Decision details

Healthy Child Programme (0-5)

Decision Maker: Cabinet Member for Young People and Learning, Cabinet Member for Adult Social Care and Public Health

Decision status: Recommendations Approved

Is Key decision?: Yes

Is subject to call in?: Yes


Approval to award a new health visiting contract and align and integrate it with children’s Early Help services to jointly deliver the 0-5 Healthy Child Programme. This workstream is part of the 0-5 Transformation Programme and is integral to achieve the ambitions of ensuring all children have the best start in life. 

The contract is planned to commence on or around 1st April 2022 for a period of five years, with an option to extend for a further two-year period. The total value of the proposed contract (including the extension options) is estimated to be up to £21,600,000 for WCC. 

We anticipate that moving to a single delivery model and integrated workforce will enable us to deliver a more efficient service across the pathway.

The strategy supports the development of a City for All, including our vision for vibrant communities and a smart city; using technology to support a smart service that is responsive to levels of need as well as ensuring everyone has an equal opportunity to succeed and be healthy no matter their background.




2.1      The Cabinet Members approved the contract award for delivering the 0-5 Healthy Child Programme to Central London Community Healthcare NHS Trust for a period of five years with the option to extend for a further two years as set out in the table below:


First Year

Five Year Term

Optional Extension Period (2 years)


Central London Community Healthcare NHS (CLCH)






2.2      The Cabinet Members delegated approval to exercise the option to extend the contract to the Executive Director of Adult Social Care and Health in consultation with the Executive Director of Children’s Services.



3.1      The local authority has had commissioning responsibility for the current contract delivered by Central London Community Healthcare NHS Trust since 2015. During this time direct awards were requested in order to align with the pre-birth to five transformation programme. The current two-year direct award comes to an end in April 2022.

3.2      The implementation of the integrated delivery model will allow the local authority to achieve our local vision to deliver an improved 0-5 pathway, which provides a core, high quality universal offer whilst providing a more intensive offer proportional to need.

3.3      Local authorities are mandated to secure provision of the five universal contacts within the Healthy Child Programme. These include the antenatal health promoting visit, the new baby review, the 6- week assessment, the one-year assessment and the two-year review.


Publication date: 27/09/2021

Date of decision: 03/12/2021

Effective from: 11/12/2021

Accompanying Documents: