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Workstream Breakout: CPP Knowledge Sharing: Where are we now? What are we learning ? Dr Graham Foster, NHS Forth Valle

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 1. Falkirk CPP: . NHS Forth Valley Falkirk Council Scottish Police Force 3 rd Sector - Barnardo’s, Aberlour

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Workstream Breakout: CPP Knowledge Sharing: Where are we now? What are we learning ? Dr Graham Foster, NHS Forth Valle

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  1. 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 1

  2. Falkirk CPP: • NHS Forth Valley • Falkirk Council • Scottish Police Force • 3rd Sector - Barnardo’s, Aberlour • 154,380 population (0-5yrs – 7.25%/Scottish – 6.74%) • Central Belt - Falkirk, Grangemouth, Bo’ness • Falkirk Children’s Commission

  3. Our Portfolio of Early Years Projects • Work stream 1 • Early Booking – 80% by 12 weeks • Maternal Vitamins • Routine Vaccinations • Health Checks for Children Looked After at Home • Registration with dentist by 8 weeks

  4. Our Portfolio of Early Years Projects • Workstream 2 • Vitamins for LAC and Foster Care • Play @home book • Routine Vaccinations • Workstream 3 • Nursery Children in structured group time • Play at home in playgroups • Police VPR to nursery

  5. Our Portfolio of Early Years Projects • Work stream 4 • Establish Twitter and retweet • Identify Mentor/Programme Manager • Tests of change form and process • Recording tests of change

  6. Our Learning To Date • Choose an easy starting point/ something you have to do any way – MCQIC • Build on what you already have • Management buy in • Set clear targets • Are you as good as you think you are? • Practice makes perfect • Measurement and Run charts

  7. Our Experiences:Measurement Development Well above target when we started! Natural Variation – small numbers or slow to respond big numbers Dealing with bad news Are we measuring the right thing 80% at 12 weeks > 95% at 12 or 80% at 11 Focus on the last 5%!!! Run charts need to run…..

  8. Workstream 1 • 4th March – Develop posters and send out to GPs • 18th March – Information cards put in pharmacies • 25th March – Poster put in Nurseries and Family Centres

  9. Our Big Wins & Successes:Measurement Development • Measurement was slow to develop • Get going early • Run charts may flat line to begin with • Set up an easy system (web or excel) • Feel the rhythm - Rapid cycles • Learn to measure what you are changing! • Tests of change run chart

  10. Workstream 4

  11. Our Big Wins & Successes:IterativeTesting • Think Big – Act Small • Home Teams and Away Teams • Get confident before roll out • Practitioners are key • Talk don’t post • Light touch or Motivational touch? • The process is your permission

  12. Our Big Wins & Successes:IterativeTesting • Working together across agencies • Don’t write policies – make changes • Same journey different stages • “Muddle through together” • Leadership Group • Mentor • Positive Attitude • Feel good factor

  13. In the next 3 – 6 months… • 50 Ambassadors = lots of tests • Tests all supporting each other? • Influencing Upstream • Run charts may start to show success • Keep it small, keep it real • Measurement is vital – but difficult • We think this can work!

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