Shared Care 4Kids Pilot: Pre-Pilot Survey for PNs Practice Background, Current Blue Book Checks, Resources & Support Question Title * 1. What is your practice name? Pilot-related practice background Question Title * 2. Does the practice have an effective partnership with their local Child and Family Health Centre/s? Yes No Question Title * 3. Does the practice promote free Blue Book checks with immunisations? Yes No Question Title * 4. Do immunisation encounters always include a Blue Book check with both a PN and GP? Yes No Question Title * 5. Number of GPs in the practice Question Title * 6. Number of PNs in the practice Question Title * 7. Number of GPs who routinely do Blue Book checks with a PN Question Title * 8. Numbers of PNs who routinely do Blue Book checks with a GP Question Title * 9. What Blue Book data is routinely recorded in practice software fields? Question Title * 10. What education has the lead GP completed in the last 5 years? Question Title * 11. What education has the lead PN completed in the last 5 years? Question Title * 12. How often are children with suspected developmental concerns needing referral referred to the NSLHD Child and Family Health Service? 1 (all the time) 2 3 4 5 (never) Question Title * 13. How often are children with suspected developmental concerns needing referral referred to private providers? 1 (all the time) 2 3 4 5 (never) Question Title * 14. How often are parents/carers with concerns needing referral (e.g. parenting/breast feeding/mental health issues) referred to the NSLHD Child and Family Health Service? 1 (all the time) 2 3 4 5 (never) Question Title * 15. How often are parents/carers with concerns needing referral (e.g. parenting/breast feeding/mental health issues) referred to private providers? 1 (all the time) 2 3 4 5 (never) Question Title * 16. Are there processes in place to ensure each child has a positive experience with immunisations and Blue Book checks? If so, identify these processes. Question Title * 17. Are there processes in place to ensure each mother/carer has a positive experience? If so, identify these processes. Question Title * 18. Are there systems in place to identify and report child at risk of harm concerns? If so, identify these systems. Current Blue Book Checks Question Title * 19. What is the booking process for immunisations/Blue Book checks? i.e. How long with PN and GP and in what order? Question Title * 20. Documenting findings in the Blue Book: What elements do PNs include in a Blue Book check? Select from the options below. My development – Learn the signs. Act Early. Additional questions for parents/carers Child health check: weight Child health check: length/height Child health check: head circumference Child health check: oral health (lift the lip check) Child health check: health protective factor Child health check: other (please specify below) Other (please specify) Question Title * 21. How is information shared between PNs and GPs during the Blue Book check? Via practice software Verbal Other (please specify) Resources and support Question Title * 22. What information/support needs do you have in relation to Blue Book checks? Select all that apply. Performing Blue Book checks Documenting findings in Blue Book Monitoring growth: height (length) Monitoring growth: weight Monitoring growth: BMI Monitoring growth: head circumference Monitoring child development – ‘Learn the Signs. Act Early.’ Clinical software - Navigating/data entry Scheduling Blue Book Checks with GP and PN Providing the optimal experience for parents and children My Health Record Referring to the Child and Family Health service Confidence in answering parent questions Other (please list) Done