1). Introduction
2). Reflection and Emotional Resilience
3). 6C's, compassion and communication in practice
4). Safeguarding
5). Leadership
6). Perinatal and Infant Mental Health
7A). Child Development Day 1
7B). Speech language and communication needs
8A). Child Development Day 2
8B). Brain Development
9). Child Development Day 3
10). Additional Needs Day 1
11). Additional Needs Day 2
12). Referral Pathways - Scenario work
13). Holistic Assessment
14). Infant Feeding
15). Medicine Management
16). School Nursing pathway
17). Health Visiting Pathway
18). Screening and Immunisations
19) Health promotion
20) Additional Optional e-learning modules
Evaluation Form
1). Introduction
You will be asked to attend a placement induction presentation via Teams at the start of your placement. Please see your planner for dates
- Introduction to HCP presentation (1 hour) via Teams
- Website link for Cambridgeshire Community services and Cambridgeshire and Peterborough 0-19 Healthy Child Programme: https://www.cambscommunityservices.nhs.uk/what-we-do/children-young-people-health-services-cambridgeshire
- HEE Healthy Child Programme, HCP 01-Healthy Child Programme Basics (1.5 hours)
- HEE Healthy School Child Programme, HSC 01 - Introduction to 21st Century School Health (2 hours)
2). Reflection and Emotional Resilience
You will be asked to attend presentation about reflection and emotional resilience during your placement- see your planner for dates.
- Reflection Power point delivered by Lois Fisher
Example Reflective cycles:
Gibbs model of reflection (1988)
Driscoll's model of reflection (2000)
Kolb's model of reflection (1984)
Reflection in practice:
Please watch:
How staff reflect in clinical practice:
A nurse reflecting on an incident in clinical practice:
How to use Gibbs model of reflection by Jennifer Jackson:
Resilience in Nursing practice:
Please watch the brain video and visit the following link:
Please visit the following website for further resources relating to resilience:
3). 6C's, compassion and communication in practice
6 C’s
Please visit the following link for more information on the 6 Cs:
https://www.england.nhs.uk/6cs/wp-content/uploads/sites/25/2015/03/introducing-the-6cs.pdf
- HEE Communicating with Empathy
- HEE Compassion in Practice
- HEE Healthy School Child programme, HSC 01 – Introduction to 21st Century School Health (1 hour)Research and decide Pledge for the placement
- 01_03 Communicating With Families
- 01_04 Listening Skills
- Link to NHS constitution
4). Safeguarding
- HEE Safeguarding Children and Young People (SGC)HEE Healthy Child Programme HCP 04 - Safeguarding
- Safeguarding children – Level 2
- Safeguarding scenario and write a referral to Children’s Social Care
Local Safeguarding Children’s Board website
A Safeguarding Children’s Board is a statutory system for supporting and monitoring how local organisations work in partnership to safeguard, protect, and promote the wellbeing of children and young people. The LSCB hold the organisations to account to ensure that the subject of safeguarding is always high on the agenda.
Please complete the safeguarding e-learning:
This policy is currently in use in the 0-19 HCP across Cambridgeshire and Peterborough. Health Visitors use this policy when they observe a mark on infants and children who are pre-mobile. This could be any type of mark that is not previously documented by a GP or at birth. This policy guides staff whether there are safeguarding concerns in relation to the child or family.
- Safeguarding scenario
- Blank safeguarding referral form
- Completed mock safeguarding referral form
5). Leadership
You will be asked to attend a presentation with Heather Bainton [Deputy Clinical Lead for the 0-19 Healthy Child Programme across Cambridgeshire and Peterborough. Please see your planner for dates.
- HEE Embedding Public Health Into Clinical Services
- HEE Everyday Innovation Thinking Differently
- HEE Leading Change Adding Value (eLfH)
- Additional Leadership Resources:
- Write a reflection on how you are a leader in Nursing already and how you plan to lead in the future.
