Integrated Reviews - the 2-year check

Integrated Reviews bring together the health and early‑years 2‑year checks into one coordinated review of a child’s development.

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 County 0-19 Hub.

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

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 County 0-19 Hub.

Childcare Setting - Progress Check

Childcare Settings must obtain consent from parents to share information with other professionals. For children eligible for 2 year funding, the Early Education Funding Parental Declaration form could be used for this purpose if completed and signed by the relevant parent/carer.

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.
  • 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 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.

Sharing information and what to do next

If a childcare or health professional identifies any additional needs or concerns, they must share this information with each other. This ensures the right support is in place as soon as possible.

The agreed professional will take action to support the family and work with other agencies to improve the child’s outcomes. At this stage, professionals should follow the early help guidelines set out by the Staffordshire Safeguarding Children Partnership.

The Midlands Partnership NHS Foundation Trust (MPFT) will ask parents for consent to share information with early years settings.

If a setting has completed the progress check, the County 0–19 Hub can only provide information if the child has already been seen by the Hub. Settings that want to share information must also have parental consent.

County 0-19 Hub Contact Details

Information on Health and Wellbeing Service 0-19 years

To contact the hubs call freephone: 0808 178 0611