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Integrated two and a half year old review process

A table showing the Integrated two and a half year old review process

Education settings

Childcare settings ensure admissions and registration includes ‘consent to share information with other professionals’, (and is signed by parent or carers.)

Education settings

Childcare setting to publicise the integrated review to parents by:

  • letter to parents or carers when child reaches 2 years of age, providing information about the process of the progress check and how this links to the Health and Development Review (HDR) provided by Public Health Nursing Team (PHNT)
  • newsletters, notice boards, posters, starter pack information or key person

Education settings

Ask parents to notify key person date of their child’s HDR is known (Letters are sent by post or electronically by PHNT usually two weeks before appointment).

Health settings

Letter to parents or carers regarding date of their child’s HDR and providing information about the link with the nursery setting progress check at age two.

Education settings

  • practitioner to discuss the child’s development with parents or carers and complete the progress check between two years and two years three months, where possible. (See top tips for more information)
  • practitioner places parent or carers copy of progress check into the child’s red book, for sharing with PHNT and other professionals as relevant
  • If permission to share is not given, record when and by whom the progress check was completed. (Use the red book notes pages).

Education settings

  • if any concerns about the child’s development: early years practitioner to contact the PHNT prior to the HDR (with parents or carers consent)
  • contact the early years area SENDCO or other professionals, if required

Health settings

  • HDR completed by the PHNT between two years three months and two years six months, EYFS progress check is accessed from the red book and any identified concerns note  and discussed with parent or carer
  • a member of the PHNT completes an ASQ information summary for parent to place in the red book and advises parent or carer to share any concerns or recommendations with Early Years setting

Ask parents or carers for feedback from the HDR with the PHNT

  • if any concerns arise from the progress check or HDR the person identifying these should complete an Early Help Assessment, followed by either referral to appropriate specialist support or a multidisciplinary meeting with parents or carers, health professionals, Early Years setting and other professionals, as required.
  • implement support for the child

Also note:

If the progress check at age two is completed after the HDR:

  • practitioner should discuss the HDR with the parents or carers and look at the information in the red book from the PHNT
  • if any concerns from the progress check or HDR complete an Early Help Assessment, followed by either referral to specialist support or a multidisciplinary meeting with the parents or carers, health and any other professionals, as required

If you are concerned about a child and feel that they may be in need of protection or safeguarding raise a Cause for Concern

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