- HEE Embedding Public Health Into Clinical Services
6). Perinatal and Infant Mental Health
-
ELFH Perinatal mental health training course and link: https://learning.cpft.nhs.uk/mod/scorm/player.php?a=839¤torg&scoid=1545
Please watch the following videos for examples of women who have experienced poor mental health following birth:
- Leanne’s story:
- Abby’s story:
- Katy’s story:
-
7A). Child Development Day 1
You will be asked to attend a presentation with a member of the 0-19 HCP team- please see your planner for dates.
- Child Development presentation
- HEE Healthy Child Programme, HCP 06 – Development and behaviour
7B). Speech language and communication needs
- Child Developement Presentation
- HEE Healthy Child Programme, HCP 06 – Development and behaviour
Please watch the following videos and note the positive strategies used to promote development. Note the difference in adult and child perspectives.
Complete the following e-learning modules:
8A). Child Development Day 2
Please complete the following module: Child development school aged children aged 5-12 years: https://www.minded.org.uk/Component/Details/445268
Please complete the following Ages and Stages questionnaire e-learning modules:
8B). Brain Development
Effect of parenting on emotional regulation
Please Read:
Please Complete:
9). Child Development Day 3
Growth and Developement
Research the following stages of development. Think about what you would expect to see [physically and emotionally] at each age and stage:
Around 28 weeks gestation (Antenally)
2 weeks of age
6-8 weeks old
1 year old
2 years old
4-5 year olds
Teenage years
Parenting
Complete the following parenting modules:
10). Additional Needs Day 1
You will be asked to attend a presentation by Debbie Marshall [Specialist Health Visitor for Special Education Needs] on Special Educational Needs- please see your planner for dates
Introduction to Autistic Spectrum Disorder [ASD]
11). Additional Needs Day 2
Complete the following e-learning:
Long standing illness or disability:
12). Referral Pathways - Scenario work
This section is about referral pathways-
In the 0-19 Healthy Child Programme we often signpost out to specialist services or create links to community services and the voluntary sector. Below you will see a variety of scenarios.
Consider the scenarios in relation to:
1.) The condition or problem being presented or diagnosed.
2.)The process and referral pathway recommended by 0-19 HCP service, in keeping with the topic specific Clinical Guidance
3.)What your assessment would include during the contact and any advice you may give alongside referral.
1.) Maternal mental health
You are out on a visit with your Practice Supervisor who is completing an Antenatal contact. During the contact the mother to be [Charlotte] shares that she is feeling very low in mood and does not want her baby. The Health Visitor completes PHQ9 and GAD7 assessments, a tool used to monitor emotional wellbeing, for signs and symptoms of depression and anxiety. Charlotte scores very high on these assessments. The Health Visitor also discusses the importance of bonding and attachment between a mum and baby with Charlotte to promote fetal brain development and reciprocal relationships. Charlotte discloses that she does not like the baby, and she finds it irritating when she feels the baby move inside her.
What does the 0-19 HCP service Clinical Guidance say?
- Assess maternal mental health using clinical skills and sensitive questioning. If transient psychological symptoms (baby blues) are unresolved the Health Visitor should consider further assessment or referral to GP.
- If antenatal contact has not been completed a full maternal mental health assessment should be undertaken to identify past or present severe mental illness, past or present treatment by specialist mental health service and any severe perinatal mental illness in first degree relative. Use depression identification questionnaires and GAD-2 with further consideration of tools such as PHQ-9 and GAD –7. For referral see Universal plus tab.
- Signpost to www.keep-your-head.com website for information and resources
- Does the mother need listening contacts or is it appropriate to ‘watch and wait’?
- Self-referral to CPFT Psychological Wellbeing Service (IAPT) at www.cpft.nhs.uk or calling 0300 300 0055 for low level emotional wellbeing needs
- Referral to Specialist Perinatal Mental Health service (Perinatalreferrals@cpft.nhs.uk) for assessment and treatment all women who have or are suspected to have severe mental illness or any history of severe mental illness. Inform GP and midwife of referral
- Crisis Referrals: to access First Response Service advise calling 111 and choosing Option 2
PIMH and GAD 7/ PHQ-9- [Please see end of section]
PIMH referral form [Please see end of section]
2.) Infant Jaundice
During a New Birth visit with a Health Visitor who is your Practice Supervisor today you encounter a baby with Jaundice.
