Healthy Child Programme Schedule of Interventions Guide
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11 to 16 years
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Health and wellbeing development review
Screening
Immunisation
Mental and emotional health and wellbeing
Healthy weight, nutrition and physical activity
Maintaining healthy relationships including sexual health
Alcohol, drugs and tobacco
Promoting healthy behaviours
Transition between education settings and adult services
Speech, language and communication
Vulnerabilities and identification of additional needs
Keeping safe and accident prevention
Oral health and dental care
Improving self-care and health literacy
Inequalities and disparities
Safeguarding
10 to 11 year-old health needs review
Health and wellbeing development review: health needs review at age 10 to 11 years
12 to 13 year-old health needs review
Use clinical and professional judgment to identify young people with additional need, vulnerability or parental concern, for example physical health problems such as long-term conditions, emotional or mental health and wellbeing issues, social or behavioural problems, or speech, language and communication difficulties.
Complete an assessment to identify needs and strengths. Based on need, offer information about local universal services, for example family hubs or children’s centres and GPs, where young people, parents and carers can seek additional support and advice to support health and wellbeing.
Where young people, have been identified as requiring targeted or specialist intervention, follow local pathways and guidance to offer targeted intervention or complete appropriate and timely referral.
School-aged years high impact area 3: Supporting healthy lifestyles
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
School-aged years high impact area 5: Supporting additional and complex health needs
No child left behind –Vulnerability in childhood: a public health informed approach to improving outcomes for vulnerable children
Mental and emotional health and wellbeing
Vulnerabilities and identification of additional needs
Children with additional health and development needs including SEND
Specialist
Where there are safeguarding concerns, follow statutory guidance and local safeguarding procedures.
DfE Working together to safeguard children
E-Learning for Healthcare Safeguarding children and young people programme
Safeguarding (Targeted)
Safeguarding (Specialist)
Where young people are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
School leavers post-16 years health needs review
Health and wellbeing development review: school leavers post-16 years health needs review
Transition to education settings and adult services
Transition to education settings and adult services
Metrics and outcomes indicators
Use evidence and data to monitor young people’s health. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health school-age children
OHID Fingertips Child and maternal health school-age children: secondary
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
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Review whether young people aged 12 and over with diabetes have been offered and taken up annual Diabetic Retinopathy Screening – DES (diabetic eye screening)
School aged years high impact area 6: Supporting self-care and improving health literacy
Diabetic eye screening: programme overview
Metrics and outcomes indicators
Use evidence and data to monitor screening. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health school-age children: secondary
OHID Fingertips Child and maternal health long-term conditions and complex needs
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
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Check immunisation history of young people and other family members and make sure that any missed immunisations (such as MMR) are offered following the guide for uncertain or incomplete vaccinations.
Follow latest information on vaccines and vaccine procedures to ensure that all young people receive the correct vaccines at the appropriate time and are protected against communicable disease. These include HPV vaccine aged 12 and 13, followed by diphtheria, tetanus and polio booster and MenACWY vaccines at 14 years of age.
Review the immunisation status of young people according to the national routine immunisation schedule.
Where young people have not received recommended immunisations, refer to the guide for uncertain or incomplete vaccinations.
Where there are concerns, complete an assessment to identify needs and strengths. Where recommended immunisations have been declined, support the family to take decisions by developing a collaborative relationship, using a strengths- or asset-based approach to build on their and attributes and address concerns
Where young people, have been identified as requiring targeted or specialist intervention, follow local pathways and guidance to offer targeted intervention or complete appropriate and timely referral. This includes where young people have not received recommended immunisations or where they need additional input to support informed decision-making.
UKHSA Immunisation against infectious disease
NHS.UK 3-in-1 teenage booster overview
NHS.UK HPV vaccine overview
UKHSA HPV universal vaccination: leaflet
NHS.UK MenACWY vaccine overview
Immunisations for young people
Vaccination of individuals with uncertain or incomplete immunisation status
Offer young people evidence-based information and guidance about seasonal influenza vaccine, using a strengths-based approach to enable decision-making.
School aged years high impact area 6: Supporting self-care and improving health literacy
UKHSA Annual flu programme
Metrics and outcomes indicators
Use evidence and data to monitor immunisations uptake. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal vaccines and immunisations
OHID Fingertips TB Strategy monitoring indicators
OHID Fingertips Health Protection indicators
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
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Working in partnership with other agencies, young people and families, and other stakeholders, assess, prioritise and develop a response to local population health needs.
Population health needs assessment: a guide for 0 to 19 health visiting and school nursing services
Health visiting and school nursing delivery model
Community
Targeted
Offer young people evidence-based information and guidance about emotional wellbeing and mental health, including keeping well mentally, developing healthy respectful relationships, adopting healthy lifestyles, recognising bullying and know how to access support if they are worried.
School aged years high impact area 1: supporting resilience and wellbeing
School aged years high impact area 3: supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
Association of Young People’s Health: A public health approach to promoting young people’s resilience (PDF)
Mind Information for young people aged 11-18
NHS.UK Every mind matters mental health and self-care for young people
Collection - Public Mental Health
Prevention concordat for better mental health: planning resource
DfE Mental health resources for children, students, parents, carers and school/college staff
NICE Social, emotional and mental wellbeing in primary and secondary education [NG223]
YoungMinds Bullying
Bullying at school
NSPCC Bullying and cyberbullying
Offer information about local universal services, for example primary care youth centres, family hubs or children’s centres, where young people can access community activities to support mental health and emotional wellbeing such as arts and outdoor activities.
School aged years high impact area 1: supporting resilience and wellbeing
School aged years high impact area 3: supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
DHSC You’re Welcome quality criteria for young people friendly health services
NHS.UK Every mind matters mental health and self-care for young people
NICE School and emotional wellbeing for children and young people overview
Early Intervention Foundation guidebook
NICE Social, emotional and mental wellbeing in primary and secondary education [NG223]
Community
Support the development of a whole-school and college approach to emotional and mental health and wellbeing. This could include taking measures to prevent and stop bullying, enhancing social skills, independence and self-confidence, and activities such as volunteering, arts, sports, dance and drama.
