The Government has started 2026 with a clear statement about its plans to prioritise children’s health and child health services. The iHV welcomes these plans which provide an important opportunity to learn from the past and build a better future for our nation’s children.

In an interview on BBC Radio 4 Today Programme on New Year’s Day, Wes Streeting said he was ‘shocked’ by what he described as a lack of focus on children’s health and children’s healthcare, stating that, “One of the things we have to do as a government, as well as trying to recover the NHS generally […] so that it’s there for everyone when we need it – I think focusing on children and children’s health in particular, is really crucial”. [See Radio 4 Facebook post or listen to the full interview on BBC Sounds Radio 4 – Wes Streeting’s interview starts at 1:34:37]

Wes Streeting MP, the Secretary of State for Health and Social Care, and the Department of Health and Social Care also announced the roll out of a new £2 million pilot which will see health visitors reaching families who face barriers to vaccines – to ensure that more children are protected.

Health visiting teams will offer vaccinations to children – providing a vital safety net for families who may miss out. The new pilot targets those families who have fallen through the cracks – including those not signed up with a GP, struggling with travel costs, childcare juggling, language barriers, or other tough circumstances that stop them getting to the doctor.

Offering vaccinations during routine health visitor visits removes these obstacles and ensures that more children can access life-saving protection. The pilot scheme uses the trusted health visitor relationships and expertise that already exist to reach families who need support most. The scheme is not designed to replace GP services, and families should continue to get vaccinated at their local surgery first.

The iHV has been involved in the national project Board for the childhood vaccination pilot and fully supports this initiative to maximise the public health role of health visitors, alongside the Government’s wider plans to strengthen health visiting.

The twelve pilot schemes will roll out from mid-January across five regions of England – London, the Midlands, North East & Yorkshire, North West, and South West.

Announcing the roll out of the pilot, Health Secretary Wes Streeting said:

“Every parent deserves the chance to protect their child from preventable diseases, but some families have a lot going on and that can mean they miss out.

“Health visitors are already trusted faces in communities across the country. By allowing them to offer vaccinations, we’re using the relationships and expertise that already exist to reach families who need support most.

“Fixing the NHS means tackling health inequalities head-on. By meeting families where they are, we’re not just boosting vaccination rates – we’re building a health service that works for everyone.”

Professor Helen Bedford, Professor of Children’s Health, Population, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, and iHV Expert Adviser: Immunisations, commented:

“Despite the overall success of the UK childhood vaccination programme in protecting our children from potentially serious infections, vaccine uptake has been in decline for over a decade with poorer children less likely to be vaccinated. To address this,  the Government has announced an initiative involving health visitors who are already a trusted source of advice for families on vaccination. Building on that trust, this initiative will enable health visiting teams to administer vaccines. The vaccination offer will focus on families who have difficulties accessing services; vaccines may be offered in the home or other venues convenient for families. This initiative is being piloted and if successful may be rolled out more extensively.”

The year-long trial will be evaluated before rolling it out across the country from 2027.

Health visitors on the pilot will get extra training to tackle tricky conversations with worried parents – including those who have doubts about vaccination – and to give vaccinations safely.

From 2 January 2026, children will receive the new MMRV vaccine, protecting against measles, mumps, rubella and chickenpox in one vaccine. This replaces the current MMR vaccine and offers protection against chickenpox for the first time while making vaccination simpler for families.

Commenting on the new chickenpox vaccine, Professor Bedford said:

“Chickenpox is common and highly infectious with most children under 10 years experiencing an attack. This usually fairly mild though often very uncomfortable due to general malaise and the itchy spots. However, it can result in serious complications including pneumonia, encephalitis and even death. The introduction of a varicella (chickenpox) vaccine to protect our children is therefore an extremely welcome addition to the childhood vaccine programme. It will be offered at 12 and 18 months as a combined vaccine (MMRV). The vaccine has been used successfully for many years in other countries.”

The Government is also investing in better digital services to help families track their child’s health and vaccinations. Through the new NHS App, parents will be able to monitor their children’s health using My Children – a 21st century digital alternative to the Red Book.

