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Hi

My name is Jo Goulden and I am new to the group. I have been a Health

Visitor working within Hertsmere PCT for just over 3 years and have

just started a year's secondment as a Nurse Fellow in Public

Health with Hertfordshire Health Authority. This involves working 1

day a week out in clinical practice and 3 days a week at the Health

Authority.

Although I have only been in post for 2 weeks, I am already finding

it very interesting. One of the projects that I hope to be involved

in during this year, is the development of a Family Health Plan for

the locality of Hertsmere. I would therefore be very interested in

hearing from anyone that has had any experience using Family Health

Plans or has any information related to them.

Jo Goulden

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H

The electronic health needs assessment tool we have developed in Fenland is used

to develop the family health plan, which then also informs the community needs

assessment. Other information is also required for the community needs

assessment from other agengies, but the HNAT is a good start. The information is

collated in a database and we'll soon have comparative data from other areas

which are rolling it out, such as Cumbria and then Exeter, through Sure Start.

I'd be pleased to give you any information you require.

Penny - HV Sure Start south Fenland and Prof Lead for HVs in Fenland

family Health Plans

We are forming a working party to look at family health plans and would be

really interested in hearing from anyone who has had an opportunity to

evaluate their effectiveness. Would also be interested in how information

from FHP is linked to wider health needs assessment

Many thanks,

_________________________________________________________________

Worried what your kids see online? Protect them better with MSN 8

http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

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Dear Penny

I would dearly love to be able to include what you are doing in PriMHE's

primary care mental health resource pack..in devpt with mentality and NIMHE.

We very much want also to produce a CDROM with latest work in it so that

people

over the whole UK can be enabled by what you are doing?

Best Wishes

Manning

CE PriMHE

www.primhe.org

family Health Plans

We are forming a working party to look at family health plans and would be

really interested in hearing from anyone who has had an opportunity to

evaluate their effectiveness. Would also be interested in how information

from FHP is linked to wider health needs assessment

Many thanks,

_________________________________________________________________

Worried what your kids see online? Protect them better with MSN 8

http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

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Have you contacted Garside in Sheffield who has done a huge project on these and will forward her research to you. Her e mail is mary.garside@... Good luck

Ann

family Health Plans

We are forming a working party to look at family health plans and would be really interested in hearing from anyone who has had an opportunity to evaluate their effectiveness. Would also be interested in how information from FHP is linked to wider health needs assessmentMany thanks, _________________________________________________________________Worried what your kids see online? Protect them better with MSN 8 http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

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An electronic tool sounds interesting Penny. I too should appreciate info.

Ruth

family Health Plans

>

>

>

> We are forming a working party to look at family health plans and would be

> really interested in hearing from anyone who has had an opportunity to

> evaluate their effectiveness. Would also be interested in how information

> from FHP is linked to wider health needs assessment

> Many thanks,

>

>

>

>

> _________________________________________________________________

> Worried what your kids see online? Protect them better with MSN 8

>

http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

>

>

>

>

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Yes please! Lynn

>From: " Ruth Grant " <ruth@...>

>Reply-

>< >

>Subject: Re: family Health Plans

>Date: Thu, 3 Apr 2003 21:55:11 +0100

>

>An electronic tool sounds interesting Penny. I too should appreciate info.

>Ruth

> family Health Plans

> >

> >

> >

> > We are forming a working party to look at family health plans and would

>be

> > really interested in hearing from anyone who has had an opportunity to

> > evaluate their effectiveness. Would also be interested in how

>information

> > from FHP is linked to wider health needs assessment

> > Many thanks,

> >

> >

> >

> >

> > _________________________________________________________________

> > Worried what your kids see online? Protect them better with MSN 8

> >

>http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

> >

> >

> >

> >

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Hi Chris

That sounds exciting. Do tell me more, or phone me on 01354 697906.

