NHS Lanarkshire University of the West of Scotland Best Possible Start Programme

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NHS LanarkshireUniversity of the West of
ScotlandBest Possible Start Programme

• Training and Development Needs of Health
  Visitors 27-30 month Universal Child Health
  Review

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Best Possible Start Programme
A joint collaborative programme between NHS
Lanarkshire and the University of the West of
Scotland to implement a suite of national policy
documents aimed at improving maternal, infant and
child health outcomes in the early years to
ensure Lanarkshires children have the best start
in life.
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Programme Context
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Policy Context
Overall aim Strengthen Health for all Children
(2005) to ensure the best quality care and
support is delivered to children and families in
the vital early years Key aspect Reintroduction
of the 27-30 month child health review
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NHS Lanarkshire Response

• National Guidance issued to NHS Boards December
  2012
• Promotion of strong early child development
• Promotion of child healthy weight
• GIRFEC framework
• Short-Life Working Group established - Chair
  Harpreet Kohli, Director of Public Health, NHSL

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Preparatory Training and Development Needs

• BPS Research and Evaluation Group
• Expert Practitioners
• Mixed methods approach
• Ethics Approval
• Recruitment Purposive sampling method

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Data Collection

• On line survey questionnaire to all HVs
• Based on a range of core competencies of 27-30
  month review (trends and not precision). Reminder
  web link
• Focus Groups
• Semi structured interview schedule (more
  probing and clarity)
• Competence measured by rating staff level of
  confidence 1-4 scale

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Criteria for rating perceived level of competency
Rating Indication for training
Very confident Respondents currently have specialist knowledge / skills / experience of the issue / topic area described and that they can and do act as a mentor, advisor or consultant to others.
Confident Respondents currently have considerable knowledge / skills / experience of the issue / topic area described.
Fairly confident Respondents have some knowledge / skills / experience but do require further training (revision) to refresh and meet their needs in that particular issue / topic area.
Not confident Respondents do require further training (more indepth) to meet their needs in that particular issue / topic area.
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Response Rate

• On Line Survey Questionnaire to all HVs
• Response rate 61 (n109 of 180)
• Focus Groups
• 5 groups with 38 participants.
• Thematic analysis of focus group
  transcripts/field notes

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Data Analysis

• Categorisation
• Priority Training and Development Needs
• Refresher Training and Development
• No Training and Development Needs

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Developmental toolkit
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Assessment of Normal Child Development
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Staff Comment
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Asset Based Approach
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Staff Comment
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Summary Top 3 Development Needs Identified
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Priority Areas for Training and Development
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Refresher Areas for Training and Development
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Areas not Requiring Training or Development
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Learning Preferences
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Tiered Training and Development Approach

• Large Group awareness raising SCPHN- HVs
  Introduction to the Review/Process/Toolkit
• Master class SGSII Training the Trainer
  approach (GL Assessment)
• Locality/Team Practice Development roll out
  programme

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Learning Points

• Policy context focusing attention on early years
  and pivotal role of health visitors in Scotland
  to achieve outcomes for children and families
• Policy into Practice approach essential for
  success
• HVs supported and clear in identifying training
  and development needs
• Informed Strategic Plan for in service training
• Continuous Improvement journey
• Follow up study to monitor impact

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Further Information

• Jean Rankin, Senior Lecturer in Research,
  University West Scotland
• Sandra MacInnes, Programme Manager (Best Possible
  Start)
• Rankin J, MacInnes S (2014) Training and
  Development Needs of Health Visitors 27-30
  month child health review, Journal of Health
  Visiting, Volume 2, Issue 8

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Service Provision