Highland’s Information Trail

Highland’s Information Trail

Delivering Integrated Children’s EDITION 6
Services in Highland August 2012

Introduction

The Pathways for Maternity Care (KCND, NHS QIS 2009), Health for All Children (Hall 4, 2003) and a New Look at Hall 4 (Scottish Government
2011) outline a programme of screening, surveillance and health promotion for all pregnant women, babies and children across Scotland.

This information trail has been produced to support a standardised, quality assured approach to the way that services for children and families
are delivered by detailing the core range of written resources that all parents and carers should have access to across Highland. The information
trail covers pre-conception, pregnancy, infancy, toddler and the pre-school period, up to the age of five years. It covers information from a
national and local perspective, and signposts professionals to related services and resources to support parents and carers. A number of useful
websites are also listed at the end.

The layout of this leaflet has been organised to complement the core programme of contacts as detailed in Pathways for Maternity Care (KCND)
and Hall 4. Assessment may indicate a need for additional support and contact.

This Information Trail is one of a number of documents that have been developed to support the implementation of pathways in maternity care
and Hall 4 across NHS Highland, Highland Council and partner agencies. Others include: pathways for antenatal screening, new born hearing
and vision screening, care pathways, guidelines for families with additional needs and information sharing. They support the development of
integrated early years services across Highland.

Additional leaflets, training packs, models, DVDs, picture banks and posters are also available for women from the Health Information and
Resources Service (HIRS), located at NHS Highland, Assynt House, Inverness.

1 Updated 15th August 2012

Coding *on the leaflet information list is shown against certain titles and indicates that it must be given to, or discussed

with women to meet with the Quality Improvement Scotland (QIS) Standards.

Information for Health

Professionals Miscarriage - if a woman miscarries she experience any problems registering with a
should receive literature about support and dentist then the NHS Dental Help Line number
The three key resources, Ready Steady Baby! bereavement available to her from her GP, should be given 0845 644 2271. For further
Ready Steady Toddler! and Off to a Good Start Gynaecology or Maternity Services. It is information see www.child-smile.org.uk
should be given to all women and used by important that if a woman has booked for
professionals for reference when discussing maternity care that the relevant community Healthy Start - encourages eligible pregnant
health promotion and health improvement with midwife and obstetrician are informed. women and families (from low-income groups,
parents. This information trail suggests other under 18 or in receipt of benefits) to eat a more
leaflets which may be given to supplement Pre-conceptual Care - all professionals who nutritious diet by providing them with vouchers
these key resources. It is not necessary to give have contact with women who may be to buy healthy foods. Vouchers can be
every leaflet listed to parents except those contemplating pregnancy should advise them exchanged for milk, fresh fruit and vegetables,
marked with * about healthy diet and lifestyle, e.g. physical frozen vegetables and infant formula at
activity, weight, smoking, alcohol and participating retailers. Eligible women can also
Ready Steady Baby! - is a substantial substance misuse. This discussion should also receive Healthy Start vitamins during
resource and the key one for women. It include the importance of folic acid and vitamin pregnancy and breastfeeding and children can
provides women with most of the information D supplements. receive vitamins from six months until their
that they will need before, during and after fourth birthday. All women should be offered
pregnancy. The different professionals who Nutrition - the ‘Maternal and Child Nutrition- the Healthy Start application form at booking.
have contact with women throughout this time Best Practice Guidance’ has been developed Throughout pregnancy and the early years
should make a point of referring to this by NHS Highland to provide a co-ordinated, health professionals should opportunistically
resource and going through it with women. It practical and evidence-based framework for remind women about Healthy Start and ask if
has been designed to reduce the need for delivery of nutritional care by staff in all they are receiving their vouchers and vitamins.
many different leaflets. agencies engaging with women of childbearing
age, throughout pregnancy and childbirth and Play@home - baby, toddler and pre-school
Ready Steady Toddler! - is a hands on guide the early years of parenting. The Guidance books are provided to families in Highland with
for parents as they experience the changes provides a key strand to address health a child 0-5 years old. Activities in the books
their child goes through when they leave the inequalities and health outcomes in Highland’s promote child development, attachment and
baby stage behind and become an inquisitive population. Copies are available in family communication. Professionals should
and demanding toddler. With a practical Midwife/Public Health Nurse bases and GP refer to the activities when discussing children’s
problem solving approach, this invaluable surgeries. It is also available online at physical, social and emotional growth and the
resource has sections on understanding toddler http://intranet.nhsh.scot.nhs.uk/Pages/Default.a acquisition of speech and language skills.
behaviour and ways for parents to tackle new spx It is being reviewed and the revised edition Play@home can also be used by professionals
challenges.

