Minute NHS Tayside
Tayside NHS Board
TAYSIDE INFANT FEEDING STRATEGY GROUP
Minute of the above meeting held at 0930 hours on 10th May 2006 in the Seminar Room, Kings Cross,
Janet Dalzell, Breastfeeding Co-ordinator, Directorate of Public Health
Margaret Duncan, Dundee Health Visitors Representative
Stewart Forsyth, Consultant Paediatrician, NHS Tayside
Kim Fraser, Project Leader, Unmet Needs Breastfeeding Project, Directorate of Public Health
Gina Green, Health Visitor Rep, Perth City
Shirley Leslie, Sure Start Health Visitor, Angus
Lesley Mann, Health Visitor Rep, South Perthshire
Audrey McIntyre Miller, Parent Education, Perth Royal Infirmary
Sandra Murray, Project Manager, CHSS, Community Child Health
Rhona Pollock, Health Improvement Officer, Perth & Kinross Council
Janice Ramsay, Professional Development Midwife, Ninewells Hospital
Freda Stewart, Pubic Health Practitioner, Perth & Kinross CHP
Carol Sutherland, Infant Feeding Adviser, Ninewells Hospital,
Alison Findlay, Carole Robertson, Carrie Chmiel, Christine Crocker, Frances Shaw, Heather McGregor,
Jane Fleming, Joyce Thompson, Morag Martindale, Sheenagh Howard, Zelda Mathewson
Janet Dalzell/SForsyth in the Chair
Since the last meeting there were a number of new members on the group. Janet welcomed new
members to the group and asked everyone to introduce themselves and advise which service they
2. MINUTES OF PREVIOUS MEETING – 8th February 2006
Agreed to be correct by those present.
Breastfeeding Expert Group – following events in Dundee & Glasgow a report
supporting Clinical Practice will be published in the Summer of 2006.
NHS Direct Online Health Encyclopaedia Topic Breastfeeding – Following
identification of inaccuracies in this information, we were given the opportunity to
comment and these comments have now been submitted.
Bumps & Babies/Baby Welcome
Previously concern had been raised that the Directors of Baby Welcome and Global
Baby Marketing Ltd. were one and the same. This has been confirmed through
Company House. Belinda Phipps Chief Executive of NCT and UNICEF have
confirmed that they have withdrawn their association with Baby Welcome. NCT are
to continue to produce Bumps & Babies without Baby Welcome advertisement.
From now on Bumps & Babies will be free from any advertisement conflict.
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Minute NHS Tayside
Audrey & Carol had copies of new literature that had arrived in hospitals in both
Perth & Dundee. ‘Together we Care’ and ‘Mum Plus One’. Following discussion as
to whether they should be given out/left around for people to help themselves, it was
agreed NO new literature/magazines etc should be given out. It was suggested that a
Guideline be produced with regard to how to deal with new information coming into
hospitals/health centres etc.
Carol/Audrey were to try and find out where these new magazines came from and CS/AMM
advise that we do not wish further stocks.
Gina advised that in her practice (Caledonia Road) the Health Visitors and Practice
Manager met regularly to vet what was to be left out in surgery, and it was suggested
that Practice Managers should run all newly received literature by Health Visitors
prior to leaving out in surgery.
3. BREASTFEEDING STATISTICS
Zelda Mathewson had circulated a paper prior to the last meeting which highlighted
differences in reported figures.
Sandra Murray advised that with regard to the problems of filling in question on
SIRS sheet, following management approval, these forms were now being sent back
to be completed and information collated was better than before, but no figures were
available as yet.
With regard to the Breastfeeding question being moved to a more prominent position
on the form, Sandra advised that it was unlikely this would happen, as there had been
some resistance initially for it to be included.
Sandra circulated a draft of the HV 1st report form with suggested changes to Feeding
Question (including date stopped breastmilk along with a reason). Although this
information was not to be used for collation, Health Visitors may find it of some use
Danka McLeod and Sandra were carrying out a pilot to compare data collection with
the same population at the same time, to establish any discrepancies and where they
Janet produced an article that had been printed in the Courier regarding Low
Breastfeeding rates in Tayside. The ISD figures have now been released and were
very encouraging. Janet advised that she was meeting with Marilyn Glen, MSP next
week and would be taking the new release figures along.
