WHO Collaborating Centre for Public Health Nursing, Midwifery and Allied Health Professions: Case Studies

The case study allows in-depth consideration of one or two specific issues using information from several sources. This makes it possible to:

  • succinctly align activity and outcome
  • identify effective practice and suggest changes that will have an impact
  • measurable results that show how the problem is solved.

Click on the title of the case study in the table below to view the full text. Please note: if you are using Internet Explorer, you may need to refresh the page to view the PDF.

 

Title of case studySummary
A social marketing campaign to address smoking in pregnancy across Erewash, England
(March 2020)
A programme approach was developed which included the recruitment of a Champion Midwife to support the team to implement evidence-based practice and to deliver a social marketing campaign to 1) Reach out to women who are thinking of conceiving and 2) Highlight the risks to pregnant smokers and their partners/ families.
Addressing Inequalities in Maternity Services in response to COVID-19: co-producing with the Maternity Voice Partnership
(January 2021)
The aim of this project was to implement the national guidance issued by the RCOG/RCM, in order to reduce the risk of pregnant women contracting COVID-19 and reduce health inequalities for women from Black, Asian and Minority Ethnic (BAME) backgrounds.
An impact evaluation report on the ‘Healthy Little Eaters’ nutrition education cooking programme in Children’s Centres in Brent
(September 2020)
‘Healthy Little Eaters’ was set up in Children’s Centres across Brent and aimed to improve health and wellbeing of children under 5 and their families and ultimately reduce the rates of obesity in Brent. It was delivered over 8 weeks, each session focusing on a different nutrition and eating topic including: reducing sugar and salt, foods for bone health, label reading, importance of fruit and vegetables, preventing iron deficiency, fussy eating and weaning.
An integrated approach to improving breastfeeding rates in the East Riding of Yorkshire
(March 2020)
The World Health Organisation (WHO) recommends that all babies are exclusively breastfed for the first six months of life. The benefits of breastfeeding are well established through global and national evidence (WHO 2011). Breastfeeding support is an area of practice that Health Visiting services can lead to improve the long-term outcomes for children (Public Health England 2018).
An integrated approach to improving breastfeeding rates in North Yorkshire
(March 2020)
This study provides an account on the progress around improving the initiation and duration of breastfeeding among mothers in North Yorkshire. The UK has one of the lowest breastfeeding rates in the world which is why it has become a national priority. Breastfeeding is high on the Public Health Agenda featuring within Public Health England’s Best Start in Life National Priority (PHE 2016). Research published in the Lancet in 2016 presented resounding evidence of the unique role of breastmilk as the optimal food for infants and this has continued to be advocated in the State of Child Health Report (RCPCH 2017).
Collaborative cross agency service delivery to address public health issues within an MSK setting: evaluation of the 'Healthy Mind, Health Body' project'Healthy Mind, Healthy Body' is a cost effective intervention aimed at addressing the co-existing public health issues associated with MSK conditions. This unique initiative is an example of a collaborative service redesign that empowers, supports and informs the MSK population to manage their own overall health and wellbeing in line with Public Health England priorities.
The delivery of the Youth Awareness of Mental Health (YAM) programme in secondary schools in County Durham: an approach to build resilience and meet the emotional and mental health needs of children and young people in County Durham
(March 2020)
The Youth Awareness of Mental Health Programme (YAM) is a universal programme, delivered in secondary schools to 13-14-year olds (year 9). Originating in Sweden, research shows that delivery of the programme can facilitate the adoption of positive life choices. YAM has also been demonstrated to reduce depression, anxiety, self-harm/suicide attempts and improved peer connectedness and social resilience. YAM encourages peer learning and increases people’s confidence and knowledge about mental health, stigma and empathy. It has also been shown to encourage adults to listen to young people and their stories.
Dietitian-led intensive lifestyle intervention programme for children identified as overweight or obese by NCMP in the London borough of Brent: an overview
(June 2020)
‘Fit4Health’ was designed to offer support to children identified as overweight and obese by the National Child Measurement Programme (NCMP). Provided by Dietitians and Nutrition Assistants, the programme encouraged positive lifestyle changes for the whole family through good nutrition and physical activity.
Disease Prevention in South Asian Community through Healthy Eating Awareness via Social MediaIn July 2017 a Facebook group, Aap Ki Dietitian (AKD) 'Your Dietitian' was developed concentrating on the dietary needs of British South Asians, with the aim of encouraging a healthy eating lifestyle.
Early Years Communication and Language Pathway in ManchesterThe Early Years Communication and Language pathway aims to use the WellComm Speech and Language Toolkit to identify children's language levels and create supportive early language
environments.
Eating Well for Adults with a Learning Disability – a dietitian-led training course for support workers in addressing the nutritional needs of the people they support
A two day training course was delivered to 93 support workers in Gloucestershire who work with adults with learning disabilities, either in supported living or residential care.
Enabling adults with learning disabilities to understand their health recommendations The community learning disability team wanted to establish if providing information to some of our service users in an audio and or video format would improve understanding, confidence and likelihood of following health teams' recommendations.
The Foodtalk Game as an effective nutrition and health training tool for early years staff
(September 2020)
Foodtalk is a Community Interest Company run by Paediatric Dietetics and specialising in community nutrition interventions for families. It was the aim of Foodtalk to develop an interactive training tool to train early years staff the basics of nutrition and health for ages 1-5. Our objectives were to survey the health and nutrition training needs of early years practitioners, to review already existing training methods and to develop a training tool that both met the needs of practitioners but also filled an existing gap in the market.
Healthy weight and nutrition in the 0-5 years
(March 2021)
An 11-month-old baby boy who was brought to the baby clinic, by his mother. His weight was noted to be up on the 99.8th centile; previous the weight was on the 50th centile. The baby’s mother was also quite overweight. The parent and carers had been routinely pacifying the baby with offers of food rather than social stimulation through play. This had contributed to the problem of the baby being overweight.