Off to a Good Start - is a key resource for will be available on the intranet in the Autumn. as a resource to discuss baby massage.

dealing with breastfeeding issues. Like Ready Dental Care - pregnancy offers an opportunity Flu Vaccine – vaccination must be discussed
Steady Baby! and Ready Steady Toddler!, to remind women to register with a dentist. with women and an information leaflet will be
professionals who have contact with women at Remember: baby teeth calcification begins at 5 produced annually in September by the
all stages should refer back to it and work months in utero; adult teeth calcification begins Scottish Government.
through it with women. just before or shortly after birth. If women

2 Updated 15th August 2012

Equality and Diversity - one in five adults in Scotland has HAPIS - Highland Antenatal/Postnatal Illness & Depression Support
difficulty with reading/numeracy and learning acquisition, therefore provide additional resources for women and their families affected by
it is important to ensure any information leaflets are not given out depression, including a dad’s leaflet (Fathers Matter) and DVD (Harebells
without a full explanation and discussion of their contents. You in the Wind). These are available in the HIRS library.
should check directly with the person how best to communicate
information to them which may be better in DVD or pictures. HIRS Health Information & Resources Service
has materials in other formats.
Resources
Women and families without English as a first language might
require assistance with interpretation of spoken language and The Health Information and Resources Service has a
translation of written language. NHS Highland translated materials Library which offers a wide range of health related
are available on the intranet. Alternatively many NHS Health materials for loan, free of charge to those working or living
Scotland materials are now produced in other languages and are within the Highlands. Materials consist of:
available via their website.
Leaflets,* Posters, DVDs & Videos
NHS Highland provides interpretation and/ or translation if Training Packs, Games, Models & Equipment
required. Telephone interpretation is available through Language
Line on 0800 028 0073 and face to face interpretation is available Opening hours are:
through Global Language Services Ltd on 01463 258839. Full Monday – Friday, 9am - 4pm
details of how to use these services are on the NHS Highland Please phone/fax 01463 704647
intranet - ‘Interpretation and Translation Guidance.’ NHS Health Email:[email protected]
Scotland can be contacted about materials translated into other
languages and other formats, such as large print on 0131 536 Most *Leaflets can be viewed online and downloaded at
5544 or on the website www.healthinmylanguage.com www.healthyhighlanders.org.uk
and click on the library icon.
Benefits and Entitlements - Women requiring advice about
maternity benefits should be referred to their local jobcentreplus NHS Highland, Assynt House, Beechwood Park,
for guidance and support. ‘A Guide to Maternity Benefits’ NI 17A Inverness, IV2 3BW
can be downloaded from www.dwp.gov.uk
For more information visit the website on:
The ‘Parent’s Guide to Money’ booklet available from the Financial www.nhshighland.scot.nhs.uk/hirs
Services Authority (FSA) can be used to support discussion with
parents and families around issues of budgeting. Updated 15th August 2012

Issue No 6 Date of issue: Review date:
15th August 2012 August 2013

Devised by Jane Groves and Sandra Harrington (2006),
Contact Sandra Harrington. Telephone 01463 711176

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Stage Leaflet Produced by Available from/ref Professional