School aged years high impact area 1: supporting resilience and wellbeing
School aged years high impact area 3: supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
DHSC You’re Welcome quality criteria for young people friendly health services
DfE Promoting and supporting mental health and wellbeing in schools and colleges
Promoting children and young people’s mental health and wellbeing
NHS.UK Looking after a child or young person’s mental health
Early Intervention Foundation guidebook
NICE Social, emotional and mental wellbeing in primary and secondary education [NG223]
Association of Colleges Mental Health Charter
Community
Support delivery of the statutory requirement of Relationships and Sex Education and Health Education (RSHE) in schools for all young people, including those in special schools and alternative education provision. This includes providing young people with evidence-based information and guidance to learn how to keep mentally well, developing healthy respectful relationships, how to recognise bullying and how to access support if they are worried.
Where appropriate, support parents and carers to complement school provision of Relationships and Sex Education and Health Education.
School aged years high impact area 1: supporting resilience and wellbeing
School aged years high impact area 3: supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
DHSC You’re Welcome quality criteria for young people friendly health services
Early Intervention Foundation Guidebook
Future Learn Psychological first aid: supporting children and young people
MindEd
Mind Information for young people aged 11-18
YoungMinds Bullying
Bullying at school
NSPCC Bullying and cyberbullying
DfE Teaching about mental wellbeing
Every Mind Matters: Physical and mental wellbeing teaching resources
Maintaining healthy relationships including sexual health
Where there are concerns about a young person’s emotional wellbeing or mental health, complete an assessment to identify needs and strengths.
Based on need, offer information about local universal services, for example youth centres, family hubs or children’s centres, where young people can seek safe, confidential and accessible support and advice for mental health.
Where young people, have been identified as requiring targeted or specialist intervention, follow local pathways and guidance to offer targeted intervention or complete appropriate and timely referral.
School aged years high impact area 1: Supporting resilience and wellbeing
School aged years high impact area 3: supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
DHSC You’re Welcome quality criteria for young people friendly health services
Vulnerability in childhood: a public health informed approach
Public mental health
NICE Social, emotional and mental wellbeing in primary and secondary education [NG223]
Every mind matters self-care tool
All our health: about the framework
Future Learn Psychological First Aid: supporting children and young people
Minded Support available for parents
NHS.UK Looking a child or young person’s mental health
Work in partnership with young people, parents and carers, schools, education mental health practitioners, and mental health support teams to support mental health and wellbeing of young people. This could include issues of emerging developmental, emotional adjustment, educational or behavioural difficulties or risk factors that might affect educational progress.
School aged years high impact area 1: Supporting resilience and wellbeing
DfE Promoting and supporting mental health and wellbeing in schools and colleges
DHSC You’re Welcome quality criteria for young people friendly health services
NHS England Mental health support in schools and colleges
Where there are safeguarding concerns, follow statutory guidance and local safeguarding procedures.
DfE Working together to safeguard children
E-Learning for Healthcare Safeguarding children and young people programme
Safeguarding (Targeted)
Safeguarding (Specialist)
Where young people are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Metrics and outcomes indicators
Use evidence and data to monitor mental health and wellbeing. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Children and young people's mental health and wellbeing
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
Close pop-up
Working in partnership with other agencies, children, young people and families, and other stakeholders, to assess, prioritise and develop a response to local population health needs.
Population health needs assessment: a guide for 0 to 19 health visiting and school nursing services
Health visiting and school nursing delivery model
Community
Targeted
Offer young people evidence-based information and guidance about healthy lifestyles including a healthy balanced diet and physical activity. Use a strengths-based approach to enable young people in their decision-making.
School aged years high impact area 3: supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
NHS.UK The Eatwell guide
The Eatwell guide
NHS food scanner
NHS.UK Better health - Healthier families
Promoting a healthier weight for children, young people and families: consistent messaging
UK Chief Medical Officers’ Physical activity guidelines
NHS.UK Physical activity guidelines
NICE Obesity prevention
DHSC Physical activity guidelines: infographics
NHS.UK Government advice on vitamin D supplementation
Encourage participation in the National Child Measurement Programme (NCMP) for young people aged 10 to 11 years.
Use the opportunity the National Child Measurement Programme gives to engage with young people and families to promote healthy weight, through pre-measurement and feedback letters. Offer follow up support in line with local pathways.
School aged years high impact area 3: supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
Healthier weight promotion: consistent messaging
National child measurement programme: operational guidance
National child measurement programme: conversation framework
Where there are concerns about a young person’s growth, including being underweight, overweight or obese, measure and record height, weight and body mass index (BMI). Complete an assessment to identify needs and strengths.
Based on need, offer information about local universal services, for example youth centres, family hubs or children’s centres, where young people and families can access community groups that support the development of healthy weight, good nutrition and physical activity.
Where young people, have been identified as requiring targeted or specialist intervention, follow local pathways and guidance to offer targeted intervention or complete appropriate and timely referral.
School aged years high impact area 3: supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
DHSC You’re Welcome quality criteria for young people friendly health services
RCPCH Body mass index (BMI) chart
RCPCH UK-WHO growth charts
Promoting a healthier weight for children, young people and families: consistent messaging
NICE Obesity prevention
Community
Support the development of a whole-school and college approach to healthy weight, nutrition and physical activity. This could include encouraging the provision of healthy food in appropriate and comfortable dining areas, healthy snacks, physical activity, active school travel, and voluntary participation in the healthy schools rating scheme.
School aged years high impact area 3: supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
DfE Healthy schools rating scheme
DfE The school food standards
DfE School food in England
DfE School sport and activity action plan
UK Chief Medical Officers’ physical activity guidelines
Cycling UK Cycling to school
DTP Bikeability Essential cycling skills for families
Support delivery of the statutory requirement of Relationships and Sex Education and Health Education (RSHE) in schools for all young people, including those in special schools and alternative education provision. This includes providing young people with evidence-based information and guidance to learn about healthy eating, physical activity and health literacy, and how to access support if they are worried.
