Joined-up care in early years

From Thursday (October 1) the commissioning of key services, including health visitors – registered nurses or midwives who lead & deliver health services for children – and family nurses, who provide services such as intensive support for young mums, has switched to local authorities from the NHS.  For councils, this is the ‘final piece of the jigsaw' after public health responsibilities transferred to them in April 2013.

The Local Government Association, which represents over 370 councils in England & Wales and has campaigned for the 0-5 transfer, says the momentous move will ensure councils are responsible for health ‘from the cradle to the grave’. A more holistic, joined-up approach to healthcare, it will not just be about clinical care but will provide better access to a range of services, including housing, benefits, employment & leisure, which are inherently linked to healthy living.

In preparation for the transfer, councils and school nurses have been working together to co-ordinate & deliver public health interventions for school-aged children. This includes reducing childhood obesity, under-18 conception rates and the prevalence of chlamydia; and the management of mental health disorders.

Researched Links:

LGA:  Mums & dads to see massive benefits for young children as health responsibilities transfer to councils

PHE:  Clear opportunities for local organisations to improve children’s mental wellbeing

Joined-up care by law

When Mother & baby are at their most vulnerable

Everything is very ‘personal’ when you are a child

Why has it taken so long to introduce?

Moving health visiting services to local government must not be a ‘short term fix’, says Unite

Ways to highlight problem

A bitter pill for most

Sam Gyimah visits Paris to share best practice in childcare

Helping children & adults manage diabetes: NICE publishes updated suite of guidelines

NHS England launches first stage of new programme to improve young people’s mental health services

NICE issues standard on improving maternal & child nutrition

New epigenetics research to understand how early life experiences affect health

CSJ - Nearly a 1,000 children in care repeatedly forced to move school

New campaign promotes positive parenting

New childcare centre set to give Swansea families a Flying Start

NICE publishes guidelines to tackle premature birth & manage breathing disorders in children

Toddler talk: New resources to improve children’s language skills

NICE redoubles efforts to reduce harm from alcohol, smoking & physical inactivity

Parents to get complete picture of child’s development

Edinburgh a world leader on family nurse partnership

New Change4Life campaign encourages families to make sugar swaps

Progress on health visitor numbers could be hit by looming £200m public health cuts

Early education is better than ever but attainment gap remains

‘Wake up’ call as community nurses express concern about new NMC revalidation process

Children’s dental health improving

Empowering families to make informed choices on co-sleeping with babies

LGA - Urgent review of social work 'skills crisis' needed to help recruit quality social workers

CMO: Prevention pays - our children deserve better

TKF - 'Family care networks' – the future of primary care

Inaugural conference highlights key role of nurses & midwives in improving health and wellbeing


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Healthcare models of the future NHS

NHS England Chief Executive Simon Stevens has recently announced radical new options for the future of local hospitals across the NHS.  The new models being developed by 13 new hospital Vanguards represent the next stage of implementing the NHS Five Year Forward View. 

Acute Care Collaboration Vanguards are designed to spread excellence in hospital services & management across multiple geographies.  By contrast, the 37 vanguards already launched mostly focus on integrating care between GPs, social & community care, mental health and hospital services within their local area.

Researched Links:

NHS England:  Millions of patients to benefit from radical new hospital collaboration drive

NHS Confed:  announcement of Acute Care Collaboration Vanguard sites is another step in the right direction

NHS England:  Acute care collaboration vanguard sites

Implementation is always the main issue

Without them Social Care and the NHS would collapse
NHS England recently published an End of Year Progress Summary reviewing progress made on 37 commitments made to carers in May 2014.  The Commitments to Carers were based on what carers said was important to them.  A good start has been made with 32 commitments completed and others continuing to be monitored.  But more work needs to be done on the Five Year Forward View commitment to finding new ways to support carers.
Researched Links:

NHS England:  Change is happening for carers

Caring for carers is crucial

‘Care on the cheap’ risks failing both carers & clients

It saves the state £bns

Pensions Minister: too many carers missing out on NI credits

LGA - Give unpaid carers council tax reductions to support the care system – councils

Slavery is not something that ended 250 years ago
The PM celebrates the “unique and valuable celebration of the African-Caribbean community” for Black History Month (October 2015).
Researched Links:

10DS:  Black History Month 2015: David Cameron's message

International Slavery Museum

Slavery will always exist as long as 1 person can control another by ‘force’

Desperation of young female Syrian refugees

FCO hosts event to celebrate BHM

The role of West Indian soldiers during the First World War

We Were There: Black History Month

True scale of modern slavery in UK revealed as strategy to tackle it published

Short film shows the full extent of slavery in the UK

National Archives - slavery

Database of British slave ownership available online

Listing of 18 historic buildings amended to highlight their links to the abolition of slavery

