Useful documents
Preparation and support for infant feeding in pregnant women with diabetes in the West Midlands: Research Report Preparation and support for infant feeding in pregnant women with diabetes in the West Midlands: Research Report
This study was undertaken against the background of low breastfeeding rates among diabetic women in the West Midlands (Shah, Brydon and Gardosi 2010) in order to gain information from women and practitioners about current antenatal services for women with pre-existing diabetes (Type 1 and 2) and how women's choices, preparation and support for infant feeding are addressed by those giving women care in pregnancy. In particular, we wanted to consider to what extent national guidelines (NICE 2008, 2008a) are reflected in the practice undertaken in maternity units in the West Midlands and to identify gaps in the implementation of best practice. In addition, the study sought to explore midwives' knowledge of and perspectives on the possibility of antenatal expression of colostrum as a contribution to breastfeeding support and early neonatal care, and to explore diabetic women's experiences of advice, care and support offered by professionals regarding infant feeding. It was anticipated that the study might identify innovative and/or exemplary practices which might inform future practice development.
The West Midlands pilot breastfeeding education programme The West Midlands pilot breastfeeding education programme
An independent qualitative evaluation of the West Midlands pilot of the Heath Behaviour Research Limited (HBR) breastfeeding training programme was conducted to gather in-depth data from users about their experience of completing the training, in order to inform DH West Midlands and NHS West Midlands and its partners about the delivery and implementation of the programme in practice. The programme was commissioned from Health Behaviour Research Limited based at Coventry University's Techno Centre.
West Midlands Breastfeeding Training and Capacity Building Project: Final Report West Midlands Breastfeeding Training and Capacity Building Project: Final Report
The West Midlands pilot of breastfeeding training was a collaborative, joint funded initiative between the Department of Health West Midlands and the NHS West Midlands West Midlands Public delivered by Health Behaviour Research Ltd.
The purpose of the project was to develop the breastfeeding knowledge and skills of healthcare professionals in maternity primary care and community settings in the West Midlands through a pilot assessment and training programme in 3 PCT healthcare economies in the region.
The West Midlands pilot set out to implement an innovative approach to providing training to whole healthcare economies by using a rigorous assessment method and a flexible self study training programme with individualised feedback to improve breastfeeding support by healthcare practitioners.
The execute summary is also available.
NHS Knowledge & Skills Framework for Breastfeeding Peer Support Worker NHS Knowledge & Skills Framework for Breastfeeding Peer Support Worker
A template KSF outline for NHS based breastfeeding peer supporters. This has been developed from an original document developed by Heart of Birmingham PCT/Heart of England Foundation Trust.
Please feel free to edit, update and adapt this document for local use.
West Midlands Competency Framework for Breastfeeding Peer Support Workers in an NHS Setting West Midlands Competency Framework for Breastfeeding Peer Support Workers in an NHS Setting
This competency framework is an amalgamation of the work that Birmingham & S. Warwickshire based (Hospital and Community) members of the West Midlands Infant feeding Coordinators Network have contributed.
Please feel free to edit, update and adapt this document for local use.
Staffing in Maternity Units: Getting the right people in the right place at the right time Staffing in Maternity Units: Getting the right people in the right place at the right time
This report was commissioned by The King’s Fund to answer a fundamental question:
Can the safety of maternity services be improved by more effectively deploying existing staffing resources?

There is much debate at present about staffing levels in maternity. The independent inquiry into the safety of maternity services commissioned by The King’s Fund suggested that, while staffing levels are important, employing more staff may not necessarily improve safety. The inquiry found that the effective deployment of the right staff doing the right thing at the right time in the right place is the key to improvement (The King’s Fund 2008, p 48).

Current financial pressures mean that it is unrealistic to expect significant increases in numbers of staff. As such, maternity services – and the National Health Service (NHS) as a whole – will need to focus on developing new ways of working in order to maintain, and increase, levels of safety and quality within the resources available.

This report considers the available evidence about the relationship between staffing levels and deployment practices and safety of care for mothers and babies. It focuses specifically on the intrapartum period, which refers to labour and birth. In so doing, the report considers different staffing models and approaches. In recognition that current practice is likely to be more advanced than the published literature, a small number of case studies have been used to offer examples of innovative activities.
Infant formula information Infant formula information
Up-to-date information on bottle feeding your baby from NHS Choices.
Breastfeeding Guide at NHS Choices Breastfeeding Guide at NHS Choices
The breastfeeding website has been updated and is now live on NHS Choices.
Breastfeeding - Parenting information Breastfeeding - Parenting information
Breastfeeding care pathways for mothers and health professionals have been developed and are now available for download from NHS Choices.
