FEEDING TO THRIVE SERVICE SEMINAR MARCH 9 th 2012. In the beginning. History of Feeding To Thrive Service. In 1999 a Part 8 child death enquiry where faltering growth was identified. No effective systems for management of faltering growth were identified. Audit
To support services involved with children in Brighton and Hove aged 0-5 years with significant or persistent faltering growth and /or feeding difficulties.
Children with faltering growth do better when supported in the community by their own health visitor with input from a multi-disciplinary team.
[Parkin Project, 1995]
Access to FTT service via the family HV
Pathway advising links between Paediatrician or dietician with GP, HV and Feeding To Thrive service for assessment in the community
Pathway advising management whilst in hospital and links between hospital, community staff and the Feeding to Thrive Service for assessment on discharge
HV referral for a FTT assessment in the family home
Discussion with the family HV and joint
initial visit to set up package of care.
Family HV takes clinical responsibility throughout period of intervention
To facilitate collection of detailed information
Attached by HV:
Thrive lines [up to one year]
may become necessary for more specialist advice if difficulties do not resolve at primary care level or complex case requires earlier discussion
This is a multidisciplinary team comprising of:
In advisory capacity:
Speech & Language Therapist
Multidisciplinary team meeting (professionals only): HV, GP, SW, Paediatrician and others involved invited.
Information shared, recommendations made, team care plan, review date set.