2015 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: 2015 (data is from Sept 2014)
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 above the May 2010 baseline by April 2015. Ministers want the 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 deliver a four-tiered model of health visitor delivery of the Healthy Child Programme to all, with support for all parents and early help when needed. It aims to: improve access to evidence-based interventions; improve the experience of children and families; improve health and wellbeing outcomes for under-fives; and ultimately reduce health inequalities. Commissioning of health visitor services will transfer to Local Authorities on 1 October 2015. It is essential to the sustainability of the programme that commissioning of public health services for 0-5s is effective and embedded alongside the commissioning of other early years services. A multi-agency task and finish group was established in June 2013 to plan and deliver the transfer. This was superseded in September 2014 by a full programme board.
DCA (RAG): Amber
DCA text: The MPA RAG rating was Amber at Q2 2014. The following actions are in place to ensure all is being done to deliver on the programme’s service transformation and workforce expansion aims, and to safely deliver the transfer of commissioning responsibilities for 0-5s public health services to Local Authorities on 1 October 2015: • Ensuring that those who start their health visitor training go on to become health visitors. • Reducing the number of health visitors leaving the workforce. • Maximising the FTE contribution to the workforce of newly trained health visitors. • Ensuring all relevant health visitors are counted properly towards the 4,200 FTE objective. • Putting a full programme board in place consisting of members from all key stakeholder groups to oversee delivery of, and manage risks to, the safe transfer of commissioning responsibilities for 0-5s public health services to Local Authorities on 1 October 2015. • Publishing Local Authority financial allocations through the Baseline Agreement Exercise. • Publishing draft regulations on mandated universal health visitor reviews.
Start date: 2010-10-31
End date: 2015-12-31
Schedule text: The programme is on-track with no significant changes to dates of deliverables and key milestones. Workforce expansion: at the time of preparing this report, the most recent management information (November 2014) published by NHS England estimates an indicative count of 11,290 FTE health visitors; 3,198 more than the May 2010 baseline, representing an increase of 40%. At the time of preparing this report, the latest official figures (September 2014) show there were 10,800 full time equivalent health visitors; 2,708 more than in May 2010. Since 2010 around 7,500 health visitor training places have been commissioned, with the annual total growing from around 550 to around 2,700 in 2013, representing a five-fold increase in the number of health visitor trainees starting their training. This investment in training has delivered most of the expansion in health visitor workforce we are now seeing. In addition, there are a further 1,200 training places being commissioned in 2014/15 - this will ensure that the workforce growth is sustained beyond the end of the programme. Service transformation: at the time of preparing this report, the new service model has been tested in early implementer sites and case study material published. These sites saw increases in the numbers of children receiving the 2-2½ year review almost double. We have six published priorities for demonstrating success and building sustainable services. Data collection and reporting is in place so that delivery of service transformation can be demonstrated. Transfer of health visitor commissioning to Local Authorities: at the time of preparing this report, the Baseline Agreement Exercise has been issued to support the issuing of allocations to Local Authorities in February 2015 and the draft regulations to mandate key checks have been published.
Baseline: £242.05m
Forecast: £242.05m
Variance: 0.00%
Variance text: Budget variance less than 5%
Whole Life Cost: £653.15m
WLCost text: The costs of the programme are associated with: • The incremental and cumulative costs of employing additional health visitors in each year of the programme until April 2015 in line with the trajectory. • Annual MPET (Multi-Professional Education and Training) allocations for the service to cover costs of health visitor expansion, including covering salary and training costs and expected costs of training nurses to replace those moving onto the health visitor programme. • Specific recruitment, retention and training initiatives in addition to MPET-funded activity to support workforce expansion and service transformation. • Delivering the marketing strategy. The total budgeted whole life costs have remained stable and are thought to be accurate at this point. It should be noted that the total budgeted whole life cost stated in the previous Transparency Report did not include the cumulative costs of expanding the health visitor workforce and was therefore lower than the costs stated in this report. This solely represents a change in the way costs are reported (to increase transparency) and not a change in the costs themselves.
Notes1: DOH NON CAPITAL
Notes2:
Sourcefile: IPA_2015.csv

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