Let’s plan community services with Sienna


  • Sienna is an only child.
  • She is five months old and lives at home with her mum, Jade, and her grandma in Midsomer Norton. 
  • She is very loved and treasured, everyone says she’s ‘a little fighter’.
  • Her mum (and grandma) look after her.
  • At the moment her dad isn’t around but he’s met her and held her. The bear in her crib is from him.


  • Sienna was born at 27 weeks, she weighed 3lb 5oz.
  • When she was born Sienna couldn’t be held because she was on a ventilator. She spent the first four months in hospital, in the neo-natal clinic.
  • Now that she’s home Sienna goes to a ‘stay and play’ sensory development session with her mum at the Children’s centre.
  • Breastfeeding isn’t working for Sienna and her mum so she has formula from the bottle.
  • Sienna has had an early help assessment – the common assignment framework – and a number of day care sessions are paid for by the local authority.
  • Much of Sienna’s medical needs are met at the GP practice. Her mum doesn’t drive and getting in and out of Bath isn’t easy.


1. Which services do you think are directly or indirectly supporting Sienna?
2. Thinking about Sienna’s life what kind of specialist care could she receive?
3. What could help Sienna’s family take more control of her health and wellbeing?

Tell us your thoughts and ideas about Sienna