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Explore the impact of inter-professional working on service delivery at Sure Start Children's Centres in North Leyton. Evaluate referral patterns, assess team effectiveness, and address client perceptions. Discover barriers to integration and identify good practices for future implementation.
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The impact of inter-professional working on service delivery for Sure Start & the Children’s CentreA M HOUSTON L PARKERNorth Leyton Sure Start 2005
A pleasant surprise! NESS What to evaluate? Who to appoint? In the beginning…
Issues • Ethics • Time • The unknown • Keeping everybody happy • Keeping staff on board
The Purpose of the Review • To address referral & access patterns, with particular reference to SALT • To examine the Sure Start Language Measure • To examine inter-professional working: assessing effectiveness of structures & processes
The Purpose of the Review • To address client perception of new service provision • To consider any barriers to integration & identify good practice to take forward into children’s centres
Methods Realistic Evaluation • One to one interviews • Focus groups – client & professional • Thematic analysis
Methods Comparison between the old & the new system: the case of SALT • Local Community Clinic figures vs. Sure Start figures for Initial Assessment
Findings: Community Clinic • 56.2% of children not making it to initial assessment appointment in clinic • 27.6% Unable to attend • 28.52% Did not attend • 13 week wait for initial assessment
Findings:Sure Start • 63.7% seen within one week • 28.2% seen within 2 weeks • NO 2nd waiting list
Findings Positive elements of team working included: • Speed of referral within the team • Speed of follow-up within the team • Proximity of team members impacting on team learning
Findings Difficulties with team working included: • Team Structure • Communication • Confidentiality • Joint record keeping
Parents Views • “most things under one umbrella” • “I think of her as being like my sister” • “Sure Start speaks for itself…people appreciate what you are doing ...they begin to tell others & they are the advertisement”