Health Visitors

Charlie Faulknor made this Freedom of Information request to Homerton University Hospital NHS Foundation Trust

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

The request was successful.

Charlie Faulknor

Dear Homerton University Hospital NHS Foundation Trust,

Please provide the following information regarding your health visiting teams.

(1) How many health visitor staff do you have and what is the average caseload per health visitor?
(2) What is the minimum education/skillset required to become a health visitor?
(3) How do the health visitors recruit clients into their service? i.e. how do they collect names and contact details of mothers/fathers?
(3a) I ask this on the presumption that many do not actively seek the health visitor, moreso that the health visitor contacts the parents first. Is this the usual model of engagement?
(4) Is the health visitor service optional for familes and if so is this made clear (i.e. is explicit consent sought or is it implied?)?
(4a) If it is not optional, please provide the appropriate legislation which deems participation in this service compulsory.
(5) Please provide your code of conduct.
(6) Please provide any operational guidelines for the initial visit by the health visitor.

Yours faithfully,

Charlie Faulknor

Cook James at Homerton Hospital NHS Trust,

2 Attachments

Dear Charlie

Thank you for your Freedom of Information request concerning health
visitors.

 

The Trust can provide the following information:

 

1) How many health visitor staff do you have and what is the average
caseload per health visitor?

 

                Number of Health Visitors as of 23rd July 2013 in post is
Headcount: 52, whole time equivalent: 45.91. This does not include support
staff.

 

(2) What is the minimum education/skillset required to become a health
visitor?

               

               

                A qualified Registered General Nurse (adult or children)
with current registration with the Nursing and Midwifery Council

 

(3) How do the health visitors recruit clients into their service? i.e.
how do they collect names and contact details of mothers/fathers?

 

                Newbirth notifications from Midwifery services.

                Referrals from other Trusts via child health departments
e.g. people transferring from one area to another

                Families approaching the services to request health
visiting services

                Referrals from GP practices and children centres

 

(3a) I ask this on the presumption that many do not actively seek the
health visitor, more so that the health visitor contacts the parents
first. Is this the usual model of engagement?

               

                The Healthy Child Programme and national health visiting
core specification sets out the service offer for the Health Visiting
Service.  At Antenatal classes parents will be informed that a health
visitor will contact the family or visit between 10-14 days.        

                A mother who has recently given birth and visited by a
midwife are also informed by the midwife to expect a health visitor to
contact them. This proactive stance reduces the need for families to seek
the services of the health visitor.

 

(4) Is the health visitor service optional for families and if so is this
made clear (i.e. is explicit consent sought or is it implied?)?

 

                Health visiting is a universal service that we have a duty
to offer to all families with children under the age of 5 years.  It is
however optional if for families engage with the service. Consent to visit
is sought in contact with the family as visits arranged

               are based on a mutual agreement with families as to where
and when it will occur. Families who do not wish to engage with the
service are asked to confirm this in writing if possible for clarity; but
are always invited to take up our offer of a service at a later date.

 

 

(4a) If it is not optional, please provide the appropriate legislation
which deems participation in this service compulsory.

          It is not compulsory - the service is offered

 

(5) Please provide your code of conduct.

                The NMC code of conduct covers all Nurses -see attachment

 

(6) Please provide any operational guidelines for the initial visit by the
health visitor.

 

                The first contact standard is attached but is in the
process of review.

 

 

If you have any queries about this response please contact the information
governance manager at [1][Homerton University Hospital NHS Foundation Trust request email] , in the first instance.  
If, following that, you still have any concerns, you may contact the
Information Commissioner either by letter,  FOI/EIR Complaints resolution,
Wycliffe House, Water Lane, Wilmslow, Cheshire SM9 5AF, or by email
[2]www.informationcommissioner.gov.uk to take them further.

 

Copyright Statement

The material provided is subject to the HUHFT’s copyright unless otherwise
indicated.   Unless expressly indicated on the material to the contrary,
it may be reproduced free of charge in any format or medium, provided it
is reproduced accurately and not used in a misleading manner.   Where any
of the copyright items are being re-published or copied to others, you
must identify the source of the material and acknowledge the copyright
status. Permission to reproduce material does not extend to any material
accessed through the Publication Scheme that is the copyright of third
parties.   You must obtain authorisation to reproduce such material from
the copyright holders concerned.

 

 

Yours sincerely

 

James Cook

Information Governance Administrator

 

 

 

 

Matthew Hall

Information Governance Manager (Deputy Caldicott Guardian)

 

 

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Dear Homerton Hospital NHS Trust,

Thank you kindly for the information relayed. I should clarify the level of information I was hoping for as part of point 6: operational guidlines. The health visitor fills out a number of forms during their visit. Some are recorded in the childs personal health record (the "red book") and some are recorded elsewhere.

1)Please provide a copy of any forms which are filled out by the health visitor as part of their initial visit whether it is filled out at the time or after the visit.

2)Please provide any guidlines which the health visitors follow regarding the initial visit. i.e. anything that relates to the data which must be collected, what questions need to be asked, what services need to be offered.