Children, Families and Maternity e-bulletin - December 2010 Children, Families and Maternity e-bulletin - December 2010
The December edition of the Children, Families and Maternity e-bulletin contains the following information:
  • General News
    • Revitalising The Health Visitor Profession
    • Sure Start and the Spending Review
    • Launch of New Referral Tool - SAFER
    • Plans for Family Nurse Partnership (FNP) to Double in Capacity by 2015
    • ChiMat Specialists Available to Work With You Locally to Use Information and Evidence Effectively
  • Maternity
    • Healthy Start Consultation
    • Genital Tract Sepsis
    • Tommy’s Charity Launches New Initiatives
  • Healthy Child Programme and Early Years
    • Healthy Start Vitamins
    • Infant Feeding Updates
    • New guidance on Prophylaxis for Respiratory Syncytial Virus (RSV)
  • Child Health
    • Simple Guide to Payment by Results
    • Competence in Teams -The Children’s Health Competence Framework for the children's workforce
    • Fuel Poverty and Health Course
    • Model for a Developing Workforce
  • Vulnerable Children
    • Munro Review of Child Protection
    • Tackling Stigma: A Practical Toolkit
    • Inspecting Children's Services - Update
    • KIDS Direct Short Breaks – Bringing Families and Workers Together
    • Enabling Vulnerable Young People to Access FE-based Sexual Health Services
  • Ill and Disabled Children
    • Palliative Care Funding Review Update
    • Self Care Week 2010
    • NHS-Charity Partnership Provides Disabled Children with Better Wheelchairs at Lower Cost and Shorter Waits - says Report
  • Sources of information
  • Feedback
  • Join the distribution list
Training Resources Training Resources
Breastfeeding Management Training & Strategic Support Package Training: 2008-2010 Breastfeeding Management Training & Strategic Support Package Training: 2008-2010
In 2008 the West Midlands Infant Feeding Coordinator and Administrator planned, co-ordinated and administered a programme of breastfeeding / infant feeding training to add skills, knowledge and service capacity to all relevant staff teams to the 17 PCT areas of the West Midlands.
Health Professional's Guide to: “A guide to infant formula for parents who are bottle feeding” Health Professional's Guide to: “A guide to infant formula for parents who are bottle feeding”
Health Professional's guide to the "A guide to infant formula for parents who are bottle feeding" leaflet, which has been designed to equip health professionals with the scientific evidence around the recommendations in the parents’ leaflet. It contains the latest information on infant formula regulations and research and is written by experts in this field.
A guide to infant formula for parents who are bottle feeding A guide to infant formula for parents who are bottle feeding
Baby Friendly Initiative guide for parents who have chosen to bottle feed. This guide is an impartial introduction to the different types of infant formula available and also covers feeding methods, recognising when your baby is hungry or full, weight gain and selecting bottles and teats. It is designed to be given to parents with the DH Bottle Feeding leaflet in the very early postnatal period.
Bottle feeding: 2007 edition Bottle feeding: 2007 edition
This Department of Health leaflet provides information that will help you to bottle feed your baby safely. The cleaning and sterilising instructions apply, whether you are using expressed breast milk or infant formula milk.
Promoting, protecting and supporting breastfeeding – An introduction to the Baby Friendly Initiative Promoting, protecting and supporting breastfeeding – An introduction to the Baby Friendly Initiative
An introductory leaflet outlining how the Baby Friendly Initiative works and how hospitals can become Baby Friendly.
Building blocks for a better start in life Building blocks for a better start in life
Following on from the success of Change4Life, Start4Life is a new campaign aiming to support pregnant women and parents of children up to two years, in establishing good feeding and activity habits from the outset. The campaign relies on support from healthcare and childcare professionals to communicate with parents and influencers, and to help with this, a leaflet and poster have been produced. These materials are for Midwives, Health Visitors, Sure Start Children's Centre Managers, Nursery Managers, Childminders and anyone involved in ante-natal clinics and classes.
Birth and Beyond: A Review of the Evidence about Antenatal Education Birth and Beyond: A Review of the Evidence about Antenatal Education
The aim of this study was to synthesise published evidence concerning the cost and effectiveness of antenatal education, alongside evidence about stakeholder perspectives.
Delivering healthy start to pregnant and breastfeeding women, babies and young children Delivering healthy start to pregnant and breastfeeding women, babies and young children
This Healthy Start guide has been created to assist health professionals in signposting the scheme and giving nutritional advice to applicants and beneficiaries. It also summarises the core health advice for pregnant women and young children as agreed by the four UK Health Department: England, Northern Ireland, Scotland and Wales.