Where appropriate, support parents and carers to complement school provision of Relationships and Sex Education and Health Education.
School aged years high impact area 3: supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
Food teaching in secondary schools: a framework of knowledge and skills
DfE Relationships and sex education and health education
DfE School sport and activity action plan
Cycling UK Cycling to school
DTP Bikeability Essential cycling skills for families
Where children and their parents and carers are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Metrics and outcomes indicators
Use evidence and data to monitor healthy weight, nutrition and physical activity. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health
OHID Fingertips Obesity profile NCMP prevalence data
OHID Fingertips Obesity profile NCMP quality data
OHID Fingertips Obesity profile NCMP small area data
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips Physical activity
OHID Fingertips user guidance
Close pop-up
Working in partnership with other agencies, children, young people and families, and other stakeholders, to assess, prioritise and develop a response to local population health needs.
Population health needs assessment: a guide for 0 to 19 health visiting and school nursing services
Health visiting and school nursing delivery model
Community
Targeted
Offer young people evidence-based information and guidance about healthy relationships and sexual health including contraception and sexually transmitted infections (STIs). Use a strengths-based approach to enable young people in their decision-making.
Offer information about local sexual health services and pharmacies where support or advice for sexual health and wellbeing can be accessed such as contraception, pregnancy testing and treatment for STIs. Encourage young people to make use of services as appropriate.
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 2: Improving health behaviours and reducing risk
School-aged years high impact area 3: Supporting healthy lifestyles
DHSC You’re Welcome quality criteria for young people friendly health services
Teenage pregnancy prevention framework
Health matters: preventing STIs
NICE Sexually transmitted infections: condom distribution schemes
NHS.UK Where can I get sexual health advice, now?
NHS.UK Find sexual health services
Home Office Tackling violence against women and girls strategy
NICE Domestic violence and abuse
NHS.UK Domestic violence and abuse
Home Office Domestic abuse how to get help
NHS.UK Sexual health
Support delivery of the statutory requirement of Relationships and Sex Education and Health Education (RSHE) in schools, including special schools and alternative education provision. This includes providing young people with evidence-based information and guidance about healthy relationships, sexual health and local sexual health services and pharmacies where additional support and advice can be accessed.
Where appropriate, support parents and carers to complement the information their children receive from Relationships and Sex Education and Health Education in school.
School-aged years high impact area 2: Improving health behaviours and reducing risk
School aged years high impact area 3: supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
DHSC You’re Welcome quality criteria for young people friendly health services
DfE Relationships and sex education and health education
Teenage pregnancy prevention framework
Home Office Tackling violence against women and girls strategy
NICE Domestic violence and abuse
NHS.UK Domestic violence and abuse
Home Office Domestic abuse how to get help
NHS.UK Sexual health
NICE Domestic violence and abuse: multi-agency working
Encourage sexually active young people under the age of 25 to be tested for chlamydia annually or whenever there is a change of sexual partner. Offer young people information about local sexual health services where testing can be accessed.
School-aged years high impact area 2: Improving health behaviours and reducing risk
School aged years high impact area 3: supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
DHSC You’re Welcome quality criteria for young people friendly health services
NHS.UK Chlamydia
NHS.UK Where can I get sexual health advice, now?
NHS.UK Find sexual health services
Health matters: preventing STIs
NICE Sexually transmitted infections: condom distribution schemes
Where young people have concerns about relationships, sexuality and sexual health and wellbeing, including those who have questions about gender identity or who are part of the lesbian, gay, bisexual or transgender community, young carers or young parents, complete an assessment to identify needs and strengths.
Based on need, offer information about local universal services, for example youth centres, sexual health services, and GPs, where they can seek additional support and advice for relationships and sexual health.
Where young people, have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 2: Improving health behaviours and reducing risk
School aged years high impact area 3: supporting healthy lifestyles
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
School aged years high impact area 6: Supporting self-care and improving health literacy
DHSC You’re Welcome quality criteria for young people friendly health services
Vulnerability in childhood: a public health informed approach
Home Office Tackling violence against women and girls strategy
DLUCH, DfE Supporting families
Teenage pregnancy prevention framework
NHS.UK Where can I get sexual health advice, now?
NICE Domestic violence and abuse
NHS.UK Domestic violence and abuse
Home Office Domestic abuse how to get help
NHS.UK Sexual health
NICE Domestic violence and abuse: multi-agency working
Inequalities and disparities (Universal)
Inequalities and disparities (Targeted)
Where domestic violence or abuse (including intimate partner violence and abuse or controlling relationships between parents or young people) is suspected, discuss concerns safely, when the individual is away from the abuser and there is no risk of being overheard. This will usually be when an individual is alone except where they wish to have a friend or family member present for support.
School-aged years high impact area 1: Supporting resilience and wellbeing
School aged years high impact area 6: Supporting self-care and improving health literacy
No child left behind: a public health informed approach to improving outcomes for vulnerable children
DfE Working together to safeguard children
Barnardo’s Families affected by domestic abuse
NICE Domestic violence and abuse
NHS.UK Domestic violence and abuse
DLUHC, DfE Supporting families
Home office Domestic abuse how to get help
NICE Domestic violence and abuse: multi-agency working
Bystander interventions to prevent intimate partner and sexual violence: summary
Home Office Tackling violence against women and girls strategy
Develop a collaborative relationship and use a strengths- or asset-based approach with families to support family relationships. Build on their strengths and attributes to improve wellbeing, address concerns and support self-care. Recognise when individuals or families may have experienced trauma or adverse childhood experiences.
Scottish Government Trauma-informed practice: toolkit
South Yorkshire Violence Reduction Unit Trauma-informed practice
Gloucestershire County Council Frameworks for being trauma-informed
Early Intervention Foundation Trauma-informed care: Understanding the use of trauma-informed approaches within children’s social care
Adverse Childhood Experience Support Hub Cymru and Wrexham University ‘Trauma-informed’: Identifying key language and terminology through a review of the literature
Where there are safeguarding concerns, follow statutory guidance and local safeguarding procedures.