Penny

family Health Plans

We are forming a working party to look at family health plans and would be

really interested in hearing from anyone who has had an opportunity to

evaluate their effectiveness. Would also be interested in how information

from FHP is linked to wider health needs assessment

Many thanks,

_________________________________________________________________

Worried what your kids see online? Protect them better with MSN 8

http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

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Hi Ann

Yes I have but thanks anyway and I'm delighted that you will be doing our PND training in Fenland in the summer.

Penny

-----Original Message-----From: Ann GIRLING [mailto:annieg@...]Sent: Thursday, April 03, 2003 7:02 PM Subject: Re: family Health Plans

Have you contacted Garside in Sheffield who has done a huge project on these and will forward her research to you. Her e mail is mary.garside@... Good luck

Ann

family Health Plans

We are forming a working party to look at family health plans and would be really interested in hearing from anyone who has had an opportunity to evaluate their effectiveness. Would also be interested in how information from FHP is linked to wider health needs assessmentMany thanks, _________________________________________________________________Worried what your kids see online? Protect them better with MSN 8 http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

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Dear Penny

Thanks for details of this. In terms of implementation

and cost of £2000-2500..where does this sit? On the

PCT server? Who pays?

Chris

family Health Plans

We are forming a working party to look at family health plans and would be

really interested in hearing from anyone who has had an opportunity to

evaluate their effectiveness. Would also be interested in how information

from FHP is linked to wider health needs assessment

Many thanks,

_________________________________________________________________

Worried what your kids see online? Protect them better with MSN 8

http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

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Hi Ruth

The information is available at www.programmedresponse.com but if you have any

trouble downloading the tool or want more information please ring me on 01354

697906. We will be holding open days starting in the next couple of months,

advertised nationally through Sure Start and we've already had 200 people

express an interest in coming and trying out the programme first hand on a

laptop. If you would like an invite I can arrange it for you.

Thanks

Penny

Re: family Health Plans

An electronic tool sounds interesting Penny. I too should appreciate info.

Ruth

family Health Plans

>

>

>

> We are forming a working party to look at family health plans and would be

> really interested in hearing from anyone who has had an opportunity to

> evaluate their effectiveness. Would also be interested in how information

> from FHP is linked to wider health needs assessment

> Many thanks,

>

>

>

>

> _________________________________________________________________

> Worried what your kids see online? Protect them better with MSN 8

>

http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

>

>

>

>

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Hi Chris

We've got it approved through the PCT devlopment plan and their Strategic Action

Plan. We've also presented a paper to the Exec for the HV Core Tasks as part of

the modernisation agenda. The reality is that it saves a lot of clerical time

and gives rich public health data for analysis of local felt needs which may

persuade a PCT to fund the database. There are pots of IT money and innovation

money for which bids can be made.

Penny

family Health Plans

We are forming a working party to look at family health plans and would be

really interested in hearing from anyone who has had an opportunity to

evaluate their effectiveness. Would also be interested in how information

from FHP is linked to wider health needs assessment

Many thanks,

_________________________________________________________________

Worried what your kids see online? Protect them better with MSN 8

http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

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Hi Lynn

Do you want any additional information or are you happy to follow the e-mail to

Ruth?

Penny

Re: family Health Plans

>Date: Thu, 3 Apr 2003 21:55:11 +0100

>

>An electronic tool sounds interesting Penny. I too should appreciate info.

>Ruth

> family Health Plans

> >

> >

> >

> > We are forming a working party to look at family health plans and would

>be

> > really interested in hearing from anyone who has had an opportunity to

> > evaluate their effectiveness. Would also be interested in how

>information

> > from FHP is linked to wider health needs assessment

> > Many thanks,

> >

> >

> >

> >

> > _________________________________________________________________

> > Worried what your kids see online? Protect them better with MSN 8

> >

>http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

> >

> >

> >

> >

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That's good news - haven't had the confirmation from Sheelah yet!!

ann

family Health Plans

We are forming a working party to look at family health plans and would be really interested in hearing from anyone who has had an opportunity to evaluate their effectiveness. Would also be interested in how information from FHP is linked to wider health needs assessmentMany thanks, _________________________________________________________________Worried what your kids see online? Protect them better with MSN 8 http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

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Penny

Any chance of Thetford HVs visiting for your open day. We are very keen on developing/using electronic Family Health Plans and are going to commence a community needs assessment very soon.

