0208 161 0532

Please note that this line is currently open Monday-Friday 1.00-4.00pm

Information for Professionals

From 1st April, Health Visiting services in Greenwich for children aged under five and their families have been integrated with Start Well Greenwich Children’s Centres. The service aims to:


Strengthen the work of Health Visiting services and Children’s Centres through an integrated service model


Deliver the Healthy Child Programme, leading to improved health outcomes and reduced health inequalities


Ensure continuity of care, supporting families through the health and social care system


Identify any issues early, determine potential risk and provide early intervention and support to prevent issues escalating

The new model puts care for children and families at the heart of the service, building on the strengths of the previous service run by Oxleas NHS Foundation Trust.

Health Visiting colleagues across Greenwich are now be based in Children’s Centres. We work as part of a wider integrated multi-disciplinary team, including nursery nurses, family support workers, breast feeding advocates, specialist workers for teenage and young mothers, childcare providers, GPs, midwives, wellbeing coaches and other health professionals, including Children’s Social Care and additional support staff from specialist voluntary and community organisations.

Our Clinical Director, Elizabeth Begley, has joined Start Well Trust from Homerton University Hospital Foundation Trust where she led the Health Visiting service. Elizabeth Begley can be contacted at and is based at Brookhill Children’s Centre.

We look forward to continuing to work together to support children under five and their families in Greenwich.

Start Well Trust will be running a series of targeted stakeholder events to provide further information about the service, enable colleagues to virtually meet senior clinical leadership at the Trust and explore opportunities to further develop joint working arrangements.

How do I make a referral?

What is changing?

Start Well Trust is responsible for providing Health Visiting services in Greenwich. The service will retain all of the core elements of the Healthy Child Programme in terms of pre-and post-natal support for families with children up to 5 years of age. Please see details below for details of temporary service restrictions due to short term operational issues. There will continue to be joint working across the acute, primary, community and voluntary sectors. 

In order to ensure secure transmission of emails during the transition period until May 15th, should you have any questions about Health Visiting services in Greenwich, please contact or call us on 020 8161 0530. Please note that  this line is currently open Monday – Friday, 09:00-11:00. The service will triage all calls and emails. Based on clinical need and vulnerabilities a member of the team will respond to the request between 1 – 5 working days.

Until May 15th, can you please send and reports, handovers and invites for CP/IPC to

Temporary service restrictions 

Due to issues such as a high staff vacancy rate and working with Covid 19 restrictions, the Health Visiting Service has put in place temporary plans which involves the delivery of a restricted Healthy Child Programme. Please see further details for each service below:

– The current key priorities are:

Intensive offer (Universal Partnership Plus), Safeguarding, children with current clinical concerns.  This will include attendance at:  Case Conferences, Core Groups, liaison with Children centre links, GP and other Multidisciplinary meetings such as MARAC and Perinatal mental health.  

–  Antenatal Contact

  • Virtual antenatal contact for expectant mothers on the Maternity concerns and the Greenwich Young Parents pathway (GYP).

–  New Birth Contact

  • Parents/Carers on a universal pathway will be offered a virtual contact.
  • Parents/Carers on additional or intensive support pathway will be offered a face-to-face contact (maternity concerns, CP, CIN, LAC & GYP).

 –  Infant Feeding

  • Referrals from professionals and parents are for additional and specialist support with infant feeding and growth concerns. All team referrals are triaged, allocated and supervised by Specialist Health visitor Infant Feeding Advisors. While drop-in breastfeeding groups are closed parents are offered phone/video calls and face to face appointments if essential.

 –  6 – 8-week Review

  • Parents/carers on additional or intensive support pathway will be offered a face-to face contact (maternity concerns, CP, CIN, LAC and GYP).
  • Universal families – will be directed to the relevant websites for further support and advice.
  • Families will be advised to access the GP for the 8-week postnatal check for the mother and the 8-week physical examination for the baby.

