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 23rd 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

• 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

“The smile behind the mask”

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