Look forward tohearing from you

Graves

Thetford

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, we are looking at a paper family health plan but it would be very

interesting to have more info on your electronic database. Do you have anything

wriittenup that you could share please? Alison

Re: family Health Plans

An electronic tool sounds interesting Penny. I too should appreciate info.

Ruth

family Health Plans

>

>

>

> We are forming a working party to look at family health plans and would be

> really interested in hearing from anyone who has had an opportunity to

> evaluate their effectiveness. Would also be interested in how information

> from FHP is linked to wider health needs assessment

> Many thanks,

>

>

>

>

> _________________________________________________________________

> Worried what your kids see online? Protect them better with MSN 8

>

http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

>

>

>

>

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Hi Penny

do you have any details of the HV Core Tasks you could send me - I am

working on those in several places

Margaret

family Health Plans

We are forming a working party to look at family health plans and would be

really interested in hearing from anyone who has had an opportunity to

evaluate their effectiveness. Would also be interested in how information

from FHP is linked to wider health needs assessment

Many thanks,

_________________________________________________________________

Worried what your kids see online? Protect them better with MSN 8

http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

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Hi Lynn

Hope you find them useful

Penny

Re: family Health Plans

>Date: Sat, 5 Apr 2003 19:27:42 +0100

>

>Hi Penny

>

>do you have any details of the HV Core Tasks you could send me - I am

>working on those in several places

>

>Margaret

> family Health Plans

>

>

>

>We are forming a working party to look at family health plans and would be

>really interested in hearing from anyone who has had an opportunity to

>evaluate their effectiveness. Would also be interested in how information

>from FHP is linked to wider health needs assessment

>Many thanks,

>

>

>

>

>_________________________________________________________________

>Worried what your kids see online? Protect them better with MSN 8

>http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

>

>

>

>

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Hi Lynn

My phone number is 01354 697906

Penny

Re: family Health Plans

> >Date: Thu, 3 Apr 2003 21:55:11 +0100

> >

> >An electronic tool sounds interesting Penny. I too should appreciate

>info.

> >Ruth

> > family Health Plans

> > >

> > >

> > >

> > > We are forming a working party to look at family health plans and

>would

> >be

> > > really interested in hearing from anyone who has had an opportunity to

> > > evaluate their effectiveness. Would also be interested in how

> >information

> > > from FHP is linked to wider health needs assessment

> > > Many thanks,

> > >

> > >

> > >

> > >

> > > _________________________________________________________________

> > > Worried what your kids see online? Protect them better with MSN 8

> > >

> >http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

> > >

> > >

> > >

> > >

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Dear Penny

how did you manage to convince colleagues about this way of working. Some

colleagues of mine had also considered new birth to be done by skill mix. Do

you target at 3+ or done away completely?

Lynn

>From: " Penny " <penny@...>

>Reply-

>< >

>Subject: RE: family Health Plans

>Date: Tue, 8 Apr 2003 11:47:45 +0100

>

>Hi Margaret

>These are the original core tasks agreed with the PCT but we are working on

>a light modification because we have merged with East Cambs and their Core

>programme is very different.

>Hope this is useful

>Penny

>

> Re: family Health Plans

>

>

>Hi Penny

>

>do you have any details of the HV Core Tasks you could send me - I am

>working on those in several places

>

>Margaret

> family Health Plans

>

>

>

>We are forming a working party to look at family health plans and would be

>really interested in hearing from anyone who has had an opportunity to

>evaluate their effectiveness. Would also be interested in how information

>from FHP is linked to wider health needs assessment

>Many thanks,

>

>

>

>

>_________________________________________________________________

>Worried what your kids see online? Protect them better with MSN 8

>http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

>

>

>

>

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Guest guest

Thanks - will ring you tomorrow pm if that's ok

Lynn

>From: " Penny " <penny@...>

>Reply-

>< >

>Subject: RE: family Health Plans

>Date: Tue, 8 Apr 2003 11:49:18 +0100

>

>Hi Lynn

>My phone number is 01354 697906

>Penny

>

> Re: family Health Plans

> > >Date: Thu, 3 Apr 2003 21:55:11 +0100

> > >

> > >An electronic tool sounds interesting Penny. I too should appreciate

> >info.

