1. North Lanarkshires’ Early Years Collaborative 27-30 Month Review Our Approach reflects national priorities but encompasses a local response to ensure North Lanarkshire is the best place in Scotland to grow up. Follow us on Twitter: @NLEYC “It is about relationships and it’s all about engagement” Lesley Ann Henderson, Programme Manager “North Lanarkshire Community Planning Partnership has a clear direction if travel towards making a difference.” Mike Burns, Early Years Taskforce Champion Workstream 3 1

2. North Lanarkshires’ Response Follow us on Twitter: @NLEYC 2

3. North Lanarkshire Infrastructure Our Early Years Collaborative reports directly to the local authorities Chief Executive who represents and champions at the Community Planning Partnership. NLC Corporate Management Team adopted the Model for Improvement in September 2014. Follow us on Twitter: @NLEYC 3

4. Attachment Is The Overarching Focus in North Lanarkshire Leadership have used the Lens of Knowledge to identify the key populations in North Lanarkshire that will require priority focus to ensure all stretch aims are achieved: Looked After Children Children and families effected by Gender Based Violence Children and families effected by Alcohol and Substance Misuse Families living in Craigneuk Follow us on Twitter: @NLEYC 4

5. Improvement Activity Follow us on Twitter: @NLEYC 5

6. North Lanarkshires’ Learning System We have implemented a learning system that harnesses social media and supports an All Teach All Learn approach. Activity supported by the EYC team includes: Quarterly newsletters IA support sessions Leadership Walkaround Social Media – web and Twitter Monthly Leadership reports to CPP Follow us on Twitter: @NLEYC 6

7. North Lanarkshires’ Learning System Activity Follow us on Twitter: @NLEYC 7

8. North Lanarkshires’ Learning System Activity Follow us on Twitter: @NLEYC 8

9. North Lanarkshire Learning System Activity – Leadership Walkaround Dashboard Copies of charts presented by improvement projects @ LW excluding Pioneer Sites which are detailed elsewhere on this storyboard Follow us on Twitter: @NLEYC 9

10. North Lanarkshire Learning System Activity – Leadership Walkaround Dashboard Copies of charts presented by improvement projects @ LW excluding Pioneer Sites which are detailed elsewhere on this storyboard Follow us on Twitter: @NLEYC 10

11. North Lanarkshire Learning System Activity – Leadership Walkaround Dashboard Copies of charts presented by improvement projects @ LW excluding Pioneer Sites which are detailed elsewhere on this storyboard Follow us on Twitter: @NLEYC 11

12. North Lanarkshire Learning System Activity – Leadership Walkaround Dashboard Copies of charts presented by improvement projects @ LW excluding Pioneer Sites which are detailed elsewhere on this storyboard Follow us on Twitter: @NLEYC 12

13. Reporting to Leadership The EYC Leadership meet quarterly however the EYC team produce a monthly report that details: summary of each improvement projects activity Barriers Focus on 1 improvement project Newsletter Follow us on Twitter: @NLEYC 13

14. Projects Reporting to EYC Team Report to Leadership Follow us on Twitter: @NLEYC 14

15. Stretch Aims We are establishing a measurement suite for each stretch aim and a monthly dashboard for leadership to demonstrate local progress against national aims. Follow us on Twitter: @NLEYC 15

16. Stretch Aims Follow us on Twitter: @NLEYC 16

17. Stretch Aims Follow us on Twitter: @NLEYC 17

18. Building Capacity and Capability in Quality Improvement Within our Learning System we have a clear focus on building capacity supported by an IA and a Data Analyst. Every improvement project has a go to IA support link and at least one member of each improvement project team has MFI knowledge and confidence to apply. Follow us on Twitter: @NLEYC 18

19. Building Capacity and Capability in Quality Improvement Follow us on Twitter: @NLEYC 19 See previous slides for run charts

20. Leadership Our Programme Manager and Early Years Champion meets with the Chief Executive every month. Our Leadership group actively seek further information (DATA!) pertaining to improvement projects. Following the recent Leadership Walkaround CPP Leaders are adopting an improvement project; linking with the project regularly, championing the activity and supporting in the removing of barriers. Follow us on Twitter: @NLEYC 20

