The Breastfeeding Team
2009-2013
It Really Works
Margaret Baluta
East Coast Community
Healthcare
6-8WK Breastfeeding Rates 2009
ABSOLUTELY TERRIBLE
28-35%
WHY ?
• 70 YEARS OF MARKETING COWS MILK
• INVESTMENT FOR BF CARE
• NHS RELIANCE ON; 1. GOODWILL / VOLUNTEERS
2. NO PERFORMANCE TARGET
WHAT CHANGED?
• UNICEF BABY FRIENDLY MANDATORY
• EXCELLENT PUBLIC HEALTH RESEARCH
• PUBLIC HEALTH INVESTMENT BECOMES NHS
FUNDING PRIORITY
• LEADERS & COMMISSIONERS FROM KEY
PROFESSIONAL GROUPS TARGET DRIVEN TO
IMPROVE STANDARDS.
Team
Lead
2 Staff
Nurses
2
Admin
Investment in a Sustainable BF Team
•Population & Demographics
•Area Geography
•Gap in Market. Poor Service.
•Competitors
•Partners
Research
Evaluate
Quality
•UNICEF Awards 100% outcomes
•Client Led
• Consistent service delivery
•Quality of training and staff
•Develop Father Inclusive Peer
Support Programme
Plan
•UNICEF Stages
•Train new Team
•Train all clinical staff
•Develop excellent
partnerships
•Design Client
Resources
•Free Breast pump
Hire Service
•Expand Baby Café to
5 day service
Deliver
•Professional Home Visiting
Service
•Recruit local partner
leaders
•CC increase involvement
•Set up social media
•Meet National Targets
Plan
Educated
Workforce
Market
Sustainable
Service
Lead
Excellent
Teams
Leadership is the freedom to effect
change
NATIONAL CAREER DEVELOPMENT IN BREASTFEEDING
EMPLOYED IN BFT
•
ADMIN BAND 2
•
•
•
•
•
STAFF NURSE
VOLUNTEER PEER SUPPORTER
STAFF NURSE
ADMIN
ADMIN
CAREER DEVELOPMENT
•
•
•
•
•
•
PEER SUPPORT -> 2ND YEAR STUDENT
NURSE.
HEALTH VISITOR
STAFF NURSE HEALTH VISITOR
HEALTH VISITOR STUDENT
BREASTFEEDING PRACTITIONER
PEER SUPPORTBREASTFEEDING
PRACTITIONER
Improved Service Standards?
2009 Statement of intent to improve
• Develop a Breastfeeding
support Service
• Market the service via
Midwifery, Health Visiting,
Children’s Centres
• Wait for the referral calls
from new mothers and
professionals
• 2 Baby Cafes
2013
UNICEF Evidence for full accreditation
•
•
•
•
•
•
•
•
•
•
•
•
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A sustainable dedicated breastfeeding service (BFT)
Proactive face to face home visiting care offered and delivered
to all mothers in the area
24hr telephone support line
Developed the wrist bands with 24hrs care number.
Father Inclusive Peer Support (FIPS) Coordinator
30 active peer supporters on wards, Baby Café, home visiting.
Free Breast Pump Hire for a minimum of 42 days.
2 dedicated consultants who assess and divide TT.
9 Baby Cafés across Great Yarmouth and Waveney and all
based in Children’s Centres.
Targeted Home Visiting Peer Support Programme for Great
Yarmouth were the lowest rates of 6-8wk BF rates are across
the organisation. To improve support to the most vulnerable
families
Partners in the 5* service developed in partnership with
Beccles Children’s Centre.
INVESTMENT IN SOCIAL MEDIA USE OF IPADS
The Breastfeeding Team APP (for launch 8th October 2013)
Baby Café Beccles
FATHERS MAKE A DIFFERENCE
CQUINN
Friends & Family
Clients have their say
Fantastic Care
Thank you!!
24 hour help
line
&
Home
visiting?
Brilliant.
The Team needs to be
much larger bring to
Norwich
please.!
WE LOVE
The Baby
Cafe
Me!
2 years
Breastfeeding
My
Baby
Amazing!
Waveney Breastfeeding Status August 2013
6 to 8 weeks status
(6421.) Bottle fed at 6 weeks
(6422.) Breast fed at 6 weeks
(6423.) Breast and supplement fed at 6 weeks
(Ua1JX) Giving expressed breast milk
(YA737) Formula milk fed
Total children
% Breastfeeding (Totally or partially)
IP18
First recorded status
Breastfed
Artificial
Total children
% Breastfeeding (Totally or partially)
IP18
IP19
IP20
NR32
NR33 NR34 NR35 Grand Total
1
2
8
5
7
3
26
6
3
1
1
12
1
5
7
31
15
4
3
58
1
47
28
12
7
105
0.0% 31.9% 46.4% 66.7% 57.1%
42.9%
1
3
1
1
1
4
2
8
50.0% 50.0%
IP19
1
6
1
2
2
8
50.0% 75.0%
IP20
NR32 NR33 NR34 NR35 Suffolk
1
20
12
8
4
52
27
16
4
3
53
1
47
28
12
7
105
100.0% 42.6% 42.9% 66.7% 57.1%
49.5%