> > >Ruth

> > > family Health Plans

> > > >

> > > >

> > > >

> > > > We are forming a working party to look at family health plans and

> >would

> > >be

> > > > really interested in hearing from anyone who has had an opportunity

>to

> > > > evaluate their effectiveness. Would also be interested in how

> > >information

> > > > from FHP is linked to wider health needs assessment

> > > > Many thanks,

> > > >

> > > >

> > > >

> > > >

> > > > _________________________________________________________________

> > > > Worried what your kids see online? Protect them better with MSN 8

> > > >

> >

> >http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

> > > >

> > > >

> > > >

> > > >

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Dear Lynn,

I am quite new to SENATE, and am delighted by the excellent

forum for networking for health visitors. I teach Public Health

Nursing in University College Dublin (community nursing combining

district nursing, community midwifery and health visiting). I am very

interested in the family health plan, would it be possible to review

this?

Mandy Phelan

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Thanks

Margaret

family Health Plans

We are forming a working party to look at family health plans and would be

really interested in hearing from anyone who has had an opportunity to

evaluate their effectiveness. Would also be interested in how information

from FHP is linked to wider health needs assessment

Many thanks,

_________________________________________________________________

Worried what your kids see online? Protect them better with MSN 8

http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

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Hi Sue

I'm sure you're absolutely right about NHS to NHS but I work outside the NHS e-mail system at present because we work in a local college building. If the HNA information is within NHS I believe there is still some talk of encrypting etc. I'm not a technical person, this is just the advice I've been given by our IT specialists. I'm sure there will be a lot of future debate on the issue because data protection rules are getting tougher not easier.

Penny

-----Original Message-----From: su lan [mailto:sulan000@...]Sent: Sunday, April 13, 2003 12:50 PM Subject: RE: family Health Plans

