BREAKOUT 1: Identifying the Gap (or Journey) (13.45 – 15.00)
WORKSHOP OBJECTIVES
• Present learning from pioneer sites and
other teams, including their gap from
current state to achieving their aim.
• Identify and explore the gap between now
and where you want to be.
• Have fun!
SOME IMPORTANT NOTES
• Our discussions today are about learning, not
about performance, so…
• sharing your challenges and failures can be just
as important as sharing your wins and
successes.
MEETING NORMS REFRESH
•
•
•
•
•
•
Suspend judgment as best you can.
Respect one another.
Seek to understand rather than persuade.
Invite and honour diverse opinions.
Speak what has personal heart and meaning.
Go for honesty without going on and on and
on.
Making Fathers Figure:
South Lanarkshire CPP
SITE SHARING:
REFLECTING ON OUR WORK TO
DATE
Aim
Primary Drivers
Secondary Drivers
Staff in early years providers actively engage and
include dads
To systematically
engage fathers with
services at all stages of
their children’s
development from ante
natal to pre school by
December 2015.
Services
recognise
importance of
involvement of
both mums and
dads
Organisational cultures actively promote the
engagement of fathers (measures might include
strategic plans featuring dads, performance
management info including gender breakdown,
mandatory gender awareness training etc)
Local services are committed to supporting dads’
involvement (generic parent services – number
and % of dads attending; services aimed at dad
specific programmes; mums only services)
Dads actively engage with services
Key Change Area:
Developing Parents
Skills
Families
recognise
importance of
involvement of
both both
mums and dads
Local theme: Parenting
support and attachment
Communities
recognise
importance of
involvement of
both both
mums and dads
Dads feel valued by services (self reported
feedback)
Mums feel confident about their partners’ role
(self reported feedback)
Children’s views
Local people use community based services
Theory of what actions will impact on our
aim
An awareness raising workshop based event will
increase staff awareness and motivation resulting in
higher involvement of dads in services
Dads will be more likely to engage and sustain
involvement in a dedicated group for dads – mellow
dads parenting group
Dads cards will reinforce a positive involvement in
their children’s lives
Nursery publicity aimed at mums and dads will
increase number of dads engaging in nursery
activities
Working across different services creates a critical
mass effect and ensures consistent messages
resulting in higher levels of engagement.
Query play groups and involvement from direct area
– explore opportunities to enhance dads
engagement in week day sessions.
PROJECT AIM
• To systematically engage fathers with services
at all stages of their children’s development
from ante natal to pre school by December
2015
• Targeted at dads and male
carers with babies or very
young children
• Working with nurseries,
ante-natal and social work
services
Impact of the intervention: our
nursery tests
The stay and play session for dads made the biggest difference – but dads said they
didn’t want this to happen very often! Will more dads come to future events at the
nursery now that they’ve had a positive experience?
Impact of the intervention: dads cards
Our change theory: Dads’ Cards will promote and reinforce positive involvement in
children’s lives. Challenges around identifying meaningful data and how to collect it!
Impact of the intervention: dads cards
Our initial tests on the Dads’ Cards involved qualitative feedback from mums and dads
Learning for improvement
• Dads do engage when practitioners approach them and are keen
to remain engaged
“Treat fathers as they do
mums. Ask the dad and not
always the mum”
Make sure we are
involved and given
plenty of opportunities
to interact with baby”“
“Address both
parents where
possible”
• Challenges around data – how do you measure culture shift
• Moving from project to influencing policy and practice more widely
Site Sharing:
Reflecting on Our Work to Date
Begin with the Bump
Kate Kenmure
Child and Family Health Manager
Jane Cluness
EYC Programme Manager
0
Kenny
PreBirth
1
2
3
4
5
6
Pre-school
7
8
9
10
Primary School
ASN Support
11
12
13
14
15
16
Secondary School
17
18
Post-16
ASN Support
Behavioural Support Base
Schools
One-to-one teaching
Social Work
Family Support
Social Worker
Family Support/Social Work Key Worker (frequent
contact)
Child Protection
Register
(Domestic abuse)
Children’s
Resources
Women’s
Refuge
Psychological
Services
Speech and
language
support
Child
protection
Youth
Services
No involvement
Sport and
Leisure
Occasional involvement through active schools etc.
