dhThe Department of Health has published support guides for the transfer in commissioning of children’s public health services from NHS England to local authorities.

The Early Years High Impact Area documents, to support local authorities and stakeholders, identify six areas where health visitors have the most impact on the health and wellbeing of children aged five and under.

The documents are mainly intended for use by commissioners and providers of early years services, health visitors, early years practitioners and local authorities.

The Department of Health, which produced them with its partners, said local authorities should use this information to ensure that health visiting services are commissioned effectively when the reponsibility changes from 1 October 2015.

The documents are mainly intended for use by commissioners and providers of early years services, health visitors, early years practitioners and local authorities.

The six High Impact Areas are:
*Transition to Parenthood and the Early Weeks
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/326890/Early_Years_Impact_1.pdf  
*Maternal Mental Health (Perinatal Depression)
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/326891/Early_Years_Impact_2.pdf  
*Breastfeeding (Initiation and Duration)
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/326892/Early_Years_Impact_3.pdf  
*Healthy Weight, Healthy Nutrition (to include Physical Activity)
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/326893/Early_Years_Impact_4.pdf
*Managing Minor Illness and Reducing Accidents (Reducing Hospital Attendance/Admissions)
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/326894/Early_Years_Impact_5.pdf  
*Health, Wellbeing and Development of the Child Age 2
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/326895/Early_Years_Impact_6.pdf  

The Six High Impact Area documents have been developed in partnership between the Department of Health, Public Health England, Local Government Association, NHS England, Early Intervention Foundation and Health Education England. The documents were shared with a wide range of partners for comment.

Many of comments received have been addressed in final versions of the documents, however a number of comments were deemed to be outside of the scope of the six areas.