for these signs when reviewing gross motor development in young babies, and refer to a GP for review and referral to a Paediatric Neurologist if an infant presents with any of these specific symptoms. There is more information on SMA Type 1 and the other types of SMA in the GPP.

We are grateful to our authors and funders for writing this GPP to equip health visitors. It originated from the awareness by Paediatric Neurologists of the vital role that health visitors have in early detection of SMA and the difference that their intervention can make to a young infant. We are currently working with our authors and will involve parents in creating a resource for parents and carers on SMA.


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 to share 5 updated Good Practice Points, providing up-to-date evidence and references for our Associate members, and an updated Parents Tip.

Updated GPPs

This GPP outlines the principles of hearing loss and key points for HVs supporting families in suspected hearing loss in their child.

 

This GPP sets out what health visitors need to know about advising parents who have a child with a confirmed hearing loss.

 

This GPP sets out what health visitors need to know on supporting sleep issues in the older child and the importance of doing a thorough assessment to support families.

 

This GPP sets out what health visitors need to know on who may be affected by oral thrush, recognising the signs and symptoms, and the treatment options to support families.

 

This GPP provides up-to date-evidence and references on the signs and symptoms and treatment options for reflux.

 

Updated: Parent Tips – How to help if your Baby has Reflux

These updated Parent Tips provide tips and advice for parents on reflux.


Please note that GPPs are available to iHV members only.

If you’re not a member, please join us to get access to all of our resources.

The iHV is a self-funding charity – we can only be successful in our mission to strengthen health visiting practice if the health visiting profession and its supporters join us on our journey. We rely on our membership to develop new resources for our members.

So do join us now!

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Working in a pandemic has brought many challenges to both families and the health visiting service – but, unsurprisingly, the health visiting service in many areas has risen to these challenges with great professionalism, developing many innovations and workarounds to ensure that children and families receive the support that they need.

But you can’t pour from an empty cup and it is still important for health visitors to have time to reflect and learn during this pandemic which may continue for many weeks. To help you, we are pleased to publish today a bundle of five fabulous Good Practice Points, as well as hold our first virtual online iHV Member Event tomorrow (Thursday) on “COVID-19 in children and managing minor childhood illnesses”.

As a Centre of Excellence, the Institute supports the development of universally high quality health visiting practice so that health visitors can effectively respond to the health needs of all children, families and communities, enabling them to achieve their optimum level of health, thereby reducing health inequalities. To achieve our aim, we are constantly working to improve and develop benefits for our health visitor Associate and Student members, and our Friend members who work closely with health visiting  services.

We know through feedback from our membership surveys that our Good Practice Points (GPPs) are the resources most valued by our members. We try to write Good Practice Points that are relevant to health visitors and where there might be gaps currently.  We write GPPs with the help of authors that are experts and informative, give the evidence base and enable health visitors to be better equipped in their clinical practice.

Good Practice Points (GPPs) are available for members of the iHV; and Parent Tips (PTs) are available to parents who access our website or via health visitors sharing them – we work with parents to develop our Parent Tips.

New resources

Today, we are pleased to publish a selection of new GPPs to support our members in practice. These are:

Any new GPP/PT Topics or would you like to be involved?

We would really love to hear from you if you have any specific topics that you think would benefit from having  a GPP and/ or PT created, or if you would like to write a GPP or PT, or if you would like to be involved in our peer review process.  Peer reviewers look at all GPPs and PTs during our production process and we feed their comments back to the author.

Please contact [email protected]  if you would like to find out more about getting involved or with your thoughts and ideas of new GPPs and PTs.


Please note that GPPs are available to iHV members only.

If you’re not a member, please join us to get access to all of our resources.

The iHV is a self-funding charity – we can only be successful in our mission to strengthen health visiting practice if the health visiting profession and its supporters join us on our journey. We rely on our membership to develop new resources for our members.

So do join us now!

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As part of  World Immunization Week 2020, our resources on childhood immunisations have been updated with the latest information and advice during the current COVID-19 pandemic – two Parent Tips and one Good Practice Points for Health Visitors.

The two updated Parent Tips:

  • one providing some basic information on the childhood immunisation programme, explaining how vaccines work, how they are regulated and why it is important to ensure your baby receives all the recommended immunisations
  • the second,  provides answers to “Frequently Asked Questions” and has been written by leading national experts. It covers getting your baby immunised and what to expect, including information on things such as soothing your baby
    during and after vaccinations, and what to do if they are poorly on the day of their appointment.

Just to reassure you that despite the current COVID-19 pandemic, it is still recommended that your child receives their vaccines as this protects them against other serious diseases that can still cause them harm.