4. STRATEGY & POLICY
The final draft of the Tayside Breastfeeding Strategy will be tabled at the
Improvement & Quality Committee meeting at the end of June 2006.
Scottish Infant Feeding Strategy Consultation Document – although previously
circulated widely, Janet was to send out a proforma of the recommendations to JD
members, and had asked that all comments be returned to her electronically BY 16TH
JUNE 2006, so that she could collate a response of behalf of TIFSG, send to
members for approval, and then forward by the deadline of 30th June.
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Minute NHS Tayside
Rhona Pollock advised that she is co-ordinating a response on behalf of P&K
5. UNICEF PLANNING VISIT/COMMUNITY BABY FRIENDLY
A UNICEF Planning Meeting has been arranged for 1st June which will be hosted by
UNICEF Assessors. It was to begin with an introductory session and the afternoon
would be spent developing an action plan for both Community & Ninewells Hospital.
Janet advised that along with various representatives from the Maternity Unit at
Ninewells and Community Nursing, the following practices had noted interest in
Dundee: Ardler Surgery
Grove Surgery, Broughty Ferry
The Mill Practice
Hawkhill Medical Practice
Nethergate Health Centre
Westgate Health Centre
Whitfield Health Centre
Brown Street Health Centre, Broughty Ferry
Perth & Kinross: Coupar Angus Practices I
Coupar Angus Practice II
Craiginvean Surgery, Dunkeld
Crieff Medical Centre
Taymount Surgery, Perth
Angus: Monifieth Medical Practice
Each interested practice had been given a Self-Appraisal Questionnaire to complete
prior to the meeting, which would indicate strengths/weaknesses.
It was noted as to the lack of interested practices in Angus and Janet advised that she
had spoken to both Susan Wilson & Heather Goudie. Stewart Forsyth was to raise the SF
matter again with Susan Wilson. Shirley Leslie advised that she would bring this up at
the next Angus Health Visitors Meeting.
6. UNMET NEEDS PROJECT
Kim Fraser advised that preliminary data was very encouraging and a paper outlining
this was circulated to the group (copy attached).
Kim and Janet had produced a paper, which they were taking to the Executive
Committee meeting on 15th May.
7. QUALITATIVE RESEARCH
Work was now complete on a project working with most disadvantaged women in
Dundee and this was to be the subject of a presentation at the Public Health Research &
It was advised that this would hopefully be taken to the Maternity Services Executive
Team and the Maternity Services Liaison Committee.
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Minute NHS Tayside
Stewart suggested that this be the subject of a presentation at the next TIFSG. JD
8. BIG LOTTERY FUNDING
Deborah Gray had circulated information on opportunity to apply for Big Lottery
Funding (£248m available), of which 60% was available for funding peer support
initiatives. Joyce Thompson & Janet Dalzell had met to look at possibility of
producing a bid looking at Nutrition during Pregnancy, Peer Support, Breastfeeding
& Weaning. A short life working group would be convened for this purpose. Draft
ideas were to be with Deborah Gray within the next 2 weeks.
9. BREASTFED FROM BIRTH CHARTS
Prior to this meeting information from UNICEF/WHO was circulated. It was
advised that England & Wales would be using the charts and it was indicated that no
guidance would be issued for Scotland until end of the consultation on the Scottish
Infant Feeding Strategy, and we would have to wait for an announcement.
10. WELFARE FOODS
The group continues to meet. Evaluation of HS Phase 1 has been undertaken and
report is to be available by the end of May 2006. Rollout of HS Phase 2 has begun.
Locally, withdrawal of low income formula sales has now been implemented.
11. GLOBAL BABY MARKETING
Covered under Matters Arising
Education in Schools – Breastfeeding – Janet advised that the Breastfeeding in
Schools Information has been fully endorsed by School Advisers to be included in
the Health Education Programme. Plans are to deliver awareness sessions with
teachers using twilight sessions. School nurses have resources for both primary and
Shirley asked if it would be possible to include the Integrated Community School
Workers in the training sessions with education staff. Janet advised that this would
Margaret Duncan asked about pre-school education. Janet advised that so far
resources were targeted at primary and secondary education, but perhaps the next
challenge would be preschool.
13. DATE OF NEXT MEETING
The next meeting will be held on Wednesday 9th August 2006 at 9.30 a.m. in the
Seminar Room, Kings Cross Conference Suite, Dundee.
13 July 2006