9 – 15 October, Baby Loss Awareness Week #BLAW2018, sees the publication of a significant piece of national collaborative work to develop a National Bereavement Care Pathway (NBCP).

Statistics for #babyloss tell us that around 15 babies died before, during or soon after birth every day in the UK in 2015. Of those, 9 babies a day were stillborn1. Additionally, one in four women will experience a miscarriage in their lifetime and one in one hundred will endure recurrent miscarriages (more than 3 in a row)2. Many of these women and their partners will go on to have a successful pregnancy and others may already be parents. Therefore, as health visitors we will already be working alongside many families affected by baby loss, and will contribute to the delivery of quality care to support new parents through a devastating time.

iHV has been honoured to be part of the National Bereavement Care Pathway (NBCP) work for England over the past year, meeting alongside 13 or more different national charities and professional bodies (Bliss, Lullaby Trust, RCM, RCN, etc) on the project led by Marc Harder for SANDS, with the support of the Department of Health and the All Party Parliamentary Group on Baby Loss. The aim for the project is to ensure that all bereaved parents are offered equal, high quality, individualised, safe and sensitive care in any experience of pregnancy or baby loss, be that miscarriage, termination of pregnancy for fetal anomaly, stillbirth, neonatal death, or sudden unexpected death in infancy (up to 12 months).

The NBCP Core Group has overseen the development of specific pathways to support each experience of loss described above, with the Training sub-group creating a training toolkit to support dissemination. There has been a Wave 1 pilot of the pathway in 32 sites from October 2017 and a further 21 sites in Wave 2, including one area of Harrogate and District NHS Foundation Trust that employs health visitors. Valuable feedback from hundreds of professionals and parents has fed into the project and shaped this vital work to ensure that it supports the delivery of consistently confident, parent-centred, empathic and safe care when a baby dies.

Go to: www.nbcpathway.org.uk to review the Sudden and Unexpected Death in Infancy (up to 12 months) pathway. See also: National Bereavement Care Pathway – standards.

The work is now heading towards national roll out and will bring huge benefits to parents and professionals alike. Please share this work amongst your health visiting colleagues and managers to discuss how the pathway and standards might be implemented in your area. Dissemination is key – help spread the message as widely as you can with all your multi-agency colleagues (GPs, Midwives etc) and check they are aware of the emergence of the national pathway.

Of note there is also work commencing in Scotland this month to bring the NBCP project to Scotland. Please contact [email protected] if you are an HV and would be interested in contributing to the Scotland project.

  1. https://www.sands.org.uk/about-sands/media-centre/blog/2017/06/every-96-minutes-baby-dies
  2.  https://www.tommys.org/our-organisation/charity-research/pregnancy-statistics/miscarriage accessed 27.9.18

Are you part of a team that delivers different news to parents? Do you work in Kent, Surrey or Sussex?

The expression “different news” is used in this study to describe the process of imparting unexpected, bad, sad or difficult information relating to an unborn or a newborn child having a condition associated with a learning disability.

The way different news is given to parents affects how parents receive, interpret, understand and adjust to the news – it can result in parental distress, fear, grief, depression, anxiety and chronic stress. This may impact on their parenting, the development of the child, and engagement with follow-on professional services.

As part of an ongoing study funded by Health Education England, the Institute of Health Visiting is piloting some training to support how healthcare professionals deliver different news – “Improving the Delivery of Different News to Families by Healthcare Professionals”.

Monday 10 September 2018 – Canterbury

Tuesday 11 September 2018 – Crawley

Please pass this information on to any colleagues who you think would benefit from attending the training pilot. At present we are seeking participants from the following staff groups to support this phase of the study:

  • Paediatricians/Neonatologists or Specialty trainees in this field
  • Obstetricians or Obstetric Specialty Trainees
  • Midwives, particularly Screening Midwives
  • Specialist Paediatric nurses or Advanced Nurse Practitioners or Neonatal nurses
  • Sonographers

Places on these free training pilots are limited, and are subject to eligibility determined by role and region of work.

Please express interest in attending the training by registering for consideration for this programme on the links below.