SAPHNA SCHOOL AND PUBLIC HEALTH NURSES ASSOCIATION
Section 2: A new model for School Nursing We propose a service delivery model across three levels of provision; universal reach, personalised response and specialist support with safeguarding children and young people as a key component running throughout the model. The model is built on the principles of proportionate universalism, providing a service that is universally accessible to all, however, offers additional help for those who need it most2. The model represents a continuum of need for most children and young people.
Much of the time, the provision of a universal service will contribute to them growing up healthy, happy and safe. Some children and young people, at some stage might require additional support or early help for a period and others may require more specialist support to meet more significant or complex needs 1,4&5. Children and young people may move up and down the continuum over the duration of their childhood and transition to adulthood.
Safeguarding Children and Young People Universal Reach
Personalised Response
For all children and young people to support development and healthy lifestyles
For children and young people who require additional support and need early help
Specialist Support For children and young people with more complex and/ or significant needs who need support from services working together
Visible and Accessible and ‘You’re Welcome’ Friendly Working collaboratively with children and young people Figure 4: A new model for School Nursing in England
Delivering a service that meets national and local needs Key to delivery, is providing services which meet the needs of children and young people, whilst considering national and local priorities. This requires robust processes in place to understand what those needs are. Joint Strategic Needs Assessment (JSNA) which draws on robustly and regularly collected national and local data should inform delivery 25. School Nurse services can obtain enriched data about their school aged population
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SCHOOL NURSING: A Service Fit for the Future
through Digital Health Needs Assessment (HNA) tools and services; in some parts of England these have been developed and implemented. However, a national tool is not available resulting in many areas being unable to effectively implement the current Health visiting and school nursing service delivery model, which recommends 7 universal school aged health reviews. Case study 1 (appendix) is an example of one area where a digital online HNA has been developed and successfully implemented. The SAPHNA model recommends four touchpoints
