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The Council is redesigning Prevention Services for 0-19's and their families using an evidence based approach to identify and support needs, risk factors and issues early as they emerge. A new single countywide 0-19 Prevention Service is required to deliver prevention through a progressive universalism approach. This means providing some service for everyone, using those services to find those who need a higher level of support and providing extra support at intensity according to their need. The Service will deliver prevention by building community capacity, strengthening family and community resilience and providing the universal and targeted requirements of the HCP. This approach will improve outcomes and tackle inequalities which will thereby deliver the core purpose of Children's Centres. The Service will be provided by a fully integrated skill mixed workforce delivering a social model of prevention, health and well-being, led by clinical input and supervision when necessary.
The specific aims of the 0-19 Prevention Service will be:
· To provide prevention through a progressive, universalism approach, delivering targeted interventions, to those most in need.
· To build community and family capacity so they are better able to help themselves
· To support parents, promoting good parenting skills.
· To improve early years' outcomes through targeting perinatal mental health, secure attachment, nutrition and exercise, language and communication and school readiness.
· To improve social, emotional and well-being through strengthening the resilience of children, young people, families and communities
· To deliver full population coverage of the HCP universal assessments
· To provide targeted or additional prevention, early intervention and care plans in accordance with need
· To use evidence based tools, assessments, interventions and programmes using HCP and NICE guidance
· To provide effective information and advice to support self-help and promote social, emotional, health and well-being.
The 0-19 Prevention Service will be called the ‘Starting Well’ Service. The Service will draw on both a social and community model of health, well-being and prevention and on a medical model of clinical assessment, development and health. The Service will be professionally led by a skilled and competent workforce, integrating a range of practitioners into multi-disciplinary skill mixed teams to maximize effectiveness and efficiency. The workforce will include health visitor and community public health nurses, parenting practitioners, peer supporters and support workers within early intervention teams including volunteers.
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