1. Early Years Collaborative

2. Ambition of the EYC To make Scotland the best place in the world to grow up, by improving outcomes, and reducing inequalities, for all babies, children, mothers, fathers and families across Scotland to ensure that all children have the best start in life and are ready to succeed.

3. Objectives of the EYC Convert the high level principles in the Early Years Framework (2008) and GIRFEC into practical action. This must: Deliver improvements in outcomes and reduce the inequalities for our most vulnerable children. Shift the balance towards intervention and prevention. Sustain the change to 2018 and beyond.

5. 5 Workstreams Conception to 1 year 1 year to 30 months 30 months to starting primary school 5 years to 8 years Leadership

6. National Aim - Workstream 1 To ensure that women experience positive pregnancies which result in the birth of more healthy babies as evidenced by a reduction of 15% in the rates of stillbirths and infant mortality by 2015.

7. National Aim - Workstream 2 To ensure that 85% of children have reached all of the expected developmental milestones by the time of the child’s 27-30 month child health review, by end of 2016.

8. National Aim - Workstream 3 To ensure that 90% of children have reached all of the expected developmental milestones at the start of primary school, by end of 2017.

9. Reduce infant mortality Societal Issues Post-birth actions Pre-birth actions Smoking / Alcohol & Drug Misuse Improved sharing of information Improved management and quality of care Improved joint working Improved identification Aim 1⁰1⁰ 2⁰2⁰ Theory of what actions will reduce infant mortality Health Improved rate of breastfed babies Quicker diagnoses of Neonatal Abstinence Syndrome Nutrition Mental health & wellbeing Attachment Improved stability / permanence for LAC Improved money management Improved access Improved family centred response Improved leadership, culture and planning Improved teamwork, communication, skills and collaboration Parenting skills Identification & reasons for current resilience WORKSTREAM 1 (pre-conception to 1 year) Theory of what drives infant mortality Pre-Conception Poverty Quality Of Home Environment Domestic Abuse & Violence Workforce Issues Transport, Community Capacity & Cultures Access To Services Employment Detailed aim: To ensure that women experience positive pregnancies which result in the birth of more healthy babies as evidenced by a reduction of 15% in the rates of: stillbirths (from 4.9 per 1000 births in 2010 to 4.3 per 1000 births in 2015) infant mortality (from 3.7 per 1000 live births in 2010 to 3.1 per 1000 live births in 2015) Version: 06/03/2013

10. Primary Driver - Pre birth actions Smoking, Alcohol and Drug misuse Nutrition Mental health and wellbeing Pre conception

11. Primary Driver - Post birth actions and Child’s physical & mental health and emotional development Attachment Health Additional Support Early Learning and Play

12. Parent/Carer’s physical and mental health and skills. Parenting skills and knowledge Level of education Misuse of alcohol and drugs Nutrition Disabilities and mental health

13. Primary Driver - Societal Issues Poverty Quality of home environment Domestic abuse and violence Workforce Issues Transport, community capacity and culture. Access to services Employment

14. Edinburgh Social Issues –Domestic abuse and violence To remove the risk of harm caused by Gender Based Violence to all unborn babies in the North East by 30 th November 2013.

15. Edinburgh Social Issues – Quality of home environment By the end of November 2013 an Assessment of Need is completed by the Named Person with input from housing staff for 90% of children aged 5 and under from families registering for temporary accommodation.

16. Edinburgh Carer’s Physical and Mental health and skills– Parenting skills and knowledge By the end of November 2013 90% of fathers identified by PrePare, make improvements to their drug and or alcohol issues due to a better understanding of the impact these have on their child’s emotional, social and physical wellbeing..

17. Edinburgh Post Birth Actions – Early Learning and Play 90% of parents at Tynecastle Nursery sing or say number rhymes and songs with their child at least three times a week by 30 th October 2013.

18. Edinburgh Post Birth Actions and child’s physical and mental health and emotional development. – Additional Support By 30 th September 2013 95% of children in the 3-5 room at Forbes nursery are toilet trained.

19. Edinburgh Post Birth Actions and child’s physical and mental health and emotional development - Attachment 90% of children attending James Gillespie’s nursery class receive a bedtime story at least 3 times per week by the end of December 2013.

20. Why Bedtime Reading Importance of bedtime routines. Impact on attachment Literacy

21. My Role Head Teacher – 2 Nursery Schools Programme Manager – Early Years Collaborative

22. Lending Library Once a week Record what book the child took. Record the book returned. Ask parents to record what they thought of the book. Try to get parent helpers!

23. Observations and Parent Survey Library book returned following day. Library book often forgotten on the day. 60% stated they had read the book with their child (one whilst driving!) 40% at bedtime 20% more than once.

24. Reasons for not reading the book A week’s too long It’s his book No time It’s not my kind of book. So what did we do about it?

25. PDSA - Plan, Do, Study, Act “What will happen if we try something different?” “Let’s try it!” “What’s next? ” “Did it work?”

26. How? Think big, test small and scale up! Plan, Do, Study, Act What are we trying to accomplish? What change can we make that will result in improvements? How will we know that a change is an improvement?

27. By the end of June 90% of children at Grassmarket Nursery will receive a bedtime story at least 3 times a week.

28. June 2013 Tests of change Baseline 1 - Change the name and provide a leaflet. 2 - Move the bookstand to the entrance. 3 - Choose more than one book.

29. 90% of children at Grassmarket nursery school will receive a bedtime story at least 3 times a week. Family garden party A very hot weekend

31. Scaled up to Lochrin

32. Lochrin Nursery Grassmarket changes introduced. Books available at collection time. Research information handed to parents. weekly average displayed for parents

33. Last week 84% of our children said they had a bedtime story. THAT’S FANTASTIC!

34. 87% of parents prefer to choose a book with their child

35. 100% of parents prefer to choose a book any day of the week and as often as they like.

36. 53% of parents said the new Bedtime Story system has led to them reading to their child more often.

37. 40% of parents said the bedtime story has improved their child’s bedtime routine. He used to have DVD’s and be really late going to bed and now we use the bedtime story and he gets into bed and is sleeping longer… I’m hoping this will help with his behaviour.

38. 100% of parents said both they and their child enjoyed the bedtime stories. It’s a brilliant idea!

39. If it’s a first child and you don’t have children at school you don’t realise how important bedtime reading is. I wish I’d realised this when his sister was younger.

40. I read the leaflet and it said how they settle down better with the comfort of your voice. I asked Theresa if she liked my voice and she said yes. I asked what about daddy and she said “he reads like a robot”

41. Biggest Impacts on Improvement Changing the name! Lending Library to Bedtime Stories. Why bedtime reading is important. Taking the hassle out of choosing a book!

42. Bedtime Stories Highlights No longer record who, what, when. Choose a book any day and more often. All parents involved More children are receiving a bedtime story. More children have a better bedtime routine.

43. Alfie I like my bedtime story because it helps me to dream.

44. Finally Ambition of the Early Years Collaborative. To make Scotland the best place in the world to grow up, by improving outcomes, and reducing inequalities, for all babies, children, mothers, fathers and families across Scotland to ensure that all children have the best start in life and are ready to succeed.