DfE Working together to safeguard children
E-Learning for Healthcare Safeguarding children and young people programme
Safeguarding (Targeted)
Safeguarding (Specialist)
Where young people are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Metrics and outcomes indicators
Use evidence and data to monitor sexual and reproductive health. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health pregnancy and birth
OHID Fingertips Teenage pregnancy and young parents reports
OHID Fingertips Sexual and reproductive health profiles
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
Close pop-up
Working in partnership with other agencies, young people and families, and other stakeholders, assess, prioritise and develop a response to local population health needs.
Population health needs assessment: a guide for 0 to 19 health visiting and school nursing services
Health visiting and school nursing delivery model
Community
Targeted
Young people using alcohol, drugs and tobacco
Support delivery of the statutory requirement of Relationships and Sex Education and Health Education (RSHE) in schools for all young people, including those in special schools and alternative education provision. This includes providing young people with evidence-based information and guidance to learn about alcohol, drugs, smoking and vaping, and how to access support if they are worried.
School-aged years high impact area 2: Improving health behaviours and reducing risk
School-aged years high impact area 3: Supporting healthy lifestyles
DHSC You’re Welcome quality criteria for young people friendly health services
DfE Relationships and sex education and health education
PSHE Association Drugs and alcohol education
Where appropriate, support parents and carers to complement information about alcohol, drugs, tobacco and vaping that their children receive from Relationships and Sex Education and Health Education in school.
School-aged years high impact area 2: Improving health behaviours and reducing risk
School-aged years high impact area 3: Supporting healthy lifestyles
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
School aged years high impact area 6: Supporting self-care and improving health literacy
Talk to Frank Information about alcohol, drugs and smoking
GOV.UK Smoking and vaping
GOV.UK Alcohol and young people
Alcohol Change UK Alcohol and parenting
NHS.UK Should my child drink alcohol?
Offer young people evidence-based information and guidance about healthy lifestyles including tobacco, vaping, alcohol and drug use and the harms that are associated with their use. Support young people to develop personal and social skills to prevent and reduce harm from alcohol and drug use.
School-aged years high impact area 2: Improving health behaviours and reducing risk
School-aged years high impact area 3: Supporting healthy lifestyles
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
School aged years high impact area 6: Supporting self-care and improving health literacy
DHSC You’re Welcome quality criteria for young people friendly health services
Alcohol and drug misuse prevention and treatment guidance.
GOV.UK Smoking and vaping
Alcohol: applying all our health
Misuse of illicit drugs and medicine: applying all our health
Smoking and tobacco: applying All Our Health
Talk to Frank Information about alcohol, drugs and smoking
Where there are concerns about a young person’s alcohol, drug, tobacco and vaping use, complete an assessment to identify needs and strengths.
Based on need, offer information about local universal services, for example youth services, family hubs or children’s centres, where young people and families can access additional support and advice about smoking cessation, and drug and alcohol use.
Where young people, have been identified as requiring targeted or specialist intervention, follow local pathways and guidance to offer targeted intervention or complete appropriate and timely referral.
School-aged years high impact area 2: Improving health behaviours and reducing risk
School-aged years high impact area 3: Supporting healthy lifestyles
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
School aged years high impact area 6: Supporting self-care and improving health literacy
DHSC You’re Welcome quality criteria for young people friendly health services
Alcohol, drugs and tobacco: commissioning support pack
Alcohol, drugs and tobacco (Targeted)
Alcohol, drugs and tobacco (Specialist)
Where young people are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Where there are safeguarding concerns, follow statutory guidance and local safeguarding procedures.
DfE Working together to safeguard children
E-Learning for Healthcare Safeguarding children and young people programme
Safeguarding (Targeted)
Safeguarding (Specialist)
Parents using alcohol, drugs and tobacco
Where there are concerns, ask parents and carers about their use of alcohol, tobacco or illicit drug and medicine misuse.
Where appropriate, use the Alcohol, Smoking and Substance Involvement Screening Tool - Lite (ASSIST-Lite) screening tool with adults (aged 18 or over), covering alcohol, tobacco, cannabis, stimulants, sedatives, opioids, and other psychoactive substances including use of medicines not as prescribed.
Where concerns are identified, complete an assessment to identify needs and strengths.
Based on need, offer information about local universal services, for example family hubs or children’s centres and GPs, where parents and carers can seek additional support and advice about smoking cessation or alcohol and drug use and parenting.
Alcohol, drug and tobacco use should be reviewed at each contact.
Parents with alcohol and drug problems: support resources
ASSIST-Lite alcohol and drug use, and tobacco smoking screening tool
E-Learning for Healthcare Alcohol Identification and Brief Advice
UK Chief Medical Officers’ low risk drinking guidelines
Talk to Frank Find support near you
Alcohol: applying all our health
Misuse of illicit drugs and medicine: applying all our health
Smoking and tobacco: applying All Our Health
NICE Drug misuse prevention: targeted interventions
E-Learning for Healthcare All our health: alcohol
NICE Tobacco: preventing uptake, promoting quitting and treating dependence (NG209)
Where parents and carers, have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
Offer details of local specialist alcohol or drug treatment service by going to the FRANK website and searching using a postcode.
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
Parents with alcohol and drug problems: support resources
Talk to Frank Honest information about drugs
Talk to Frank Find support near you
E-Learning for Healthcare All our health Misuse of illicit drugs and medicines
Misuse of illicit drugs and medicine: applying all our health
Where parents and carers are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Where there are safeguarding concerns, follow statutory guidance and local safeguarding procedures.
DfE Working together to safeguard children
E-Learning for Healthcare Safeguarding children and young people programme
Safeguarding (Targeted)
Safeguarding (Specialist)
Metrics and outcomes indicators
Use evidence and data to monitor alcohol, drug and tobacco use. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Local alcohol profiles for England
OHID Fingertips Local tobacco control profiles
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
Close pop-up
Working in partnership with other agencies, young people and families, and other stakeholders, use population health needs assessment, to assess, prioritise and develop a response to local population health needs.
