Transcript BP PVG Presentation

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 EYC
Convert 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 Workstreams
Conception 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.
WORKSTREAM 1 (pre-conception to 1 year)
Theory of what actions will
reduce infant mortality
Theory of what drives infant mortality
Aim
2⁰
1⁰
Poverty
Quality Of Home Environment
Domestic Abuse &
Violence
Societal Issues
Workforce Issues
Transport, Community
Capacity & Cultures
Reduce infant
mortality
Access To Services
Improved teamwork,
communication, skills
and collaboration
Improved money
management
Improved rate of
breastfed babies
Quicker diagnoses of
Neonatal Abstinence
Syndrome
Improved leadership,
culture and planning
Employment
Attachment
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)
Post-birth actions
Health
Parenting skills
Improved family
centred response
Improved stability /
permanence for LAC
Improved identification
Improved joint working
Pre-birth actions
Smoking / Alcohol &
Drug Misuse
Improved management
and quality of care
Nutrition
Improved sharing of
information
Mental health &
wellbeing
Improved access
Pre-Conception
Identification &
reasons for current
resilience
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.
Edinburgh
Social 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.
Edinburgh
Carer’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..
Edinburgh
Post 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 .
Edinburgh
Post 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’s next? ”
“Did it
work?”
“What will
happen if we
try something
different?”
“Let’s try it!”
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
2 - Move the bookstand to the entrance.
3 - Choose more than one book.
leaflet.
90% of children at Grassmarket nursery
school will receive a bedtime story at least 3
times a week.
Children receiving a bedtime story
100
90
Goal
Percentage
of children
80
70
60
Median
50
Family garden
party
40
A very hot
weekend
30
20
10
0
M
T
W
TH
F
M
T
W
TH F
M
Day of the
w eek
T
W
TH
F
M
T
W
TH
F
Children receiving a bedtime story
100
Goal
90
Percentage
of children
80
70
60
Median
50
40
30
20
10
0
Before change
1st change
Weekly
change
2nd change
3rd change
Children receiving a bedtime story
100
90
Goal
Percentage
of children
80
70
Median
Scaled up
to Lochrin
60
50
40
30
20
10
0
GM before
GM 1st
change
GM 2nd
change
GM 3rd
change
Weekly
change
L before
L 1st
change
L 2nd
change
L 3rd
change
Lochrin Nursery
Children receiving a bedtime story
120
Parents
survey
Percentage
of children
100
Goal
Median
.
80
Books
available
at
collection
time.
60
Grassmarket
changes
40
introduced
20
.
weekly
average
displayed
for parents
Research
information
handed to
parents
.
0
M
T
W
TH
F
M
T
W
TH F
M
Day of the
w eek
T
W
TH
F
M
T
W
TH
F
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.