early years collaborative

Early Years Collaborative

Ambition of the EYC

To make Scotland the best place in the world to grow up, by improving outcomes, and

reducing inequalities, for all babies, children, mothers, fathers and families across

Scotland to ensure that all children have the best start in life and are ready to succeed.

Objectives of the EYCConvert the high level principles in the Early Years Framework (2008) and GIRFEC into practical action.

This must:

Deliver improvements in outcomes and reduce the inequalities for our most vulnerable children.

Shift the balance towards intervention and prevention.

Sustain the change to 2018 and beyond.

5 WorkstreamsConception to 1 year

1 year to 30 months

30 months to starting primary school

5 years to 8 years

Leadership

National Aim - Workstream 1

To ensure that women experience positive pregnancies which result in the birth of more healthy babies as evidenced by a

reduction of 15% in the rates of stillbirths and infant mortality by 2015.

National Aim - Workstream 2

To ensure that 85% of children have reached all of the expected developmental milestones by the time of the child’s 27-30 month child health review, by end of 2016.

National Aim - Workstream 3

To ensure that 90% of children have reached all of the expected developmental milestones at the start of primary school, by end of 2017.

Reduce infant mortality

Societal Issues

Post-birth actions

Pre-birth actions

Smoking / Alcohol & Drug Misuse

Improved sharing of information

Improved management and quality of care

Improved joint working

Improved identification

Aim 1⁰ 2⁰

Theory of what actions will reduce infant mortality

Health

Improved rate of breastfed babies

Quicker diagnoses of Neonatal Abstinence Syndrome

Nutrition

Mental health & wellbeing

Attachment

Improved stability / permanence for LAC

Improved money management

Improved access

Improved family centred response

Improved leadership, culture and planning

Improved teamwork, communication, skills and collaboration

Parenting skills

Identification & reasons for current resilience

WORKSTREAM 1 (pre-conception to 1 year)

Theory of what drives infant mortality

Pre-Conception

Poverty

Quality Of Home Environment

Domestic Abuse & Violence

Workforce Issues

Transport, Community Capacity & Cultures

Access To Services

Employment

Detailed aim:

To ensure that women experience positive pregnancies which result in the birth of more healthy babies as evidenced by a reduction of 15% in the rates of:

• stillbirths (from 4.9 per 1000 births in 2010 to 4.3 per 1000 births in 2015)

• infant mortality (from 3.7 per 1000 live births in 2010 to 3.1 per 1000 live births in 2015) Version: 06/03/2013

Primary Driver - Pre birth actions

Smoking, Alcohol and Drug misuse

Nutrition

Mental health and wellbeing

Pre conception

Primary Driver - Post birth actions and Child’s physical & mental health and

emotional development

Attachment

Health

Additional Support

Early Learning and Play

Parent/Carer’s physical and mental health and skills.

Parenting skills and knowledge

Level of education

Misuse of alcohol and drugs

Nutrition

Disabilities and mental health

Primary Driver - Societal Issues

Poverty

Quality of home environment

Domestic abuse and violence

Workforce Issues

Transport, community capacity and culture.

Access to services

Employment

Edinburgh Social Issues –Domestic abuse and violence

To remove the risk of harm caused by Gender Based Violence to all unborn babies in the North East by 30th November 2013.

EdinburghSocial Issues – Quality of home environment

By the end of November 2013 an Assessment of Need is completed by the Named Person with input from housing staff for 90% of children aged 5 and under from families registering for temporary accommodation.

EdinburghCarer’s Physical and Mental health and skills– Parenting skills and knowledge

By the end of November 2013 90% of fathers identified by PrePare, make improvements to their drug and or alcohol issues due to a better understanding of the impact these have on their child’s emotional, social and physical wellbeing..

EdinburghPost Birth Actions – Early Learning and Play

90% of parents at Tynecastle Nursery sing or say number rhymes and songs with their child at least three times a week by 30th October 2013 .

EdinburghPost Birth Actions and child’s physical

and mental health and emotional development. – Additional Support

By 30th September 2013 95% of children in the 3-5 room at Forbes nursery are toilet

trained.

Edinburgh Post Birth Actions and child’s physical

and mental health and emotional development - Attachment

90% of children attending James Gillespie’s nursery class receive a bedtime story at

least 3 times per week by the end of December 2013.

Why Bedtime Reading

Importance of bedtime routines.

Impact on attachment

Literacy

My Role

Head Teacher – 2 Nursery Schools

Programme Manager – Early Years Collaborative

Lending Library

Once a week

Record what book the child took.

Record the book returned.

Ask parents to record what they thought of the book.

Try to get parent helpers!

Observations and Parent Survey

Library book returned following day.

Library book often forgotten on the day.

60% stated they had read the book with their child (one whilst driving!)

40% at bedtime

20% more than once.

Reasons for not reading the book

A week’s too long

It’s his book

No time

It’s not my kind of book.

So what did we do about it?

PDSA - Plan, Do, Study, Act “What will happen if we try something different?”

“Let’s try it!”

“What’s next? ”

“Did it work?”

How?

Think big, test small and scale up!

Plan, Do, Study, Act

What are we trying to accomplish?

What change can we make that will result in improvements?

How will we know that a change is an improvement?

By the end of June 90% of children at Grassmarket Nursery will receive a bedtime story at

least 3 times a week.

June 2013 Tests of change

Baseline

1 - Change the name and provide a leaflet.

2 - Move the bookstand to the entrance.

3 - Choose more than one book.

90% of children at Grassmarket nursery school will receive a bedtime story at least 3

times a week.Children receiving a bedtime story

Median

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Lochrin NurseryChildren receiving a bedtime story

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Parents survey

Grassmarket changes

introduced.

Books available at collection time.

Research information handed to

parents.

weekly average displayed for parents

Last week

84% of our children said they had a bedtime story.

THAT’S FANTASTIC!

87% of parents prefer to choose a book with their child

100% of parents prefer to choose a book any day of the week and as often as they

like.

53% of parents said the new Bedtime Story system has led to them reading to their child

more often.

40% of parents said the bedtime story has improved their child’s bedtime

routine.

He used to have DVD’s and be really late going to bed and now we use the bedtime story and he gets into bed and is sleeping longer… I’m hoping this will help with his behaviour.

100% of parents said both they and their child enjoyed the bedtime stories.

It’s a brilliant idea!

If it’s a first child and you don’t have children at school you don’t realise how important bedtime reading is. I wish I’d realised this when his sister was younger.

I read the leaflet and it said how they settle down better with the comfort of your voice. I asked Theresa if she liked my voice and she said yes. I asked what about daddy and she said “he reads like a robot”

Biggest Impacts on Improvement

Changing the name!

Lending Library to Bedtime Stories.

Why bedtime reading is important.

Taking the hassle out of choosing a book!

Bedtime Stories Highlights

No longer record who, what, when.

Choose a book any day and more often.

All parents involved

More children are receiving a bedtime story.

More children have a better bedtime routine.

Alfie

I like my bedtime story because it helps me to dream.

Finally

Ambition of the Early Years Collaborative.

To make Scotland the best place in the world to grow up, by improving outcomes, and reducing inequalities, for all babies, children, mothers, fathers and families across Scotland to ensure that all children have the best start in life and are ready to succeed.