0-19 Healthy Child Programme in Cumberland

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Closes 11 Aug 2024

Proposal Information

Please read this information about our proposal. A survey is on the next page.

Background – what has informed the new model design?
Over the past six months Cumberland Council has carefully considered a wide range of information to develop the new service model. This includes national guidance, data analysis, how the service is delivered in other parts of England and feedback from families, partners and the 0-19 Healthy Child workforce. 

Universal in reach, personalised in response
In line with national guidance (see picture below), we are proposing using four pathways to describe the support provided through the 0-19 Healthy Child Programme.

These four pathways are:

  • Community
  • Universal
  • Targeted
  • Specialist

An infographic with a diagram representing the text found above the image.

Community Support
Open to all families, a range of advice, classes and sessions will be delivered in community settings across Cumberland and also online. Examples might include antenatal classes, toddler groups and activities to support young people’s mental wellbeing. This will mainly be delivered by other services but public health nursing staff will provide leadership and guidance on how the sessions are designed and delivered.

Universal Support
This describes the support available to families who are assessed as not having any specific health and wellbeing needs. Physical, mental, social and financial wellbeing, as well as safety, will be considered. Support will focus on helping families to thrive, preventing future needs arising and identifying needs early, so issues can be addressed before worsening. Families with children aged 0-5 will receive five individual reviews. Schools, early years settings and parents will receive a comprehensive training and digital service to support children and young people aged 5-19 on health and wellbeing issues identified for that area.

It is estimated that around 75% of the population eligible for the 0-19 Healthy Child Programme would access universal support.

Targeted support
This describes the support available to families who are assessed as having additional health and wellbeing needs because they are experiencing challenges linked to one or more physical, mental, social, financial or safeguarding factors. This will include 3 additional appointments when children are aged 0-5 (likely to be via telephone or video-call). From age 5 to19, families will have access to online clinics and sessions.


It is estimated that around 20% of the population eligible for 0-19 Healthy Child Programme would access targeted support.

Specialist support
This describes the support available to families who are assessed as having significant health and wellbeing needs. This will include a minimum of 3 additional contacts when children are aged 0-5 (likely to be in the home). From age 5 to19, families will have access to online clinics and sessions as well as face-to-face support when needed.

It is estimated that around 5% of the population eligible for 0-19 Healthy Child Programme would access specialist support.

How services would be accessed
The table below summarises how families would access the service across the four pathways at each stage in the life of a child or young person.

Life Stage Community (classes and sessions attended in person or online) Universal Targeted Specialist
Antenatal health promoting review (28 weeks +) Antenatal Home visit Home visit Home visit
New baby review New baby: 0 - 6 months classes Home visit Home visit Home visit
6 - 8 week review New baby: 0 - 6 months classes Family attend a clinic Home visit Home visit
3 month contact New baby: 0 - 6 months classes Digital offer Phone or video call Home visit
6 month contact Growing baby: 6 - 12 months Digital offer Phone or video call Home visit
1 year review Toddler: 1 - 3 years Family attend clinic Family attend clinic Home visit
2 - 2.5 year review Toddler: 1 - 3 years Family attend clinic Family attend clinic Home visit
4 - 5 year old health needs review Ready for school 3 - 4 years Needs-led training and support offer to schools and families Phone or video call Face-to-face (setting to be agreed)
7 - 8 year old health needs contact Needs-led Needs-led training and support offer to schools and families Phone or video call Face-to-face (setting to be agreed)
10 - 11 year old needs health review Needs-led Needs-led training and support offer to schools and families Phone or video call Face-to-face (setting to be agreed)
12 - 13 year old needs contact Needs-led Needs-led training and support offer to schools and families Phone or video call Face-to-face (setting to be agreed)
School leavers post 16 review Digital Digital Digital Phone or video call
Transition to adult services Digital Digital Digital Phone or video call
18 - 24 year old health needs contact Digital Digital Digital Phone or video call

What will be discussed at each contact / review?
There will be a core set of age-appropriate health and wellbeing topics covered at each review / contact. These will be informed by national guidance: Health visiting and school nursing service delivery model - GOV.UK (www.gov.uk). In addition, the support provided can be informed by local community needs assessment work and specific issues identified by the family, child or young person being worked with.