Pre-conceptual Planning a pregnancy Family Planning HIRS 1CPB/020/L GP/FPS/Midwife
Association
First point of Folic Acid – before and during pregnancy NHS Health Scotland HIRS 1CPB/001/L GP/FPS/Midwife
contact/
booking visit Managing your weight in pregnancy (can also be given at any stage in NHS Highland HIRS 1CPB/007/L GP/FPS/Midwife
pregnancy)
22 - 25 weeks NHS Health Scotland HIRS 1CPB/002/L GP/Midwife
28 weeks * Your guide to screening tests offered during pregnancy HIRS 1CPB/003/L GP/Midwife
* Ready Steady Baby! NHS Health Scotland HIRS 1FOO/007/L GP/Midwife
* Healthy Start application form DOH/NHS Health Highland GP Surgeries GP/Midwife
* FW8 Prescription Exemption Form Scotland HIRS 1CPB/011/L Midwife
Banner Business Maternity Bases Midwife
Fit for pregnancy HIRS 1DRS/042/L Midwife
AC Physiotherapists HIRS 1DRS/043/L Midwife
Midwifery Supervision and Women North of Scotland Local
Supervising Authority HIRS 1DRS/001/L Midwife
Fresh Start: Giving up smoking... NHS Health Scotland
HIRS 1DRS/037/L Midwife
Smoke-Free Homes and Smoke-Free Cars leaflet NHS Highland
Sign Up to the Smoke-Free Homes Challenge (application form for Maternity units GP/Midwife
professionals to complete with clients ready to make their home and car NHS Highland GP/Midwife
smoke-free. All applicants will receive a FREE Starter Pack with goodies) GP/ maternity units/ Midwife
Aspire Magazine NHS Health Scotland midwives

* Flu vaccination leaflet – annual production Scottish Government Jobcentre Plus or Social
Dept of Work and Security Offices
MAT B1 Maternity certificate (for claiming SMP or maternity benefits) Pensions
Sure Start maternity grant form SF100 (entitled women will get this from Social Dept of Work and HIRS 1MEN/017/L Midwife
Security; their health professional will sign after reinforcing health information. It is only Pensions
available for the first child). HIRS 1CPB/004/L Midwife
HAPIS
* Highland Antenatal/Postnatal Illness Support (HAPIS) HIRS 1CPB/006/L Midwife
* Your guide to newborn screening tests NHS Health Scotland
Assoc of Chartered HIRS 1SAF/021/L Midwife
Pregnancy-related pelvic girdle pain Physios
NHS Health Scotland
* The Scottish Good Egg Guide to keeping your child safe at home

The antenatal breastfeeding material marked * must be given to all women to comply with UNICEF/BFI. Updated 15th August 2012

4

Stage Leaflet Produced by Available from/ref Professional

* Off to a good start NHS Health Scotland HIRS 1BAB/004/L Midwife

* Skin to Skin NHS Highland HIRS 1BAB/019/L Midwife

28 weeks * Bump to Breastfeeding (DVD) NHS Health Scotland HIRS 1BAB/020/L Midwife
continued * Why Breastfeed? NHS Highland
HIRS 1BAB/022/L Midwife

* Parents Guide to Breastfeeding Policy NHS Highland Maternity units/midwives Midwife

* Breastfeeding Peer Support – An information leaflet for all pregnant women NHS Highland HIRS 1BAB/027/L Midwife

34 - 36 weeks * Reduce the risk of cot death Scottish Government HIRS 1BAB/003/L Midwife
Scottish Government Midwife
Joint birth registration - involving both parents HIRS 3LEG/001/L Midwife
Audiology Dept, Midwife
* Newborn hearing screening consent form NHS Highland Raigmore Midwife
HIRS 1BAB/005/L Midwife
Breastfeeding and antidepressant medication NHS Highland Midwife
HIRS 1BAB/023/L Midwife
* Important points you need to know when breastfeeding your baby NHS Highland Midwife
HIRS 1BAB/011/L Midwife
Breastfeeding and Mastitis Breastfeeding Network HIRS 1BAB/012/L Midwife
Thrush and Breastfeeding Breastfeeding Network
HIRS 1BAB/026/L
* Feeding cue cards NHS Highland
HIRS 1BAB/016/L
Post-birth Breastfeeding your baby: The problem with supplementary feeds and dummies NHS Highland HIRS 1BAB/025/L

Caring for your baby at night – A guide for parents UNICEF HIRS 1BAB/017/L

* Support in Highland for breastfeeding mothers NHS Highland HIRS 1BAB/018/L Midwife

Formula feeding – How to feed your baby safely UNICEF/ NHS Health HIRS 1CON/010/L Midwife
Scotland HIRS 1YOP/013/L Midwife
Your guide to contraceptive choices - after you’ve had your baby Family Planning HIRS 1IMM/015/L Midwife
Routes to Sexual Health Services in Highland Association (FPA)
BCG and your baby
The post-birth breastfeeding leaflets marked * should be given to all breastfeeding mothers only. NHS Highland

NHS Health Scotland

5 Updated 15th August 2012

Note 1: New Birth pack from Child Health contains the materials marked • together with the Personal Child Health Record (Red Book)

Note 2: The Smoke-Free Homes materials are included in the new Birth Pack from Child Health but can be given out at any time during pregnancy and the postnatal period.

