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Integrated Review Process - Flowchart

The below flowchart process advises settings of the steps to complete for their part of the Integrated Review for two year olds, and the part undertaken by the Health Practitioners from the Families Health and Wellbeing Service.

This process also advises how practitioners between services could discuss any 'Next Steps' required if additional support or concerns are identified in children.

Downloadable flowchart  (166KB)

Below is a text version of the steps found in the flowchart above. Settings are advised to use and share the flowchart with staff to understand their actions in conjunction with Health and Wellbeing teams.

Childcare Setting - Progress Check

Step1: - Gain consent and guidance

Childcare Settings must obtain consent from parents to share information with other professionals. For children eligible for 2 year funding, the Parental Declaration must be completed and signed by the parent/ carer.

Further guidance and forms about Integrated Reviews for early years settings

Step 2 - Communication

Childcare Settings to publicise the integrated review to parents by:

  • Sending out letter to parents/ carers when their child reaches two years of age. This should provide information about the process of the Progress Check and how this links to the Health and Development Review, making it clear the 'assessment' is in two parts. 
  • Information about Progress Checks could be shared via 
    Newsletters /notice boards / posters / starter pack information / key person.

Childcare Settings should make parents/carers aware that they should take their child's Progress Check to their Health and Development Review with the Health Practitioner.

Step 3 - Complete the check

  • Childcare Practitioner to share the Progress Check with parents/ carers and give them a copy to share with the Health Practitioner at their child's Health and Development Review. Setting can use the 'red book' to add additional information.
  • Keep a copy of the Progress Check in the setting information records which should include when the check was completed and by whom.

Families Health & Wellbeing - Health & Development Review

Step 1 - Contact

Health to contact the parents/carers to make an appointment for their child’s Health and Development Review. Health will check on RIO system to see if a childcare setting has shared any relevant information about the child. Health will discuss with parents how this review aligns to the childcare setting’s Progress Check 

Step 2 - Communication
Health Practitioner to ask parents/carers to bring their child's completed Progress Check to the Health and Development Review.

Step 3 - Complete the check

Health Practitioner completes an Ages and Stages Questionnaire.

Final steps - what to do next

If *the childcare or health professional identifies any additional needs or concerns they must share these with each other so that the appropriate support can be delivered as soon as possible. The agreed professional should ensure that the appropriate action is taken to support the family and agencies to improve he child’s outcomes.  At this stage, professionals are advised to follow the guidelines for early help as set out by SSCB: 

*Childcare settings should note that Midlands Partnership University NHS Foundation Trust (MPFT) cannot share any data with settings until they have undertaken a review. Therefore, if settings have completed the progress check and have phoned the Hub, the Hub can only provide information at that stage IF the child has been seen by the 0-19 service. The Hub will need to contact the setting with the information once the visit has taken place. See Hub contact details below.

Hub Contact Details

  •  West Hub: (Moorlands, Newcastle under Lyme, Stafford surrounds and Seisdon) Tel: 0300 303 3923
  • East Hub (East Staffs, Tamworth, Lichfield and Cannock) Tel: 0300 303 3924

Information on Health and Wellbeing Service 0-19 years

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