What is jaundice: https://www.nhs.uk/conditions/jaundice-newborn/
What does the 0-19 HCP service Clinical Guidance say:
Jaundice policy [Please see end of section]
Jaundice referral process for different hospitals across Cambridgeshire and Peterborough:
Jaundice referral process to Addenbrooke’s Hospital
- Term babies who appear jaundice at the initial contact (usually 10-14 days) will need to be reviewed between 14-16 days and referred to clinic 6 if jaundice remains
- Clinic 6 will accept referrals up to 28 days of age
- Email Peter Heinz, Paediatric Consultant- Clinic 6 Referrals
- Pre-term babies to be referred from 21 days if jaundice remains
- For babies under 28 days email direct to natalie.micallef@nhs.net
Natalie (Baby review clinic co-ordinator) will respond within 24 hours. If referrer has not received a response within 24 hours confirming that an appointment will be sent, please ring Clinic 6 on 01223 586632 to confirm receipt of referral
- If baby is unwell and you need to speak to the paediatrician then please call Addenbrooke’s switchboard on 01223 245151 and ask to be put through to Paediatric on call registrar
- Babies who present with jaundice less than 24 hours of age should be seen in the Emergency Department as an emergency
Referral details for babies within Huntingdon locality with jaundice
If jaundice is still visible at 14-16 days of age the Health Visitor will contact the on call Paediatric Registrar via Hinchingbrooke Hospital switchboard on 01480 416416.
They would ask for the on call Paediatric Registrar to be bleeped and wait on the telephone to be connected.
The Paediatric registrar may require the following information:
Name of baby
Date of birth
Gestation at birth
Method of feeding
Description of stools/urine
History of jaundice and any significant factors
Contact number for parents if appointment not booked at the time of referral
Details of referrer
The registrar will advise on the plan and will either offer appointment details for the prolonged jaundice clinic held at Hinchingbrooke for you to relay to parents or take all details and contact the parents to advice of the plan.
Referral to Peterborough Hospital
For Peterborough Hospital call 07593 519457. They will give you an appointment for you to relay to the family. Please ensure you advise the family to attend the children's outpatients unit Rainforest ward. They will see the baby before they turn 3 weeks old.
Referral details to Queen Elizabeth Hospital, Kings Lynn
HV to call the 'early access clinic' on (01553) 214805
3.) Breastfeeding
One week after you visited to complete the new birth visit, you visit Sarah and Freddie again at home to review Freddie’s weight, because you were concerned about the baby’s weight at the first visit. Freddie is now 3 weeks old. He has been breastfed since birth, but still hasn’t regained birth weight.
What does the 0-19 HCP service Clinical Guidance say?
Practitioner will observe a feed from start to finish and use a breastfeeding assessment tool to help identify the problem. If the problem cannot be resolved, consider referral to Infant Feeding Team or appropriate clinic.
- Advice can be found at Baby Friendly UK or Joint Venture Website
- Ensure information on vitamins and ‘Healthy Start’ has been received
- Provide information regarding 1:1 support, local feeding support groups, online resources, and helplines
- If assessment indicates, give appropriate advice for conditions such as mastitis and candida albicans (Thrush) and prescribe appropriately or refer on to GP
- If assessment indicates a restricted lingual frenulum the Practitioner will discuss with the mother the treatment options, put a feeding plan in place and refer on as appropriate
- If assessment indicates that lactose intolerance is suspected, discuss with the mother the referral pathways and treatment options
- If there are concerns with growth then it is the identifying practitioner’s responsibility to put a feeding plan in place, onward referrals as appropriate and follow up as required- please refer to Growth Policy
Infant feeding team referral pathway: Referral pathway Infant feeding team pdf.pdf
Unicef Health Visiting breastfeeding assessment tool:
Unicef parents breastfeeding assessment tool:
Infant feeding policy [link]
Growth monitoring policy [link]
Unicef breastfeeding video- effective positioning and attachment video link:
Unicef breastfeeding video- ineffective positioning and attachment video link:
4.) Cow’s milk protein allergy
You attend a 6-week development review with your Practice Supervisor, who is undertaking the feeding assessment and a weight review. On examination, the baby Daisy is not gaining much weight and has dry skin.
