Reflections on Responding to Covid-19 Maura Appleby Principal Lead - PowerPoint PPT Presentation

Reflections on Responding to Covid-19 Maura Appleby Principal Lead Integrated Services (Health)

Stockport Family Integrated Service • Built on a culture of restorative practice • NHS mobilisation and messaging about redeployment • Trust to deploy teams in the most effective way • Skills audit • Consolidation of teams • Staff risk assessments: those shielding focused on universal pathway • New ways of working established

Early Response • HV Advice line 23 rd March • Risk assessment prior to visits for covid symptoms • Visits with PPE/ video produced • Work across integrated service – covid risk planning • Clear plan for active caseload on EMIS/ Liquid logic

Supporting new parents New ways of working “The smile behind the mask” • ICON: Babies cry, you can cope • Start Well offer introduced on Maternity Unit • Infant feeding team very responsive • Role of HV with premature/vulnerable infants • Enhanced midwife to HV communication

Reflections & Learning • Telephone assessments have limitations • Video enhances engagement and relationship building • Creative response eg going for walks, garden visits • Risks of low levels of contact and isolation • Challenges of visits with PPE • What was being missed eg failure to thrive

Reflections for HV Practice • Antenatal/ New Birth visit- face to face • Closer coordination with midwifery • Family wellbeing at the heart of what we do • Have we become somewhat task orientated eg ASQ3 ? • Support with infant feeding crucial-shift away from open child health clinics • HVs still a visible presence in our communities

Reflections for HV Practice “ Its very hard for any mother to be ‘good enough’ unless she herself is also held and supported by either the child’s father or by another supportive adult.” Donald Winnicott