Thompson Christine
Milton Keynes Community Health Services, Milton Keynes Primary Care Trust, Milton Keynes.
J Fam Health Care. 2010;20(2):45-7.
Health services have traditionally been available to local communities through general practices, health visitors and midwives. Since the introduction of the Sure Start Local programme in 1997 and Sure Start Children's Centres in 2004, an increasing number of children's centres are working with their local NHS to provide health services for the under fives, and improve the accessibility of these services to local families. Sure Start Children's Centres were set up in England as part of the Department for Children, Schools and Families' Children's Plan to improve outcomes for children and their families and contribute to the strategic objectives of Every Child Matters. Children's centres offer a range of integrated services from child health and maternity services to parenting and childcare provisions. They also deliver key health promotion activities and programmes that contribute to the public health priorities of Primary Care Trusts, e.g. breast-feeding, smoking in pregnancy, physical activity and healthy eating. There are now 3,500 children's centres offering easily accessible services to more than 2.4 million children and families across England. Health professionals are asked work proactively together to raise awareness of these among local communities so that more families can benefit from the services they offer.
传统上，当地社区可通过全科医疗、健康访视员和助产士获得医疗服务。自1997年推出“确保开端”地方项目以及2004年设立“确保开端”儿童中心以来，越来越多的儿童中心正与当地国民保健服务体系合作，为五岁以下儿童提供医疗服务，并提高当地家庭获得这些服务的便利性。“确保开端”儿童中心在英格兰设立，是儿童、学校和家庭部《儿童计划》的一部分，旨在改善儿童及其家庭的状况，并推动“每个儿童都重要”的战略目标的实现。儿童中心提供一系列综合服务，从儿童健康和产妇服务到育儿及儿童保育服务。它们还开展关键的健康促进活动和项目，这些活动和项目有助于实现初级保健信托基金的公共卫生优先事项，例如母乳喂养、孕期吸烟、体育活动和健康饮食。目前，英格兰有3500个儿童中心，为超过240万儿童和家庭提供便捷的服务。卫生专业人员被要求积极合作，提高当地社区对这些服务的认识，以便更多家庭能够受益于他们提供的服务。
