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Greenwich Breastfeeding Strategy . An example of successful partnership working March 2010 . About me. Donah Francis Greenwich Breastfeeding Strategy Co-ordinator 0208 921 2537 Why breastfeeding?. Breastfeeding and health inequalities.

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greenwich breastfeeding strategy

Greenwich Breastfeeding Strategy

An example of successful partnership working

March 2010

about me
About me

Donah Francis

Greenwich Breastfeeding

Strategy Co-ordinator

0208 921 2537

breastfeeding and health inequalities
Breastfeeding and health inequalities

Breastfed babies born to mothers of lower socio-economic groups have better health outcomes than those babies born to mothers from higher socio-economic groups who are formula fed.

Forster S (2004).

national recommendations and policy priorities
National recommendations and policy priorities
  • Exclusive breastfeeding for six months – followed by continued breast milk, whilst introducing a more varied diet after this time
  • Healthy Weight, Healthy Lives (Department of Health and Department for Children, Schools and Families, 2008)

Health Inequalities – progress and next steps (Department of Health, 2008)

Implementation Plan for Reducing Health Inequalities in Infant Mortality: a good practice guide (Department of Health, 2007)

performance drivers and national targets
Performance drivers and national targets
  • PSA 12: Improve the health and wellbeing of children and young people - five key indicators including increasing breastfeeding prevalence at 6–8 weeks (PSA 12.1) and reducing childhood obesity (PSA 12.3)
  • Vital Signs Monitoring System Indicator (VSB11) and National Indicator Set (NI) 53 – % infants breastfed at 6–8 weeks is included in the NHS Operating Framework (2008-11) and in the National Indicator Set for Local Area Agreements
greenwich breastfeeding strategy partnership
Greenwich Breastfeeding Strategy Partnership
  • Greenwich Council: Integrated Support, Children and Families
  • NHS Greenwich: Public Health and Wellbeing
  • Greenwich Community Health Services: Public Health Community Nursing Services for Children, Young People and Families
  • South London Healthcare NHS Trust (Queen Elizabeth Hospital): the Maternity Dept. and Neonatal Unit
  • Greenwich University: School of Health and Social Care

To enable all pregnant women in Greenwich to make an informed choice about how they choose to feed their baby - and that if they choose to breastfeed, that they are adequately supported to do so.

key programmes of work
Key programmes of work
  • Quality of care
  • Support in the community
  • Raising the profile
  • Public policy
  • Data collection
unicef baby friendly initiative
UNICEF Baby Friendly Initiative
  • A worldwide initiative which aims to improve quality of care for breastfeeding by implementing best practice standards
  • Established in 1998 by WHO, Geneva
  • Acknowledged by NICE and DH (2008)
local achievements
Local achievements
  • First in the country to undertake the UNICEF UK BFI co-ordinated approach (2005)
  • The first borough in London to gain a Stage 1 award (2007)
  • The first to be awarded Stage 2 for the community in London (2008)
joint working greenwich council and greenwich community health services nhs greenwich
Joint workingGreenwich Council and Greenwich Community Health Services/ NHS Greenwich
  • Breastfeeding drop-in groups held in local Children’s Centres
  • Breastfeeding Advocates who work geographically and are aligned to set Children’s Centres
  • Training for staff – Children’s Centres (25), Nurseries (44) and Registered Child Minders (447)
  • Adoption of Volunteer Policy to support a local peer support programme
joint working cont greenwich council and greenwich community health services nhs greenwich
Joint working (cont.)Greenwich Council and Greenwich Community Health Services/ NHS Greenwich
  • Local policy which supports breastfeeding in all public services buildings
  • Greenwich Breastfeeding Strategy Group Meeting chaired on rotation
  • The Breastfeeding Team currently housed in Greenwich Council with Integrated Support, Children and Families
  • Direct input into local Children’s and Young Peoples Plan, LAA’s, Safeguarding Inspections etc.
barriers to partnership working
Barriers to partnership working
  • Working productively against the back-drop of organisational change and poor staffing levels
  • Implementing change across services with competing agendas and priorities
  • All-inclusiveness and good communication across all departments and services
priorities for 2010 11
Priorities for 2010/11
  • Continue to improve clinical care and support
  • Better postnatal support:
    • between transfer home and new birth visit
    • review of community drop-in groups
  • Better insight and targeted support for those women least likely to breastfeed