1. Hillingdon Community Health EIS Site Working Together To Support Families in Hillingdon Monica Sherry Clinical Service Lead

2. Hillingdon as an EIS Fantastic opportunity to change and improve our service offer in line with new service model When in recovery – core service only delivered. Staffing did not allow universal one to one, so group format introduced and questionnaire tool. DNA rates were @ 15% Uptake between 13- 30% Not promoted and had lost value with clients Vulnerable families still targeted one to one

3. Our Aim of the EIS project Our vision is to improve coverage of the 2yr HCP review by 25% by March 2013. This will improve health outcomes for more children in Hillingdon To improve the quality of the content of the 2 year health review – congruent with revised HCP Whole scale review of what we deliver, by who, where and when.

4. HCP Working Party Skilling up staff – Motivational interviewing for CC and HV teams CC Health Lead involved and cascades information E-Learning modules / Joint training with CC staff Saturday morning clinics at children centres Competency framework devised – CC staff to be trained to deliver this with health staff Invitation letter and publicity revised

5. HCP Working Party Contd Data breakdown for teams/wards/CC to see monthly progress against target Data capture of reviews and referrals made electronically – measurable outcomes Outcome measures devised and shared across Format to be introduced depending on area

6. Early identification and treatment for conditions such as ASD, Speech & Language conditions Reduce dental caries in the under 5’s Reduce accidents in under 5’s Early identification and treatment of poorly achieving children Identify children who are at risk of obesity and refer onto weight reduction programme Longitudinal objective – schools report improvement of childrens’ performance at EYFS objectives Benefits for Children

7. Benefits to Parents Identification of maternal mental health issues and referral for treatment Identification of poor maternal attachment and referral for support Increase in support offered to parents Increased engagement with fathers Better access to HV service e.g. Saturday am

8. Benefits to Staff Stronger local partnerships across health and early years services Increased joint training across both services e.g.. DV, substance misuse Increased knowledge and skills in teams to deliver the HCP Reduced record keeping surrounding the 2 year review Data capture improved Referrals now electronic, quicker and easier to collate Care pathways developed in line with latest research, consistent messages to families Improved morale to be seen to be Leading the New HV service model.

9. How will quality improve? Competency Framework for Staff E-Learning modules learning Service user feedback Joint training with Children Centre staff ASQ able to demonstrate clearly outcomes Improved referral capture Coordinated follow up of children and families Clear pathways of care formulated Service User feedback

10. Challenges To improve and strengthen links with GPs To deliver full service model To ensure commissioners are committed to extending and improving our service Watch this space…..