What is going well:
- Dorset are above national averages for the number of babies and children:
- receiving their MMR vaccination at 2- and 5-years old
- who were breastfeeding at 6-8 weeks in 2023 to 2024
- maternity and neonatal services have achieved UNICEF Baby Friendly Initiative (BFI) accreditation, showing high-quality infant feeding support
- we published the Infant Feeding & Child Nutrition (IFCN) Strategy (2024) setting clear systemwide priorities and consistent, evidence-based messaging, improving breastfeeding rates and addressing inequalities
- vaccination and accident prevention efforts are being strengthened with multilingual digital resources
- Dorset is embedding a rights‑respecting culture, introducing a Children’s Rights Committee and Rights Impact Assessments across the council.
- consistently good compliance with antenatal, new birth and 6–8-week checks
- Healthy Movers programme delivered across 145 settings, improving enjoyment, confidence, and participation in physical activity among 2,444 children
- rollout of The Balanced System® Framework, containing clear guidance at each age and stage from babies to young adults with ideas for home learning and communication development
Areas of focus:
- Families will have improved access to integrated infant feeding and child nutrition support, aligned with the IFCN and BFN strategies, offering consistent breastfeeding support, responsive‑feeding advice and guidance for healthy growth and weight.
- We will expand evidence‑based infant feeding and nutrition interventions, especially in communities where children are most at risk of poorer health, to reduce inequalities.
- We will strengthen postnatal and early years emotional wellbeing pathways, supporting all caregivers from pregnancy onwards.
- We will strengthen support for dads and male caregivers during pregnancy and the early years, recognising their crucial role in bonding, emotional wellbeing and early learning.
- Better data flows between maternity, Health Visiting, Family Hubs and early years settings will help us identify health needs earlier and coordinate support more effectively.
- Working with local GP groups (Primary Care Networks), school immunisation teams and voluntary organisations, we will continue to promote vaccinations and public‑health messages, so families have clear, trusted information.
- We will work with maternity and Health Visiting to strengthen continuity of care, creating a clear pathway from maternity → Health Visiting → Best Start Family Hub.
- Strengthen developmental reviews and pathways for vulnerable groups, including SEND, young carers and children facing health inequalities.
- We will prioritise localities where children are more likely to experience financial hardship or limited access to services, ensuring our preventative work reaches those who will benefit most.
Measuring progress:
1. Improved access to integrated infant feeding and child nutrition (IFCN) support.
We will improve access to integrated infant‑feeding and child‑nutrition support, aligned with the IFCN and Breastfeeding Network (BFN) strategies. This will ensure all caregivers receive consistent breastfeeding support, responsive‑feeding advice and guidance for healthy growth and weight.
Measures:
- increase in families receiving infant‑feeding support within 14 days of birth
- increase in caregivers reporting they were able to access breastfeeding support when needed
- increase in breastfeeding and nutrition sessions delivered through Family Hubs and community settings
- increase in responsive‑feeding advice delivered at the 6 to 8‑week review
- increase in the proportion of children aged 2 to 2½ years who are a healthy weight
How we will monitor this:
- maternity and health visiting data, including 6 to 8 week reviews
- Family Hub activity and case‑management system
- annual IFCN and BFI reporting data
Developmental measures: these indicators matter to partners but are not yet consistently measurable. As data systems strengthen, they will be incorporated into the Delivery Plan:
- improved integration of infant‑feeding data between maternity, HV and Family Hubs
- routine capture of caregiver experience of breastfeeding and nutrition support
2. Expansion of evidence‑based infant feeding and nutrition interventions.
We will expand access to evidence‑based infant‑feeding and nutrition programmes, particularly in communities with the greatest health inequalities, enabling families to benefit from structured and proven interventions.
Measures:
- positive impact reported in annual evaluations of infant‑feeding and nutrition programmes
- all priority localities receive targeted programme delivery
- increase in families from disadvantaged backgrounds accessing nutrition‑focused sessions
- 100% completion rate among families enrolled in targeted programmes
How we will monitor this:
- programme evaluation reports
- Family Hub case‑management data
- monitoring of reach, participation and completion rates
Developmental measures: these indicators matter to partners but are not yet consistently measurable. As data systems strengthen, they will be incorporated into the Delivery Plan:
- improved recording of programme engagement across all providers
- establishing a consistent baseline for nutrition‑related inequalities
3. Strengthening postnatal and early‑years emotional wellbeing pathways
We will strengthen emotional‑wellbeing pathways to ensure caregivers receive timely, high‑quality support from pregnancy onwards.
