Ayrshire Early Years Collaborative

Donna McKeeWork Stream 2 Lead

North, South and East Ayrshire Community Planning Partnerships

Learning Session 2 - 28th May 2013

Who We Are

Donna McKee , Jim Carle , April Masson , Marjorie Adams , Clare Monaghan

EAST AYRSHIRE• Maureen James, Head Teacher Netherhird PS, Nursery & Family Centre•  Isabelle Campbell, Centre Manager, Hillbank Nursery & Family Centre•  Dorothy McAvoy, Asst Principal Officer, Early Education and Childcare • Sina Currie, Clinical Team Leader, Early Years Children & Families • Kathleen Winter, Public Health Practitioner (Child Health)

NORTH AYRSHIRE• Frances Rodman, Senior Manager, Early Years Education • Margaret Cruickshanks, Clinical Team Leader, Early Years • Irene Sinclair, Public Health Practitioner•  Pauline Martin, Deputy Head of Nursery & Family Centre•  Jayne Miller, Ass CNM Early Years

SOUTH AYRSHIRE• Aileen Valenti, Senior Manager , Early Years Education • Veronica Watters, Clinical Team Leader, Early Years • Janice McIlloney, Deputy Head of CherryTree Nursery•  Robert McDowall, Girfec Co-ordinator• Katrina McCall, Integrated Children Services Manager

Stretch Aim

WORKSTREAM 2 85% of all childrenwithin North, South and East Ayrshire will reach expected developmental skills and abilities expected at 27 month old

Our focus from LS1 to LS2

• To practice using the Improvement tool PDSA small tests of change in own working areas.

• A common understanding of the stretch aim• Implement a universal assessment for all children at

27 mths • To implement a universal timeline of assessments

prior to 27 mths • To consider interventional care pathways

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INSIGHTS First Ayrshire wide WS2

meetingFriday 3rd May

• Our TOP 5 INSIGHTS FROM THE WS2 TEAM MEETING

• We could agree a common understanding of child development.

• Shared knowledge of the universal 27mth assessment content/process.

• Shared knowledge of the universal timeline for assessments & contacts prior to 27mth.

• WS2 Driver diagram discussed and agreement that is aligned and fits with our tests of change

• Recognition of gaps and importance of data collection from tests

Some of our testing

Test examples from Away Team

• To test the knowledge and understanding of the Solihull Approach • Number of parents accessing groups specific to their parenting needs • Impact on parental knowledge through additional HV support for

parents in community settings. (Nursery) • To measure knowledge of children’s developmental milestones.• Understand professional barriers to information sharing where child

wellbeing could be affected• Understand parental barriers to information sharing where child

wellbeing could be affected • Impact of interventional home based support re parental confidence

around infant routines• Following parenting intervention in Early Years establishment test

increase in knowledge, ability and confidence • To test parental engagement via 27 month flyer

Learning from testing

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I found the process to be useful

Provided me with a useful

model to follow

Allowed the user to have clarity around

what they were trying to

acheive I feel there were comments made

that I had not considered prior

to the tests The test

highlighted the need for input

around developmental

milestones

I learned how much the nursery and

Health Visiting staff valued the

opportunity to speak directly with each other about child

well being and parental support

PDSA I feel prevent people from taking immediate actions

based on observations without having a clear picture of real impact

Once we know the barrier, discuss, change

and repeat, these cycles will give us run

charts

Our Accomplishments

Our Results So Far

• All away team members have increased confidence of the PDSA tool now exploring data collections

• All away team members have agreed the primary and secondary drivers in the Driver Diagram and where testing fits

• We have limited experience in collating data using run charts.

Our Results So Far• From April 2013 100% of Ayrshire children reaching 27 months are offered a

home based assessment by the Health Visitor, following The National Child Health Programme

• The WS2 away team have a shared understanding of skills and abilities (developmental milestones) all have copies of Mary Sheridan assessment guide, the Child Health Programme, The Health Visitor assessment and Ages/Stages validated assessment tool.

• The WS2 away team have a shared understanding of the universal Health Visitor assessment timeline which could identify early developmental delays and interventional support

• The WS2 away teams arranging for home teams to have understanding as above

• 4 Care Pathway groups in early stages to assist where skills/abilities or delays in development are identified

• NUTRITION , ORAL WELLBEING, GLOBAL DEVELOPMENTAL AFFECT OR A LONG TERM MEDICAL CONDIITION, COMMUNICATION AND LANGUAGE

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What are we working on

•Parental access to support to increase confidence and knowledge

•Information sharing across service on wellbeing

•Integration of HV clinics within Early Years settings to shareintelligence, increase access and opportunities

•Parental Knowledge and skills following intervention

•Use of Solihull in practice

•Early detection of developmental delays or other health/wellbeing related matters

•Uptake of 27 month assessment and ASQ Tool

Our Tips, Our Needs

Need common understanding of child development

Need to link with existing priorities and group structures

What works well test, test, test and scale