Stage Leaflet Produced by Available from/ref no Professional
involved

• Smoke-Free Homes and Smoke-Free Cars leaflet NHS Highland HIRS 1DRS/043/L PHN/HV/Child
Health

Sign Up to the Smoke-Free Homes Challenge (application form for NHS Highland HIRS 1DRS/001/L PHN/HV/Child
Health
• professionals to complete with clients that are ready to make their home and

car smoke free. All applicants will receive a FREE Starter Pack with goodies)

• HAPIS card HAPIS HAPIS PHN/HV/Child
Health

• A guide to childhood immunisations for babies up to 13 months of age NHS Health Scotland HIRS 1 IMM/006/L PHN/HV/Child
NHS Health Scotland Health
First PHN/HV New NHS Health Scotland Highland Council via
Child Health PHN/HV/Child
Birth Visit • Play@home book for babies Health
HIRS 1FOO/002/L
approx 11 days PHN/HV/Child
health
after birth • Vitamin D and you: important health information for everyone

Remind eligible parents of the Healthy Start Scheme DOH/NHS Health HIRS 1FOO/007/L PHN/HV
Scotland

Breastfeeding: Returning to work NHS Health Scotland HIRS 1BAB/010/L PHN/HV

Protect your baby’s natural headshape: tummy time to play, back to sleep NHS Health Scotland HIRS 1BAB/013/L PHN/HV

* Talking about postnatal depression NHS Health Scotland HIRS 1MEN/003/L PHN/HV

Fit for the future AC Physiotherapists HIRS 1CPB/013/L PHN/HV

Your guide to contraception FPA HIRS 1CON/011/L PHN/HV

6-8 weeks * Childsmile Practice: Here to help you look after your child’s teeth NHS Health Scotland Childsmile oral health PHN/HV/COHT
teams (COHT) 3762

Guidance for Parents and Carers - Hearing Problems in Young Children NHS Highland HIRS 1BAB/021/L PHN/HV

* Fun first foods NHS Health Scotland HIRS 1BAB/015/L PHN/HV

3 months Hassle free food NHS Health Scotland HIRS 1FOO/009/L PHN/HV

Drinks for babies and young children NHS Health Scotland COHT 3864 PHN/HV/COHT

6 Updated 15th August 2012

Stage Leaflet Produced by Available from/ref. Professional
no involved
4 months Oral Hygiene Pack and free-flow drinking cup Childsmile
12 -15 months How to protect your children’s teeth DVD (at HV discretion) Childsmile COHT PHN/HV
24- 30 months Bookbug baby bag Scottish Book Trust COHT 3411 PHN/HV
Library Services
3-5 years * Ready Steady Toddler! NHS Health Scotland 01463 251269 PHN/HV

7 Play@home Toddler book ( posted out) NHS Health Scotland HIRS 1BAB/001/L PHN/HV
/Practice Nurse
Bookbug Toddler Bag (voucher posted out for family to collect from library) Scottish Book Trust Childcare & Early Ed. PHN/HV to
01463 711176 promote
Help - my child won’t eat British Dietetic Library services
Association 01463 251269 PHN/HV to
Childsmile promote
HIRS 1FOO/026/L
Book Trust PHN/HV

