Transcript Slide 1

Welcome
” Children grow to fill the space we create for them and if it’s big,
they grow tall …….”
(Jonathan Sacks)
Early Years Provider
Information Evening
Lorraine Davey, Service Manager Early Years Commissioning
Alison Bell, Consultant in Public Health
17th and 23rd March 2015
Update on National Policies
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Early Years Pupil Premium
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Parental Engagement
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Introduction of Childminding Agencies
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Integrated Health Check
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New Common Inspection Framework
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Reception Baseline Assessment
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Study of Early Education and Development (SEED)
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Sustained Shared Thinking and Emotional Well-being (SSTEW)
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And the May General Election - future changes to Early Years?
Update on Local Policies
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Early Years Pupil Premium
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Getting to Good – Ofsted Seminars (20th May 2015 invite only)
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Support Services for Education - some familiar faces moving
into different roles.
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New Early Years Advisors
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Links with getset family worker and Health Visitor
Look up Tool
Integrated health and early education
reviews at age two
Key Government policy on 2
year olds:
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Integrated Review at age 2 –2 ½
Population measure of child development at age 2-2½
using ASQ-3
Two year old early education offer
Why integrate reviews at age 2?
Healthy Child
Programme 2
Year Review
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Early Years
Foundation Stage
Progress Check
The Child in Context - taking account of: parenting, home learning
environment, family circumstances, social/community
circumstances, etc.
Support early intervention
Inform planning
Reduce duplication
Integrated Review: the purpose
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To identify the child’s progress, strengths and needs at this
age, in order to promote positive outcomes in health and
wellbeing, learning and behaviour.
To facilitate appropriate intervention and support for
children and their families, especially those for whom
progress is less than expected
To generate information which can be used to plan
services and contribute to the reduction of inequalities in
children’s outcomes
This was tested in 5 pilot sites during 2012-13
We are going to use existing process and strengthen –
cover in workshops – by Sept 2015
Integrated Review: the content
Draws on content of existing health and education reviews.
No significant new content/skills requirements, but new
national tool for health element
The Child
• communication and language
• personal social and emotional development
• physical health
• learning and cognitive development
• physical development and self care
What is ASQ-3?
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21 questionnaires covering 0-5 years
Integrated review -24 month, 27 month, 30 month
Parents answer “yes”, “sometimes”, “not yet”
Communication
Gross Motor
Fine Motor
Problem Solving
Personal-Social
e-learning on ASQ-3
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The two part e-learning, commissioned by HEE,
incorporates findings from research
• Now available on the e-Learning for Healthcare website
• Designed to support health professionals using ASQ-3 as
part of two year reviews
• Open access route
www.e-lfh.org.uk/programmes/asq-3-and-the-two-year-review
Useful links –ASQ-3
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DH factsheet on ASQ-3 https://www.gov.uk/government/publications/measuring-childdevelopment-at-age-2-to-25-years
• ASQ-3 e-learning: www.e-lfh.org.uk/programmes/asq-3and-the-two-year-review
• Research report on views of parents and health
professionals on ASQ-3 and ASQ:SE
http://www.ucl.ac.uk/cpru/accordion/the_healthy_child_project
s/population_measure_of_child_development
• Further information on ASQ
www.agesandstages.com/faqs
• Requests for ASQ-3 British English materials [email protected].
Why introduce the EYPP ?
We know that all children
can benefit from a good
early education. However:
45% of pupils eligible for
Free School Meal (FSM)
achieved a good level of
development in the early
years foundation stage in
2014, compared with 64%
of other pupils.
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Early Years Pupil Premium
Accountability & Data
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As with the Schools Pupil Premium, the main
accountability route will be through Ofsted.
Effective use and impact of the EYPP to be assessed
under the leadership and management judgement.
Early years and schools census collection modified so
that providers must identify EYPP children in their
setting.
Information on the EYPP process for claiming and
payments is in your packs.
Workshops
(40 mins each)
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Early Years Pupil
Premium
Integrated Health
Check
The Integrated Review
Provider Evening March 2015
Agenda
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Update in response to implementation study of the
Integrated Review.
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What next?
The process
Role of the Link Health Visitor.
