Starting well

Within the Public Health Team there are a number of strategies which reference health related work in relation to children, young people and families.

Sexual Health Strategy 2016-19.

Actions - young people:

  • Enhanced offer
  • Teacher training packages
  • Improve availability and access to LARC for under 18s & a high risk.
  • Packages for parents to be offered.
  • Young people’s service user group.
  • FNP programme.
  • Ensure that spokes devised as part of the integrated sexual health service are developed in line with young people’s needs.
  • Continue to offer the free (pharmacy) emergency hormonal contraceptive (EHC) scheme ensuring capacity and coverage in line with need.
  • Ensure contraceptive and sexual health services meet the standards of the You’re Welcome quality criteria.
  • Ensure services are effectively promoted via our trained staff so that young people know where to access vital provision
  • Continue to offer LARC in key settings (Youth Settings, Sexual Health Spokes, Primary Care) and promote the availability and benefits effectively so that young people have both access and choice in this area
  • Develop a competent and able workforce within children and young people’s services at a level appropriate to staff type. At a minimum staff should be able to signpost and support young people to access services and where appropriate, staff should be able to work with young people to provide detailed information and advice.
  • Staff should be able to identify young people at greatest risk of early sexual activity and support and signpost them accordingly.
  • Similarly, staff should be able to identify those young people at risk (eg. via an unhealthy relationship) and appropriately signpost them into the correct setting (eg. MCSETO, Child Safeguarding Board).
  • Support schools and other settings to deliver high quality SRE (Sex & Relationship Education), meeting the needs of vulnerable young people including those with learning disabilities, NEET, MSM and BME groups. Ensure a whole systems approach for the setting involving staff, pupils and parents /carers.
  • In tandem with the above aim, develop and deliver a pupil peer education programme in schools. This will educate young people in key year groups around sex & relationships and equip them with the information/tools needed to pass on vital knowledge to peers. This will also include a sound knowledge of local services due to recent evidence suggesting young people are unaware of what is on offer to them.
  • Ensure targeted early intervention services are in place in schools and alternative education settings (considering the links between sexual health, alcohol and domestic violence).

Tobacco Control Ambitions 2015-18

One of the four ambitions is Prevention and making smoking history for children.

Initial Actions

  1. To support all primary schools to achieve ‘Smokefree School’ status through a whole school project, including assemblies and parents evenings. School health and stop smoking service to coordinate.
  2. To support all high schools to achieve ‘Smokefree School’ status including onsite smoking cessation for students, families and staff.
  3. To ensure all youth settings are smokefree environments and that youth staff are adequately trained to offer brief intervention and relevant referrals.
  4. To improve links between youth settings and the public protection team to share intelligence with relation to illegal tobacco sales.

Alcohol Strategy 2016-2019

  • Increase the delivery of alcohol harm awareness work addressing the needs of young people in schools and other youth settings (both formal and informal), ensuring it is consistent, age-appropriate and evidence based.
  • Identify further and respond to the potential hidden harm faced by those children and young people living with hazardous and dependant drinkers, in particular focusing on those children and families presenting within the children in care / children in need agendas as a result of parental alcohol misuse.
  • Improve awareness of the potential harms that can be caused by consuming alcohol during pregnancy and ensure new Chief Medical Officer guidelines in relation to this are widely promoted amongst mothers to be, maternity professionals and GP’s.
Youth Health Champions 

The Youth Health Champions programme is an exciting and flexible approach to health education, specifically developed for young people aged 14-18 to give them the skills, knowledge and confidence to act as ‘health advisors’ to their peers, and to increase awareness of healthy lifestyles and involvement in activities to promote good health.

In order to become a Youth Health Champion, candidates must undertake the Royal Society of Public Health Level 2 Certificate for Youth Health Champions, which is equivalent to a GCSE, grade A-C. The qualification requires around 38 hours of classroom time with additional further study to be completed by students independently and consists of the following four modules:

  • Basic understanding of the key determinants of health;
  • A research task about the health facilities in the students own community;
  • Practice at delivering health messages to their peers;
  • One specialist module to deepen the students understanding of a specific aspect of health.

