+ EYC Month Schedule Of Growing Skills (SOGS)II Child Health Review North Lanarkshire EYC Pioneer Site Coatbridge

+ Changing North Lanarkshire Vision statement: Children and young people are safe, nurtured, healthy, achieving, active, respected, responsible and included. By % of children will grow, develop and reach their full potential within strong, confident and resourceful families and communities.

3 Step Improvement Framework Meso system Culture, capacity and challenge. Macro system Vision, aim and context. Micro system Implementation, measurement and improvement.

Local QI building North Lanarkshire Partnership(16000~)Home Team (60) Bootcamp Attendees (11) 50 More Attending – November 2014 Introduction to Improvement Participants (25) Improvement Projects (44) Reported Improvement Work (31)

A shift towards prevention No Concerns identified at 27 Month Child Health Review

Aim of the Improvement Work To maximise global development and wellbeing outcomes for children at months of age by earlier detection and prevention of areas of concern. Aim 95% of children aged months of the test population designated by the Health Visitor caseload in the Coatbridge locality will have a review completed by 31 March 2015 and provided with interventions around areas of concern and anticipatory guidance to prevent areas of concern developing at a later stage.

How we will change to improve to reach this Improvement Goal

Health Visitors Voice Health visitors leading the way! Have been able to rapidly apply learning from tests of change Developed their own parent feedback form and anticipatory guidance checklist based on their learning while carrying out the test. We have a passion and want to get it right for every child (GIRFEC), were in a team and can respond as a team. We have drive and ambition to make things better.

Our Journey so far P DS A 1) Started at the end of July 2) Saturday clinic with 45 minute appointments 3) We tested attendance on a Saturday of families that had been identified as HPI of ‘additional’. P DS A 4) We tested who should make the initial contact with the family 5) How far ahead should appointments be made to ensure maximum attendance, 1 week, 2 weeks, 4 weeks. P DS A P DS A P DS A 6) We tested the data being collected against the work being done in the assessment P DS A 7) We tested the new data collection tool P DS A

Anticipatory Guidance The team started using the checklist on 05/09/2014. The feedback on the checklist has been very positive from the team. They have found it very useful, especially when filling out the wellbeing assessment.

Actions/Anticipatory Guidance

Number of Reviews 56 total as of 07/10/14 Jul-14Aug-14Sep-14 Number of Reviews52526 Meaningful Review Defined simple as, has the form been completed correctly with all the required information? Jul-14Aug-14Sep-14 Meaningful Review (%)100% 96%

Health Plan Indicator From previous cycles of testing and learning more children with HPI additional invited for review.

No Concerns Identified From previous cycles of testing and learning more children with HPI additional invited for review.

Age of Child at Review All identified children who attend seen before 15 months of age. Majority are months.

Place of Review Children identified as HPI additional usually have their review carried out at home. Based on family feedback from 27 month SOGS2 clinics.

Day of Review 95% on weekdays are for children identified as HPI additional and review carried out at home. Based on previous learning of 27 month SOGS2 clinics.

Child Attends – wider wellbeing

9 Key Milestones Jul 14Aug 14Sep 14 Vision100%96%100% Hearing100% Social100% Emotional100% Behavioural100% 88% Attention100% Fine motor100% Gross motor100% 96% Speech/Language and Communication100%96%88% *Based on small cohort of children aged months of the test population designated by the Health Visitor caseload in the Coatbridge Locality

Feedback from Parents Q1 I have found this assessment useful? Q2 I found the information given during the assessment useful? Q3 I would recommend this contact with a health visitor be available to other parents? 21 Parental Review Questionnaires received as of 07/10/14. All have answered Yes so far to these questions. We are learning that parents value the strengthening relationship with health visitor and reassurance given, not just the assessment itself.

+ Comments by Parents After my first baby didn’t have any further assessment then just before school found out she needed speech therapy. I think early assessment like this is excellent for picking up any issues. Very informative, particularly having older child with autism. Good to know my child is doing well. Brilliant information, very helpful Very useful, this should be offered to everyone I was glad to have assessment to ease any concerns Weekend appointment was suitable Happy to hear my child is doing well This was very useful, good to be given guidance. Found this to be very useful and beneficial. I am now aware of support that I am able to get Very reassuring An excellent service and very reassuring as a parent to understand where my child should be developmentally etc. Really pleased to have been part of this programme. It provides the opportunity to have reassurance on my daughters developmental stages. Many thanks. I found the assessment helpful, to know what stage my child was at for her age.

+ Next Steps A little less conversation, a little more action please Continue with the test. Identify other partners involved in wider wellbeing that will contribute to the overall aim. Track, compare and contrast at 27 month review

EYC Month Schedule Of Growing Skills (SOGS)II Child Health Review North Lanarkshire EYC Pioneer Site