Health Visitor Review and ASQ-3
Questions.
Implementation Study
Implementing Integrated Reviews in health and early
years, at age 2.
www.gov.uk/government/publications
Pilot areas developed 3 different models
• Early years and health staff coming together to deliver the review in
one meeting with the parent and child. This model was trialled in three
areas. It tended to involve early years and health staff delivering their
own parts of the review and having joint discussions with parents about
progress and needs.
• Health and early years elements being carried out at separate times,
and integration arising from information sharing and ensuring integrated
responses to identified issues. One area adopted this approach for the
majority of their cases.
• Delivered by early years staff only: all aspects of the review were
integrated into one holistic review meeting delivered by one person and
information was then shared with the health team. This was tested in
two areas, and fully adopted by one.
How should we implement IR?
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Local areas have the freedom to define a model that
works for them
The pilot report reflects two successful models:
a) Single meeting involving parent(s), child, early years
and health professionals
b) Two meetings supported by information sharing
https://www.gov.uk/government/publications/integratedreview-at-age-2-implementation-study
How should we implement IR?
Making integration work for you
• Successful IR needs:
• Openness and flexibility on both sides
• Key people with the will to push forward and make it work
• Professional knowledge from health and early years
• •Practical problem solving e.g. who contacts parents, when
and how
• •Strategic buy-in from senior leaders
What next?
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To continue to disseminate and reinforce the process
already in place.
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For all practitioners to feel equally part of the integrated
review process and jointly responsible.
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To have a shared understanding of the role of the Link
Health Visitor.
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To gain a mutual understanding of different professional
cultures, philosophies and approaches. To have a shared
understanding of each others roles.
The Process
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When a child registers at an early years setting the
provider should note down the name of their Health Visitor
from their ‘red’ book.
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Also check to see if a 2 year Health and Development
Check has been completed
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Add information to the ‘Integrated Review Cohort Record’
Process continued ………………
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As part of the EYFS, Early Years practitioners are required
to review a child’s progress between 2 and 3 years
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It is recommended that when possible this is completed by
2 years 3 months, before the HV check at 2 years 6
months
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See Know How Guide – Section 4.3 for more information
Process continued …………
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A written summary of the child’s development in the prime
areas should be given to the parents to be placed in the
red book
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This can then be shared with the Health Visitor the Health
review, and other relevant professionals.
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SCC has produced a template that should be used for the
check called ‘The Unique Child’.
Process continued ………..
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On-going tracking and monitoring of children’s progress
continues and is summarised and passed to school during
transition using the pre-school transfer form.
To download the pre-school transition form please visit the
Early Years 0-5 web page on SCC website
http://www.somerset.gov.uk/childrens-services/early-yearsfor-families/early-years-0-to-5/
Health Visitor Process
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The Link Health Visitor visits the early years setting termly
Collects the ‘Integrated Review Cohort Record’ which
summarises the progress checks completed in the setting.
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These are shared with the family Health Visitor
Health Visitor process cont.…..
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By 2 years 6 months a health review will be offered
This can be carried out in the child’s home; at a clinic;
doctor’s surgery or in a children’s centre.
The parent can share the written summary of progress with
the HV
The parents will be invited to complete an ASQ-3 and
share this at the review
If there are concerns about the child’s development a
further assessment, ‘A Schedule of Growing Skills’ will be
offered.
Referrals should be made to other agencies where
necessary.
A Care Plan may be developed (with parents permission)
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This is one of the core contacts in the National Healthy
Child Programme which Health Visitors are tasked with
leading, in conjunction with other services.
100% of families should be offered a contact with the
health visiting services at 2-2½.
A further targeted review at 3 years 6 months or at any
time prior to starting school may be offered if there are ongoing concerns.
The Role of the Link Health Visitor
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To provide information about child development, childhood
ailments, immunisations and other matters relating to general
health and well – being of children.
To discuss a scenario, to enable a setting to make decisions
about how to proceed.
To collect the Integrated Review Cohort Record from the
settings and share with the family Health Visitors.
To feed back information from the Health Visiting Review.
Any Questions?
Please complete an evaluation sheet as
we value your comments to plan future
information evenings.