–  1 year and 2.5-year Healthy Child Review:

  • Universal – this contact will be completed by the Nursery Nurses.
  • Additional and Intensive Pathway contact will be completed by a Health Visitor. Clinical judgement will determine the contact type.


Referral Information for Related Services

Please see below links to related local services for children and families that may be relevant:

Children’s Integrated Therapies


Start Well Trust is committed to ensuring that all children in Greenwich should have the best start in life. The Trust believes that no child, young person, or vulnerable adult should ever experience abuse of any kind. We have a responsibility to promote the welfare of all children and to keep them safe.

An important part of the Health Visitor role is to identify any issues early, determine potential risk and provide early intervention and support to prevent issues escalating.

We believe that everyone and every agency who comes into contact with children has a role to play in identifying concerns, sharing information and taking prompt action to safeguard them.

We are committed to following best practice to safeguard children and families, working in partnership with agencies across Greenwich. Our approach is laid out in our safeguarding policy, which includes the following practices:

– ensuring that there is deep seated commitment throughout Start Well Trust to the importance of safeguarding and promoting children’s welfare;

– having clear lines of accountability;

– ensuring all staff have access to expert safeguarding children advice and support;

– providing safeguarding training to all staff relevant to their role;

– supporting a culture that enables issues about safeguarding and promoting children’s welfare to be addressed;

– ensuring that accurate records with regard to decisions and actions are maintained.

If you have concerns about the safety or welfare of a child

If you think that a child or young person under the age of 18 years old, who lives in the borough, is being abused or neglected, contact the MASH team using the contact details below.

Royal Borough of Greenwich Multi-Agency Safeguarding Hub (MASH)

Telephone: 020 8921 3172 Email:

Outside of office hours and at weekends and public holidays contact the ‘out of hours contact’ service on 020 8854 8888.
If you are seriously concerned about a child’s immediate safety, dial 999.

If in doubt, always call the MASH team for advice.

Referral form, information and guidance

Visit The Greenwich Safeguarding Children Partnership (GSCP) website for more information, including training and resources, policies, procedures and guidance on how to refer.

Agencies can use the inter-agency referral form to refer a child to children’s social care for assessment or Early Help Services. Download the inter-agency referral form here and email

Working for us

Start Well Trust is a partnership of Health Visiting services and Children’s Centres working across the Royal Borough of Greenwich.

Our mission is to deliver health and wellbeing services in our local communities for children under five and their families, giving every child the best possible start for their future.

Our integrated approach, and commitment to excellence for all, puts families at the heart of everything we do.

Values are central to our work, guiding us to understand what is most important when caring for children and their families. Our values are:

– We put children and families first

– We set high standards

– We are caring

– We are inclusive

– We are united

Whether you’re joining us as a healthcare professional or as part of one of our support service teams, your role is vital to the success of our mission. 

You will be able to view our current vacancies on this page and on NHS Jobs.



If you are a qualified Health Visitor and interested in working for Start Well Trust please email your CV to

What can a career at Start Well Trust offer you?

Employee wellbeing is at the heart of our purpose to champion better work and working lives. This means creating an environment that actively promotes a state of contentment, benefiting both employees and the organisation.

We’ll work with you to identify your short and long-term career goals, and then provide you with the training and education opportunities you need to fulfil your potential.

On top of job satisfaction, you’ll also get access to a whole range of benefits including the NHS pension scheme and our salary sacrifice schemes.

● Pay and terms and conditions linked to Agenda for Change

● Generous Annual Leave entitlement – from 27 days plus 8 days public holidays

● Access to one of the most generous pension schemes in the UK

● Buy a new bicycle through our Cycle to Work scheme

● Lease car scheme and salary sacrifice scheme

● Access to an occupational health service

● Opportunities for professional training and development

● Generous maternity, paternity and adoption leave for our eligible staff

● Opportunity for flexible working

● Opportunity to be at the centre of a new integrated way of working with children and families at its heart

Loans for train season tickets


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