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Workstream Breakout: CPP Knowledge Sharing: Where are we now? What are we learning?

Dr Graham Foster, NHS Forth Valley

Early Years Collaborative Learning Session Two Day 1Falkirk CPP: NHS Forth ValleyFalkirk CouncilScottish Police Force3rd Sector - Barnardos, Aberlour154,380 population (0-5yrs 7.25%/Scottish 6.74%)Central Belt - Falkirk, Grangemouth, BonessFalkirk Childrens Commission

Work stream 1 Early Booking 80% by 12 weeksMaternal VitaminsRoutine VaccinationsHealth Checks for Children Looked After at HomeRegistration with dentist by 8 weeks

Our Portfolio of Early Years Projects3Workstream 2 Vitamins for LAC and Foster CarePlay @home bookRoutine Vaccinations

Workstream 3Nursery Children in structured group timePlay at home in playgroupsPolice VPR to nursery

Our Portfolio of Early Years Projects4Work stream 4 Establish Twitter and retweetIdentify Mentor/Programme ManagerTests of change form and processRecording tests of change

Our Portfolio of Early Years Projects5Our Learning To DateChoose an easy starting point/ something you have to do any way MCQICBuild on what you already have Management buy inSet clear targetsAre you as good as you think you are?Practice makes perfectMeasurement and Run charts

Our Experiences:Measurement DevelopmentWell above target when we started!Natural Variation small numbers or slow to respond big numbersDealing with bad newsAre we measuring the right thing80% at 12 weeks > 95% at 12 or 80% at 11Focus on the last 5%!!!Run charts need to run..

Workstream 14th March Develop posters and send out to GPs18th March Information cards put in pharmacies25th March Poster put in Nurseries and Family Centres

If you have been able to start to collect any data, please show some sample data from your tests of change on charts8Our Big Wins & Successes:Measurement DevelopmentMeasurement was slow to developGet going earlyRun charts may flat line to begin withSet up an easy system (web or excel)Feel the rhythm - Rapid cyclesLearn to measure what you are changing!Tests of change run chart

Workstream 4

If you have been able to start to collect any data, please show some sample data from your tests of change on charts

10Our Big Wins & Successes:Iterative TestingThink Big Act SmallHome Teams and Away TeamsGet confident before roll outPractitioners are keyTalk dont postLight touch or Motivational touch?The process is your permissionOur Big Wins & Successes:Iterative TestingWorking together across agenciesDont write policies make changesSame journey different stagesMuddle through togetherLeadership GroupMentorPositive AttitudeFeel good factor

50 Ambassadors = lots of testsTests all supporting each other?Influencing UpstreamRun charts may start to show success

Keep it small, keep it realMeasurement is vital but difficultWe think this can work!

In the next 3 6 months