To ask the Scottish Executive what changes it has made to the approach to child heath development since the publication of Fair Society, Health Lives: The Marmot Review in February 2010.
The Marmot report was based on a review for the Department of Health on health inequalities in England but the Scottish Government is also committed to giving children in Scotland the best possible start in life and has identified, and is already tackling in Scotland, many of the issues raised in the Marmot Review.
The Early Years Framework was published in December 2008, in recognition of the key importance of the early years of life in determining life chances and outcomes, including health outcomes. Along with Equally Well and Achieving our Potential it forms part of a coherent approach to addressing disadvantage and breaking the intergenerational cycles of inequalities.
The Early Years Framework highlights the importance of all national and local agencies, the third sector and independent sector working together to deliver improved outcomes for our children.
In June 2010, we published the review of Equally Well, the report of the Scottish Task Force on Health Inequalities. This review reported on the implementation of Equally Well, the Early Years Framework and Achieving our Potential - the Government''s framework for tackling poverty. In relation to child health development the review recommended that an early years pathfinder approach should be established to promote the integration of front-line services, taking a whole-systems approach to implement rapid change in a community planning partnership area. The review also stressed the importance of NHS boards ensuring the provision of healthcare and health improvement services to looked after children and agreed to endorse the Looked After Children and Young People Strategic Implementation Group programme of work to build greater cooperation between partners and a shared sense of responsibility for the outcomes of looked after children. In addition, the review agreed on the importance of developing the focus on health and wellbeing in the Curriculum for Excellence, and also noted the importance of literacy and numeracy skills in increasing young people''s long-term prospects.
Within the measurement framework for the Healthcare Quality Strategy, a set of high-level outcome indicators is being developed to provide evidence of progress towards the three over-arching Quality Ambitions. Work is underway to include in this set an indicator relating to Early Years.
In January this year we launched A New Look at Hall 4 - The Early Years “ Good Health for Every Child which recommends that: all children should have a Named Person; all children should have a Health Plan Indicator “ Core or Additional “ by the age of six months; a 24-30 month review should be carried out for all children; and health improvement materials should be promoted to provide parents/carers with appropriate and tailored information.
We also launched a refreshed Framework for Maternity Care together with outcome focused evidence into action guidance for NHS boards in January this year. These are in line with the recommendation in the Marmot review that universal services should be appropriate and proportionate so as to address the social gradient nature of antenatal health inequalities and the emphasis on the importance of improving access to healthcare amongst those groups who most need it but often benefit least from it.
At the same time, the Maternal and Infant Nutrition Framework was also launched which has an emphasis on maternal nutrition for the first time and the importance of good nutrition in providing the best start in life.