INFORMATION FOR PARENTS
DATA PROTECTION
My service will protect and fully secure your personal data as compliance to the GDPR (General Data Protection)
Your details will be used for your request of private consultation on infant feeding support and possible Frenulotomy procedure with your request upon home visit.
Your data will be handled with full confidentiality. Please be aware that communication via text, messenger or email may not be secure. I store your personal data in my laptop to keep paperless records in which only I have access, I kept this in my lock cupboard and is protected with my password and face ID.
I will not share your data with any other party without your consent, unless it is a matter of patient safety or public protection as per the NMC code of professional conduct. In addition, your data with your consent, can be shared to your GP provider and if necessary, to other health care provider such as your midwifery or health visiting team for continuity of care. Your personal information will never be shared for any marketing purposes and will be treated with full confidentiality.
The information collected during enquiries made will be kept for up to 10 years. You have the right to request, access, correct or ask to delete information I hold about you, subject to Data Protection Law.
You can access a copy of the information I hold about you by emailing me on julienne@infantfeedingspecialist.com. I will provide this information within 30 days.
If you wish to raise concern about how I process your personal data, you can complain either to me or ICO. Please contact the Information Commisioners Office:
https://ico.org.uk/global/contact-us/
Thank you very much,
Julienne Espineli
6th August 2022
INFORMATION FOR PARENTS
Dear Parents,
Thank you for making an appointment with me as your Private Lactation Consultant and Tongue-tie Practitioner. Here is the information of my service and I am looking forward to meet you and your baby.
INDEPENDENT SERVICE
I offer infant feeding support and frenulotomy in home visits only. The consultation and support usually take between 1-2 hours per visit.
HOME VISIT
This will include:
- PRE-ASSESSMENT QUESTIONS – prior to the practitioner’s visit, you will be given all the information leaflets for your reference, and you will need to fill in the pre-assessment questionnaire that will help the practitioner to risk assess and support your needs. This will be sent in your email address prior to the appointment day.
- MEDICAL HISTORY and ASSESSMENTS (this will include history taking on pregnancy and delivery, information on feeding support that you receive and what are the things you like to work on, what are your current feeding issues etc).
- FEEDING SUPPORT – working on correct positioning and attachment, techniques that you may need on expressing, feeding positions, other method of feeding that you may need such as bottle feeding techniques etc. and working on any feeding plan that is necessary.
- FRENULOTOMY – this will only be offered if you are experiencing feeding difficulties and you consented from informed decision. Benefits, risks, after care and alternatives will be discussed. Consent form will be signed by the legal guardian if you requested me to perform the tongue-tie snip procedure and you will have a copy of this consent. I will help you with feeding after the procedure.
I will offer frenulotomy at home visit on the following criteria:
Infants who are less than 6 months of age
Received vitamin K IM injection or at least 2 doses of oral Vitamin K
NO underlying medical and complex condition such as extreme prematurity, heart conditions, under genetics etc., NO family history of bleeding disorder.
Baby is healthy and well during the consultation
Baby has NO teeth, NO sublingual cyst and NO other oral abnormality such as cleft palate
Infant has a tongue-tie and is affecting their feeding whether breastfeeding or bottlefeeding
Late premature babies (34-36 weeks) who are healthy and well, establishing feeding at home without medical condition.
- If the practitioner feels that the procedure is at higher risk (ie, complex issues are found), the frenulotomy will not be offered in the visit, explanation will be provided, and baby will be referred to a senior practitioner or consultant surgeon to a local hospital.
- FEEDING PLAN – any plan that is family centred care, any other recommendations etc., will all be given and written down for you. This will be attached in your baby’s health record (red book).
- Please note that the only preparation is to keep your baby a little hungry around our agreed date and time of my visit so we can work on your feeding and it is important that the baby is hungry if you are considering a tongue-tie division option. If you have consented and requested the procedure, one parent will be instructed how to hold and support your baby’s head during the division.
- We will also discuss all your concerns and questions regarding feeding your baby centred to your needs.
- FOLLOW UPS will be offered upon your needs for further support by me or other lactation consultants whom I work with.
- COVID SAFETY & INFECTION PREVENTION & CONTROL PROCEDURES– government guidelines regarding Covid-19 safety & infection control will be implemented. PPE will be worn as per guidelines recommendations, discussion and information leaflet will be provided to you
- Lastly, please do not hesitate to let practitioner knows if in case you need extra support adjustments during the visit such as an interpreter or you may have specific or special requirements.
SERVICES FEES
ONLINE SUPPORT SERVICES
• £ 50 – ANTENATAL – 1 hour of informal class via ONLINE video call for you and your partner’s preparation about your plan on how you would like to feed your baby. We will learn and answer your questions on the importance of breastfeeding, relationship building, how to identify feeding cues, how many times to feed your baby, how to hold your baby while breastfeeding, how to know baby is feeding well, hand expressing your colostrum, support available for you etc.
• £50 – POSTNATAL – 1 hour virtual support - if you need discussing your feeding concerns via online whether telephone support or video call, please contact for appointment.
INFANT FEEDING & TONGUE-TIE SUPPORT VIA HOME VISIT ONLY
• £ 250 weekdays home visit (ASSESSMENT, FRENULOTOMY & FEEDING SUPPORT)
• £150 weekdays home visit (ASSESSMENT & FEEDING SUPPORT WITHOUT THE PROCEDURE) – if there is no issue on tongue-tie or if parents decide not to go ahead for the frenulotomy procedure and only require feeding support
• £ 270 weekend home visit (ASSESSMENT, FRENULOTOMY & FEEDING SUPPORT)
• £170 weekend home visit (ASSESSMENT & FEEDING SUPPORT WITHOUT THE PROCEDURE) – if there is no issue on tongue-tie or if parents decide not to go ahead for the frenulotomy procedure and only require feeding support
FOLLOW UP FEES VIA HOME VISIT:
• £ 80 for weekdays visit £ 100 for weekend visit
Please note, as an independent practitioner I strive to provide the best possible service for my clients. However, I recognise that sometimes you may feel that I have not met your needs.
If you have any complaint or concern about the service you have received from myself, you are entitled to ask for an explanation. I am happy to let you know the complaints procedure on this event. You can write an email and please send it to julienne@infantfeedingspecialist.com
About Julienne Espineli
• Lactation Consultant since 1st November 2013
• Tongue-tie Practitioner since January 2015
• Registered Nurse since 21st March 2018
• Neonatal Nurse since January 2019
• Care Quality Commission (CQC) Registered since 10th June 2019
• Has professional Indemnity Insurance provided by Hiscox Insurance Company Limited
• Has liability Insurance provided by Aviva Company
• ICO registered for data protection and DBS checked
• Member of Lactation Consultants of Great Britain (LCGB), Association of Tongue-tie Practitioners (ATP) and Royal College of Nursing (RCN)
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