Promoting Breast Feeding at Suffolk County Council Anita Farrant

Report
Promoting
Breast Feeding
at
Suffolk County Council
Anita Farrant
Breastfeeding Rates in Suffolk Over
Last 5 Years (Excluding Waveney)
08/09
09/10 10/11
11/12
Rates at
birth
60%
63%
66%
Rates at
10-14
days
50%
51%
54%
Rates at
6 weeks
35%
44%
50%
12/13
How Have We Achieved This
Improvement?
• Breast Feeding Policy in place
• 4 (+2) trainers trained in UNICEF Breast Feeding Management
Training.
• All HV staff trained in Breastfeeding Management
• All Children’s Centre Staff in process of being trained in
Breastfeeding management
• Children’s Centres have commissioned BfN Breastfeeding Helper
Training
• A Breastfeeding Support Group in each cluster
• Each HV team has a designated Breastfeeding Champion
• Each HV team has an individual target to increase their BF rates
• Each HV team, in conjunction with CCs, has their own action plan
• Quarterly breastfeeding meetings with Breastfeeding
Co-ordinators
• Tightened up data collection process.
Collecting Breastfeeding Data
System in place to ensure that
feeding status data is collected and
returned to commissioners by
dates required (Birth Book and S1)
HV service commissioned by Public
Health to collect 6 to 8 wk
breastfeeding data
Each HV team collates
breastfeeding data on
a monthly basis
Using
data
from
birth
book
Or
Information about feeding status
gathered at 6-8 wk baby check
and recorded in PCHR, Birth Book
and on S1
Using
data
from
S1
Collection and
collation of data by
named person
Data sent to
Public Heath
HV carries out 6 -8 wk
developmental check
Child Health notifies HV
team of baby’s birth via
SystmOne (S1)
Birth
notification
sent to Child
Health
Baby born in
hospital or at
home. Midwife
completes birth
notification
Information about feeding
status gathered at EAB visit
and recorded in PCHR, Birth
Book and on S1
HV contacts parents and
carries out early after
birth (EAB) visit between
10 to 14 days
No Contact with Family after two attempts
Feedback to HVs ,CCs and
senior managers on
prevalence of
breastfeeding via Line
managers and
Breastfeeding group
Data analysed by Performance & Audit
Group, and ways to improve data collection
process and performance.
Implement no access policy
If baby in SCBU/NICU or on
paediatric ward for first 6-8 weeks
of life HVs contact
parents/SCBU/NICU and ascertain
BF Status
Changes in How We Collect Data
• Data is collected monthly not quarterly.
• Data that is collected at birth is for the same cohort as at
6 weeks.
• All unknowns are now investigated and followed up.
• Drop off rates from Birth to 10 days and from 10 days to
6 weeks are monitored and followed up if unusually high.
• Templates on SystmOne (S1) are being updated to
provide more robust electronic data.
• S1 data is audited to ensure that it is robust.
• East and West CCGs have separate BF targets for 6
weeks. (E-53%, W-49%)
Future Plans
• To collect data exclusively via S1
• SCC has submitted intention to work towards UNICEF
Breast Feeding Friendly Status
oHV Lead
oCC Lead
oJoint Action Plan
Audit of staff in progress

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