These updated Parent Tips, together with those published last week and yesterday, can be found in our **Parenting Through Coronavirus (COVID-19)** webpage

 

The Good Practice Points for Health Visitors:

The immunisation programme is a key component of the Healthy Child Programme. It is important for health visitors to be aware of current research and practice to promote immunisation uptake and know where to go for information.  Uptake of childhood vaccines in the UK is is generally high, although uptake of the MMR is a concern and the UK lost its ‘measles-free’ status last year. There are also concerns about the impact of the COVID-19 lockdown on immunisation uptake.


COVID-19 webpages
  • For Health Visitors– This updated GPP is available in our GPP resource section of our website and can also be found on our COVID-19 (coronavirus) guidance for health visitors webpage – https://iHV.org.uk/COVID-19
  • For parents and families– These updated Parent Tips are available in the Families Parent Tips section of our website as well as our Parenting through Coronavirus (COVID-19) webpage – https://iHV.org.uk/ParentingCOVID19

We have waivered our usual restrictions on resources for members and the COVID-19 sections of our website are “free access” to all to support the national response to this pandemic.

 

 

 

The iHV is delighted to share two new Good Practice Points providing up-to-date evidence and references for our members.

Many thanks to our expert parent panel who have offered their advice to health visitors working with families with children with Down’s syndrome in these GPPs.

These two new Good Practice Points were developed in partnership with parents with children with Down’s syndrome who are “experts by experience”: Colette Lloyd, Angie Emrys-Jones and Pippa Cusack; and health visiting advisor Karen Afford. Infant feeding advice was provided by Sarah Edwards from the Breastfeeding Network.


Please note that these GPPs are available to iHV members only.

If you’re not a member, please join us to get access to all of our resources.

The iHV is a self-funding charity – we can only be successful in our mission to strengthen health visiting practice if the health visiting profession and its supporters join us on our journey. We rely on our membership to develop new resources for our members.

So do join us now!

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We are delighted to share updated Good Practice Points and Parent Tips, published in support of our updated Healthy Weight, Healthy Nutrition training programme.

Updated Parent Tips

(advice to share with parents and families)

Updated GPPs

Please note that GPPs are available to iHV members only. Electronic versions of these updated Good Practice Points (providing up-to-date evidence and references for our members) are available to our members on the links below – do remember to sign in to access them:

 


Please note that GPPs are available to iHV members only.

If you’re not a member, please join us to get access to all of our resources.

The iHV is a self-funding charity – we can only be successful in our mission to strengthen health visiting practice if the health visiting profession and its supporters join us on our journey. We rely on our membership to develop new resources for our members.

So do join us now!

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iHV is delighted to share updated Good Practice Points (providing up-to-date evidence and references for our members) in support of our multi-agency Perinatal and Infant Mental Health Conference taking place tomorrow, Tuesday 10 September in London.

Perinatal and Infant Mental Health: Relationships Matter! Conference is being held in collaboration with the Maternal Mental Health Alliance. If you were not able to get a ticket before they sold out, please do follow the day’s conference proceedings on the hashtag #iHVPIMH19 on Twitter!

Printed copied of these updated Good Practice Points (GPPs) will be available to conference delegate members tomorrow – so do pop along to our Training & Resources stand to pick up your copy.

Electronic versions of these updated documents are available to our members on the links below – do remember to sign in to access them:


Please note that GPPs are available to iHV members only.

If you’re not a member, please join us to get access to all of our resources.

The iHV is a self-funding charity – we can only be successful in our mission to strengthen health visiting practice if the health visiting profession and its supporters join us on our journey. We rely on our membership to develop new resources for our members.

So do join us now!

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During Infant Mental Health Awareness Week, iHV is delighted to share new Good Practice Points providing up-to-date evidence and references for our members:

NEW: GPP – Working with birth trauma

The iHV partnered with Dr Kirstie McKenzie-McHarg (Consultant Clinical Psychologist, South Warwickshire NHS Foundation Trust), Dr Camilla Rosan (Head of Early Years, Anna Freud National Centre for Children and Families) and Professor Susan Ayers (Professor of Maternal and Child Health, School of Sciences, City University of London) to produce this new GGP.

The majority of women in the UK have birth experiences which are not traumatic, but for those that do a percentage may go on to develop post-traumatic stress disorder (PTSD). Birth trauma and PTSD can leave parents distressed and struggling with their mental health, their relationship with each other and their relationship with their infant.

It is vital that health visitors and others working with families in the perinatal period understand the potential impact of birth trauma, how to recognise it and what to do.


Please note that GPPs are available to iHV members only.

If you’re not a member, please join us to get access to all of our resources.

The iHV is a self-funding charity – we can only be successful in our mission to strengthen health visiting practice if the health visiting profession and its supporters join us on our journey. We rely on our membership to develop new resources for our members.

So do join us now!

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