During the feeding assessment your supervisor enquires about feeding and asks whether there is a history of allergies in the family. Mum [Claire] reports that Daisy is frequently sick and unsettled after feeds. There is a significant history of allergies in the family and older sibling had a problem with dairy when he was a baby. Your supervisor makes the clinical decision that this may be a cow milk protein allergy.
What does the Clinical Guidance Say?:
getresource.axd (cambridgeshireandpeterboroughccg.nhs.uk)
Allergy UK: Cow’s Milk Allergy:
Cow's Milk Allergy | Allergy UK | National Charity
Nice Guidance: Cow’s Milk Allergy in Children:
Cow's milk allergy in children | Health topics A to Z | CKS | NICE
NHS guidance for parent:
British Dietetics Association Cows Milk Protein Information:
Milk allergy | British Dietetic Association (BDA)
5.) Placiocephaly
You attend a Health Visitor clinic with a Practice Supervisor- during the clinic you see a 3-month-old baby [Jenny]. You and your supervisor notice that Jenny has a very flat head on one side and Mum also raised this as a concern. Your supervisor explained to you that this is Plagiocephaly.
NHS guidance for parents about Plagiocephaly:
https://www.nhs.uk/conditions/plagiocephaly-brachycephaly/
Great Ormond Street Hospital information about Plagiocephaly:
https://www.gosh.nhs.uk/conditions-and-treatments/conditions-we-treat/positional-plagiocephaly/
PIMH Policies
13). Holistic Assessment
You will be to attend a presentation about Holistic Assessment via Teams. please see your planner for dates and times.
Please complete the following modules:
The Assessment Triangle is used to support professionals undertaking an assessment to ensure that all aspects of a child’s life or outside factors that may impact upon a child’s life are considered. This is the essence of a holistic assessment.
Please put- Assessment Framework Triangle taken from: https://www.safeguardingcambspeterborough.org.uk/children-board/professionals/procedures/child-and-family-assessment/
This video is a good example of a Holistic Assessment in Nursing practice. It is not Health Visiting, but gives a clear overview of the content of a Holistic Assessment:
Article: The Importance of a Holistic Assessment: A Nursing Student’s Perspective:
Holistic Assessment and record keeping:
14). Infant Feeding
You will be asked to attend an Infant Feeding presentation via Teams, delivered by the Infant Feeding team during your placement- see you planner for dates and times.
Please complete the following modules:
- 08_01 Nutrition Before and During Pregnancy
- 08_02 Infant Feeding Part 1: Breastfeeding
- 08_03 Infant Feeding Part 2: Formula Feeding
- 08_05 Feeding Preterm Infants in Neonatal Units
- 08_06 Healthy Eating for Toddlers: 1- 4 years
- 08_09 Faltering Growth
- 08_10 Common Nutritional Problems in Pre-schoolers
- 08_11 The Social Context of Food
- 08_12 Feeding Children with Development Difficulties
- 08_13 Obese Toddlers and Infants
15). Medicine Management
You will be asked to attend a Medicine Management presentation via teams during your placement. Please see your planner for dates and times.
Following the presentation, you will be asked to complete a numeracy activity and a scenario-based activity.
16). School Nursing pathway
Please complete the following modules:
17). Health Visiting Pathway
Document link to the 0-19 Healthy Child Programme:
Complete Healthy Child Programme (Health Visiting model of practice module):
Healthy Child Programme Model of Practice for Health Visitors
Please complete the following modules:
You will also be asked to attend a Growth Monitoring presentation as part of your placement via Microsoft Teams to understand the process of growth monitoring within the Health Visiting service. Following the presentation, you will be sent activity sheets on this subject to complete.