21. Pioneer Sites We have 2 pioneer sites been driven forward by project teams that comprise of subject matter experts, practitioners, IA and data analyst. Charters for both are informed by evidence base. Follow us on Twitter: @NLEYC 21

22. Pioneer Site – 12-15 month Child Health Review MUSIQ Score: 125.4 (Project has reasonable chance of success) See our Key Change Project section of the storyboard for further detail. Follow us on Twitter: @NLEYC 22

23. Pioneer Site – Developing the Solihull Approach in a Multi Agency Framework MUSIQ Score: 122 (Project has reasonable chance of success) Highlights from leadership walkaround presentation / monthly report Follow us on Twitter: @NLEYC 23

24. Pioneer Site – Developing the Solihull Approach in a Multi Agency Framework - Introduction The Solihull Approach is firmly based on encouraging parents and families; supporting them to process strong feelings and emotions, so that they are more manageable and tolerable and this process can help restore the capacity to think in an individual. The multi-agency “Solihull Approach” ensures: consistency for families where all support staff use consistent language and have the same knowledge and skills involves parents/families, encouraging them to develop their capacity and seek their own solutions; creates resilient families National and local policies and procedures are key drivers to embedding the Solihull Approach as part of a universal approach to supporting children and families. The Solihull Approach is a practical way of working with families and has a robust theoretical structure, based on evidence from well documented research. Solihull Approach provides an integrated approach for a range of professionals and provides a sound baseline of knowledge and understanding of attachment for staff from all sectors and ensures that staff share a common approach for family support Follow us on Twitter: @NLEYC 24

25. Pioneer Site – Developing the Solihull Approach in a Multi Agency Framework – Changes/Improvement What are we currently testing The relevance of the Solihull Approach to the practitioners work. The quality of the training, including delivery by the trainers. Practitioners knowledge pre and post training The method of collating evaluative information What practitioners notice/pay attention to when working with a family. The impact the training has on how practitioners support parents/families who are anxious or under stress. What have we learned so far? All professionals involved in the training think that the Solihull Approach is relevant to their role All professionals comment that they are now more confident in supporting vulnerable families. The multi-agency approach provides opportunities for networking between local practitioners, resulting in a greater understanding of colleagues roles. Preferred method of delivery is in a multi-agency format. The need to offer “refresher” training sessions for previously trained practitioners. Practitioners “think” differently about heir practice and seek ways to empower parents to Follow us on Twitter: @NLEYC 25

26. Pioneer Site – Developing the Solihull Approach in a Multi Agency Framework – The Human Factor Home Visit to the Smith Family on the 17 th October 2014. The Smith family composition is Mum – 22 years, Dad – 19 years, Jim – 2 years (not the biological child of Dad) and Jake – 7 months. Mum has had social work intervention all through her childhood; Dad was unknown to social work. Since the birth of Jim there has been social work intervention with Mum due to poor mental health and anxiety issues which impacted on her parenting capacity. Writer was involved in the Solihull Training and on this home visit observed the opportunity to put this training into practice. Writer spoke to both parents with regard to brain development, how a baby is born with ‘half a brain’ and the relevance of babies learning from their environment. Dad became very interested in this information and writer took the opportunity to elaborate on further information and materials from the Solihuill Approach. Writer spoke to parents with regard to the connections within babies brain being made and what impacts on connections within the brain being impaired or connections being lost and therefore this impacting on the development of the baby. This gave the writer the opportunity to relate to some of the behaviours of both children and how this relates to the issues of both Mum and Dad in relation to domestic abuse, substance misuse and poor mental health. It was in the writer opinion that Dad appeared to understand the impact of his behaviours on the future of his children’s development and wellbeing. Child and Family Support Worker Wishaw Locality Follow us on Twitter: @NLEYC 26

27. Pioneer Site – Developing the Solihull Approach in a Multi Agency Framework – The Human Factor Follow us on Twitter: @NLEYC 27