Hello Penny, I was interested in your writing about not being able to email a referral because of data protection. I am not quite clear on issues surrounding electronic communication. A while ago I had a conversation with someone in UKCC (so that was a while ago!) and the gist of it was that banks are probably more at risk of someone trying to hack into their systems than health or social services. And provided that someone's details are not sent to a group email address and is specifically addressed to one person, the risk to confidentiality is low. At present most email addresses to social services end in .gov.uk and most nhs addresses end in .nhs.uk (correct me if I am wrong). So the risk of sending a patient/client's details to someone who is not bound by the data protection act and confidentiality clause should be minimal. I would like to know more about about the risks involved in communicating with my colleagues electronically whether at interagency level or locally within my Trust. According to people I know who have some IT knowledge, I am told that NHS servors are a secure anyway, so information is sent through secure channels. In this current age of electronic everything e.g: banking, shopping, booking holdays, tickets...etc, I feel I need clear guidelines for work and very good reasons for why we can't communicate electronically. Incidentally, new births details and new registrations are faxed over to me all the time from GPs and colleagues as I cover my patch geographically. Is this so different from receiving information electronically and by phone (would anyone want to bug my line?). Sue Penny <penny@...> wrote: Hi MargaretI have to say that the ante-natal contact isn't in place throughout the whole of Fenland yet as our staffing levels are too low but we will all be doing it soon. In South Fenland it is either an HV or a midwife doing the HNA, employed by Sure Start, or the local HVs. I run the ante-natal group for Sure Start and invite other people to participate, including their local midwife. The assessment of family's needs is agreed following discussion between the HV and the family and is their perceived needs around the wider determinants of health. The HV then offers the range of appropriate services which could be accessed to meet those needs and the family chooses whether to have an intervention or not at that time. If they decide they want a referral the programme has the capability to generate a local referral form and it is completed there and then in the home. This means that the family check its accuracy and content and can sign it if necessary and keep a copy themselves. The only thing we don't do yet is e-mail the referral because of data protection, but I guess that will come in time. The beauty of this system is that you can track the referral and enter the outcome once followed-up to ensure appropriateness, or offer an alternative source of support.Penny-----Original Message-----From: Margaret Buttigieg [mailto:margaret@...]Sent: Friday, April 11, 2003 7:53 AM Subject: Re: family Health PlansThanks for these Penny.I found it very interesting to see what you were able to do ant natally. Inmost London Boroughs and elsewhere they do not make ante natal contact anymore so the new birth visit is cold - families often new to an area - and nopreparation has been done. Is it you or the MW who does the HNA?I note the suggestion that the new birth visit may be done by the skill mixteam - I wander how people really feel about that. My thoughts are that forsome families the time restriction is inappropriate and HV need to thinkmuch more about the reason for the contact and what is best for this familyat this time. I am seeing in many areas a paper filling exercise whichmeets no ones needs.I like the way you have much contact in the first year - do you have a wayof assessing the families needs or is it agreed with them according toprofessional judgement.Margaret RE: family Health PlansHi ChrisWe've got it approved through the PCT devlopment plan and their StrategicAction Plan. We've also presented a paper to the Exec for the HV Core Tasksas part of the modernisation agenda. The reality is that it saves a lot ofclerical time and gives rich public health data for analysis of local feltneeds which may persuade a PCT to fund the database. There are pots of ITmoney and innovation money for which bids can be made.Penny-----Original Message-----From: Manning [mailto:chris.manning@...]Sent: Friday, April 04, 2003 9:50 AM Subject: RE: family Health PlansDear PennyThanks for details of this. In terms of implementationand cost of £2000-2500..where does this sit? On thePCT server? Who pays?Chris-----Original Message-----From: Penny [mailto:penny@...]Sent: 04 April 2003 09:34 Subject: RE: family Health PlansHi ChrisThat sounds exciting. Do tell me more, or phone me on 01354 697906.Penny-----Original Message-----From: Manning [mailto:chris.manning@...]Sent: Thursday, April 03, 2003 3:00 PM Subject: RE: family Health PlansImportance: HighDear PennyI would dearly love to be able to include what you are doing in PriMHE'sprimary care mental health resource pack..in devpt with mentality and NIMHE.We very much want also to produce a CDROM with latest work in it so thatpeopleover the whole UK can be enabled by what you are doing?Best WishesManningCE PriMHEwww.primhe.org-----Original Message-----From: Penny [mailto:penny@...]Sent: 03 April 2003 13:39 Subject: RE: family Health PlansH The electronic health needs assessment tool we have developed in Fenland isused to develop the family health plan, which then also informs thecommunity needs assessment. Other information is also required for thecommunity needs assessment from other agengies, but the HNAT is a goodstart. The information is collated in a database and we'll soon havecomparative data from other areas which are rolling it out, such as Cumbriaand then Exeter, through Sure Start.I'd be pleased to give you any information you require.Penny - HV Sure Start south Fenland and Prof Lead for HVs in Fenland-----Original Message-----From: Blakemore [mailto:edwinablakemore@...]Sent: Wednesday, April 02, 2003 8:23 PM Subject: family Health PlansWe are forming a working party to look at family health plans and would bereally interested in hearing from anyone who has had an opportunity toevaluate their effectiveness. Would also be interested in how informationfrom FHP is linked to wider health needs assessmentMany thanks, _________________________________________________________________Worried what your kids see online? Protect them better with MSN 8http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

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Hi Sue

I'm sure you're absolutely right about NHS to NHS but I work outside the NHS e-mail system at present because we work in a local college building. If the HNA information is within NHS I believe there is still some talk of encrypting etc. I'm not a technical person, this is just the advice I've been given by our IT specialists. I'm sure there will be a lot of future debate on the issue because data protection rules are getting tougher not easier.

