The Leeds 0–19 Public Health Integrated Nursing Service (PHINS) plays a vital role in delivering the national Healthy Child Programme, offering health and developmental reviews, health promotion, parenting support, and promotion of screening and immunisations. Commissioned by Leeds City Council and delivered by Leeds Community Healthcare NHS Trust, the service provides both a universal offer and targeted support for families with additional needs. As part of future planning ahead of the contract end in March 2027, the Council commissioned Enventure Research to conduct an independent stakeholder engagement exercise to assess service strengths and development opportunities.
Stakeholder overview and approach
The stakeholder engagement aimed to understand how well the service is known and accessed, how effectively it meets needs, and how it could better support families and address health inequalities. A mixed-method approach was used, including three online surveys (for parents/carers, current 0-19 service staff and partners), supplemented by paper copies and targeted promotion through children’s centres and online platforms. In total, 1,818 responses were received, 1691 from parents/carers, 90 from partners and 37 from staff working for the existing 0 -19 service. For a full breakdown of the respondent and participant profile see appendix 1.
In addition, 15 focus groups and 6 depth interviews were conducted with a broad range of stakeholders, staff, health practitioners and third sector organisations, as well as with children and young people. Quantitative data were analysed by subgroup where feasible, while qualitative responses were thematically coded to identify key trends and experiences.
Key findings
Key findings were made around the following areas:
Health Visiting Service
- Support and information
- Contacts
- Group based support
- Additional health visiting services
- Additional support
- Barriers and challenges
School Nursing Service
- National child measurement programme (NCMP)
- Oral Health
- ChatHealth
- Barriers and challenges
Key recommendations
The following recommendations are based solely on the findings from the stakeholder engagement and are intended to support initial planning and improvements. They should not be viewed as exhaustive or definitive, as additional engagement may be necessary in the planning and development of the service for 2027.
- Balance universal and targeted approaches
- Enhance continuity of care
- Needs led support
- Standardise information and advice
- Review and adapt group-based support to meet need
- Invest in workforce development
- Improve partnership working and foster collaboration
- Improve communication and engagement
- Develop clear branding
Conclusion
The Leeds 0-19 PHINS service is well regarded, particularly for its universal reach and compassionate staff. However, the stakeholder engagement highlighted important areas for development, including continuity, communication, flexibility and work with wider partners. Incorporating these recommendations will help ensure the 0–19 PHINS continues to support Leeds children and families effectively, equitably and compassionately.
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