Measures:
- increase in caregivers screened for emotional wellbeing at mandated Health Visiting contacts
- increase in caregivers receiving timely support (within 4 weeks) after referral
- increase in attendance at emotional‑wellbeing groups and peer support
- increase in families reporting improved emotional wellbeing after receiving support
How we will monitor this:
- health visiting service data
- perinatal mental health pathway monitoring
- Family Hub feedback tools and participation logs
Developmental measures: these indicators matter to partners but are not yet consistently measurable. As data systems strengthen, they will be incorporated into the Delivery Plan:
- improved data flows between maternity, HV and Family Hubs for emotional‑wellbeing indicators
- establishing a consistent caregiver wellbeing feedback mechanism
4. Strengthening support for dads and male caregivers
We will expand dedicated support for dads and male caregivers during pregnancy and the early years, recognising their crucial contribution to bonding, emotional wellbeing and early learning.
Measures:
- increase in attendance by dads/male caregivers at antenatal, postnatal or early‑years sessions
- increase in tailored resources or groups delivered for dads
- increase in dads reporting improved confidence in early caregiving
How we will monitor this:
- Family Hub attendance and participation data
- session evaluation forms and targeted surveys
Developmental measures: these indicators matter to partners but are not yet consistently measurable. As data systems strengthen, they will be incorporated into the Delivery Plan:
- develop a consistent method to record caregiver‑type (including dads/male caregivers)
- establish baseline participation for dads accessing early‑years services
5. Strengthened data flows between maternity, Health Visiting, Family Hubs and early years settings
Better data flows will allow earlier identification of health needs and more coordinated support.
Measures:
- reduction in duplicated assessments across maternity, HV, early years settings and Family Hubs
- increase in the number of children with shared information visible across relevant partners
How we will monitor this:
- local digital system development plans
- referral audit samples across partners
Developmental measures: these indicators matter to partners but are not yet consistently measurable. As data systems strengthen, they will be incorporated into the Delivery Plan:
- % maternity → HV transfers with complete and timely data
- % early‑help episodes visible across partners
- % developmental checks including early‑education input
6. Promoting vaccinations and public‑health messages
We will promote vaccinations and public‑health messaging through PCNs, School Immunisation Teams and voluntary organisations.
Measures:
- increase in immunisation uptake in lower‑coverage wards
- reduction in gap between highest and lowest immunisation‑uptake areas
- increase in practices providing complete quarterly data
How we will monitor this:
- Office for Health Improvement and Disparities (OHID) Child & Maternal Health Profiles
- Primary Care Network data
- School Immunisation Team reporting
Developmental measures: these indicators matter to partners but are not yet consistently measurable. As data systems strengthen, they will be incorporated into the Delivery Plan:
- % of families reporting clear, trusted vaccination information
- Increased use of digital reminders and pop‑up clinics
7. Strengthening continuity of care (maternity → HV → Best Start Family Hub)
We will improve continuity of care across maternity, Health Visiting and Family Hubs.
Measures:
- increase in families experiencing seamless transitions between services
- increase in caregivers reporting consistent messaging and joined‑up support
How we will monitor this:
- HV and Family Hub transition monitoring
- local maternity system data
Developmental measures: these indicators matter to partners but are not yet consistently measurable. As data systems strengthen, they will be incorporated into the Delivery Plan:
- improved integrated digital pathways
- routine data on continuity of care experiences
8. Strengthening developmental reviews and pathways for vulnerable groups
We will improve developmental review processes and support pathways for SEND, young carers and children facing health inequalities.
Measures:
- increase in vulnerable children receiving timely developmental reviews
- increase in early identification of developmental needs
- increase in families reporting clearer pathways to support
How we will monitor this:
- HV developmental review data
- early years SEND and casework systems
- Family Hub case‑management insights
Developmental measures: these indicators matter to partners but are not yet consistently measurable. As data systems strengthen, they will be incorporated into the Delivery Plan:
- improved cross‑partner visibility of developmental data
- a baseline on SEND, health‑inequality and vulnerable‑group uptake
9. Targeting localities with financial hardship or limited access to services
We will prioritise communities where children are more likely to face barriers to good health.
Measures:
- increase in targeted outreach and health‑promotion activity in priority wards
- increase in families from high‑need areas accessing support
How we will monitor this:
- Family Hub outreach data
- local health inequality mapping
- participation data by postcode
Developmental measures: these indicators matter to partners but are not yet consistently measurable. As data systems strengthen, they will be incorporated into the Delivery Plan:
- establishing a locality‑level health‑inequality dashboard
- standardising postcode‑level reporting across partners