Population health needs assessment: a guide for 0 to 19 health visiting and school nursing services
Health visiting and school nursing delivery model
Community
Targeted
Guidance for young people
Offer information and guidance to young people to build knowledge and skills about their health and wellbeing to provide them with skills for life and enable them to make decisions about their own health. Topics could include healthy diet and healthy weight, physical activity, screen time, mental health and emotional wellbeing, keeping safe and accident prevention, immunisations, oral health, alcohol, drugs, tobacco and vaping.
Support young people to develop their understanding about health services and how to access them appropriately.
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
DHSC You’re Welcome quality criteria for young people friendly health services
Childline Drugs, alcohol and smoking
Talk to Frank Honest information about drugs
NHS.UK Every Mind Matters: mental health and self-care for young people
NICE Behaviour change: general approaches
The Eatwell Guide
NHS.UK The Eatwell Guide
Healthy weight, nutrition and physical activity
Mental and emotional health and wellbeing
Alcohol, drugs and tobacco
Oral health and dental care
Keeping safe and accident prevention
Improving self-care and health literacy
Support delivery of the statutory requirement of Relationships and Sex Education and Health Education (RSHE) in schools for all young people, including those in special schools and alternative education provision. This includes providing young people with evidence-based information and guidance to learn about healthy lifestyles, self-care and health literacy, and how to access support if they are worried.
School-aged years high impact area 2: Improving health behaviours and reducing risk
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
DHSC You’re Welcome quality criteria for young people friendly health services
DfE Relationships and sex education and health education
PSHE Association Resources and curriculum
Improving self-care and health literacy
Guidance for parents and carers
Offer evidence-based information and guidance to enable families to develop good understanding of positive health and wellbeing. Use a strengths-based approach to support parents and carers in their decision-making about promoting healthy weight and nutrition, mental health and emotional wellbeing, keeping safe and accident prevention, immunisations, oral health, alcohol, drugs, tobacco and vaping.
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 2: Improving health behaviours and reducing risk
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
The Eatwell Guide
NHS.UK The Eatwell Guide
NHS food scanner
NHS.UK Better health - Healthier families
UK Chief Medical Officers’ physical activity guidelines
Promoting a healthier weight for children, young people and families: consistent messaging
Minded Support available for parents
NHS.UK Looking a child or young person’s mental health
Future Learn Psychological First Aid: Supporting Children and Young People
Prevention Concordat for Better Mental Health
Healthy weight, nutrition and physical activity
Mental and emotional health and wellbeing
Alcohol, drugs and tobacco
Oral health and dental care
Keeping safe and accident prevention
Improving self-care and health literacy
Metrics and outcomes indicators
Use evidence and data to support healthy behaviours. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
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Transition between education settings
Work in partnership including young people and families, school nurses, and education settings, to support young people moving between education settings including identifying children in need of support for physical, emotional and mental health and wellbeing issues, or developing health care plans in their education setting.
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
School-aged years high impact area 5: Supporting additional and complex health needs
School aged years high impact area 6: Supporting self-care and improving health literacy
NHS.UK Every Mind Matters: mental health and self-care for young people
Offer evidence-based information and guidance to support parents and carers to prepare their young person for the transition to secondary school, college or other education setting, including identification of any health and wellbeing concerns.
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
School-aged years high impact area 5: Supporting additional and complex health needs
Where there are concerns about young people’s development, including special educational needs (SEND) or complex needs and disability, complete an assessment to identify needs and strengths.
Based on need, offer information about local universal services and community groups, for example family hubs or children’s centres, where young people, parents and carers can seek additional support.
Where young people have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
School-aged years high impact area 5: Supporting additional and complex health needs
Guidance to support commissioning of the healthy child programme 0 to 19 Commissioning guide 2: model specification
No child left behind: a public health informed approach to improving outcomes for vulnerable children
DfE, DHSC SEND code of practice: 0 to 25 years
GOV.UK Children with special educational needs and disabilities (SEND)
Children with additional health and development needs including SEND
Where young people have a health care plan to support them in their education setting, use clinical and professional judgment to schedule regular reviews as appropriate.
Healthy child programme 0 to 19: health visitor and school nurse commissioning
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
School-aged years high impact area 5: Supporting additional and complex health needs
Where young people are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Transition to adult services
Transition to education settings and adult services
Metrics and outcomes indicators
Use evidence and data to monitor healthy development. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health school-age children
OHID Fingertips Child and maternal health school-age children: secondary
OHID Fingertips Child and maternal health long-term conditions and complex needs
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
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Where there are concerns about a young person’s speech, language and communication, complete an assessment to identify needs and strengths, working in partnership with young people, parents, carers and education settings.
Where children have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
DfE Exploring interventions for children and young people with speech, language and communication needs
RCSLT How can I access speech therapy
I CAN Professional resources
Metrics and outcomes indicators
Use evidence and data to monitor speech, language and communication needs. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health
OHID Fingertips Child and maternal health long-term conditions and complex needs
OHID Fingertips Child and maternal health vulnerable children and young people
OHID Fingertips Speech, language and communication reports
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
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Working in partnership with other agencies, children, young people and families, and other stakeholders, use population health needs assessment, to assess, prioritise and develop a response to local population health needs.
Population health needs assessment: a guide for 0 to 19 health visiting and school nursing services
Health visiting and school nursing delivery model
Community
Targeted
Identify vulnerable young people who are at greater risk of experiencing poor outcomes because of one or more factors in their lives, for example families in poverty, poor housing, family members needing care, or at risk of hidden harms or gangs. Young people’s physical, emotional and mental wellbeing are significantly shaped by the social determinants of health into which they are born, live, learn and grow.
For those young people who may have additional needs, complete an assessment including family relationships and dynamics, and chronology of events to identify needs, strengths and vulnerabilities.
Based on need, offer information about local universal services, for example youth services, family hubs or children’s centres, where young people, parents and carers can seek additional support and advice. This could include household budgeting, claiming benefits, training opportunities, volunteering or social activities.
