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Session outline

The Integrated Review bringing together health and early education reviews between 2-3yrs. Tina Jones and Wiltshire Health Visitors. Session outline. Background and context for the Integrated review The role of the Health Visitor/your local contacts

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Session outline

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  1. The Integrated Reviewbringing together health and early education reviews between 2-3yrs.Tina Jones and Wiltshire Health Visitors

  2. Session outline • Background and context for the Integrated review • The role of the Health Visitor/your local contacts • The Ages & Stages Questionnaire (ASQ3 & SE) • The EYFS Progress check in settings/childminders • Integration in Wiltshire • Q & As.

  3. Background • In ‘Supporting Families in the Foundation Years’ (2011), the Government made a commitment to explore options for bringing together the EYFS Progress Check at 2-3yrs and the Healthy Child Programme health/development review at 2-2yrs 6months • A year long pilot testing phase in 2013 • Two main viable approaches identified • Single integrated meeting involving health and EY professionals • Retaining two reviews and achieving integration via information sharing and a joined up response to needs

  4. From Sept 2015

  5. Why an integrated review? • Early intervention is a key focus both nationally and for Wiltshire • Age 2 – 2y 6m is a crucial stage in child development; delays and difficulties become more visible, yet there is still time to make a real difference. • The two reviews have common features but neither one presents a truly holistic picture of the child to parents. • Increased opportunities for health and EY practitioners to work together to support a child and their family.

  6. The overall aims of the Integrated Review through information sharing are similar to those for the individual reviewsTo identify the child’s progress, strengths and needs in order to promote positive outcomes in health, wellbeing, learning and development To facilitate appropriate interventions and support for children and their families where progress is less than expected.

  7. Benefits of the information sharing model • Potential for identifying needs holistically – benefits from having 2 review points. This model supports reviews as a continuous process not a one off, with identified actions which will always be followed up. • Timeliness – can optimise the timing of each review depending on when the child start in the EY setting • Parent experience – easier to schedule flexibly to fit parents needs • Practitioner experience – significantly less time/backfill than a joint review model and less set up work required. Increased learning/confidence from closer working relationships.

  8. Challenges of the information sharing model • Depends on strong working relationships and information systems between health and early years. Harder to ensure it is effectively joined up than with one face to face meeting. • Parent experience; Two review processes so potentially less convenient. Greater risk of duplication & inconsistency • Relies on the ability of skilled practitioners to engage parents sensitively by helping them to understand the benefits of sharing information • Relies on parents giving their consent for information to be shared

  9. Working together • The role of the Health Visitor and Community Nursery Nurse • The Ages and Stages Questionnaire (3) & (S&E)

  10. EYFS Progress Check (between 2-3yrs) • 2yrs 4m – 2yrs 6m EYFS progress check for all children in settings/childminders. • EY setting/childminder co- produces the EYFS learning and development summary with parents, including planned next steps. • Any information provided by the Health Visitors can also be used to support the co-production of the summary. • The SEN Code of practice (2014), (5.23)

  11. The Wiltshire Way • Share flowchart

  12. Any Questions ?

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