Off to the best start Off to the best start
This leaflet provides important information about breastfeeding and how it can give your baby the best start in life. It contains sections on what breastfeeding protects against, what to expect after your baby is born, how to breastfeed, signs that your baby is feeding well, top tips for successful breastfeeding, advice on expressing milk, and information about the Start 4 Life initiative.
Healthy Start vitamins and why you need them Healthy Start vitamins and why you need them
This booklet from the Department of Health provides information about Healthy Start vitamins and the Healthy Start scheme. Help is available for pregnant and new mums, and young children.
Feeding the baby in Wolverhampton Feeding the baby in Wolverhampton
Poster used in Wolverhampton to promote breastfeeding as part of everyday life in Wolverhampton.
Evaluation Start4Life Training Sessions: Pilot Project West Midlands 2010 Evaluation Start4Life Training Sessions: Pilot Project West Midlands 2010
This pilot project was carried out across the West Midlands for the West Midlands Public Health Observatory on behalf of the Department of Health. Twelve Start4Life training sessions were held over six days in 6 different locations, including Walsall, Nuneaton, Lichfield, Birmingham, Wolverhampton and Redditch. Most areas where the training sessions took place are currently working towards UNICEF Baby Friendly accreditation.
Healthy Start Vitamin Scheme processes - Telford & Wrekin Healthy Start Vitamin Scheme processes - Telford & Wrekin
Report detailing the Healthy Start project in NHS Telford and Wrekin.
Best Beginnings Best Beginnings
Best Beginnings is a charity dedicated to ending child health inequalities in the UK.
Standard Evaluation Framework for Breastfeeding Interventions Standard Evaluation Framework for Breastfeeding Interventions

This guidance is to support PCT’s to develop simple but effective evaluation processes to ensure that the improving performance, monitoring and evaluation part of the commissioning cycle is fulfilled. It is intended to support those who have little or no experience of evaluation and to be used along side the Standard Evaluation Framework developed by the National Obesity Observatory.

Healthy Weight, Healthy Lives: Two Years On Healthy Weight, Healthy Lives: Two Years On
This report includes progress made since the Government’s Healthy Weight, Healthy Lives: A Cross-Government Strategy for England was published in 2008.
It sets out how the Government is helping people to make healthier choices; creating an environment that promotes healthy weight; ensuring effective services are available for those at risk; and strengthening the delivery system to support frontline services.
Healthy Weight, Healthy Lives: Two Years On sets out the encouraging progress the Government has made on achieving its ambition to halt the rise of child obesity and the challenge ahead to tackle adult obesity.
Maternity, Healthy Child Programme and Early Years Maternity, Healthy Child Programme and Early Years
Department of Health advice and recommendations on maternal and infant nutrition plus information about Maternity Matters, the Government commitment to developing a high quality, safe and accessible maternity service.
Evidence on the long-term effects of breastfeeding: Systematic reviews and meta-analysis Evidence on the long-term effects of breastfeeding: Systematic reviews and meta-analysis
The Department of Child and Adolescent Health, in collaboration with the epidemiology unit in the University of Pelotas, Brazil, conducted this systematic review and meta-analysis of studies to assess the association between breastfeeding and blood pressure, diabetes and related indicators, serum cholesterol, overweight and obesity, and intellectual performance.
  Two reviewers independently evaluated study quality, using a standardized protocol, and disagreement was resolved by consensus rating. Subjects who were breastfed experienced lower mean blood pressure and total cholesterol, as well as higher performance in intelligence tests. Prevalence of overweight/obesity and type-2 diabetes was lower among breastfed subjects. All effects were statistically significant but for some outcomes their magnitude was relatively modest.
The Pregnancy Book 2009 The Pregnancy Book 2009
A key Department of Health publication, The Pregnancy Book has been revised and will be given free to expectant mothers and parents in England. The book is extremely popular and a trusted authority on all aspects of maternity. By providing in-depth support, useful contact information and advice on rights and benefits, the book is an excellent addition to the support provided by maternity teams. The book’s content has been updated to reflect new policies, changing social trends and advice and guidance.
Birth to Five (2009 edition) Birth to Five (2009 edition)
A key Department of Health publication, Birth to Five has been revised and will be given free to all parents in England. The book is extremely popular and a trusted authority on all aspects of early years. By providing in-depth support, useful contact information and advice on rights and benefits, the book is an excellent addition to the support provided by the health visiting team. The book’s content has been updated to reflect new policies, changing social trends and advice and guidance.
Breastfeeding – what could be more natural? Breastfeeding – what could be more natural?