Listing of 25 historic buildings with links to slavery and its abolition

It would be a ‘Big Vote Loser’ to do anything else
Following VW’s admission of using ‘defeat devices’ in diesel cars, the government has announced that UK taxpayers will not incur higher Vehicle Excise Duty if their existing vehicles are found to be fitted with illegal software that manipulates emissions tests.  The government has also announced it will look at whether the illegal software used by VW is being used elsewhere.
Researched Links:

Government confirms consumers who bought vehicles in good faith will not incur additional tax costs

DVSA:  VW owners affected by emissions testing: what to do

No such thing as a free lunch
If you’re among the many who make use of free Wi-Fi services in our shops, hotels, train stations and airports, you may have noticed how different the sign-up process can be – ranging from just a simple click, to completing a lengthy form before you get online.  With so many organisations responsible for public Wi-Fi and the widely differing requests for personal information the ICO has decided to take a look at some of the Wi-Fi networks available on the UK high street. 
Researched Links:

Information Commissioner's Office:  Be wary of public Wi-Fi

ICO issues largest ever nuisance calls fine

Charities only function properly with adequate funding
The Cabinet Office has launched its Small Charities Fundraising Training Programme.   Worth £100,000, it is seeking to appoint between 1 & 3 training providers to help charities to fundraise more effectively.  The Programme will provide expert training to small charities with an annual income of up to £1m.
Researched Links:
Cabinet Office:  Small Charities Fundraising Training Programme launched
Deadline ‘resuscitated’ and moved back
The deadline for people to make a claim if they believe their ongoing care should have been funded by the Welsh NHS is being extended, the Welsh Government has announced.
Researched Links:
WAG:  Extended deadline for people to claim for continuing healthcare funding
Do we want to reduce traffic in cities or not?
Bus funding needs a total overhaul in the Spending Review to protect under-threat services for the elderly, disabled & commuters, councils say.  In a major report, the Local Government Association, which represents more than 370 councils in England & Wales, calls for a package of funding reforms & less red tape, allowing councils to do more to support bus services.
Researched Links:
LGA:  Bus funding needs a ‘total overhaul' in Spending Review, councils say
A ‘sacrifice’ that must not be forgotten
The public can now apply for tickets to attend Somme centenary commemorations in Thiepval, in France, next year.  The ballot will be open until 18 November, the day the battle ended in 1916.
Researched Links:

DCMS:  Public ballot for Somme commemorations opens

The Battle of the Somme - Imperial War Museum

CLG:  First World War heroes commemorated as Britain remembers Battle of Loos

Unite:  Scandal of war graves’ staff facing £6,000-a-year pensions’ loss

Common sense decision
Public Health England has announced legislative changes that will potentially have a significant impact on homeless services and their ability to respond to opiate overdoses.  This could not be more timely in a wider context that has seen heroin & morphine deaths rise in the UK by two-thirds in the past 2 years.
Researched Links:
Homeless Link:  Lifesaving legislation for a faster response to opiate overdoses

 More contributions to the UK constitutional debate

More news, opinions, documents, claims & counter-claims;

Researched Links:

ScotGov:  Fiscal Commission Bill published

Please choose from the links below to view individual sections of interest:

With much attention on the Labour party conference last week, David Walker diverts his to George Osborne - and speculates on the kinds of policies the chancellor might be looking to pinch for this week's Tory conference. The big one could be strengthening tax collection, but Osborne would have to push his austerity agenda to one side if he were to give HMRC a financial boost.
Back in Brighton, the Labour pledge to renationalise the railways sparked Jane Dudman to speak to the public leaders concerned about private sector reach into other public services.

Labour party conference
Why Osborne may override his austerity agenda to track down missing tax

Why Osborne may override his austerity agenda to track down missing tax
Labour’s focus on uncollected tax is an idea the chancellor might well pinch at the Tory conference

Labour wants to renationalise railways, but what of other privatised services?

Labour wants to renationalise railways, but what of other privatised services?
Public leaders are more concerned about the private sector’s reach into local services

Also on the network
Police work is changing, so officers must get the recognition they deserve

Police work is changing, so officers must get the recognition they deserve
Alex Marshall: With fewer staff and new kinds of work, policing will have to become more specialised

‘I was horrified’ – the council staff campaigning to divest their pensions

‘I was horrified’ – the council staff campaigning to divest their pensions
We spoke to some of the council employees pushing for ethical investment of their pension funds

News in brief
• Labour pledged to renationalise the railways at its conference this week
• Bob Kerslake is to carry out a Treasury review for Labour
• Millions of UK public sector pensions 'exposed to risky fossil fuel investments'
• Hundreds of Jamaican prisoners held in UK jails to be repatriated
• John Healey said government could build 100,000 councils houses a year
• Prisoners' legal letters opened by prison staff, admits ombudsman
What you’re saying about ...
Police volunteers cannot be seen as a straight swap for uniformed officers

Police volunteers cannot be seen as a straight swap for uniformed officers
Theresa May wants to give police volunteers more power, a move that could risk public safety