Appendix 2 Revised Logic Model – Universal Health Visiting Pathway
- Universal pathway home visits by HVs (0-5yrs)
- Funding for additional HVs
- HB’s employ sufficient HV’s to deliver the universal pathway
- Resources for training and continuous workforce development
- Workforce planning and caseload weighting tool
- Evidence informed national and local guidance, resources and tools
- All families offered all core visits, additional visits provided if required.
- Build and maintain strong relationships with families from pregnancy onwards, providing information on the role of the HV to enable better understanding among families
- Early assessment of family wellbeing and strengths identification of current/potential needs and care planning
- Ensure continuous, consistent use of GIRFEC National practice model to assess, evaluate ,analyse and plan for the child with a focus on outcomes
- Ensure continuous, consistent and effective assessment of families strengths and concerns (e.g. finance, mental health, domestic abuse, learning difficulties) using open and inclusive routine enquiry.
- Ensure continuous, consistent and effected assessment of child and family relationships
- Where necessary deliver/promote timely tailored interventions advice signposting and support for children and families using a strengths bases model (e.g. positive attachment, child development and behaviour, in fact nutrition, oral health smoking, child safety).
- Children assessed as having additional needs (HPI-A) receive support and interventions over and above the minimum core visits by either HV or referral to appropriate agencies
- Facilitate and/or contribute to multi-agency support for children and families (e.g. child protection, wellbeing) where required.
- Develop and apply appropriate protocol for collecting and sharing information with multiple agencies.
- Continuous professional development, including provision of clinical supervision and education, training opportunities and evidence based resources.
- Develop and implement a sustainable national workforce plan to meet national and professional guidance.
- Families receive core visits and additional visits by HV as required
- Improve continuity of care and partnership working between HV and families
- Early identification of family strengths and concerns
- Early identification of child strengths and concerns (e.g. HPI-A, child development, neglect)
- Improve families understanding of children's development, wellbeing and safety
- Improve family understanding of healthy lifestyle and behaviour choices (e.g. smoke free home, breastfeeding, oral health
- Provision of timely and proportionate support to families by HV
- Appropriate and timely referrals to other agencies/disciplines
- Effective multi-agency working and information sharing with other agencies/disciplines
- Increased strength based/outcome focused working
- HVs feel well supported (e.g. Caseload management) and valued in their role
- HVs are competent and skilled with appropriate training and resources
- HV participate in clinical supervision, education and training
- HV have knowledge and awareness of community assets, care and referral
- HVs are equipped to deliver appropriate interventions to children and families
- Positive and trusting relationships between families and HV
- Families feel well supported by HV and able to access relevant other support options if required
- Improved family confidence in, and knowledge and application of, good parenting techniques
- Improved family understanding of attachment and its impact on child's brain development, resulting in secure attachment
- Improved family home learning environment, (e.g. play, reading)
- Increase in number of secure family/child relationships
- Improved wellbeing and safety practices by families
- Improved health behaviours within families (e.g. smoke free homes, breastfeeding, weaning and early diet, oral health).
- Appropriate use of health services for children (e.g. A&E attendance, out of hours)
- Sustained engagement with universal and wider support groups/services, including increased engagement with services referred to.
- Appropriate HV support provided regarding strengths and concerns identified and/or referral to appropriate agency.
- Increased family awareness and uptake of local groups/services
- Increase in HV job satisfaction
- Decrease in HV sickness, absenteeism, staff turnover
- Sustained effective multi-agency partnership working and information sharing with other agencies/disciplines
Longer Term Outcomes
- Improved confidence and resilience among children and families
- Earlier intervention and prevention for children and families
- Reduced inequalities in outcomes and reduced impact of wider inequalities (e.g.
- changing parents approach to parenting despite inequalities)
- Improved child development and school readiness
- Improved child safety and protection
- Improved health outcomes for children and families (e.g. healthy child weight,
- reduced hospital admissions for serious injuries, maternal mental health, reduced substance misuse)
- HVs and other agencies contribute to effective multi-agency partnership working
- HV workforce retention and satisfaction of staff
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