Oral Hygiene Pack (at PHN/HV discretion) Childsmile COHT PHN/HV
Library Services
Reminder to parents/carers to pick up Bookbug Toddler Bag from local library. Dates produced 01463 251269 PHN/HV
PHN/HV may have small supply. annually
COHT PHN/HV
Reminder to parents/carers to request that their child receives a fluoride NHS Health Scotland
varnish application pending a full individual assessment from their dentist Childcare & Early Ed. PHN/HV
01463 711176
Reminder to parents to enrol their child for pre-school education PHN/HV/Early
HIRS 1IMM/007/L years providers
* A guide to childhood immunisations from 3 years Early years
4 months of age HIRS 1HYG/005/L providers
Early years
Head lice information for parents + detection combs NHS Highland COHT providers
Pre-school ed.
Oral Hygiene Packs (twice per year at 3 and 4 years of age) Childsmile Orthoptic Department providers (PEP)
NHS Highland 01463 704443
Pre-school Orthoptic Visual Screening Information Leaflet for Parents/carers NHS Health Scotland Childcare & Early Ed. PEP
given by Preschool education providers at start of term 01463 711176
Library services PEP & librarians
Play@home pre-school book given out by pre-school system 01463 251269

Bookbug Pirate Bag given out by preschool system & library service Scottish Book Trust COHT PHN/HV
Childsmile
Reminder to parents/carers to request that their child receives a fluoride Updated 15th August 2012
varnish application pending a full individual assessment from their dentist

All families should have their own copies of Ready Steady Baby, Ready Steady Toddler and Off to a Good Start throughout this period; however professionals should have a
copy of each for reference and be familiar with their content. They contain sections covering all of the key Hall 4 recommendations for health promotion.

Health for All Children (Hall 4) recommended health promotion topics for discussion.

Within first 10 days of life By 8 weeks 3 months 4 months

Reducing the risk of cot death Nutrition Nutrition Weaning
Parenting skills Development Development Nutrition
Immunisation schedule Safety Safety Development
Support networks and services Smoking Smoking Safety
Safety Oral health Oral health Smoking
Feeding Immunisation schedule Immunisation schedule Oral health
Oral health Parenting Parenting Immunisation schedule
Smoking Support networks and services Support networks and services Parenting
Any parental concern Any parental concerns Any parental concerns Support networks and services
Sleeping position Sleeping position Any parental concerns

12 - 15 months 24 - 30 months 3-5 years

Nutrition Speech, language and communication. Development
Development Personal, social and emotional Safety
Safety development, including behaviour. Nutrition
Smoking Nutrition, growth and weight Smoking
Oral health Immunisations Oral health
Immunisation schedule Parental concerns and issues Physical activity
Parenting Vision, hearing and oral health Parenting
Support networks and services Physical activity and play Support networks and services
Any parental concerns Any parental concerns

8 Updated 15th August 2012

Useful websites for parents www.jobcentreplusadvisor.co.uk/scotland
www.laleche.org.uk The La Leche League: number for breastfeeding
www.babyfriendly.org.uk support. Tel: 0845 120 2918
www.bbc.co.uk/parenting www.nspcc.org.uk
www.breastfeedingnetwork.org.uk The Breastfeeding Network. www.nctpregnancyandbabycare.com National Childbirth Trust: number for
Tel: 0300 100 0210 (Support Line) breastfeeding support. Tel: 0300 330 0771 (Breastfeeding Line)
www.capt.org.uk Child Accident Prevention Trust www.children1st.org.uk Parentline Scotland
www.childreninthehighlands.com CHIP+ (Children in the Highlands www.opfs.org.uk One Parent Families Scotland
Information Point) www.parentingacrossscotland.org
www.child-smile.org.uk www.readysteadybaby.org.uk
www.clearingtheairscotland.com www.readysteadytoddler.org.uk
Smokeline number Tel: 0800 848484 www.scottishfamilies.gov.uk Childcare Information Service
www.canstopsmoking.com www.sidscotland.org.uk
www.smokefreehighland.co.uk www.sleepscotland.org
www.depressionalliance.org The Depression Alliance www.takelifeon.co.uk
www.eatwell.gov.uk www.vegsoc.org
www.familyandparenting.org National Family and Parenting Institute Commercial websites
Tel: 0207 424 3460 www.babycentre.co.uk
www.hapis.org.uk Highland Ante/Postnatal Illness and Depression www.netmums.com
Support www.practicalparent.org.uk
www.healthinmylanguage.com
www.healthscotland.com Updated 15th August 2012
www.healthystart.nhs.uk
www.homesafetyscotland.org.uk
www.immunisationscotland.org.uk

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