Penny

-----Original Message-----From: su lan [mailto:sulan000@...]Sent: Sunday, April 13, 2003 12:50 PM Subject: RE: family Health Plans

Hello Penny, I was interested in your writing about not being able to email a referral because of data protection. I am not quite clear on issues surrounding electronic communication. A while ago I had a conversation with someone in UKCC (so that was a while ago!) and the gist of it was that banks are probably more at risk of someone trying to hack into their systems than health or social services. And provided that someone's details are not sent to a group email address and is specifically addressed to one person, the risk to confidentiality is low. At present most email addresses to social services end in .gov.uk and most nhs addresses end in .nhs.uk (correct me if I am wrong). So the risk of sending a patient/client's details to someone who is not bound by the data protection act and confidentiality clause should be minimal. I would like to know more about about the risks involved in communicating with my colleagues electronically whether at interagency level or locally within my Trust. According to people I know who have some IT knowledge, I am told that NHS servors are a secure anyway, so information is sent through secure channels. In this current age of electronic everything e.g: banking, shopping, booking holdays, tickets...etc, I feel I need clear guidelines for work and very good reasons for why we can't communicate electronically. Incidentally, new births details and new registrations are faxed over to me all the time from GPs and colleagues as I cover my patch geographically. Is this so different from receiving information electronically and by phone (would anyone want to bug my line?). Sue Penny <penny@...> wrote: Hi MargaretI have to say that the ante-natal contact isn't in place throughout the whole of Fenland yet as our staffing levels are too low but we will all be doing it soon. In South Fenland it is either an HV or a midwife doing the HNA, employed by Sure Start, or the local HVs. I run the ante-natal group for Sure Start and invite other people to participate, including their local midwife. The assessment of family's needs is agreed following discussion between the HV and the family and is their perceived needs around the wider determinants of health. The HV then offers the range of appropriate services which could be accessed to meet those needs and the family chooses whether to have an intervention or not at that time. If they decide they want a referral the programme has the capability to generate a local referral form and it is completed there and then in the home. This means that the family check its accuracy and content and can sign it if necessary and keep a copy themselves. The only thing we don't do yet is e-mail the referral because of data protection, but I guess that will come in time. The beauty of this system is that you can track the referral and enter the outcome once followed-up to ensure appropriateness, or offer an alternative source of support.Penny-----Original Message-----From: Margaret Buttigieg [mailto:margaret@...]Sent: Friday, April 11, 2003 7:53 AM Subject: Re: family Health PlansThanks for these Penny.I found it very interesting to see what you were able to do ant natally. Inmost London Boroughs and elsewhere they do not make ante natal contact anymore so the new birth visit is cold - families often new to an area - and nopreparation has been done. Is it you or the MW who does the HNA?I note the suggestion that the new birth visit may be done by the skill mixteam - I wander how people really feel about that. My thoughts are that forsome families the time restriction is inappropriate and HV need to thinkmuch more about the reason for the contact and what is best for this familyat this time. I am seeing in many areas a paper filling exercise whichmeets no ones needs.I like the way you have much contact in the first year - do you have a wayof assessing the families needs or is it agreed with them according toprofessional judgement.Margaret RE: family Health PlansHi ChrisWe've got it approved through the PCT devlopment plan and their StrategicAction Plan. We've also presented a paper to the Exec for the HV Core Tasksas part of the modernisation agenda. The reality is that it saves a lot ofclerical time and gives rich public health data for analysis of local feltneeds which may persuade a PCT to fund the database. There are pots of ITmoney and innovation money for which bids can be made.Penny-----Original Message-----From: Manning [mailto:chris.manning@...]Sent: Friday, April 04, 2003 9:50 AM Subject: RE: family Health PlansDear PennyThanks for details of this. In terms of implementationand cost of £2000-2500..where does this sit? On thePCT server? Who pays?Chris-----Original Message-----From: Penny [mailto:penny@...]Sent: 04 April 2003 09:34 Subject: RE: family Health PlansHi ChrisThat sounds exciting. Do tell me more, or phone me on 01354 697906.Penny-----Original Message-----From: Manning [mailto:chris.manning@...]Sent: Thursday, April 03, 2003 3:00 PM Subject: RE: family Health PlansImportance: HighDear PennyI would dearly love to be able to include what you are doing in PriMHE'sprimary care mental health resource pack..in devpt with mentality and NIMHE.We very much want also to produce a CDROM with latest work in it so thatpeopleover the whole UK can be enabled by what you are doing?Best WishesManningCE PriMHEwww.primhe.org-----Original Message-----From: Penny [mailto:penny@...]Sent: 03 April 2003 13:39 Subject: RE: family Health PlansH The electronic health needs assessment tool we have developed in Fenland isused to develop the family health plan, which then also informs thecommunity needs assessment. Other information is also required for thecommunity needs assessment from other agengies, but the HNAT is a goodstart. The information is collated in a database and we'll soon havecomparative data from other areas which are rolling it out, such as Cumbriaand then Exeter, through Sure Start.I'd be pleased to give you any information you require.Penny - HV Sure Start south Fenland and Prof Lead for HVs in Fenland-----Original Message-----From: Blakemore [mailto:edwinablakemore@...]Sent: Wednesday, April 02, 2003 8:23 PM Subject: family Health PlansWe are forming a working party to look at family health plans and would bereally interested in hearing from anyone who has had an opportunity toevaluate their effectiveness. Would also be interested in how informationfrom FHP is linked to wider health needs assessmentMany thanks, _________________________________________________________________Worried what your kids see online? Protect them better with MSN 8http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