NHS
Shetland
Offisland
birth
Health visitor
Hospital
visits x3
Residential
Care (Off
island)
No involvement
19
Shetland Antenatal Parenting
Programme
90% of parents-to-be who meet the
Antenatal Parenting Programme
criteria will improve their
knowledge, skills and confidence
in child development, child
attachment and child safety, by
Christmas 2015.
Programme
• Overview and health promotion
• Physical needs of your baby
• Child development
• Attachment
• Interaction and play (2)
• Safety
• Summing up and evaluation
WORKSTREAM 1 (pre-conception to 1 year)
Aim
2⁰
1⁰
Parental Involvement
Attachment
Bonding
Eye Contact
Parenting Skills
Play
Breastfeeding
Immunisation
Antenatal
Parenting
Programme
Detailed aim:
90% of parents-to-be
who meet the
Antenatal Parenting
Programme (APP)
criteria will improve
their knowledge, skills
and confidence in
child development,
child attachment and
child safety, by
Christmas 2015.
Bathing
Maternal Wellbeing
Parenting
Knowledge
Child Health
Attendance
Right Session Content
Child Development
Opportunity to Break
the Cycle
Practical Skills
Home Safety
Self Esteem
Parenting
Confidence
Health Information
Reduced Isolation
Nutrition Information
Safety
Version:
PROJECT GAPS
• Attendance at programme sessions
• Evidencing that the programme made a
difference.
• Capturing the experience for the parents to be,
did they feel it made a difference.
• Data capture
Impact of the intervention
We couldn’t answer this.
All our first measures were about the process.
We had to find a way to measure impact.
Data
No. of Pregnant Women Attending APP
Number of Pregnant Women Attending the Antenatal Parenting Programme (APP)
5
4
3
2
1
0
Months
Learning for improvement
A P
S D
Change 4: Develop questionnaire to
measure benefits and satisfaction
Change 3: Finding a way to measure outcomes
for Parents to be
AP
S D
Change 2: Created a criteria and process for referral
Change 1: Improve the content of the session with
Parents to be
Learning for improvement
• Too much too quickly
• Use the PDSA cycles
• Work closely with practitioners to keep
them on track
• Use the documentation
• Use time with team to facilitate reflection
• Be positive and give praise
Table Reflection and Discussion
part one
• Using the guidance form – self assess your
own work – 20 minutes
• Then turn to a partner and debrief your
reflections – 20 minutes – questions next slide
Table Reflection and Discussion
1. Is your project(s) tied to achieving the big aim of the key change
area or workstream?
2. Can you answer the 3 questions: aim, measures, change ideas?
3. Are you doing at least one small test of change per week?
4. Are you measuring data over time on one or more measures?
5. What will it take to move your project forward from where you
are today to your aim for the CPP?
6. What assets can you draw upon from your partners and the
community to move this work forward?
Table Reflection and Discussion
part two – 20 minutes
• Discussing as a table, participants are
invited to share what they realise they
are missing and
• what they saw about their gap.
REPORT OUT
• What did you discover in your review of
where you are now?
• What surprised you in your discussions?
• What ideas are you taking home from
your table discussions?
THEMES FROM THE ROOM
• PLEASE INSERT HERE (DURING SESSION):
– Top 5 emerging themes based upon facilitator themes from
tables.
Parting Thoughts
• Today was about exploring and exposing
the gaps, we close tomorrow!
• Take your explorations to CPP planning,
share and discuss with colleagues today
and reflect overnight
• Come back tomorrow for closure!
Thanks for a great session!