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EYC 12-15 Month Schedule Of Growing Skills (SOGS)II Child Health ReviewNorth LanarkshireEYC Pioneer Site Coatbridge

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@NLEYC

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Changing North Lanarkshire

Vision statement: Children and young people are safe, nurtured, healthy, achieving, active, respected, responsible and included.

By 2018 100% of children will grow, develop and reach their full potential within strong, confident and resourceful families and communities.

3 Step Improvement Framework

Meso system Culture, capacity and challenge.

Macro system Vision, aim and context.

Micro system Implementation, measurement and improvement.

Local QI building

A shift towards preventionNo Concerns identified at 27 Month Child Health Review

Aim of the Improvement WorkTo maximise global development and wellbeing outcomes for children at 27-30 months of age by earlier detection and prevention of areas of concern.

Aim95% of children aged 12 -15 months of the test population designated by the Health Visitor caseload in the Coatbridge locality will have a review completed by 31 March 2015 and provided with interventions around areas of concern and anticipatory guidance to prevent areas of concern developing at a later stage.

How we will change to improve to reach this Improvement Goal

Health Visitors Voice

Health visitors leading the way!

Have been able to rapidly apply learning from tests of change

Developed their own parent feedback form and anticipatory guidance checklist based on their learning while carrying out the test.

We have a passion and want to get it right for every child (GIRFEC), were in a team and can respond as a team. We have drive and ambition to make things better.

Our Journey so far

PDS

A

1) Started at the end of July

2) Saturday clinic with 45 minute appointments

3) We tested attendance on a Saturday of families that had been identified as HPI of ‘additional’.

PDS

A4) We tested who should make the initial contact with the family

5) How far ahead should appointments be made to ensure maximum attendance, 1 week, 2 weeks , 4 weeks.

PDS

A

PDS

APDS

A6) We tested the data being collected against the work being done in the assessment

PDS

A 7) We tested the new data collection tool

PDS

A

Anticipatory Guidance

The team started using the checklist on 05/09/2014.

The feedback on the checklist has been very positive from the team.

They have found it very useful, especially when filling out the wellbeing assessment.

Actions/Anticipatory Guidance

Number of Reviews 56 total as of 07/10/14

Jul-14 Aug-14 Sep-14Number of Reviews 5 25 26

Meaningful Review Defined simple as, has the form been completed

correctly with all the required information?

Jul-14 Aug-14 Sep-14Meaningful Review (%) 100% 100% 96%

Health Plan Indicator From previous cycles of testing and learning more

children with HPI additional invited for review.

No Concerns Identified From previous cycles of testing and learning more

children with HPI additional invited for review.

Age of Child at Review All identified children who attend seen before 15 months

of age.

Majority are 12-13 months.

Place of Review Children identified as HPI additional usually have their

review carried out at home.

Based on family feedback from 27 month SOGS2 clinics.

Day of Review 95% on weekdays are for children identified as HPI

additional and review carried out at home.

Based on previous learning of 27 month SOGS2 clinics.

Child Attends – wider wellbeing

9 Key Milestones

Jul 14 Aug 14 Sep 14

Vision 100% 96% 100%

Hearing 100% 100% 100%

Social 100% 100% 100%

Emotional 100% 100% 100%

Behavioural 100% 100% 88%

Attention 100% 100% 100%

Fine motor 100% 100% 100%

Gross motor 100% 100% 96%

Speech/Language and Communication

100% 96% 88%

*Based on small cohort of children aged 12 -15 months of the test population designated by the Health Visitor caseload in the Coatbridge Locality

Feedback from Parents

Q1 I have found this assessment useful?

Q2 I found the information given during the assessment useful?

Q3 I would recommend this contact with a health visitor be available to other parents?

21 Parental Review Questionnaires received as of 07/10/14.

All have answered Yes so far to these questions.

We are learning that parents value the strengthening relationship with health visitor and reassurance given, not just the assessment itself.

+Comments by Parents

After my first baby didn’t have any further

assessment then just before school found out

she needed speech therapy.

I think early assessment like this is excellent for picking up any issues.

Very informative, particularly having older

child with autism.

Good to know my child is doing

well.

Brilliant informatio

n, very helpful

Very useful,

this should be offered to everyone

I was glad to have

assessment to ease

any concerns

Weekend appointme

nt was suitable

Happy to hear my child is doing well

This was very useful, good to

be given guidance.

Found this to be very useful and beneficial. I

am now aware of support that I am able

to get

Very reassuring

An excellent service and very reassuring as a parent

to understand where my child should be

developmentally etc. Really pleased to have been

part of this programme.

It provides the opportunity to have reassurance on my

daughters developmental stages. Many thanks.

I found the assessment

helpful, to know what stage my child was at for

her age.

+Next Steps

A little less conversation, a little more action please

Continue with the test.

Identify other partners involved in wider wellbeing that will contribute to the overall aim.

Track, compare and contrast at 27 month review

EYC 12-15 Month Schedule Of Growing Skills (SOGS)II Child Health ReviewNorth Lanarkshire

EYC Pioneer Site Coatbridge

@NLEYC