Ayrshire Early Years
Collaborative
Donna McKee
Work Stream 2 Lead
North, South and East Ayrshire Community
Planning Partnerships
Learning Session 2 - 28th May 2013
Who We Are
Donna McKee , Jim Carle , April Masson , Marjorie Adams , Clare Monaghan
EAST AYRSHIRE
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Maureen James, Head Teacher Netherhird PS, Nursery & Family Centre
Isabelle Campbell, Centre Manager, Hillbank Nursery & Family Centre
Dorothy McAvoy, Asst Principal Officer, Early Education and Childcare
Sina Currie, Clinical Team Leader, Early Years Children & Families
Kathleen Winter, Public Health Practitioner (Child Health)
NORTH AYRSHIRE
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Frances Rodman, Senior Manager, Early Years Education
Margaret Cruickshanks, Clinical Team Leader, Early Years
Irene Sinclair, Public Health Practitioner
Pauline Martin, Deputy Head of Nursery & Family Centre
Jayne Miller, Ass CNM Early Years
SOUTH AYRSHIRE
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Aileen Valenti, Senior Manager , Early Years Education
Veronica Watters, Clinical Team Leader, Early Years
Janice McIlloney, Deputy Head of CherryTree Nursery
Robert McDowall, Girfec Co-ordinator
Katrina McCall, Integrated Children Services Manager
Stretch Aim
WORKSTREAM 2
85% of all children
within North, South and East Ayrshire
will reach expected developmental skills
and abilities expected at 27 month old
Our focus from LS1 to LS2
• To practice using the Improvement tool PDSA small
tests of change in own working areas.
• A common understanding of the stretch aim
• Implement a universal assessment for all children at
27 mths
• To implement a universal timeline of assessments
prior to 27 mths
• To consider interventional care pathways
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INSIGHTS
First Ayrshire wide WS2
meeting
Friday 3rd May
• Our TOP 5 INSIGHTS FROM THE WS2 TEAM
MEETING
• We could agree a common understanding of child
development.
• Shared knowledge of the universal 27mth assessment
content/process.
• Shared knowledge of the universal timeline for
assessments & contacts prior to 27mth.
• WS2 Driver diagram discussed and agreement that is
aligned and fits with our tests of change
• Recognition of gaps and importance of data collection
from tests
Some of our testing
Test examples from Away Team
• To test the knowledge and understanding of the Solihull Approach
• Number of parents accessing groups specific to their parenting
needs
• Impact on parental knowledge through additional HV support for
parents in community settings. (Nursery)
• To measure knowledge of children’s developmental milestones.
• Understand professional barriers to information sharing where
child wellbeing could be affected
• Understand parental barriers to information sharing where child
wellbeing could be affected
• Impact of interventional home based support re parental
confidence around infant routines
• Following parenting intervention in Early Years establishment test
increase in knowledge, ability and confidence
• To test parental engagement via 27 month flyer
Learning from testing
Allowed the
user to have
clarity around
what they
were trying to
acheive
Provided me
with a useful
model to follow
I found the
process to
be useful
I feel there were
comments made
that I had not
considered prior
to the tests
Once we know the
barrier, discuss, change
and repeat, these
cycles will give us run
charts
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PDSA I feel prevent
people from taking
immediate actions
based on observations
without having a clear
picture of real impact
I learned how much
the nursery and
Health Visiting staff
valued the
opportunity to speak
directly with each
other about child
well being and
parental support
The test
highlighted the
need for input
around
developmental
milestones
Our Accomplishments
Our Results So Far
• All away team members have increased
confidence of the PDSA tool now
exploring data collections
• All away team members have agreed the
primary and secondary drivers in the
Driver Diagram and where testing fits
• We have limited experience in collating
data using run charts.
Our Results So Far
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From April 2013 100% of Ayrshire children reaching 27 months are offered a
home based assessment by the Health Visitor, following The National Child
Health Programme
The WS2 away team have a shared understanding of skills and abilities
(developmental milestones) all have copies of Mary Sheridan assessment
guide, the Child Health Programme, The Health Visitor assessment and
Ages/Stages validated assessment tool.
The WS2 away team have a shared understanding of the universal Health
Visitor assessment timeline which could identify early developmental delays
and interventional support
The WS2 away teams arranging for home teams to have understanding as
above
4 Care Pathway groups in early stages to assist where skills/abilities or delays
in development are identified
NUTRITION , ORAL WELLBEING, GLOBAL DEVELOPMENTAL AFFECT
OR A LONG TERM MEDICAL CONDIITION, COMMUNICATION AND
LANGUAGE
What are we working on
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Parental access to support to increase confidence and knowledge
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Information sharing across service on wellbeing
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Integration of HV clinics within Early Years settings to share
intelligence, increase access and opportunities
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Parental Knowledge and skills following intervention
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Use of Solihull in practice
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Early detection of developmental delays or other health/wellbeing
related matters
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Uptake of 27 month assessment and ASQ Tool
Our Tips, Our Needs
Need common understanding of child
development
Need to link with existing priorities and group structures
What works well test, test, test and scale