Derbyshire County Council

Children and Younger Adults Department

Innovative ways of engaging with families to develop SLCN

Integrated working in Derbyshire to impact on children at risk of language

delay and their parents

Derbyshire County Council

Children and Younger Adults Department

Proposed Derbyshire definition of early intervention and preventions

“We will identify children and young people who require additional resource and deliver effective intervention at the earliest opportunity”

Derbyshire County Council

Children and Younger Adults Department

The two Graham Allan reports on positive outcomes and cost savings in early intervention and prevention.

Grasping the Nettle-review of key target areas that make the difference

The Kennedy Report on the distribution of health investment into children

The Marmot Report - Healthy Lives, Fair Society –the key public health target areas

The Wave Report analysis of violence escalation in Britain and reduction strategies

The Frank Field report into the Prevention of Child Poverty

The Foundation Years documents – support to families of pre-school children

The Tickell review of the Early Years Foundation curriculum

Recent Key Documents from research organisations and government

Derbyshire County Council

Children and Younger Adults Department

“No Wrong Door” Interagency and Interdisciplinary working

a key concept

Derbyshire County Council

Children and Younger Adults Department

Links to the ‘Five golden threads’

C4EO report:

‘Grasping the nettle:

Early intervention for Children, Families and Communities’

2010

1. The Best Start in life: progressively move resources to Early Years to support crucial developmental windows

2. Language for life: Invest in developing speech, language and communication skills to reduce the likelihood of a young person or adult entering mental health and criminal justice systems

3. Engaging parents: Ensure the causes of poor childhood experiences are addressed i.e engage parents in services and most particularly “hard to reach” parents and those in adverse circumstances

4. Knowledge is power: Understand what works. Different issues at different levels of severity require different interventions

5. Smarter working, better services:

Work together across agencies, disciplines and institutional divisions

What does ECATaim to do?

Raise children’s achievement in early language BY

Develop practitioners’ skills and knowledge SO THEY CAN

Increase parental understanding and involvement in children’s language development

Derbyshire County Council

Children and Younger Adults Department

ECAT in Derbyshire so far

Developing a shared vision across agencies Early Language Consultant (ELC) 45+ schools/settings and Children’s Centres in 3

cohorts so far and a two year roll out to 240 more schools and settings over the next two years

Early Language Lead Practitioners (ELLP) in Children’s Centres as well as schools and settings

Links to Health to support early identification of need using Health Visitors

Derbyshire County Council

Children and Younger Adults Department

Sharing the ECAT message

In a variety of forums: briefings for leaders in schools and

settingsEYFS network events for practitioners meetings between the Early

Language consultant and health visitors/Speech and language therapy team and Children’s Centres

Conferences and workshopsSchool and setting meetings with EY

officers and advisers

Early Language Lead Practitioners in Children’s Centres

Improving the quality of language provision

Supporting the professional development of colleagues

Involving parents in the programme (more about this later)

ELKLAN

Adult –child interaction non verbal

communication

Supporting children who

stammer

Developing play, listening and

attention

What is communication?

Development of vocabulary

Information carrying words

Development of social skills

Understanding and use of sentences

Supporting children with

unclear speech and exploring

the speech reading link

Child monitoring tool – a universal offer

Early identification of children at risk of delay:Listening and attentionUnderstandingTalkingSocial communicationChallenging professionals expectations

of children in deprived communities with age related norms

Derbyshire County Council

Children and Younger Adults Department

Early Intervention Disc

4 fundamental language areas

Working with parents

EAL

Further information

Helping Parents to value and develop talk

Derbyshire County Council

Children and Younger Adults Department

So, does ECAT work?

Increasing practitioner confidence ?

Reducing risk of delay ?Supporting parents?

Practitioner Confidence - July 2010 and March 20111 = Very Confident. 2 = Confident 3 = A Little Unsure 4 = Not at all Confident

JULY 2010

Derbyshire County Council

Children and Younger Adults Department

The Child Monitoring Tool

% at risk of delay

ECaT 1

Attention and Listening: June ‘10: 22% March ‘11: 11%Understanding of Language: June ‘10: 25% March ‘11: 17%Talking/Expressive Language: June ‘10: 34% March ‘11: 22%Social Communication: June ‘10: 36% March ‘11 19%

Derbyshire County Council

Children and Younger Adults Department

ECaT 2

The Child Monitoring Tool

% at risk of delayAttention and listening:Oct 11 21% Jan 12 15%

Understanding:Oct 11 26% Jan 12 21%

Expression:Oct 11 36% Jan 12 26%

Social Communication:Oct 11 38% Jan 12 30%

Innovative Derbyshire practice recognised in the Tickell Review of

EYFS

‘ The outcome of this work was that children with SLCN or at risk of SLCN were being identified earlier and would be having intervention at an earlier stage.’ (page 83)

‘…an excellent example of local leadership at its best.’ p24 Dame Clare

Derbyshire County Council

Children and Younger Adults Department

The Family Reading Strategy

Local research found parents want to support their children’s reading but many need more information about HOW

Some parents worry that if they try they will mess things up – so they don’t

Some wanted professionals to do all the ‘learning’ – so they are waiting

Some wanted information about what they could be doing to come from within their own community – because that’s who they trust.

Derbyshire County Council

Children and Younger Adults Department

Reading works: pass it on.

Someone to model fun with stories and books

A reading buddy - why communication matters

Reading championsThriving baby brains – what’s on

near mePacks of ‘try this at home’ ideasWhole community on message by

‘tweaking’ delivery

Derbyshire County Council

Children and Younger Adults Department

ECAT in Children’s Centres in Erewash

Derbyshire County Council

Children and Younger Adults Department

Why is this approach to integrated working being effective in Derbyshire?

We have a shared passion driven by a group with strategic leadership power

We understand that it is by supporting and training our practitioners that they can help parents more effectively

We take national agendas and use them as levers by tailoring them to local needs (ECAT, Hello! Campaign)

We are supported by our politicians and Senior DCC staff – prioritisation and funding

We have developed a simple common language that all can understand

Derbyshire County Council

Children and Younger Adults Department

Why is this approach to integrated working being effective in Derbyshire?

Our shared vision is communicated widely

There is mutual respect between teams of professionals and we make the best of team skills – a lack of ‘preciousness’

We recognise that things (including relationships) take time to evolve and embed

We use a variety of complementary strategies, including consistent processes and procedures across the County

Derbyshire County Council

Children and Younger Adults Department

What next?

Two year intensive roll out of ECAT programme across Derbyshire to 240 most deprived schools and settings

Roll out to all Children’s Centres Developing stronger links between Children’s

Centres and Health across the whole county to promote early identification of SLC delay so families can be supported by Children’s Centre workers

Promotion of use of Child Monitoring Tool and Early Intervention Disc with all schools and settings

Working out the strategy for children beyond Early Years