The Journal of the Community Practitioners’ and Health Visitors’ Association APRIL 2015 VOLUME 88 / NO. 4 Community PRACTITIONER Voting for health Get your voice heard Interview CPD Professional Rachael Maskell Dog bites in children Antenatal anxiety p20 p27 p42 www.communitypractitioner.com | www.unitetheunion.org/cphva Community PRACTITIONER Contents Volume 88 Number 4 Unite/CPHVA Editorial Existing Unite/CPHVA members with queries relating to their membership 3 A vote for change should contact: 0845 850 4242 or see: Amy Brewerton www.unitetheunion.org/contact_ us.aspx for further details. News round-up To join Unite/CPHVA, please see: 4 A look over the biggest stories from www.unitetheunion.org www.communitypractitioner.com Unite/CPHVA is based at: Transport House, 128 Theobald’s Road, London WC1X 8TN Member focus Tel: 020 3371 2006 10 News and opinions from members and their colleagues Community Practitioner journal Association Unite/CPHVA members receive the journal p14 free each month and have free access to all 13 Latest updates from Unite/CPHVA content from 2004 onwards via the online archive. Non-members of Unite/CPHVA and Special report 14 Healthy competition ELECTION institutions may subscribe to the journal Special Report: From healthcare to politics to receive it every month and access the Amy Brewerton online journal archive. Our six-page special report looks at how those 17 Political union Non-member subscription rates: working in health can use their voice, views and Individual (UK) £125 Amy Brewerton experience to influence and engage with the Individual (rest of world) £145 20 Interview: Rachael Maskell political process in the run-up to May’s election Institution (UK) £145 Institution (rest of world) £195 Amy Brewerton Subscription enquiries may be made to: Community Practitioner Antenna subscriptions, Ten Alps 22 Research evidence and resources p24 Community Practitioner Subscriptions The Barn 6 Abbey Mews Clinical features Robertsbridge TN32 5AD 24 Supporting families with a fussy eater www.cphvabookshop.com Dr Emma Haycraft, Dr Gemma Witcomb The journal is published on behalf of Unite/ and Dr Clare Farrow CPHVA by: Ten Alps Publishing 1 New Oxford Street London WC1A 1NU CPD Tel: 020 7878 2300 28 Reducing dog bites in children Dr Caroline Furnell and Dr Fiona Finlay For editorial contacts, please see the panel over the page. Professional and research Advertising queries: Claire Barber Tel: 020 7878 2319 32 The lived experience of homeless women: [email protected] insights gained as a specialist practitioner Production: Dr Maria Fordham Ten Alps Creative – Design and production 38 Students’ and tutors’ perceptions of the p47 Magazing Printing Company use of reflection in post-registration nurse © 2015 Community Practitioners’ and education Health Visitors’ Association Linda Stirling ISSN 1462-2815 42 Early intervention for increased The views expressed do not antenatal anxiety associated with foetal necessarily represent those of the editor nor of Unite/CPHVA. Paid advertisements in the journal development risk do not imply endorsement of the products or Rebecca Balakrishna and Melanie Teixeira services advertised. Last word 47 Educating practice teachers and specialist mentors for their new role Lisa Bayliss-Pratt April 2015 Community Practitioner 1 Editorial Community PRACTITIONER A vote for change Editorial Advisory Board Obi Amadi – Unite/CPHVA Lead Professional Officer Maggie Breen – Macmillan Clinical Nurse As CPHVA members, you really do have a Specialist – Children and Young People, The Royal Marsden Hospital NHS Foundation Trust Toity Deave – Associate Professor for voice – don’t be afraid to use it Family and Child Health, Centre for Child and Adolescent Health, University of the West of England, Bristol Barbara Evans – Community Nursery It’s already been a couple of Nurse, Leicestershire Partnership NHS Trust months since I started working on Community Practitioner. The journal’s Gavin Fergie – Unite/CPHVA Professional usual editor, Polly Moffat, began her maternity leave at the start of January Officer for Scotland and Northern Ireland and I have been filling in while she takes some time away from the office Brenda Poulton – Emerita Professor of to get to know her new arrival – a baby boy, if you were wondering! Public Health Nursing, University of Ulster Janet Taylor – Specialist Health Visitor You might notice a few changes to your journal this month as we try to Public Health, South Eastern Health and Social Care Trust, Belfast make you – the members of CPHVA – the central focus. You’ll see that our Surrinder Bains – Health Visitor and news pages now include comments from social media and our website, Visiting Lecturer, Bath Spa University which are fantastic ways to engage and interact in real time. You will also Louise Rowlinson – School Nurse, notice new member pages where we showcase some of the interesting, impressive and Cambridgeshire Community Services innovative work you have been involved in. NHS Trust Elaine Haycock-Stuart – Senior I’ve really enjoyed meeting and talking to members at the recent CPHVA Awards and Unite/ Lecturer, School of Health in Social Science, University of Edinburgh CPHVA Question Time events, and I hope to be able to speak to even more of you as the year Lucretia Baptiste – Senior School goes on. It’s also been great to play more of a role in the weekly #CPHVAtt Twitter Tuesday Nurse, Barts Health, Tower Hamlets chats, which help to feed fantastic new ideas into the journal. Editorial Team Getting to know you better, both as professionals and individuals, will really be one of my Louise Naughton – Managing Editor main priorities as deputy editor. I really want you to get your voice heard, and help you [email protected] connect with colleagues, CPHVA and policymakers about the things that really affect you and Amy Brewerton – Acting Editor your service users, day in, day out. [email protected] Jane Appleton – Professional Editor [email protected] With the general election coming up next month, it’s even more important for healthcare Tel: 020 7878 2404 professionals to use their voice - and their vote - to help make a difference. Naveed Khokhar – Designer [email protected] The CPHVA colours are inspired by the suffragettes, who fought hard to give women the right to vote. Make sure you exercise this hard-won right by registering and using your vote on Unite/CPHVA Honorary Officers May 7. It’s vital that your first-hand, front-line experience is represented at the polls. Polly Toynbee – President Elizabeth Anionwu – Vice-President The election is a bit of a theme for this issue, and we take a look at Unite’s role in politics, and Chris Cloke – Vice-President why it’s so important for everyone to get involved. Unite Health Sector Officers Tel: 020 3371 2006 Unite head of health, Rachael Maskell, has been selected as the Labour candidate for York Obi Amadi – Lead Professional Officer Central and will be standing in the upcoming general election. She took some time out of her Rachael Maskell – Head of Health busy schedule to talk to Community Practitioner about her journey into politics. Kevin McAdam – Acting Head of Health Gavin Fergie – Professional Officer for As ever, we’d love to hear your thoughts and feedback via Facebook, Twitter, the website or Scotland and Northern Ireland face-to-face. If you’d like to be featured on our member pages, then get in touch and tell us a Rosalind Godson – Professional Officer little about what you’re up to, and don’t forget to join #CPHVAtt every Tuesday from 7pm. for School Health and Public Health Dave Munday – Professional Officer See you there! Jane Beach – Professional Officer Ethel Rodrigues – Professional Officer Shaun Noble – Communications Amy Brewerton Officer [email protected] Deputy Editor Barrie Brown – National Officer Community Practitioner James Lazou – Research Officer April 2015 Community Practitioner 3 COMMUNITY PRACTITIONER NEWS ROUND-UP A look over the biggest stories from www.communitypractitioner.com School nurse numbers must increase to meet SRE needs cRoss-pARTY WRITE ON government A selection of the report has latest blogs from recommended that www.commprac.com sex and relationship Aeducation (SRE) should be given Pioneering pilots statutory status in schools. Ros Godson talks The Commons Education about her hopes and Select Committee, who put fears as she prepares together the report, also to go through NMC recommend that schools should revalidation for the first address the shortage of school time nurses, as numbers of nurses have not risen along with the feel more comfortable receiving National Curriculum. We are the champions number of pupils. SRE from a health professional Pornography, ‘sexting’ and Dave Munday explains According to the report, the rather than a teacher, and that cyberbullying were all identifi ed how upskilled health number of pupils in state schools schools may choose professionals as ways in which the SRE needs visitors can help in England has risen from 6.93 other than teachers to deliver the of pupils have changed in recent spread the message to million in 2009 to 7.14 million in information, such as nurses or years, with younger teens and colleagues and peers 2014, and is expected increase to outside organisations. children having access to sexual 8.02 million by 2023. Conversely, The report also highlights the material and pressure from an New beginnings the number of school nurses has need for children to begin to earlier age. Amy Brewerton remained static at around 1,200. receive appropriate SRE before The committee also proposed introduces herself to ‘We recommend that the reaching puberty, and that the that SRE should be renamed Community Practitioner Government ensure that there correct names for genitalia should ‘relationship and sex education’ readers as the new are suffi cient school nurses be used as part of the education, to emphasise the central role of deputy editor of the training places, and that the ratio as an inability to correctly identify relationships.