SLIDE 7 The Integrated Review Pathway
Two Year Old Integrated Review Flowchart for children attending an early years setting
Health Review - Health Visiting Team send ASQ-3 questionnaire to parents of 2 year old child to fill in. Parents and child invited to appointment with Health Visitor/Community Nursery Nurse to discuss questionnaire ASQ-3 completed with parents and results discussed Health screening takes place Consent to share with early years setting is gained Integrated Review - Health Visitor collates information from both reviews Together with parent assesses vulnerability of child to identify need for further input H/V to liaise with Children’s Centre if vulnerability is highlighted H/V to liaise with GP EYFS Progress Check - EYFS Providers undertake 2 year progress check in early years setting All Progress Checks to be sent to HV Team – ensure to highlight any areas of concern Parent to receive copy of Progress Check Update consent to share information with health Liaise with Children’s Centres (CC) where Integrated Review - Health Visitor contacts setting SENCO/leader to discuss concerns and formulate an integrated plan, based on actions discussed with parent at Health review meeting Where appropriate a meeting is arranged, Parent, HV and EYFS SENCO/ Leader agree who should take lead according to child’s needs, timescales for implementation and review Consider who else should be involved: GP, Paediatrician, Social Care? Consider Early Help Assessment/Referral Integrated Response review – Parent, HV, EYFS provider, CC and GP review progress in relation to identified need or concern. Continue cycle until child’s needs are met or transition information to school is shared. Integrated Response –Integrated Plan agreed by all parties may include: further monitoring of progress by HV,GP( or relevant Health Practitioner such as CDC, CMO), parent and CC plus EYFS provider, along with any referrals (SALT, etc ) in preparation for school, specific interventions If no concerns or needs are identified through either EYFS Progress Check or Health Review no further action is required beyond universal routes of monitoring.
YES NO
Has EYFS progress check been completed yet? Has HV received copy via parent or in Red Book?
YES NO
Integrated Review - Health Visitor contacts child’s EYFS provider for EYFS progress check. Health Visitor collates information from both reviews Together with parent assesses vulnerability of child to identify need for further input Check involvement of Children Centres
If concerns are raised or needs identified that fall outside
- f the Integrated Review timeframe, HV and EYFS
providers should still share information and follow the pan-Dorset Integrated Review model along with their individual agency procedures. Early Years Settings to inform Health Visiting Team of any newly Registered children if any concerns
For children who are not attending an early years setting: Health Visiting Team undertakes the 2Year Review & ASQ3 and follows this up, considers eligibility for 2 Yr Funding and/or recommends uptake of place for child in an early years setting. (See page 7) Health Visiting Team promotes Children Centres Children Centres then promote uptake of universal free early education entitlement funding Any concerns or needs identified? Early Years Setting - If prior assessments indicate higher level of need e.g. TAC / SEND – move directly to Integrated Review Health Visiting Teams - If assessments indicate a Universal Plus child e.g. TAC / SEND – move directly to Integrated Review
All children receive an integrated review Some go
an Integrated Plan
Parents, Providers and HVTs to use red book to keep contact lanes open
Universal support continues