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If we are to work in a joined-up way across sectors.. then we need to be able to sited within NHS net? I have been looking into this for PriMHE...trying to persuade DoH that it is pointless them funding charities who then have to spend about £2-3 with BT/C and W to get the necessary hardware/software routines and protocols set up..and of course beyong the IT, there is then the issue of level of access within the network?

-----Original Message-----From: Penny [mailto:penny@...]Sent: 14 April 2003 09:43 Subject: RE: family Health Plans

Hi Sue

I'm sure you're absolutely right about NHS to NHS but I work outside the NHS e-mail system at present because we work in a local college building. If the HNA information is within NHS I believe there is still some talk of encrypting etc. I'm not a technical person, this is just the advice I've been given by our IT specialists. I'm sure there will be a lot of future debate on the issue because data protection rules are getting tougher not easier.

Penny

-----Original Message-----From: su lan [mailto:sulan000@...]Sent: Sunday, April 13, 2003 12:50 PM Subject: RE: family Health Plans

Hello Penny, I was interested in your writing about not being able to email a referral because of data protection. I am not quite clear on issues surrounding electronic communication. A while ago I had a conversation with someone in UKCC (so that was a while ago!) and the gist of it was that banks are probably more at risk of someone trying to hack into their systems than health or social services. And provided that someone's details are not sent to a group email address and is specifically addressed to one person, the risk to confidentiality is low. At present most email addresses to social services end in .gov.uk and most nhs addresses end in .nhs.uk (correct me if I am wrong). So the risk of sending a patient/client's details to someone who is not bound by the data protection act and confidentiality clause should be minimal. I would like to know more about about the risks involved in communicating with my colleagues electronically whether at interagency level or locally within my Trust. According to people I know who have some IT knowledge, I am told that NHS servors are a secure anyway, so information is sent through secure channels. In this current age of electronic everything e.g: banking, shopping, booking holdays, tickets...etc, I feel I need clear guidelines for work and very good reasons for why we can't communicate electronically. Incidentally, new births details and new registrations are faxed over to me all the time from GPs and colleagues as I cover my patch geographically. Is this so different from receiving information electronically and by phone (would anyone want to bug my line?). Sue Penny <penny@...> wrote: Hi MargaretI have to say that the ante-natal contact isn't in place throughout the whole of Fenland yet as our staffing levels are too low but we will all be doing it soon. In South Fenland it is either an HV or a midwife doing the HNA, employed by Sure Start, or the local HVs. I run the ante-natal group for Sure Start and invite other people to participate, including their local midwife. The assessment of family's needs is agreed following discussion between the HV and the family and is their perceived needs around the wider determinants of health. The HV then offers the range of appropriate services which could be accessed to meet those needs and the family chooses whether to have an intervention or not at that time. If they decide they want a referral the programme has the capability to generate a local referral form and it is completed there and then in the home. This means that the family check its accuracy and content and can sign it if necessary and keep a copy themselves. The only thing we don't do yet is e-mail the referral because of data protection, but I guess that will come in time. The beauty of