Gloucestershire locality map v5

Gardner's Lane Hesters Way Churchdown Oakwood Rowanfield / Leckhampton Cinderford Lydney Newent Bartongate Compass / The Link Finlay / LightHse Kaleidoscope The Oaks / Quedgeley Bourton-on-the-Water Moreton-in-Marsh Cirencester Lechlade and Fairford Tetbury Dursley Frithwood Prices Mill Stonehouse Stroud Brockworth Tewkesbury

 

Clicking on a location on the map above will bring up details about services available in that area, including contact details for the Health Visiting team.

Our health visitors are registered nurses or midwives and come from a wide range of backgrounds and experience in different areas of nursing. We work in teams for a particular community and will have extensive knowledge of your geographical area and other services there.

This means that we are skilled to help you and your family lead as healthy a life as possible, both physically and emotionally. Our health visitors support families with young children aged 0-5 years by listening to any worries or questions a family may have. We can help you to make your own decisions by listening to you and giving you information you need.

Community nursery nurses
Community nursery nurses work in our teams and will have one of a range of childcare related qualifications which gives them expert knowledge of child health and development.

We have access to the up to date health research and Department of Health guidance - so you can be sure that our advice is based on latest evidence

When will we see you and your child?


Health Visiting teams deliver a service based on the Department of Health’s Healthy Child Programme so will see you at the following times for our core universal service:

  • Antenatally, we will see parents prior to the birth of their baby, usually between 28 and 36 weeks. We work closely with midwives who will let us know if an early visit will benefit you.
  • Ten to 14 days after birth your baby will be offered a hearing screening test by our team at home.  We will make an assessment visit around this time – sometimes called the Primary or New Birth Visit.
  • At that visit we will review your recovery from the birth of your baby.
  • We will also give information on: Children’s Centres; smoking; safe sleeping positions for baby and safety in the home.  We will tell you how to access the Department of Health Birth to Five book, which is helpful in giving written advice on many aspects of caring for your child.
  • Six to eight weeks after the birth we will review the progress you and your baby are making – usually at home. We will talk to you about the Immunisation programme (which starts at 8 weeks) and also about your baby’s development.  We also check out how you are feeling and talk about any physical or emotional concerns or worries.
  • When your child is 12 months old and two years old we offer a review of their health and development by talking to you and your child. You will receive a letter that will ask you to contact a central booking line. You will be able to choose a venue that is convenient to you. At this face to face contact your child will have the opportunity to demonstrate a range of skills and an opportunity for you to talk about any health or developmental concerns. This review is called Ages and Stages. You will receive two questionnaires to complete on behalf of your child before the appointment. Please bring your child’s red book with you. At this contact we will also provide useful information that can be found in the 'resouces' drop box below. 
  • When your child is between two and two-and-a-half years old you will be contacted to attend for another review of your child’s health and development as above. Your child will have the opportunity to demonstrate skills such as building towers of bricks and there is more focus on your child’s skills in talking.  Dental care will also be discussed - especially if you are finding it difficult to get registered with a dentist. Again there is lots of opportunity for finding out about health issues that commonly affect this age group – and for asking us questions and exploring any issues about your child’s behaviour.

If at any time any issues or developmental problems require further investigation or support our team will seek referral for your child after exploring with you options that are appropriate for your child. These may include referral to other specialists such as speech and language therapy, physiotherapy or a paediatrician.   

If you think that you need more help than this core universal service, just ask. We can discuss the best way forward to meet your needs. Also if we think you will benefit from more support from us we will offer it too.

Other times we may contact you

  • If you move house and are new to Gloucestershire we will see you to explain our service and find out how we can help you and your family
  • If your child goes to an Emergency Department or is admitted to hospital we are notified. We may give you a call to follow this up with further advice and information
  • If other professionals feel we can be of support to you, e.g. GPs, paediatricians and other health and social care professionals

Extra support with 'Universal Plus' and 'Partnership Plus' services

Sometimes, families need some extra support and there may be all sorts of reasons. We're here to help. Often, we will be working alongside other agencies to get you back to where you want to be as a family – being safe, healthy, enjoy and achieving and making a positive contribution within your community.

There may be times when you just need a little extra help in your family. This may be a short episode or a longer period when you see us more frequently. This may be because your child has extra health needs, or because things have changed for you and you are coping less well with your family needs.

There are times when things are not going as planned. Your child’s well-being is always our first priority. We will share concerns with you as they arise and will work hard with you to make changes needed. We do have a duty to involve other agencies in the interest of your child, and we work to the Gloucestershire Safeguarding Children’s Board protocols to protect children from risks of abuse.

For more information see Gloucestershire Safeguarding Children Board

Where do we see you?

