Universal Health Visiting Pathway evaluation: phase 1 report - routine data analysis - implementation and delivery

The Universal Health Visiting Pathway was introduced in Scotland in 2015 to refocus the approach to health visiting in Scotland. This is the final report of four that provides findings about the implementation and delivery of the pathway as part of the national evaluation of Health Visiting.


The results are organised into sections that build on each other to present an overarching view of the Child Health Review Data. First, the number of births occurring each month between 1 January 2011 and 31 March 2019 are presented (in Figure 1), and the distribution of births over the eight financial years, stratified by SIMD quintiles, are explored (in Figure 2). Delivery of the reviews is evaluated in two ways: first, the raw number of reviews delivered each month and, second, the review coverage (which is the percentage of children born in a specified month who have received the relevant review). In Figures 3 and 4 below, delivery is summarized for all five reviews.

Second, each review is investigated individually, in greater depth: that is, the number of reviews delivered, the overall coverage of the review, the coverage stratified by SIMD quintile, and the difference (absolute and relative) between children living in the most and least deprived areas (SIMD 1 and SIMD 5 respectively).

The context of each review is also examined: this includes the location of the review and the practitioners involved in the review.

Finally, the developmental assessment of the children is investigated: the developmental tools used in the later reviews (13-15 month review onwards); the Health Plan Indicator (HPI) allocated at end of each review; and any developmental concern raised for the final four reviews.


Email: justine.menzies@gov.scot

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