18). Screening and Immunisations
Please complete the following modules:
Community-Centred Approaches to Health Improvement
- Community-centred Approaches for Health and Wellbeing: Theory and Evidence
- Community-centred Approaches for Health and Wellbeing: Practical Application
National Immunisations policy in the UK:
Quick view routine immunisation schedule UK:
Immunisation and screening in the UK modules:
19) Health promotion
Healthy Child Programme- Health Promotion- please complete following modules:
20) Additional Optional e-learning modules
Cultural Competence
Child Health- Adolescent Health Programme
-
- Loneliness and Social Isolation (PWP)
- Introduction to Culture
- Cultural Competence
- Cultural Competence and Maternity Services
- Introduction to Adolescent Health
- Guidance and Policy for Young People's Health
- Healthy Development in Adolescence
- Concepts of Puberty
- Pubertal Assessment
- Psychosocial Development
- Social Development in Adolescence
- Assessing Developmental Stage
- The Legal Framework for Working with Young People
- Capacity and Consent
- Confidentiality
- Safeguarding Adolescents
- Communication Skills in Young People
- Health Communication and Young People: Setting the Scene
- Gathering Information and Exploring Sensitive Issues
- Explaining, Motivating And Empowering
- Other Aspects Of Communication
- Health Promotion In Young People
- The Experience of Long-term Condition and Disability during Adolescence
- Vocational Readiness in Long-term Conditions and Disability
- Sex and Health Risk Behaviour in Long-term Conditions and Disability
- Young People as Experts
- Transition From Child-Centred To Adult-Centred Health Care
- Practical Approaches To Transition
- Developing A Transition Programme
- Medicines, Treatments And Young People
- Practical Approaches to Improving Adherence and Concordance
- Introduction to Youth People Friendly Services
- Community-based Drop-in Services for Young People
- Contraception And Reproductive Health
- Teenage Parents
- Adolescent Gynaecology
- Preventing Pregnancy
- Mental Health And Well Being In Adolescence
- Introduction To Self-Harm
- Management Of Self-Harm
- Recognising Common Mental Health Problems (Part 1)
- Recognising Common Mental Health Problems (Part 2)
- Management Of Common Mental Health Problems (Part 1)
- Self-Harm and Common Mental Health Problems
- Substance Use, Misuse And Abuse
- Managing Substance Use Problems In Routine Clinical Practice
- Prevention Strategies
- Body Shape And Body Image In Adolescence
- Nutritional Requirements In Adolescence
- Development Of Normal Eating Behaviour
- Medical Assessment And Management Of Obesity
- Eating Disorders In Young People
- Assessment Of Eating Disorders
- Managing Strategies
- Multidisciplinary Management Programmes For Obesity
- Introduction To Common Symptom And Help Seeking
- Sleep Problems In Adolescence
- Assessment And Diagnosis Of Cfs/Me In Adolescence
- Managing CFS/ME In Adolescence
- Acne
- Glandular Fever
Child Vision Screening
Immunisation policy and assessment:
Immunology
Preventable diseases
-
- Vaccine Preventable Diseases - Introduction
- Vaccine Preventable Diseases - Diptheria
- Vaccine Preventable Diseases - Haemophilus Influenzae Type B (Hib)
- Vaccine Preventable Diseases - Hepatitis B
- Vaccine Preventable Diseases - Human Papillomavirus (HPV)
- Vaccine Preventable Diseases - Influenza
- Vaccine Preventable Diseases - Measles, Mumps and Rubella
- Vaccine Preventable Diseases - Meningococcal
- Vaccine Preventable Diseases - Pertussis
- Vaccine Preventable Diseases - Pneumococcal
- Vaccine Preventable Diseases - Polio
- Vaccine Preventable Diseases - Rotavirus
- Vaccine Preventable Diseases - Shingles (Herpes Zoster)
- Vaccine Preventable Diseases - Tetanus
- Vaccine Preventable Diseases - Tuberculosis
Legal Aspects
Vaccine Storage
Vaccine Administration
Female Genital Mutilation
-
- Introduction to Female Genital Mutilation
- Communication Skills for FGM Consultations
- Legal and Safeguarding Issues Regarding FGM in the UK
- Issues, Presentation and Management in Children and Young Women
- Issues, Presentation and Management in Women and Around Pregnancy
- The Psychological Impact of FGM
-
Evaluation Form