28. Pioneer Site – Developing the Solihull Approach in a Multi Agency Framework – Next Steps As this is a highly researched approach with lots of evidence to demonstrate its effectiveness, there is no need to further test this. Next steps… Respond to demand for more training by increasing the capacity to deliver more courses Embed Solihull Approach in practice by offering Practice Support sessions Extend the Solihull Approach by training practitioners to deliver the “Understanding Your Child” parenting course Pilot the “Whole School Approach” in NLC schools Promote “Attachment” across services, led by knowledgeable staff trained in Solihull Approach; launch at Attachment conference in March 2015 Follow us on Twitter: @NLEYC 28

29. Pioneer Site – Developing the Solihull Approach in a Multi Agency Framework Follow us on Twitter: @NLEYC 29

30. North Lanarkshires’ Early Years Collaboratives’ Next Steps Our PM is progressing: EYC Stretch Aims being reflected in NL SOA. EYC Stretch Aims embedded into revised CPP Structure. Children Services Planning using MFI. Follow us on Twitter: @NLEYC 30

31. Key Change Project – Pioneer Site – 12-15 Child Health Review To maximise global development and wellbeing outcomes for children at 27-30 months of age by earlier detection and prevention of areas of concern. Aim - 95% of children aged 12 -15 months designated by the Health Visitor caseload in the Coatbridge Locality will have a review completed by 31 March 2015 and provided with interventions and anticipatory guidance around areas of concern to meet their needs Follow us on Twitter: @NLEYC 31

32. Key Change Project – Pioneer Site – 12-15 Child Health Review Follow us on Twitter: @NLEYC 95% of children aged 12 -15 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. Primary driversSecondary drivers Parents understand value, their role & ‘take part’ All staff competent & trained Specific Change Ideas Focused Improvement Concepts Ideas: 1.1 Team carry out reviews 2.Saturday Clinic 3.Attendance of children with HPI of Additional on Saturdays 4.Initial contact by 5.Time between booking and appointment 6.Feedback from parents 7.Anticipatory guidance 8.New data collection tool. N Process of issuing of invitations for Allocating appointments Conducting the actual review Process of collection of results Process for analysing results Assessment process is in place Partners are involved in process to support parents and children Data analysis and reporting Children most at risk of developmental delay attend review Parents engage with the process and bring their children to reviews Information sharing processes are updated to reflect new review Foster carers and adoptive parents are supported as required Nurseries receive information from the review on a timely and appropriate basis Child planning processes act on information for more timely and appropriate intervention Follow up assessment processes in place Referral process Impact on 27 month assessment Training of staff about the review Training staff in the admin of the review Training staff in the analysis of the review 32

33. Key Change Project – Pioneer Site – 12-15 Child Health Review Follow us on Twitter: @NLEYC 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 33

34. Key Change Project – Pioneer Site – 12-15 Child Health Review Follow us on Twitter: @NLEYC 34

35. Key Change Project – Pioneer Site – 12-15 Child Health Review Follow us on Twitter: @NLEYC 35

36. Key Change Project – Pioneer Site – 12-15 Child Health Review Follow us on Twitter: @NLEYC Parent Comments / Feedback Post Review 36

37. Key Change Project – Pioneer Site – 12-15 Child Health Review Learning So Far First cycle of assessments we learned we were not capturing all the appropriate data Reviewed measurement plan and health visitors created additional comprehensive guidance and parent feedback evaluation The purpose of anticipatory guidance is to prevent any concerns by the time of the 27 Month review Those with concerns already identified have been picked up and referred High level of attendance because a patient centred approach to appointing of clinics following a previous PDSA All challenges can be overcome by good leadership and team working. Using the science of Improvement to help with the process. Taking all learning from this and the use of Anticipatory Guidance and applying the learning to the 27 Month development and assessment Follow us on Twitter: @NLEYC 37

38. Key Change Project – Pioneer Site – 12-15 Child Health Review Findings presented to Community Health Partnership and next steps identified: Continue learning in one area Use Learning to information CPP response to Stretch Aim 2. Apply learning to 27 – 30 month review and potentially child health pathway implementation Establish team to consider learning and draw up plan for scale across North Lanarkshire Follow us on Twitter: @NLEYC 38