1. The impact of inter-professional working on service delivery for Sure Start & the Children’s Centre A M HOUSTON L PARKER North Leyton Sure Start 2005

2. In the beginning… A pleasant surprise! NESS What to evaluate?
Who to appoint?
Louise
The meeting of decision makers – Louise again!
Untangling all interested parties agendas – the importance of keeping it small
The vehicle being SALT
Devising the key questions
Tender process

3. Issues Ethics Time The unknown Keeping everybody happy
Keeping staff on board
Ethics – a review to avoid having to get full ethical approval – the chair of ethics

4. The Purpose of the Review
To address referral & access patterns, with particular reference to SALT
To examine the Sure Start Language Measure
To examine inter-professional working: assessing effectiveness of structures & processes

5. The Purpose of the Review
To address client perception of new service provision
To consider any barriers to integration & identify good practice to take forward into children’s centres

6. Methods Realistic Evaluation One to one interviews
Focus groups – client & professional
Thematic analysis

7. Comparison between the old & the new system: the case of SALT
Methods
Comparison between the old & the new system: the case of SALT
Local Community Clinic figures vs. Sure Start figures for Initial Assessment
Hard data
Hand collected from local community clinic

8. Findings: Community Clinic
56.2% of children not making it to initial assessment appointment in clinic
27.6% Unable to attend
28.52% Did not attend
13 week wait for initial assessment

9. Findings: Sure Start 63.7% seen within one week
28.2% seen within 2 weeks
NO 2nd waiting list

10. Positive elements of team working included:
Findings
Positive elements of team working included:
Speed of referral within the team
Speed of follow-up within the team
Proximity of team members impacting on team learning

11. Difficulties with team working included:
Findings
Difficulties with team working included:
Team Structure
Communication
Confidentiality
Joint record keeping

12. Parents Views “most things under one umbrella”
“I think of her as being like my sister”
“Sure Start speaks for itself…people appreciate what you are doing ...they begin to tell others & they are the advertisement”