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Discover Our Early Years Journey
Discover Our Early Years Journey
Background & Origins of the Early Years
Background & Origins of the Early Years
In this section
In this section
History of early years:
History of early years:
A period of unprecedented growth, cognitive, social & emotional development. The first 1000 days of life (pregnancy until 2 years) are a critical window for both positive and negative influence on human development.
These are foundations that have a life-long impact on the ability to learn, cope with adversity, be healthy, build strong relationships, & thrive throughout life
The Fuller report (2022) recommended a new vision for integrated primary care based on developing streamlined access to urgent care for those who need it, more personalised care from a team of professionals for those with complex care needs, and a proactive approach to prevention at a greater scale.
The Hewitt report (2023) proposed greater autonomy to enable ICSs to better prevent ill health and improve NHS productivity and care, matched by renewed accountability.
Principles:
Use of evidence-based interventions leading to the best outcomes for children and their families & contribute as equal partners
Locally relevant and co-produced with people with lived experience
Action-oriented & family-centred in all the work we do
Engaging for both professionals & community – this can be at different levels of participation & involvement
Focused on reducing health inequalities
Clear description of how, and why, you expect the development of your local GP child health and family hub to achieve its intended outcomes
The NHS London Early Years Pilot - background
The NHS London Early Years Pilot - background
The NHS London Early Years Pilot aims to bring together local teams to work collaboratively to meet the health needs of their population at a hyperlocal level. The programme of work has several strands:
A GP Child Health Hub where paediatricians provide clinical sessions and support a Multi Disciplinary Team (MDT) meeting, which provides guidance on patient care for a locality (usually at a Primary Care Network (PCN) or Integrated neighbourhood team (INT) level).
Improving the connection between Early Years workers, Family Hubs (where they exist) and children’s centres in each area.
Improving Voluntary Community and Social Enterprise (VCSE) sector connections across areas.
Each pilot site determined their areas of need for the development of integrated approaches to improve outcomes for children and families, as follows:
Harrow: 1st 1001 days, perinatal and infant mental health, and health literacy – including managing minor illness
Brent: Respiratory health, including smoking, and early diagnosis and support of neurodiversity
Ealing: Speech, Language and Communication, and emotional health in the early years
To support workforce development and meet these needs, it was agreed that it was important to understand the current training, identify gaps, and consider how to address them. The iHV was commissioned to carry out a short scoping project to provide insight into the specific workforce training requirements to address the areas of identified need.
Our approach
Our approach
Connecting and building relationships with key leads at the inception of the project
Offering facilitated workshops to create space for practitioners to engage and feedback with protected time
Being clear on the outcomes - facilitate engagement and buy-in earlier
Alignment with local agendas
The 4 key components of early years child health hubs
The 4 key components of early years child health hubs
Case Finding
Case Finding
This is the process of identifying specific groups of children or families at high risk of poor outcomes. These are subsequently discussed at the Child Health Hub MDTs.
Use data from the practice/family hubs/ Business Intelligence to identify target population/groups within the early years age group for proactive multidisciplinary support.
Consider how the WSIC dashboards (High-Intensity User, LADS asthma, CYP Rising risk) can be used to segment your population. Click here to see an example of WSIC data from the 'PCN Profiles Children & Young People' by Jasmine Chingono, updated by Taiba Suddek.
Community Champions / Resources
Community Champions / Resources
What community resources do you already have?
Work with your local Borough partnership to establish who is working with families and young children in your area. What are the community champions currently doing, and how can some of their skills be used for early years?
Co-production and Innovation Fund
Co-production and Innovation Fund
Working with local communities to help identify and prioritise needs. One way of doing this is to set up a health and wellbeing “show and tell” fair. Click here if you want to know more about the outreach event, how to set this up and how it was received.
Integrated Neighbourhood Team
Integrated Neighbourhood Team
There are many people working in a neighbourhood. Integrated Neighbourhood Teams. How do we bring those people together with a focus on early years and ensure that they are working effectively to support families?
Improvement Journey and overview of all aspects of improvement activities
Improvement Journey and overview of all aspects of improvement activities
Click illustration to download accessible version.
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