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<p>Health visitors and school nurses lead and co-ordinate delivery of the Healthy
Child Programme (0-19). Health visitors and school nurses or Specialist Community
Public Health Nurses are qualified nurses or midwives with an additional specialist
graduate level education in community health and health needs. Local authorities (LAs)
took over responsibility for commissioning public health services for children aged
zero to five from NHS England from 1 October 2015. LAs are mandated to provide or
secure the five universal health visitor reviews.</p><p> </p><p>The responsibility
for standards for health visitors rests with the Nursing and Midwifery Council (NMC),
through their code of practice and entry to part 3 of NMC register. The responsibility
for service standards for health visiting services rests with the LA as the commissioner
and Care Quality Commission as the regulator.</p><p> </p><p>The Department and Public
Health England (PHE) have produced guidance to support both commissioners and local
providers including Guidance to support the commissioning of the Healthy Child Programme
0-19: Health Visiting and School Nursing services, available to view here:</p><p><a
href="https://www.gov.uk/government/publications/healthy-child-programme-0-to-19-health-visitor-and-school-nurse-commissioning"
target="_blank">https://www.gov.uk/government/publications/healthy-child-programme-0-to-19-health-visitor-and-school-nurse-commissioning</a></p><p>PHE
and the Department continue to work with the Local Government Association, professional
bodies, and locally through PHE Centres to share evidence and guidance that allows
LAs to make the best decisions to meet local needs.</p>
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