this system is that you can track the referral and enter the outcome once followed-up to ensure appropriateness, or offer an alternative source of support.Penny-----Original Message-----From: Margaret Buttigieg [mailto:margaret@...]Sent: Friday, April 11, 2003 7:53 AM Subject: Re: family Health PlansThanks for these Penny.I found it very interesting to see what you were able to do ant natally. Inmost London Boroughs and elsewhere they do not make ante natal contact anymore so the new birth visit is cold - families often new to an area - and nopreparation has been done. Is it you or the MW who does the HNA?I note the suggestion that the new birth visit may be done by the skill mixteam - I wander how people really feel about that. My thoughts are that forsome families the time restriction is inappropriate and HV need to thinkmuch more about the reason for the contact and what is best for this familyat this time. I am seeing in many areas a paper filling exercise whichmeets no ones needs.I like the way you have much contact in the first year - do you have a wayof assessing the families needs or is it agreed with them according toprofessional judgement.Margaret RE: family Health PlansHi ChrisWe've got it approved through the PCT devlopment plan and their StrategicAction Plan. We've also presented a paper to the Exec for the HV Core Tasksas part of the modernisation agenda. The reality is that it saves a lot ofclerical time and gives rich public health data for analysis of local feltneeds which may persuade a PCT to fund the database. There are pots of ITmoney and innovation money for which bids can be made.Penny-----Original Message-----From: Manning [mailto:chris.manning@...]Sent: Friday, April 04, 2003 9:50 AM Subject: RE: family Health PlansDear PennyThanks for details of this. In terms of implementationand cost of £2000-2500..where does this sit? On thePCT server? Who pays?Chris-----Original Message-----From: Penny [mailto:penny@...]Sent: 04 April 2003 09:34 Subject: RE: family Health PlansHi ChrisThat sounds exciting. Do tell me more, or phone me on 01354 697906.Penny-----Original Message-----From: Manning [mailto:chris.manning@...]Sent: Thursday, April 03, 2003 3:00 PM Subject: RE: family Health PlansImportance: HighDear PennyI would dearly love to be able to include what you are doing in PriMHE'sprimary care mental health resource pack..in devpt with mentality and NIMHE.We very much want also to produce a CDROM with latest work in it so thatpeopleover the whole UK can be enabled by what you are doing?Best WishesManningCE PriMHEwww.primhe.org-----Original Message-----From: Penny [mailto:penny@...]Sent: 03 April 2003 13:39 Subject: RE: family Health PlansH The electronic health needs assessment tool we have developed in Fenland isused to develop the family health plan, which then also informs thecommunity needs assessment. Other information is also required for thecommunity needs assessment from other agengies, but the HNAT is a goodstart. The information is collated in a database and we'll soon havecomparative data from other areas which are rolling it out, such as Cumbriaand then Exeter, through Sure Start.I'd be pleased to give you any information you require.Penny - HV Sure Start south Fenland and Prof Lead for HVs in Fenland-----Original Message-----From: Blakemore [mailto:edwinablakemore@...]Sent: Wednesday, April 02, 2003 8:23 PM Subject: family Health PlansWe are forming a working party to look at family health plans and would bereally interested in hearing from anyone who has had an opportunity toevaluate their effectiveness. Would also be interested in how informationfrom FHP is linked to wider health needs assessmentMany thanks, _________________________________________________________________Worried what your kids see online? Protect them better with MSN 8http://join.msn.com/?page=features/parental & pgmarket=en-gb & XAPID=186 & DI=1059

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