3)What system is used to report on the initial visit? Paper/electronic?

4)What are the data fields which need to be filled out from information obtained from the initial visit?

Additionally I would like to ask:
5)How many children/families were engaged with for each of the last 5 years.
6)How many children were identified as vulnerable children
7)How many children were identified as children in need
8)How many children/familes refused the health visitor service
9)Of the children/families who refused the health visitor service, how many were referred onto social services

Yours sincerely,

Charlie Faulknor

Cook James at Homerton Hospital NHS Trust,

Hi Charlie,
This is asking for addition information that was not actually part of the original request.
This will be submitted as a new request. Date stamped as being received today.

Regards
James

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Cook James at Homerton Hospital NHS Trust,

 

Dear Charlie

 Thank you for your Freedom of Information request concerning health
visitors.

The Trust can provide the following information:

 

1) Please provide a copy of any forms which are filled out by the health
visitor as part of their initial visit whether it is filled out at the
time or after the visit.

    The HVs fill in a form in the Personal Child Health Record which is
held by the parent and then they enter information on the child
information system i.e. RIO when they return to base.

 

2) Please provide any guidelines which the health visitors follow
regarding the initial visit. i.e. anything that relates to the data which
must be collected, what questions need to be asked, what services need to
be offered.

       See attachment

3) What system is used to report on the initial visit? Paper/electronic?

       both

4) What are the data fields which need to be filled out from information
obtained from the initial visit?

      There could be different form taken to a visit depending on what the
visit is for and therefore we are unable to confirm what fields would be
filled out for each visit as this will vary.

 

Additionally I would like to ask:

5) How many children/families were engaged with for each of the last 5
years.

       This information isn’t recorded in the format being requested and
is estimated it would exceed 18 hours to collate , therefore is exempt
under section 12 of the Freedom of Information Act 2000

 

6) How many children were identified as vulnerable children

      591                                                                                                                                                             
                                                   

7) How many children were identified as children in need

      same as above

 

8) How many children/families refused the health visitor service

     This information isn’t recorded in the format being requested and is
estimated it would exceed 18 hours to collate , therefore is exempt under
section 12 of the Freedom of Information Act 2000

 

9) Of the children/families who refused the health visitor service, how
many were referred onto social services

      This information isn’t recorded in the format being requested and is
estimated it would exceed 18 hours to collate , therefore is exempt under
section 12 of the Freedom of Information Act 2000

 

 

 

If you have any queries about this response please contact the information
governance manager at [1][Homerton University Hospital NHS Foundation Trust request email] , in the first instance.  
If, following that, you still have any concerns, you may contact the
Information Commissioner either by letter,  FOI/EIR Complaints resolution,
Wycliffe House, Water Lane, Wilmslow, Cheshire SM9 5AF, or by email
[2]www.informationcommissioner.gov.uk to take them further.

Copyright Statement

The material provided is subject to the HUHFT’s copyright unless otherwise
indicated.   Unless expressly indicated on the material to the contrary,
it may be reproduced free of charge in any format or medium, provided it
is reproduced accurately and not used in a misleading manner.   Where any
of the copyright items are being re-published or copied to others, you
must identify the source of the material and acknowledge the copyright
status. Permission to reproduce material does not extend to any material
accessed through the Publication Scheme that is the copyright of third
parties.   You must obtain authorisation to reproduce such material from
the copyright holders concerned.

 

Yours sincerely

James Cook

Information Governance Administrator

 

Matthew Hall

Information Governance Manager (Deputy Caldicott Guardian)

 

 

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Charlie Faulknor

Dear Cook James at Homerton Hospital NHS Trust,

Please take this as a new FOI request.

How many databases do you use to keep information on families? Please name each database/file name. This question is made on the assumption that you keep electronically filed information on families within a common database - if not, please clarify. You have previously stated that Red Book data gets filed on RIO - do you have any additional databases which you use? Please include any excel or other format databases.

What programme do you use to keep this information and who has access to it? Specifically, who has access to an individual families non-anonymised information. It is acceptable here to answer generically, when appropriate: i.e. HV's, GP's, etc.

Do you provide access to information to other agencies or government bodies? Please specify.

Apart from the records filled by the health visitor (HV) from the Personal Child Health Record, are there any other forms which might be filled out by a HV? Please list the titles of each form which may be used on any visit. This request is made on the assumption that the HV may record information during or after a visit which is not part of the Personal Child Health Record, and that there is a form filled out on the initial visit which is titled something like 'fitness to parent'.

Regarding information collated using any forms which are not part of the Personal Child Health Record - would this information also be kept on RIO? Or on another database?

Yours sincerely,

Charlie Faulknor

Cook James at Homerton University Hospital NHS Foundation Trust,

1 Attachment

Hi Charlie

Please see attach for our response.

Regards
James

James Cook
Information Governance Administrator
Homerton University Hospital
NHS Foundation Trust
Hackney College
Defoe Building
Room 113
Hoxton Street
N1 6LP
 
Tel: 0207 683 4002
Email: [email address]
Fax: 020 70147255

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