60 years of the NHS The Getting it right for every child approach is recognised in the Better Health Better Care Action Plan to improve health and health care in Scotland. The Action Plan promotes the view that supporting early years development, good health choices and behaviours amongst children and young people should set children on a trajectory where they can sustain good health throughout their lives.
This approach was championed in June at the NHS Scotland event - the NHS 60th Anniversary conference that took place at the SECC in Glasgow. The Getting it right team hosted a stand at the event and supported a workshop with a cross-government panel and two speakers - the Chief Medical Officer, Dr Harry Burns; and Prof. Jonathan Kotch - who provided fascinating presentations on the importance of attachment, early intervention and wellbeing in the early years, and their significance for child development. Review of Nursing in the Community The new community nurse model pilot continues to run in four health board areas in Scotland. This pilot was established an earlier consultation which raised concerns around difficulties in engaging with community nurses who had a diversity of roles and titles, and a lack of whole family lifespan focus.
Addressing the Needs of Children and Families The community nursing team will continue to provide the universal service defined within Hall 4 to all families. This service includes an assessment of family needs carried out in partnership with parents and carers, a programme of health promotion and an emphasis on strengthening parenting skills and capacity.
Community nurses will play a key and sometimes lead role in identifying needs for vulnerable families in the context of early intervention and prevention in the wider multi-agency setting. Community nurses will continue to identify and meet family's needs within the context of both Hall 4 and Getting it right for every child. The forthcoming early years and early intervention strategy will provide further opportunities to support children and their parents as part of a joined up multi-agency approach which puts children at the centre. Beyond the early years, the Scottish Government is also investing in the development of multi- disciplinary school health teams to respond to the needs of children. These teams will include community nurses giving families continuity of support from early years through to school leaving and into adulthood. Infant Health and Nutrition - New Post Establishing good nutrition and developing healthy weaning practices is essential and will influence children's immediate and long term health. In recognition of the importance that is placed on breastfeeding and children's early eating pattern, an Infant Nutrition Co-ordinator for Scotland has recently been appointed. The role is to lead the development and implementation of an infant nutrition strategy, providing advice and support to Ministers, NHS Health Boards and all those involved in infant nutrition. This post supports a major strand of maternal and child health policy, as well as wider policy, to promote health and tackle health inequalities. Much of this is covered in the publication Healthy Eating, Active Living: an action plan to improve diet, increase physical activity and tackle obesity (2008-2011).
Ministerial Task Force on Health Inequalities " Equally Well" is a report of the ministerial task force on health inequalities, which sets out the context in which the Scottish Government intends to improve health across some of the poorest sections of society.
In this publication Adam Ingram, Minister for Children and Early Years, highlights how this agenda is supported by early intervention: "Early intervention is a hallmark of this Government's approach to improving the lives of Scots and delivering the better Scotland that we all want to see. The early years of a child's life are a key opportunity to build resilience and reduce the impact of inequalities on health outcomes." The report states that children's circumstances in the earliest years of life are critical to future health inequalities and that action is needed across a range of services to end the cycle of health inequalities which passes from parent to child. It maintains that vulnerable groups, such as looked after children or those who live in a house where alcohol or drugs are misused, require particular help. It also points out that children should by encouraged to enjoy learning and to stay in education beyond the age of 16.
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