As well as providing health professionals with information and resources to help with their day-to-day work, this site also contains advice for women who are thinking about breastfeeding or who are actually breastfeeding. So that you can help them with questions about the site, it may be useful for you to be familiar with its contents.
ChiMat ChiMat
The national Child and Maternal Health Observatory (ChiMat) provides information and intelligence to improve decision-making for high quality, cost effective services. It supports policy makers, commissioners, managers, regulators, and other health stakeholders working on children's, young people's and maternal health.
Healthy Start Healthy Start
The Healthy Start scheme provides everyone who qualifies with vouchers which can be used to buy milk, fresh fruit, fresh vegetables and infant formula. You can also get free vitamin supplements. The Healthy Start scheme replaces the Welfare Food Scheme which provided milk tokens.
Weaning: Starting solid food Weaning: Starting solid food
This Department of Health leaflet provides advice on weaning babies on to solid food.
Maternal and infant nutrition Maternal and infant nutrition
The Department of Health's "Maternal and infant nutrition" page provides information and advice to mothers and young children.
Who Growth Charts Video Who Growth Charts Video
Video about the new WHO Growth Charts, which were introduced during the 2009 National Breastfeeding Awareness Week (NBAW). The video is supported by the Department of Health, Royal College of Paediatrics and Child Health and www.breastfeeding.nhs.uk.
Preventing Obesity: Regional Delivery, Going Further Faster Preventing Obesity: Regional Delivery, Going Further Faster
Report from the West Midlands Obesity Conference which was held on Tuesday 18th March 2008 at the Paragon Hotel, Birmingham. The conference summary draws together the conference evaluation summary and feedback from the workshops. It also includes a number of resources from the workshops and mapping exercises that were undertaken as part of the day.
Delivering health services through Sure Start Children’s Centres Delivering health services through Sure Start Children’s Centres
The purpose of this document is to increase PCTs’ awareness of the children’s centre agenda and the opportunities it provides, and to share examples of good practice.
Thrush and Breastfeeding: Information for health professionals Thrush and Breastfeeding: Information for health professionals
Leaflet developed by The Breastfeeding Network describing how Thrush (Candida albicans) infection can affect a mother's breast while she is breastfeeding.
Healthy Weight, Healthy Lives: One Year On Healthy Weight, Healthy Lives: One Year On
This is a report on the delivery of Healthy Weight, healthy Lives: A Cross-Government Strategy for England, published in January 2008. It sets out how we can continue to build a society that supports healthy weight through informing consumer choice; creating an environment that promotes healthy weight; providing quality services; and enabling the delivery system.
Healthy lives, brighter futures: The strategy for children and young people’s health Healthy lives, brighter futures: The strategy for children and young people’s health
In December 2007, the Government made a commitment in the Children’s Plan to publish a child health strategy jointly between the Department of Health and the Department for Children, Schools and Families. Healthy lives, brighter futures: A strategy for children and young people’s health has been launched by Alan Johnson, Secretary of State for Health and Ed Balls, Secretary of State for Children, Schools and Families.
This joint DH/DCSF strategy presents the Government’s vision for children and young people’s health and wellbeing. It sets out how we will build on progress through: world-class outcomes; high quality services; excellent experience in using those services; and minimising health inequalities.
UNICEF Baby Friendly Initiative display posters UNICEF Baby Friendly Initiative display posters
National Delivery Plan: Department of Health National Delivery Plan: Department of Health
"Increasing breastfeeding prevalence" a presentation written by the Department of Health, Maternal and Child Health Department in October 2008.
Maternal and Infant Nutrition update: Issue 3 - December 2008 Maternal and Infant Nutrition update: Issue 3 - December 2008
The e-Newsletter contains details on the World Breastfeeding Week (1-8 August), Breast Buddy Regional Tour (13 – 15 October) and the launch of a new Breastfeeding DVD. There are details of the Change4Life campaign, an update on the folic acid and Vitamin D campaigns and news of new growth charts for children from birth to 4 years.
NICE Guidance on Breastfeeding NICE Guidance on Breastfeeding
The National Institute for Health and Clinical Excellence (NICE) is the independent organisation responsible for providing national guidance on the promotion of good health and the prevention and treatment of ill health.

NICE guidance is developed using the expertise of the NHS and the wider healthcare community including NHS staff, healthcare professionals, patients and carers, industry and the academic world.

The Breastfeeding Network The Breastfeeding Network
The website is intended to provide breastfeeding support and information for breastfeeding women and for those involved in their care. It also provides information about The Breastfeeding Network.
Regional update on action on Breastfeeding November 2008 Regional update on action on Breastfeeding November 2008
Update and news from the seven regional breastfeeding groups, including the West Midlands.
