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Working together better for two year olds: Tracy Smith Team leader; teaching and learning Islington Council EYFS Team The integrated health and education review at aged 2 Images courtesy of ‘A good place to be two’: Community Playthings 2013

Working together better for two year olds: Tracy Smith Team leader; teaching and learning Islington Council EYFS Team The integrated health and education

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Page 1: Working together better for two year olds: Tracy Smith Team leader; teaching and learning Islington Council EYFS Team The integrated health and education

Working together better for two year olds:

Tracy Smith

Team leader; teaching and learning

Islington Council EYFS Team

The integrated health and education review at aged 2

Images courtesy of ‘A good place to be two’: Community Playthings 2013

Page 2: Working together better for two year olds: Tracy Smith Team leader; teaching and learning Islington Council EYFS Team The integrated health and education

What is the Integrated Review?

• Joint Health and Education review for children aged 24-30 months

• Recommendation of Tickell review (2011) of the Early Years Foundation Stage

• Brings together: Health review part of ‘Healthy Child Programme’ Statutory EYFS Progress Check for children attending an

early years setting

• To be implemented nationally by 2015

Page 3: Working together better for two year olds: Tracy Smith Team leader; teaching and learning Islington Council EYFS Team The integrated health and education

Islington context

• Borough of stark contrasts

• Islington Fairness Commission (2011)

• First 21 Months initiative

• Established integrated working

• 1000+ 2-year-olds in provision (50% of cohort)

• Education progress checks

Page 4: Working together better for two year olds: Tracy Smith Team leader; teaching and learning Islington Council EYFS Team The integrated health and education

Our vision for the Islington Integrated Review

• To provide the best possible support for parents and children

• To share professional knowledge, learning and support between services

• To use the review as a key opportunity for early identification and intervention

• To have a truly integrated review

Page 5: Working together better for two year olds: Tracy Smith Team leader; teaching and learning Islington Council EYFS Team The integrated health and education

Evidence-based

tool e.g. ASQ-3

PhysicalDevelopmentand Self Care

Personal,Social andEmotionalDevelopment

Communicationand Language

PhysicalHealth

Learning AndCognitiveDevelopment

Attachmentrelationships

Parenting style

CoupleRelation-ships

HomeLearningEnvironment

Family Health(physical and mental)

FamilyEducation/qualifications

FamilyEmployment/Economic status

AdverseFamilyCircumst-ances

Neighbourhood Deprivationand localresources

CommunitySupport

The Community

The Child in the Family

The Family

The Child

The Child

InContext

Page 6: Working together better for two year olds: Tracy Smith Team leader; teaching and learning Islington Council EYFS Team The integrated health and education

Work so far

• Partnership working at strategic and operational levels• Named HV for each early years setting• Ongoing communication with frontline practitioners• Developed documentation and supporting guidance • Trained health and education practitioners together• Adopted a phased approach to roll-out:

1.Children’s centres

2.Private, voluntary, independent & school settings

3.Childminders

4.Children not in EY provision • Gathered evaluations - ongoing

Page 7: Working together better for two year olds: Tracy Smith Team leader; teaching and learning Islington Council EYFS Team The integrated health and education

Engaging parents

Page 8: Working together better for two year olds: Tracy Smith Team leader; teaching and learning Islington Council EYFS Team The integrated health and education

Ages & Stages Questionnaire – ASQ

• The government intends to introduce a public health measure at aged 2

• Pilot LAs have been asked to trial the Ages and Stages Questionnaire (ASQ)

• Areas measured include:• Communication• Gross Motor• Fine Motor• Problem – solving• Personal Social• Hearing/vision/medical

Page 9: Working together better for two year olds: Tracy Smith Team leader; teaching and learning Islington Council EYFS Team The integrated health and education

Successes

• High no. of people trained across both education and health since summer 13

• Development of skills and knowledge across both sectors

• Making and developing links – particularly between the PVI and health sector and between PVI and CCs

• Well-received by frontline practitioners and by parents

• Increased support for early home learning

Page 10: Working together better for two year olds: Tracy Smith Team leader; teaching and learning Islington Council EYFS Team The integrated health and education

It’s not often you get a chance to sit down and talk in depth about your own child. They pointed out things that my son has been doing that I didn’t know were important. I felt included; they asked what I thought and how he is at home.

It’s not often you get a chance to sit down and talk in depth about your own child. They pointed out things that my son has been doing that I didn’t know were important. I felt included; they asked what I thought and how he is at home.

With my daughter who’s now 5 I had a regular review. The integrated review for my son felt like it gave a more complete picture. For me it really worked – it felt safe and thorough and just all-round a positive experience.

With my daughter who’s now 5 I had a regular review. The integrated review for my son felt like it gave a more complete picture. For me it really worked – it felt safe and thorough and just all-round a positive experience.

Successes: what parents say

Page 11: Working together better for two year olds: Tracy Smith Team leader; teaching and learning Islington Council EYFS Team The integrated health and education

What practitioners say

I had worries about the child’s speech and the health practitioner agreed. Sometimes there’s a bit of a grey area and you wonder ‘am I being a bit too hard, is the best fit too low?’ - so it was good to have that back up from another professional.

I had worries about the child’s speech and the health practitioner agreed. Sometimes there’s a bit of a grey area and you wonder ‘am I being a bit too hard, is the best fit too low?’ - so it was good to have that back up from another professional.

Page 12: Working together better for two year olds: Tracy Smith Team leader; teaching and learning Islington Council EYFS Team The integrated health and education

It was so useful to work with a non health professional and get their contribution about the child.

It was so useful to work with a non health professional and get their contribution about the child.

What health practitioners say

Page 13: Working together better for two year olds: Tracy Smith Team leader; teaching and learning Islington Council EYFS Team The integrated health and education

Challenges

• Design phase

• Establishing a robust system

• Practical challenges – time, space

• Culture change

• Data sharing and data recording

• Quality assurance

Page 14: Working together better for two year olds: Tracy Smith Team leader; teaching and learning Islington Council EYFS Team The integrated health and education

Next steps……..• Embed systems, processes and ways of working• Consider roll-out to children not attending EY provision• Evaluate timeliness and impact of interventions on children• Joint conference

Page 15: Working together better for two year olds: Tracy Smith Team leader; teaching and learning Islington Council EYFS Team The integrated health and education

Being two…….

By the time I am two I have a story to tell you about lots of things. The highlights of my story give you insights about the understanding I have and the things I can do now.

I am two! Working effectively with two year olds and their families

Kay Mathieson 2013