workstream breakout: cpp knowledge sharing: where are we now? what are we learning? dr graham...
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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 1
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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
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• 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
Our Portfolio of Early Years Projects
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• 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
Our Portfolio of Early Years Projects
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• Work stream 4 – Establish Twitter and retweet– Identify Mentor/Programme Manager– Tests of change form and process– Recording tests of change
Our Portfolio of Early Years Projects
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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
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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…..
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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
04/0
3/13
08/0
3/13
12/0
3/13
16/0
3/13
20/0
3/13
24/0
3/13
28/0
3/13
01/0
4/13
05/0
4/13
09/0
4/13
13/0
4/13
17/0
4/13
21/0
4/13
25/0
4/13
29/0
4/13
03/0
5/13
07/0
5/13
11/0
5/13
15/0
5/13
19/0
5/13
0%
20%
40%
60%
80%
100%
Booked by 12 weeks
Did they know how to access
Did they access direct
Was the phone anwered on 1st attempt
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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
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Workstream 4
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Our Big Wins & Successes:Iterative Testing
• 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
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Our Big Wins & Successes:Iterative Testing
• 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
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• 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!
In the next 3 – 6 months…
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