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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
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
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
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
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
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
Engaging parents
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
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
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
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.
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
Challenges
• Design phase
• Establishing a robust system
• Practical challenges – time, space
• Culture change
• Data sharing and data recording
• Quality assurance
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
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