Where young people, have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
Guidance to support commissioning of the healthy child programme 0 to 19 Commissioning guide 2: model specification
School-aged years high impact area 2: Improving health behaviours and reducing risk
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
No child left behind: a public health informed approach to improving outcomes for vulnerable children
Early Intervention Foundation About early intervention: why it matters
Narrative report about improving health outcomes for vulnerable children and young people
GOV.UK Looked-after children: detailed information
Develop a collaborative relationship and use a strengths- or asset-based approach with families to support family relationships. Build on their strengths and attributes to improve wellbeing, address concerns and support self-care. Recognise when individuals or families may have experienced trauma or adverse childhood experiences.
Scottish Government Trauma-informed practice: toolkit
South Yorkshire Violence Reduction Unit Trauma-informed practice
Gloucestershire County Council Frameworks for being trauma-informed
Early Intervention Foundation Trauma-informed care: Understanding the use of trauma-informed approaches within children’s social care
Adverse Childhood Experience Support Hub Cymru and Wrexham University ‘Trauma-informed’: Identifying key language and terminology through a review of the literature
Avoid a deterministic narrative for individual young people. While the presence of risk factors increases the likelihood that a young person may experience poorer outcomes, many will not, often because other aspects of their lives, such as a supportive family, protect them.
Offer parents and carers evidence-based information and guidance about creating nurturing relationships, reducing the sources of stress in a young person’s life and promoting resilience and stability.
School-aged years high impact area 1: supporting resilience and wellbeing
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
NSPCC Positive parenting
Vulnerability in childhood: a public health informed approach
Where there may be special educational needs, work in partnership with young people, parents, carers and the multidisciplinary team, including special educational needs co-ordinators (SENCO), to complete an assessment to identify needs and strengths.
Based on need, offer information about local universal services, for example youth services, family hubs or children’s centres and GPs, where young people, parents and carers can seek additional support and advice about health and wellbeing.
Where young people, have been identified as requiring targeted or specialist intervention, follow local pathways and guidance to offer targeted intervention or complete appropriate and timely referral.
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
School-aged years high impact area 5: Supporting additional and complex health needs
School aged years high impact area 6: Supporting self-care and improving health literacy
DfE, DHSE SEND: guide for health professionals
DfE DHSC SEND code of practice: 0 to 25 years
DHSC Supporting children with special educational needs and disabilities
NHS.UK How to care for children with complex needs
Where young people have a health care plan to support them in their education setting, use clinical and professional judgment to schedule regular reviews as appropriate.
Healthy child programme 0 to 19: health visitor and school nurse commissioning
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
School-aged years high impact area 5: Supporting additional and complex health needs
Where a young person transfers into area, follow local guidance and best practice to review the young person’s health records, make appropriate follow up and take relevant action.
Guidance to support commissioning of the healthy child programme 0 to 19 Commissioning guide 2: model specification
DfE Working together to safeguard children
Safeguarding (Universal)
Safeguarding (Community)
Follow statutory guidance and local safeguarding procedures where there is cause for concern.
DfE Working together to safeguard children
No child left behind: a public health informed approach to improving outcomes for vulnerable children
NSPCC Spotting the signs of child abuse
E-Learning for Healthcare Safeguarding children and young people programme
Safeguarding
Where young people are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Metrics and outcomes indicators
Use evidence and data to monitor the health and wellbeing of vulnerable young people. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health vulnerable children and young people
OHID Fingertips Improving health outcomes for vulnerable children and young people reports
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips Wider determinants of health
OHID Fingertips user guidance
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Working in partnership with other agencies, children, young people and families, and other stakeholders, assess, prioritise and develop a response to local population health needs.
Population health needs assessment: a guide for 0 to 19 health visiting and school nursing services
Health visiting and school nursing delivery model
Community
Targeted
Raise awareness with young people of safety and accident prevention in and outside of the home, including road, water and fire safety, safety in cars, smoke-free homes, sun safety and finding safe places to meet and socialise.
School-aged years high impact area 2: Improving health behaviours and reducing risk
Reducing unintentional injuries on the roads among children and young people under 25 years
ROSPA Keeping kids safe
Road injury prevention – resources to support schools
Child Accident Prevention Trust (CAPT)
Bikeability Essential cycling skills for families
NHS.UK Burns and scalds
NHS.UK Sunscreen and sun safety
British Skin Foundation How to stay safe in the sun
Keeping safe and accident prevention (Targeted)
Where there are safeguarding concerns, follow statutory guidance and local safeguarding procedures.
DfE Working together to safeguard children
E-Learning for Healthcare Safeguarding children and young people programme
Safeguarding (Targeted)
Safeguarding (Specialist)
Metrics and outcomes indicators
Use evidence and data to monitor accidents and injuries. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health healthcare use
OHID Fingertips Child and maternal health unintentional injuries
OHID Fingertips Unintentional injuries on the roads
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
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Working in partnership with other agencies, young people and families, and other stakeholders, use population health needs assessment, to assess, prioritise and develop a response to local population health needs.
Population health needs assessment: a guide for 0 to 19 health visiting and school nursing services
Health visiting and school nursing delivery model
Community
Targeted
Offer evidence-based information and guidance to enable young people to make informed decisions about oral health and lowering the risk of tooth decay, for example healthy snacks and drinks, and avoiding sugary foods or drinks, alcohol and smoking.
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
E-Learning for Healthcare Oral health townscape
The Eatwell Guide
NHS.UK The Eatwell Guide
OHID, DHSC, NHS England and NHS Improvement Delivering better oral health: an evidence-based toolkit for
prevention
NHS.UK Better health - Healthier families
NHS.UK Food labels – eat well
NHS.UK Sugar the facts
E-Learning for Healthcare Alcohol and tobacco brief interventions
Alcohol, drugs and tobacco
Offer evidence-based information and guidance to encourage young people, parents and carers to visit the dentist for dental care including fluoride varnish applications and preventive advice, and that NHS dental treatment is free.
Encourage young people and their family to attend the dentist regularly, particularly for those at high risk of tooth decay.
