1. BREAKOUT 1: Identifying the Gap (or Journey) (13.45 – 15.00)

2. WORKSHOP OBJECTIVES Present learning from pioneer sites and other teams, including their gap from current state to achieving their aim. Identify and explore the gap between now and where you want to be. Have fun!

3. SOME IMPORTANT NOTES Our discussions today are about learning, not about performance, so… sharing your challenges and failures can be just as important as sharing your wins and successes.

4. MEETING NORMS REFRESH Suspend judgment as best you can. Respect one another. Seek to understand rather than persuade. Invite and honour diverse opinions. Speak what has personal heart and meaning. Go for honesty without going on and on and on.

5. Site Sharing: Reflecting on Our Work to Date To maximise global development and wellbeing outcomes for children at 27-30 months of age by earlier detection and prevention of areas of concern

6. PROJECT AIM 95% of children aged 12 -15 months designated by the Health Visitor caseload in the Coatbridge Locality will have a review completed by 31 March 2015 and provided with interventions and anticipatory guidance around areas of concern to meet their needs

7. DRIVER DIAGRAM

8. Impact of the intervention Process in place for monitoring & improving if necessary: uptake; accuracy & completeness of information; information sharing permission Identify Capacity within Team Review skills of Team and Support for assessment at this age Design an Excel capture tool for data collection First cycle of assessments (20) Review data and learning from first cycle of assessments Revise data capture to gather details of interventions by staff and anticipatory guidance provided

9. Data Very early and provisional data, caution should be used when interpreting data There have been no refusals 69 have been invited and 56 attended, 80%~ uptake All DNAs and cancellations contacted and offered new appointments 56 Reviews carried out from 26 th of July to 22 nd of September 23 Checklists used, 16 (70%) complete and 7 (30%) incomplete 21 Parental Review Questionnaires received, 100% positive feedback, answered Yes to all questions

10. Data

12. Learning for improvement Establish follow up assessment processes —Design an Excel capture tool for data collection for follow up (First cycle of assessments [20] learning). To date approximately 60 assessments have been completed —Anonymised parent review and evaluation questionnaire – experience and value of assessment at this age —Key Topic List (SHANARRI) established to ensure consistent message and follow up practice

13. Learning from failure First cycle of assessments we learned we were not capturing all the appropriate data Reviewed measurement plan and health visitors created additional comprehensive guidance and parent feedback evaluation Utilisation of anticipatory guidance to prevent any concerns by the time of the 27 Month review Those with concerns already identified have been referred High level of attendance because a patient centred approach to appointing of clinics following a previous PDSA

14. Table Reflection and Discussion part one Using the guidance form – self assess your own work – 20 minutes Then turn to a partner and debrief your reflections – 20 minutes – questions next slide

15. Table Reflection and Discussion 1.Is your project(s) tied to achieving the big aim of the key change area or workstream? 2.Can you answer the 3 questions: aim, measures, change ideas? 3.Are you doing at least one small test of change per week? 4.Are you measuring data over time on one or more measures? 5.What will it take to move your project forward from where you are today to your aim for the CPP? 6.What assets can you draw upon from your partners and the community to move this work forward?

16. Discussing as a table, participants are invited to share what they realise they are missing and what they saw about their gap. Table Reflection and Discussion part two – 20 minutes

17. What did you discover in your review of where you are now? What surprised you in your discussions? What ideas are you taking home from your table discussions? For all of us as leaders are there leadership issues to consider? – Or leadership issues we need to escalate? REPORT OUT

18. PLEASE INSERT HERE (DURING SESSION): – Top 5 emerging themes based upon facilitator themes from tables. THEMES FROM THE ROOM

19. Parting Thoughts Today was about exploring and exposing the gaps, we close tomorrow! Take your explorations to CPP planning, share and discuss with colleagues today and reflect overnight Come back tomorrow for closure!

20. Thanks for a great session!