UNICEF UK Baby Friendly Initiative Implementation Guidance: The International Code UNICEF UK Baby Friendly Initiative Implementation Guidance: The International Code
The document provides guidance on implementing UNICEF UK’s Seven Point Plan for the Protection, Promotion and Support of Breastfeeding in Community Health Care Settings which leads to the Baby Friendly accreditation.
NHS Choices video on Breast-feeding NHS Choices video on Breast-feeding
Video produced by NHS Choices on Breast-feeding. Includes an expert gives advice on breastfeeding techniques, and describes the health benefits for mother and baby.
Infant Feeding Survey 2005: A commentary on infant feeding practices in the UK Infant Feeding Survey 2005: A commentary on infant feeding practices in the UK
The Infant Feeding Survey has been conducted every five years since 1975 and captures a wealth of information about infant feeding practices in the United Kingdom. It helps to describe historical trends in infant feeding practice and identify opportunities for improved implementation of national policy.
The Scientific Advisory Committee on Nutrition (SACN) Subgroup on Maternal and Child Nutrition (SMCN) has reviewed the findings of the 2005 Infant Feeding Survey. It particularly welcomes the significant increases observed in breastfeeding initiation across the UK and a marked reduction in the proportion of infants given solid foods at an inappropriately young age.
This review recommends options to improve infant feeding practice and informs infant feeding policy. It also suggests areas for deeper exploration in future quinquennial surveys, particularly to take account of the national implementation of 'Healthy Start' in 2006 and to define its effects on practice.
Maternal and Infant Nutrition update: Issue 2 - July 2008 Maternal and Infant Nutrition update: Issue 2 - July 2008
The e-Newsletter contains details on the National Breastfeeding Awareness Week (11-17 May 2008), the release of the NICE guidelines on maternal nutrition (March 2008) and the development of a new breastfeeding DVD. Here is a summary of the key events and campaign activity and a look at future plans for the DH’s breastfeeding, weaning, folic acid and vitamin D campaigns.
Implementing the Baby Friendly best practice standards Implementing the Baby Friendly best practice standards
A guide to implementing the Baby Friendly best practice standards for breastfeeding in maternity and community health care facilities.
Good practice and innovation in breastfeeding Good practice and innovation in breastfeeding
This booklet aims to provide a practical, evidence-based resource for health professionals to help support good practice and innovation in breastfeeding initiation with a particular focus on reaching women from disadvantaged groups.
Healthy Weight, Healthy Lives: A cross-government strategy for England Healthy Weight, Healthy Lives: A cross-government strategy for England
This cross-government strategy is the first step in a sustained programme to support people to maintain a healthy weight. It will be followed by a public annual report that assesses progress, looks at the latest evidence and trends, and makes recommendations for further action.
Healthy Weight, Healthy Lives: Guidance for local areas Healthy Weight, Healthy Lives: Guidance for local areas
This guidance sets out suggestions for how local partners can develop their obesity plans, from understanding the scale of the problem in their communities, to setting local goals and choosing interventions where it is agreed that local action is required, right through to ensuring that progress is monitored and evaluated.
Infant Feeding Survey 2005 Infant Feeding Survey 2005
A survey conducted on behalf of The Information Centre for health and social care and the UK Health Departments by BMRB Social Research.
Addressing Health Inequalities: A North West Breastfeeding Framework for Action Addressing Health Inequalities: A North West Breastfeeding Framework for Action
The aim of the North West Breastfeeding Framework for Action is to improve the health of mothers and children, particularly those from low socio-economic families and to contribute to reducing health inequalities by facilitating an increase in breastfeeding initiation and duration rates.
The Child Health Promotion Programme: Pregnancy and the first five years of life The Child Health Promotion Programme: Pregnancy and the first five years of life
The Child Health Promotion Programme (CHPP) is the early intervention & prevention public health programme that lies at the heart of all universal service for children and families. This updated version has been produced to strenghten delivery in pregnancy and the first five years of life.
Breastfeeding and Maternal and Infant Health Outcomes in Developed Countries Breastfeeding and Maternal and Infant Health Outcomes in Developed Countries
A review of the evidence on the effects of breastfeeding on short- and long-term infant and maternal health outcomes in developed countries.
The Baby Friendly Initiative The Baby Friendly Initiative
The Baby Friendly Initiative is a worldwide programme of the World Health Organization and UNICEF. It was established in 1992 to encourage maternity hospitals to implement the Ten Steps to Successful Breastfeeding and to practise in accordance with the International Code of Marketing of Breastmilk Substitutes.