iHV welcomes Babies in Lockdown report

Charity collective, Best Beginnings, Home-Start UK and the Parent-Infant Foundation, publish a new report sharing families’ experiences of lockdown during pregnancy or with a baby.

Babies in Lockdown: listening to parents to build back better (2020), based on a survey of over 5000 families, highlights the chronic under resourcing of services for families, the inequalities in babies’ early experiences and its worsening forecast due to the COVID-19 pandemic. The report warns that many families with lower incomes, young parents and those from Black, Asian and minority ethnic communities, will have been hit hardest by the pandemic. The Babies in Lockdown Report shines a light on UK baby inequalities as charities call on Government to act now to avoid a “Post-COVID19 lottery”.

Dr Cheryll Adams CBE, Executive Director iHV, commented:

“The iHV welcomes this excellent report which lays bare just how challenging it has been for many parents during lockdown. It was distressing to read their stories and, in particular, how the most disadvantaged have felt the hardest impact of lockdown and lack of support. It is important that we listen to the voice of these parents and ensure that we are better prepared to meet the needs of young children and their families as the pandemic continues. We support the report title, we now need to build back better for infants and their families and this will include ensuring that all families receive support from the health visiting service during this crucial stage of their parenting journey”.

The report tells us that:

COVID-19 has affected parents, babies and the services that support them in diverse ways.
Families already at risk of poor outcomes have suffered the most.
Without action, the pandemic could cast a long shadow on the lives of some babies.

The Babies in Lockdown: listening to parents to build back better (2020) report makes three policy calls for the UK Government:

A one-off Baby Boost to enable local services to support families who have had a baby during or close to lockdown.
A new Parent-Infant Premium providing new funding for local commissioners, targeted at improving outcomes for the most vulnerable children.
Significant and sustained investment in core funding to support families from conception to age two and beyond, including in statutory services, charities and community groups.

Read Babies in Lockdown: listening to parents to build back better (2020) full report

Read Babies in Lockdown Executive Summary

Go to Babies in Lockdown website for more info

Institute of Health Visiting welcomes new NHS Long Term Plan

The Institute of Health Visiting very much welcomes the new NHS Long Term plan, in particular the new focus on investment into community and preventative services, and the commitment ‘….to consider whether there is a stronger role for the NHS in commissioning sexual health services, health visitors, and school nurses, and what best future commissioning arrangements might therefore be.’ (see NHS Long Term Plan page 33, 2.4).

Dr Cheryll Adams CBE, Executive Director iHV, said:

“This can’t happen soon enough as we continue to see fragmentation of health visiting services and a loss of very experienced health visitors across the country. This has been accompanied by an inevitable impact on the quality of services that the profession can now provide for babies and their families, our most vulnerable members of society. We know that this is leading to increased use of GP and A&E services, an increase in the number of children needing safeguarding protection, and that far too many children are starting school without adequate communication as well as other delays in their development. All these cause much greater expenditure for the state than the cost of providing a robust health visiting service and it is very encouraging to see prevention recognised in the ‘Plan’.

“We hope that this statement is the first step towards providing proper protection for primary preventative services, such as health visiting and school nursing, into the future and beyond. A cycle of investment and disinvestment, as has happened over at least the last 25 years, must now become a thing of the past so that England can be proud of the support it offers young families. Furthermore, society will feel the benefit of this with babies suffering less mental illness, less heart disease and less cancer in their later lives. These are all things that are impacted by what can happen to babies during pregnancy and the first months of life such as poor nutrition and being exposed to a poor emotional environment.

“We also hope that pledges for maternity services, such as continuity of care, will also be invested in for those receiving health visiting services. No one wants to discuss their problems with a stranger – trusted professionals in the community, such as health visitors, can literally change lives when their help is sought.

“In addition, we are delighted by the significant attention which the plan gives to addressing health inequalities. This is something which health visitors and the Institute see as key to creating healthy communities, so it’s very encouraging to see it so well articulated in the ‘Plan’.

“Whilst the commissioning of health visiting services is being re-examined as recommended by the Institute in its 10 year plan (September 2018), we call for the strengthening of training commissions in 2019 as a visual demonstration of the commitment to the professional contribution of health visitors as laid out in the ‘Plan’. This would start to rebuild the profession to a place where its impact can be felt once again.”

Go to NHS Long Term Plan

iHV welcomes findings of RCPCH State of Child Health report

The Institute of Health Visiting (iHV) welcomes the findings of the Royal College of Paediatrics and Child Health (RCPCH) landmark report into the State of Child Health which calls for Government to introduce a comprehensive, national, child health and wellbeing strategy, reverse cuts to public health, and tighten controls over smoking, the sale of alcohol and advertising of foods high in fat, salt and sugar.

According to the report, a lack of strategic national focus and persistence of a wide gap between rich and poor in the UK is damaging the health of the nation’s infants, children and young people. Compiled by child health experts, with input from children and young people themselves, the report provides clear recommendations to improve child health.

Dr Cheryll Adams CBE, executive director of the iHV, said:

“The Institute of Health Visiting welcomes the findings of the report and fully supports all its recommendations. The snapshot of children’s health in the UK captured in this State of Child Health report is very worrying and upsetting. As a nation, we can’t afford to not invest in our children as they are our future, yet recently their needs seem to have become invisible against the many competing demands being made on government and the NHS. We know so much today with respect to what can influence children’s outcomes across their life course, and in turn benefit the whole country. It’s time to act, to help ensure the best health outcomes for all UK children today, and in the future, by giving them the best start in life. As an absolute priority and first step, the cuts to public health budgets must be stopped.”

The State of Child Health report brings together data for the first time on a comprehensive list of 25 measures of the health of UK children, ranging from specific conditions such as asthma, diabetes and epilepsy, risk factors for poor health such as obesity and a low rate of breastfeeding, to child deaths. The data provide an “across the board” snapshot of child health and wellbeing in the UK.

Nearly one in five children in the UK is living in poverty and inequality is blighting their lives, with those from the most deprived backgrounds experiencing much worse health compared with the most affluent. Despite some improvements in the health of UK children over the last decades, there is clear disparity with Europe and other developed countries, and major cause for concern.

Dr Adams added:

“We at the iHV will be working with the RCPCH to support their campaign to ensure child health becomes a key political priority, as only then will the prime minister’s aspirations for reducing inequalities become a reality.”

State of Child Health report:

Available on Thursday 26 January – www.rcpch.ac.uk/state-of-child-health

Read RCPCH press release