For further information, please visit the RSPH website

Main Heading – Starting Well

Health Profiles: Warrington Demographics of 0-19 population

  • Children and young people under the age of 20 years make up 23.7% of the population of Warrington (48,900 & this is projected to rise to 52,200 in 2025).
  • There are 38,751 women of childbearing age in Warrington who are aged 15-44 years. At ward level, the areas with the highest numbers are Fairfield and Howley (3,156), Bewsey & Whitecross (3,148) and Whittle Hall (2,908).
  • Deprivation is highest in the central areas of the town.
  • The health and wellbeing of children in Warrington is mixed compared with the England average. Infant and child mortality rates are similar to the England average. 

Children Centre Profiles

Public Health Commissioned Services for children, young people and families.

Local authorities have a duty to improve the health of children, young people and families in their area and have responsibility for commissioning appropriate public health services.

The following public health service contracts are funded through the ring fenced Public Health Grant.

  1. 0-19 Integrated Public Health Service

Bridgewater Community Healthcare NHS Foundation Trust was awarded the 0-19 Integrated Public Health Service and this commenced in April 2016.

For further details you can:

Within this Public Health Contract there are the following services:

School Nursing - The aim of the service is to deliver, evidence based public health interventions to school-aged children and young people 5-19 years and to improve health and wellbeing, educational outcomes and reduce health inequalities.

The service:

  • works with children and young people to improve healthy choices; healthy weight/healthy lifestyles, sexual health and substance misuse;
  • deliver the National Child Measurement Programme (NCMP) to Warrington primary school children in Reception (aged 4-5 years) and Year 6 (aged 10-11 years;
  • conduct health questionnaires and reviews for targeted children and young people;
  • identify vulnerable children, young people and families (children in care, young carers, home educated or young offenders) to provide and co-ordinate tailored packages of support, for children with additional and complex needs;
  • contribute to safeguarding. 

For further details you can:

Breastfeeding Peer (Volunteer) Support - The aim of the service is to increase initiation, prevalence and duration of breastfeeding in Warrington; especially in those mothers who are least likely to breastfeed (teenage mothers, mothers from the most deprived quintiles) and who are at risk of poor health outcomes.

The service:

  • recruits and trains breastfeeding supporters (volunteers) to provide a quality assured service which is integrated with maternity, health visiting and children centre support workers;
  • delivers a range of volunteer support sessions during antenatal and postnatal periods, in a range of settings across Warrington. 

For further details you can:

Oral Health Improvement - The aim of the service is to improve oral health in children and young people.

The service:

  • promotes the benefits of tooth brushing and distributes fluoride toothpaste to target cohorts;
  • supports early years settings and primary schools to establish supervised brushing schemes;
  • encourages and supports local dentists to work towards the criteria in the Warrington Smile 4 Life’ award);
  • also provides a small element of the service to ensuring that vulnerable adults are not further disadvantaged because of poor oral health – through information sessions to targeted groups. 

For further details you can:

Health Visiting - The aim of the service is to work across a number of stakeholders, settings and organisations to lead delivery of the Healthy Child Programme 0-5; a prevention and early intervention public health programme.  The service supports parents at a crucial stage to promote child development, improve child health outcomes and ensure that families at risk are identified at the earliest opportunity.

The service:

  • supports families with transition to parenthood and the early weeks
  • ensures that anyone suffering maternal mental health (perinatal depression) receives the required support
  • provides the mandated health, wellbeing and development review checks.
  • provides healthy weight, infant feeding, healthy nutrition and physical activity advice and support. 

For further details please:

Family Nurse Partnership - The aim of the service is to support first time parents under the age of 20, from early pregnancy until the child is 2 years old.  The service is home based.

The service:

  • provides intensive, structured, 1 to 1 support to these first time parents to improve pregnancy outcomes, child health development and parents economic self-sufficiency. 

For further details you can:

School Aged Immunisations - The school nursing service delivers the routine school-age immunisation programmes and offers age appropriate catch up immunisations according to the current UK immunisation schedule (This is commissioned by NHS England although it sits within the 0-19 Integrated Public Health Service).

  1. Orthoptic School Vision Screening Service 

Warrington and Halton Hospitals NHS Foundation Trust was awarded the Vision Screening Service which commenced in September 2013.

The service:

  • Screens all children for visual impairment between four and five years of age in line with recommended and better practice testing
  • Diagnoses and appropriately manage cases, ensuring a fast track referral for those requiring treatment in secondary care. 

For further details you can:

  • Contact: Vision Screening Lead at Warrington and Halton Hospitals Tel: 01925 662 772 (ext 2772).
  • Contact: 0-19 Public Health commissioner