Integrated Review at Two

Kent County Council (KCC), The Education People and Kent Community Health Foundation Trust (KCHFT) have worked together to develop an Integrated Review at Two Pathway for Kent.

Both Early Years and Health have statutory responsibilities and obligations to provide developmental checks on children when they reach the age of two.

The Kent Integrated Review at Two process brings together the Healthy Child Programme Health and Development Review at age two to two and a half and the Early Years Foundation Stage Progress Check at Age Two to support a ‘tell it once’ approach.

Education - the EYFS progress check at age two
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The learning and development requirements of the Statutory Framework for the Early Years Foundation Stage (EYFS) state that:

"When a child is aged between two and three, practitioners must review their progress, and provide parents and/or carers with a short written summary of their child's development in the prime areas. This progress check must identify the child's strengths, and any areas where the child's progress is less than expected" (Section 2.4, 2021).

Completing the EYFS progress check at age two
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The check should be completed by the setting that the child spends the most time in. It is a statutory requirement for the provider to share the progress check with the parent(s). There is no prescribed format for the EYFS progress check at age two summary. Each setting can decide on its own progress check format, but as a minimum it must include a short written summary of the child's development in the prime areas; the summary must identify the child's strengths and areas for improvement.

Kent Progress Check at Age Two format (PDF, 209.3 KB) will enable the key person to collate all the relevant information required.

Settings should record the outcome of the EYFS progress check in the child’s Red Book on the designated page titled ‘2-2 ½ year Integrated review – Early Years Foundation Stage progress check’.

Health - Health and Development Review
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Health and Development Reviews are part of the Healthy Child Programme. This is a universal offer, which means it is offered to all families, and families choose whether to take it up. The Reviews are carried out between two to two-and-a-half years but ideally carried out as soon as possible.

Health Visitors record a summary of their Health and Development Review on the relevant page in the Red Book.

Working in an integrated way (IR2)
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When these two developmental checks are brought together, we call this The Integrated Review at Two. In Kent there is an expectation that all reviews at two are integrated in this way. This Integrated Review forms an important part of early identification.

The integrated approach is about maximising the opportunities to share information and work together to ensure concerns are identified and actioned as early as possible.

The Red Book is the location to record The Integrated Review.

There are three different pathways for the IR2 in Kent.

To support and guide implementation please see the following resources:

Complete a referral for an Integrated Review at Two meeting or request a package of care

For additional details of the full process please see:

Contact details for local Health visiting teams:

Duty Health Visitor referrals
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We are currently working together with our health partners to develop stronger links and working practices. As part of the ongoing monitoring of this work we are asking settings to let the Equality and Inclusion Team know when the SENCO or Manager has made a referral to the Health Duty line. This can be completed using this Duty Health log form

Return to Equality and Inclusion landing page

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