 These are places you might see us:

  • Child health clinics are run at certain times in each community - you can get your baby weighed or just ask questions about your child.  You will be informed of where these clinics are when we first meet you.  You will have a list added to your red Child Health Record Book and you can just ‘drop in’ - no appointments are necessary
  • GP surgeries, health centres and Children’s Centres are other places you might be asked to come for an appointment, such as for your child’s developmental review. We work closely with Children’s Centres and are often involved in some of the activities going on there
  • At home - visits may be offered. Sometimes this offers more privacy and space to discuss sensitive issues. If you feel you need this please ask
  • Our aim is to work with you to provide the services your particular area needs to support health in your community. This will look very different in every area

If you have any concerns

Please get in touch if you have concerns for yourself or any member of your family.
 
Our health visitors can direct you to other agencies or resources in your local area e.g. physiotherapists, or can request services or specialist support on your behalf e.g. speech therapists.

Drop in - If you know the venue and times of your local child health clinic you are welcome to just drop in – don’t forget your Parent Held Record book (Red book)!

Resources

Useful public health information for you and your child

Development
A Department of Health Developmental timeline offering an interactive guide to child development from birth to five years old, including videos and advice to help parents along the way is available here.

Getting to know your baby
Flashcards are available here

Food and Diet
The Change4Life Sugar Smart app is designed to show quickly and easily how much total sugar is in the things you’re buying, eating and drinking, to help you spot it more easily so you can make healthier choices and cut your sugar intake. Find out more here

BMI is good way to check if you are a healthy weight. Use the BMI calculator to check the whole family and find helpful information and advice. BMI is a measure of whether you're a healthy weight for your height. It is available here.

Breastfeeding
Gloucestershire Care Services health visiting service has been awarded UNICEF Baby Friendly Initiative Accreditation Stage 3. Breastfeeding support is available here

From Bump to Breastfeeding is a set of films following the journey of four mums, and we hear from other mums along the way, who decide to breastfeed their babies. These films will tell you everything you ever wanted to know about breastfeeding and how to do it successfully.

Information from UNICEF regarding breastfeeding is available here.

The UNICEF leaflet 'Responsive Feeding' is available here

Gloucestershire Welcomes Breastfeeding has a map of sites where breastfeeding is supported. You can find it here.

A booklet called 'Breastfeeding at study or work: Information for employers and employees' is available here.

UNICEF has produced a video about relationship-building and responsive feeding which can be viewed here.

Introduction to Solid Foods

A solid foods factsheet Feeding for the Future can be downloaded here

A selection of links are offered below with information about introducing solid foods:

Bliss (for babies born premature or sick)

Start 4 Life (First Foods)

Change 4 Life (Understanding Food Labels)

Get the The Food Smart App from Change 4 Life

Smart Recipes from Change 4 Life

Vegetarian and Vegan Diets on NHS Choices

Vegetarian and Vegan children on NHS Choices

First aid advice from the Red Cross

Exercise
Born to Move is an NHS app to help parents or carers with their newborn babies right up to pre-school. It's packed with advice, tips and games that you can play with your child to support their development. It is available here.

Childhood Illness
For a visual guide to childhood illnesses - from measles to chickenpox - visit NHS Choices here.

Information on the signs, symptoms and treatment of meningitis is available here.

Parenting
Bookstart gifts free books to all children at two key ages before school to help families read together every day and inspire children with a rewarding love of books. Visit their website here.

Family Lives works around the clock, transforming the lives of families, supporting parents and making happier relationships, happier families and a stronger society. Our experience enables us to help families with any problem or challenge that they face.

The UNICEF guide 'Building a happy baby - Forming a relationship before and after you meet your baby' is here

Positive Touch is a resource developed by Community Nursery Nurses at Gloucestershire Care Services NHS Trust

Sleep
This website presents research evidence about biologically normal sleep for human babies.

The Lullaby Trust provides specialist support for bereaved families and anyone affected by a sudden infant death (SIDS) as well as safe sleep advice for the prevention of SIDS. 

Home Safety
The Gloucestershire Home Safety Check Scheme visits homes throughout Gloucestershire and offers free, friendly advice on any issues that they identify to minimise the risk of accidents for families with under fives. They can identify what safety equipment may be required, which they can also supply and fit. A wide range of items including fire guards, stair gates and window locks are provided at low cost, and there is no charge for the fitting. They also work with medical and social care professionals, charities and voluntary agencies to provide equipment free of charge to families in need.

Dental
Our Trust's dental service provides NHS dental care for people in Gloucestershire who are unable to access treatment from a general dental practitioner.

Continence Problems
ERIC is the only UK charity dedicated to improving the lives of children and young people with continence problems. Their website is here.

Transport
Information about child car seats are available from Think! and the Child Car Seats website here.

Facebook
Gloucestershire Health Visiting Facebook page is here.