Dentists can provide specialist advice on the application of fluoride varnish and orthodontics.
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
E-Learning for Healthcare Oral health townscape
NHS.UK Fluoride
OHID, DHSC, NHS England and NHS Improvement Delivering better oral health: an evidence-based toolkit for
prevention
NHS.UK Who is entitled to free NHS dental treatment in England
NHS.UK Take care of your teeth and gums
NHS.UK Dentists
Offer evidence-based information and guidance on dental care, including toothbrushing using appropriate fluoride toothpaste, use of interdental brushes or flossing.
Young people with an orthodontic brace should clean their teeth and appliance carefully. Their dental team will show them how best to clean teeth with a brace.
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
E-Learning for Healthcare Oral health townscape
OHID, DHSC, NHS England and NHS Improvement Delivering better oral health: an evidence-based toolkit for
prevention
NHS.UK Take care of your teeth and gums
NHS.UK Fluoride
Support delivery of the statutory requirement of Relationships and Sex Education and Health Education (RSHE) in schools for all young people, including those in special schools and alternative education provision. This includes providing young people with evidence-based information and guidance to learn about oral health, healthy eating, smoking and health literacy, and how to access support if they are worried.
School-aged years high impact area 3: Supporting healthy lifestyles
DfE Relationships education, relationships and sex education and health education
Healthy Eating
Alcohol, drugs and tobacco
Healthy eating, nutrition and physical activity
Where there are young people have concerns about oral health, for example dental extractions due to tooth decay, injury or taking long term medications, complete an assessment to identify needs and strengths.
Based on need, offer information about local universal services, for example dental services.
Where young people, have been identified as requiring targeted or specialist intervention, follow local pathways and guidance to offer targeted intervention or complete appropriate and timely referral.
Local authorities improving oral health: commissioning better oral health for children and young people
OHID, DHSC, NHS England and NHS Improvement Delivering better oral health: an evidence-based toolkit for
prevention
Health matters: child dental health
Child oral health – applying all our health
BSPD Smiles for life
NHS.UK Dentists
Poor oral health can be an indicator of neglect.
Where there are safeguarding concerns, follow statutory guidance and local safeguarding procedures.
DfE Working together to safeguard children
E-Learning for Healthcare Safeguarding children and young people programme
Safeguarding (Targeted)
Safeguarding (Specialist)
Metrics and outcomes indicators
Use evidence and data to monitor oral health and dental care. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health oral health
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
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Offer evidence-based information and guidance support young people to prepare for adulthood as they increase their independence and become less reliant on parents and carers. Develop a collaborative relationship and use a strengths- or asset-based approach with families to assess and support parents and carers. Build on their strengths and attributes to address concerns. Encourage them to build knowledge and skills to enable them to make informed decisions about their health and wellbeing. Topics could include healthy diet and healthy weight, physical activity, mental health and emotional wellbeing, keeping safe and accident prevention, immunisations, oral health, alcohol, drugs and tobacco.
Support young people to develop their knowledge of self-care, autonomy and decision making, including how to access health and care information, advice and services (including responding safely and appropriately to unintentional injuries).
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 3: supporting healthy lifestyles
School-aged years high impact area 2: Improving health behaviours and reducing risk
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
Association for Young People's Health: Health Literacy
Immunisations
Mental and emotional health and wellbeing
Healthy weight, nutrition and physical activity
Alcohol, drugs and tobacco
Keeping safe and accident prevention
Oral health and dental care
Support delivery of the statutory requirement of Relationships and Sex Education and Health Education (RSHE) in schools for all young people, including those in special schools and alternative education provision. This includes providing young people with evidence-based information and guidance.
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 2: Improving health behaviours and reducing risk
School-aged years high impact area 3: Supporting healthy lifestyles
School aged years high impact area 6: Supporting self-care and improving health literacy
DfE Relationships education, relationships and sex education and health education
AYPH Improving young people’s health literacy: school nurse toolkit (PDF)
Offer evidence-based information and guidance to enable families to develop a good understanding of positive health and wellbeing. Develop a collaborative relationship and use a strengths- or asset-based approach with families to assess and support parents and carers. Build on their strengths and attributes to address concerns and supports parents and carers to take decisions about their child. Topics could include healthy weight and nutrition, mental health and emotional wellbeing, keeping safe and accident prevention, immunisations, oral health, alcohol, drugs and tobacco.
School aged years high impact area 6: Supporting self-care and improving health literacy
School-aged years high impact area 3: Supporting healthy lifestyles
Immunisations
Mental and emotional health and wellbeing
Healthy weight, nutrition and physical activity
Alcohol, drugs and tobacco
Keeping safe and accident prevention
Oral health and dental care
Offer information and guidance to families to develop their understanding about health services and how to access them appropriately. Develop a collaborative relationship and use a strengths- or asset-based approach. Build on their strengths and attributes to develop knowledge, confidence and self-efficacy of self-care, autonomy and decision-making. Develop parents’ and carers’ confidence and self-efficacy, including how to access health and care information, advice and services appropriately, and communicating with health professionals. For example, parents should know what to do in the event of illness and when and how to access health services.
School aged years high impact area 6: Supporting self-care and improving health literacy
Association for Young People’s Health: Health Literacy (PDF)
NHS.UK
NHS.UK Services
NHS.UK Looking after a sick child
E-Learning for Healthcare All our health: social prescribing
Transition from child to adult health and care services may be worrying for some young people. Offer information, advice and guidance to support young people and their parents and carers to prepare for the transition from children’s to adult services. Support them to develop health literacy skills around informed consent and decision making about their own health, and to access and use health services appropriately.
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
School-aged years high impact area 5: supporting additional and complex health needs
School aged years high impact area 6: supporting self-care and improving health literacy
DHSC You’re Welcome: Quality criteria for young people friendly health services
NICE Transition from children’s to adults’ services for young people using health or social care services
RCN Children and young people: transition to adult services
NHS.UK Moving from children's social care to adult's social care
Mencap Transition into adult services
Mind Moving from child to adult mental health services
Transition to education settings and adult services
Offer information and guidance about safe, confidential and accessible services for when young people need health support and advice.