Help Stop Choking Choking Awareness ProjectCo-production helped to transform choking awareness by developing resources to encourage safe eating behaviours, safe food choices and help foster safe eating environments. This project aimed to develop resources to provide formal risk advice to increase awareness of choking in people with a learning disability.
Home Talk: Adapting the delivery of a preventative language intervention during the Covid-19 pandemic
(December 2020)
The continued delivery of Home Talk during the Covid-19 pandemic was important for the local system to support 1) early intervention for children at-risk and 2) early identification of children with more complex Speech, Language and Communication Needs who need early specialist support.
Impact and retained behaviour change following participation in Cook and Eat Well courses in Southwark Children’s Centres – a medium term evaluationEvelina London Early Years Community Food Workers deliver 6 week Cook & Eat Well courses (CEC) for families in partnership with Southwark Children’s Centres. These courses offer practical support to families around cooking economical, healthy meals while learning about key public health nutrition messages. The approach is informal, sociable and inclusive, and a crèche is provided. The
course is accredited by King’s Health Partners.
The impact of early intervention specialist music therapy for patients' rehabilitation, recovery and well-being on a major trauma wardA six-month pilot project was setup from April to October 2018, funded by Irwin Mitchell Solicitors, in order to evidence the potential
benefits of music therapy for patients on a major acute trauma ward in London.
Improving access to better care for people with hip and/or knee pain: An AHP-led service in Primary CareThe Joint Pain Advisor (JPA) model of care is a safe and cost effective alternative to GP consultations for people with MSK conditions. Involving a series of face-to-face consultations, Advisors work collaboratively with people with hip and/or knee osteoarthritis, focusing on supporting self-management using a motivational interviewing approach.
Improving access to eye care for adults with learning disabilities in South DevonFollowing a pilot study in South Devon, the orthoptists have developed a service to ensure all adults with a learning disability (LD) are able to access eye tests within our local area. This service allowed us to address the wider determinants of healthcare to reduce health inequalities in adults with learning disabilities.
'Making Every Contact Count' to promote smoking cessation: What is the impact of AHPs routinely giving brief advice to patients who
smoke on a vascular ward?
The overall aim of this project was to embed MECC principles to promote smoking cessation on the vascular ward by encouraging and enabling V&A therapists to routinely give very brief advice (VBA) about smoking cessation to vascular in-patients.
MECC ReadyOur project charter was to achieve consistent implementation of the MECC approach within MSK consultations across East Lancs NHS IMPReS. The benefits of incorporating Healthy Conversations into day to day clinical practice are well documented within Public Health literature to ensure the wider determinants of health are considered at all available opportunities.
The multi-professional Early Action Partnership Health Team: making changes from the bottom up
(August 2020)
The Lambeth Early Action Partnership (LEAP) was one of five bids which won National Lottery Community Funding to provide early intervention and prevention services for pregnant women and children under 4 living in disadvantaged areas in Lambeth, South London. The LEAP Public Health Specialist designed an innovative interprofessional Health Team which was tasked with exploring how the primary care professionals who provide care for pregnant women and their families could work better together. The Health Team, which was commissioned in 2017, is comprised of four front-line clinicians (a local GP, a Health Visitor and two midwives from the local Trusts) who were seconded from their front-line jobs one day a week. The team was designed to have a flat hierarchy and to work autonomously to identify barriers to seamless inter-professional working and develop low-cost solutions.
Preparing patients to recover more quickly - "Prehabilitation" for major abdominal cancer surgeryA multidisciplinary team including a dietitian, physiotherapist and therapy assistant began trialling the Prehab programme for two days a week for twelve months from August 2017. A pathway was set up whereby patients being planned for elective surgery were referred by clinical nurse specialists.
Safeguarding children and young people from child sexual exploitation in line with England’s School Nurse Programme: supporting the implementation of the new service offer
(December 2020)
Illustrating the need and success of creating specific national guidance for front-line school nurses on complex child protection issues such as Child Sexual Exploitation
Safeguarding children during emergency humanitarian disasters: thematic learning from a qualitative field research study
(December 2020)
Children are vulnerable populations during humanitarian disasters and often become vulnerable to abuse and exploitation during and after disasters. In a recent humanitarian disaster, a well-known non-governmental organisation (NGO) had observed low reporting of child abuse reports during a natural disaster. In light of the known literature on abuse during humanitarian crises, the low reporting did not represent the proportion of expected child abuse cases.
School nursing services providing public health during the challenges of Covid-19
(August 2020)
Due to the Covid-19 pandemic in line with national guidance (www.gov.uk), schools have been closed to external visitors and have only a limited number of children accessing school. The School Nurse Team looked at alternative ways to deliver face to face sessions and decided to hold a virtual health session which would be recorded as a video and then sent into schools as an efficient and effective alternative.
Utilising Facebook to improve uptake in Breast ScreeningA holistic and mixed digital process approach was taken, GP practices were identified that have an active Facebook page and established community groups, to keep costs down to a minimum. Activities included a geographical review, digital Intelligence analysis, utilisation of health promotion best practice and the theoretical guidance of the Health Belief Model.
Virtual delivery of the healthy child programme during Covid-19
(April 2020)
Examples of how midwives and health visitors are continuing to carry out the Healthy Child Programme from 0-5 and 5-19. Includes new birth visits, safeguarding, homeless families, and additional health needs.
Visual processing difficulties assessment in children in Warrington, Widnes and HaltonFull assessment of visual processing skills for children reaching the screening criteria across Warrington and Halton Hospital catchment areas (and occasionally beyond).

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