2014 Report details for project: Health Visitor Programme

Project name: Health Visitor Programme - there are 3 reports for this project: 2014, 2015, 2016
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Organisation: DOH (D12) - see all reports for this organisation
Report year: 2014 (data is from Sept 2013)
Category: Transformation - see all reports for this category
Description: In its 2010 Coalition Agreement, the Government committed to increasing the number of health visitors by an extra 4,200 FTE by April 2015. Ministers want that extra capacity to bring with it the ability for local teams to improve public health outcomes for the under-fives, with health visitors having the time to provide parents with critical health and development advice, and to connect families to the array of health and wider community resources that help them to give their children the best start in life. As part of the Government’s Health Visitor Programme, a commitment was made to improve the quality of services offered to parents and families in the early years of a child’s life. It has been shown that high quality early intervention, prevention and support is vital to giving children the best start in life. The expansion of the health visiting service is intended to: • improve health and wellbeing outcomes for under-fives • reduce health inequalities • improve access to services • improve the experience of children and families. The programme has faced a major governance challenge in 2013/14 with the creation of the new health and social care system. Responsibilities for delivery of the programme’s aims are now split across three key organisations: DH; NHS England; and Health Education England. This has meant recasting the governance and PPM arrangements to reflect Mandate responsibilities and the complex relationships. As the programme has moved into its key expansion and delivery phase, more focus has also been placed on preparing for successful handover of commissioning (as part of 0-5 children’s public health) to Local Authorities later in 2015. A multi-agency task and finish group has been established to plan and deliver the transfer.
DCA (RAG): Amber/Red
DCA text: The following mitigating actions are in place to ensure all is being done to deliver on the programme’s workforce expansion aim: • a detailed analysis of the complex position between now and April 2015 of the key factors that will deliver service expansion: training intake; course attrition; trainee conversion rate to employment; participation rate in employment; net turnover (leavers); and other supply into employment, • a menu of interventions to improve each of the factors above to maximise FTEs in the workforce (including an additional, final March 2014 training cohort), • active performance management across the new system. These actions are being further developed by NHS England at NHS Area Team and Regional level, reflecting the different challenges in each part of the country. Delivery of service transformation is being assured through analysis and response to qualitative and quantative performance data. A formal baseline consisting of six impact/success criteria based on Ministerial health priorities will be in place by end-September 2014 so that delivery of service transformation by 31 March 2015 can be further assured. The risks around the handover of commissioning (as part of 0-5 children’s public health) to Local Authorities later in 2015 are being managed by a multi-agency task and finish group which has been set up to plan and deliver the transfer.
Start date: 2010-10-31
End date: 2015-06-30
Schedule text: Workforce expansion: the latest data for the health visiting workforce (which shows the position as at November 2013) shows the total number of health visitors nationally is 9,920 full time equivalents (FTEs). Overall, there are 1,828 more health visitors compared to the May 2010 baseline of 8,092 (growth of 23%). DH, Health Education England and NHS England are working together closely to make sure we stay on target to have an additional 4,200 FTE health visitors by April 2015. Key actions are described under ‘Departmental commentary on actions planned or taken on the MPA RAG rating’ above. Service Transformation: A mix of qualitative and quantative data gathered to date shows that service transformation is on track. A formal baseline consisting of six impact/success criteria based on Ministerial health priorities will be in place by end-September 2014 so that delivery of service transformation by 31 March 2015 can be demonstrated. Transfer of health visitor commissioning to Local Authorities: this is on track to be delivered on 1 October 2015 as scheduled.
Baseline: £123.80m
Forecast: £123.80m
Variance: 0.00%
Variance text: Not applicable. Variance is less than 5%
Whole Life Cost: £335.80m
WLCost text: The costs of the programme are associated with: • The costs of employing the additional health visitors in each year of the programme until the end of March 2015 in line with the increasing trajectory. • Annual MPET (Multi-Professional Education and Training) allocations for the health service to cover costs of health visitor expansion, including covering salary and training costs and expected costs of training nurses to replace those moving into health visiting. • Specific recruitment, retention and training initiatives in addition to MPET-funded activity to support workforce expansion and service transformation; programme running costs, including Department of Health, NHS England, and Health Education England programme staff and their activity; and running the marketing strategy to attract people to the health visiting profession.
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Sourcefile: IPA_2014.csv

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Acknowledgement: GMPP data has been re-used under the Open Government Licence.