Mind Information for young people aged 11-18
DHSC You’re Welcome quality criteria for young people friendly health services
Metrics and outcomes indicators
Use evidence and data to monitor self-care and health literacy. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips user guidance
Close pop-up
Working in partnership with other agencies, children, young people and families, and other stakeholders, use population health needs assessment, to assess, prioritise and develop a response to local population health needs.
Population health needs assessment: a guide for 0 to 19 health visiting and school nursing services
Identify young people who are at risk of experiencing inequalities in outcomes, for example young carers, minority groups, families in contact with the criminal justice system, armed forces and veteran families, workless and low income households.
For those young people who may be experiencing inequality, complete an assessment to identify needs, strengths and vulnerabilities.
Based on need, offer information about local universal services, for example youth services family hubs or children’s centres and GPs, where young people, parents and carers can seek additional support and advice. This could include budgeting support or peer support networks.
Where young people, have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
Guidance to support commissioning of the healthy child programme 0 to 19 Commissioning guide 2: model specification
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
School aged years high impact area 6: Supporting self-care and improving health literacy
E-Learning for Healthcare All Our Health: inclusion health
No child left behind: a public health informed approach to improving outcomes for vulnerable children
Reducing health inequalities: system, scale and sustainability
NHS.UK Children and young people’s services
Health equity
Inequalities and disparities including young carers (Targeted)
Work in partnership with other agencies and professionals to identify and support groups of children and families who may require additional resources and support for early identification and prevention of poor physical and mental health outcomes, such as young carers or asylum seekers and refugees
Ensure young carers and their family are aware of their right to a young carer’s needs assessment.
NHS.UK Children and young people’s services
School-aged years high impact area 1: Supporting resilience and wellbeing
School-aged years high impact area 2: Improving health behaviours and reducing risk
Guidance to support commissioning of the healthy child programme 0 to 19 Commissioning guide 2: model specification
E-Learning for Healthcare All Our Health: inclusion health
No child left behind: a public health informed approach to improving outcomes for vulnerable children
Reducing health inequalities: system, scale and sustainability
Inequalities and disparities including young carers (Targeted)
Identify vulnerable children who are at greater risk of experiencing poor outcomes because of one or more factors in their lives, for example families in poverty, poor housing or at risk of hidden harms. Children and young people’s physical, emotional and mental wellbeing are significantly shaped by the social determinants of health into which they are born, live, learn and grow.
For those children who may have additional needs, complete an assessment to identify needs, strengths and vulnerabilities.
Based on need, offer information about local universal services, for example family hubs or children’s centres and GPs, where parents and carers can seek additional support and advice. This could include household budgeting support to enhance their skills and confidence.
Where children, have been identified as requiring targeted or specialist services, follow local pathways to complete appropriate and timely referral.
Guidance to support commissioning of the healthy child programme 0 to 19 Commissioning guide 2: model specification
School-aged years high impact area 2: Improving health behaviours and reducing risk
School-aged years high impact area 4: Reducing vulnerabilities and improving life chances
Vulnerability in childhood: a public health informed approach
Early Intervention Foundation About early intervention: why it matters
Narrative report about improving health outcomes for vulnerable children and young people
DfE, DHSC SEND: guide for health professionals
DLUHC, DfE Supporting families
DfE Working together to safeguard children
E-Learning for Healthcare All Our Health: Homelessness
Citizens Advice
Shelter Housing advice
Safeguarding (Targeted)
Safeguarding (Community)
Where children and their parents and carers are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Where there are safeguarding concerns, follow statutory guidance and local safeguarding procedures.
DfE Working together to safeguard children
E-Learning for Healthcare Safeguarding children and young people programme
Safeguarding (Targeted)
Safeguarding (Specialist)
Metrics and outcomes indicators
Use evidence and data to monitor inequalities and disparities. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips Wider determinants of health
OHID Fingertips user guidance
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Follow statutory guidance and local safeguarding procedures where there is cause for concern.
DfE Working together to safeguard children
No child left behind: a public health informed approach to improving outcomes for vulnerable children
NSPCC Spotting the signs of child abuse
E-Learning for Healthcare Safeguarding children and young people programme
Safeguarding
Develop a collaborative relationship and use a strengths- or asset-based approach to assess need including family relationships and dynamics, and chronology of events. Support young people, parents and carers, building on their strengths and attributes to improve wellbeing, address concerns and support self-care. Recognise when individuals or families may have experienced trauma or adverse childhood experiences.
Scottish Government Trauma-informed practice: toolkit
South Yorkshire Violence Reduction Unit Trauma-informed practice
Gloucestershire County Council Frameworks for being trauma-informed
Early Intervention Foundation Trauma-informed care: Understanding the use of trauma-informed approaches within children’s social care
Adverse Childhood Experience Support Hub Cymru and Wrexham University ‘Trauma-informed’: Identifying key language and terminology through a review of the literature
Where a young person transfers into area, follow local guidance and best practice to review the young person’s health records, make appropriate follow up and action.
Guidance to support commissioning of the healthy child programme 0 to 19 Commissioning guide 2: model specification
DfE Working together to safeguard children
Safeguarding (Targeted)
Safeguarding (Community)
Where young people are receiving targeted or specialist support, continue to provide the universal and community offer and work in partnership with other agencies.
Health visiting and school nursing delivery model
Universal
Community
Metrics and outcomes indicators
Use evidence and data to monitor the health and wellbeing of vulnerable children and those with safeguarding needs. Compare local data with similar areas, within a region and nationally, to identify opportunities for improvement. Use evidence and data to evaluate and demonstrate improvements in population health and other outcomes resulting from universal intervention.
OHID Fingertips Child and maternal health vulnerable children and young people
OHID Fingertips Improving health outcomes for vulnerable children and young people reports
OHID Fingertips Public Health Outcomes Framework
OHID Fingertips Wider determinants of health
OHID Fingertips user guidance
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