Hertfordshire Community NHS Trust children’s health are one of the top 10 services in England by population size. We have been working alongside Hertfordshire to develop health visiting and school nursing service planners, with workshops held in October 2013 and implementation completed in January 2014.
Hertfordshire are using the service planners to improve planning and decision making around caseload sensitisation, service harmonisation and workforce development across both services.
The health visiting planner has been used to reflect locality reconfiguration and inform the placement of two tranches of new health visitors.
The school nursing planner is being used to determine a more consistently applied future service plan, and a more formal approach to service delivery. This will ensure service can be prioritised and each locality is offering a consistent range of services, ensuring quality and targeting increased levels of efficiency.
Both the HV and SN projects were implemented as follows:
- An initial steering group session involving key stakeholders, health intelligence and IG
- Data development of the 0-4 dataset (by GPs) and school dataset with health intelligence to generate all eligible children by school, schools mapped to teams, and deprivation profiles
- Two half day workshops run with selected staff to develop, populate and validated the model
- Final changes and rollout
- Subsequent remote support and development
- Benchmarking against the database to externally validate the model
- Preparing reports for management
- We have subsequently supported development remotely plus continue to have quarterly sessions with management to identify further opportunities and develop the models
- A basis for allocation – e.g. 2 tranches of new health visitors
- A basis for reconfiguration of team structure for both HV and SN
- Agreement of a formal, rationalised and harmonised service programme incorporating best practice
- The models have been used to support new initiatives, efficiencies, and other developments
- They are seen as supporting the ongoing programme of change and modernisations occurring in the service