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Minutes of the Leicester, Leicestershire and Rutland PCT ... - NHS

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Paper A<br />

LLR <strong>PCT</strong> Cluster Board meeting<br />

14 June 2012<br />

correct <strong>and</strong> have been amended to take note <strong>of</strong> <strong>the</strong> comments <strong>the</strong>y will<br />

be brought to <strong>the</strong> Cluster Board.<br />

Action: Mrs Rowbotham<br />

CB/12/146<br />

<strong>Leicester</strong> City Health Visitor Implementation Programme<br />

Ms Sharon Robson, Associate Director <strong>of</strong> Quality, <strong>and</strong> Assigned Board<br />

Nurse/Quality Lead <strong>Leicester</strong> City Clinical Commissioning Group<br />

presented <strong>the</strong> <strong>Leicester</strong> City Health Visitor Implementation Programme<br />

(as attached in Minute Book – Appendix Number CB/05/10/K).<br />

The key aim <strong>of</strong> <strong>the</strong> Health Visitor Implementation Programme - A call to<br />

Action is to improve services <strong>and</strong> health outcomes, through exp<strong>and</strong>ing<br />

<strong>and</strong> streng<strong>the</strong>ning <strong>the</strong> Health Visiting workforce, with an extra 4,200<br />

Health Visitors in post nationally by April 2015.<br />

<strong>Leicester</strong> is a large city <strong>and</strong> <strong>the</strong> scale <strong>of</strong> diversity is unique compared to<br />

o<strong>the</strong>r cities in Engl<strong>and</strong>; children <strong>and</strong> young people represent 26% <strong>of</strong> <strong>the</strong><br />

total population. <strong>Leicester</strong> is ranked as <strong>the</strong> 25th most deprived local<br />

authority in <strong>the</strong> country according to <strong>the</strong> Index <strong>of</strong> Multiple Deprivation<br />

2010, with some areas <strong>of</strong> <strong>the</strong> city falling within <strong>the</strong> most deprived 5% in<br />

all areas <strong>of</strong> Engl<strong>and</strong>. In terms <strong>of</strong> safeguarding children in <strong>Leicester</strong>, 458<br />

children are <strong>the</strong> subject <strong>of</strong> a child protection plan. Of this figure 48% are<br />

under <strong>the</strong> age <strong>of</strong> 5.<br />

Currently <strong>the</strong>re are 63.5 whole time equivalent (WTE) Health Visitors in<br />

<strong>Leicester</strong> City, supported by 6.41 WTE Children’s Nurses <strong>and</strong> 28.67<br />

WTE Nursery Nurses, a disparity <strong>of</strong> 86 WTE Health Visitors between<br />

<strong>the</strong> current number <strong>and</strong> <strong>the</strong> target to be reached by 1st April 2015.<br />

Nationally, Health Visiting caseloads <strong>of</strong> approximately 250 to 350<br />

cases, less in deprived areas with high numbers <strong>of</strong> complex cases such<br />

as <strong>Leicester</strong>, are considered to be appropriate to implement <strong>the</strong> new<br />

model; in <strong>Leicester</strong> Health Visitors caseloads are currently in excess <strong>of</strong><br />

500 cases per WTE Health Visitor.<br />

The vast majority <strong>of</strong> <strong>the</strong> workforce expansion required to deliver <strong>the</strong><br />

new model <strong>of</strong> service in <strong>Leicester</strong> will stem from working in partnership<br />

with De Montfort University (DMU), <strong>Leicester</strong>, <strong>Leicester</strong>shire & Rutl<strong>and</strong><br />

Workforce Development Team <strong>and</strong> <strong>Leicester</strong>shire Partnership <strong>NHS</strong><br />

Trust (LPT).<br />

LC CCG Governing Body is proposing <strong>the</strong> following financial<br />

modelling:-<br />

2012/13, LPT to recruit six health visitors using population<br />

growth funding in <strong>the</strong> LPT contract, taking <strong>the</strong> total to 69.5WTE.<br />

This leaves a gap <strong>of</strong> 80 WTE against <strong>the</strong> longer term target<br />

Following completion <strong>of</strong> <strong>the</strong> recruitment above, recruit a fur<strong>the</strong>r<br />

24 health visitors at a total annual cost <strong>of</strong> £1.3m, via a contract<br />

variation.<br />

15

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