The Mini Move Programme

Louise Leach and Charlotte Peck

The Project

A Mini MOVE Programme will be developed and adopted as the children’s physiotherapy typical targeted offer for early years children with complex physical needs. The MOVE Programme is an activity-based, 6 step framework delivered traditionally within education (hence the acronym Movement Opportunities Via Education) that enables disabled young people to gain independent movement, focusing on the gross motor skills of sitting, standing, walking and transitioning between.

The MOVE Programme is already used effectively in 140 special education settings across the UK. 4 special schools in Aneurin Bevan University Health Board (ABUHB) have already embedded the programme within their provision, with over 200 practitioners from education and therapy trained and over 70 students currently on the MOVE Programme within these settings.

How this will be achieved

This project will trial Mini MOVE for the first time both in Wales and nationally; an adapted version of the MOVE Programme that is designed for use in early intervention for children aged 2-5 years. Mini MOVE maintains the focus and structure of the MOVE Programme, but the project will focus on developing an adapted assessment framework suitable for the age group. A new delivery model will also be developed to meet the requirements for children and families that may be in mainstream early years settings or not yet in education.

Project plan:

  1. Agree input in project from MOVE Europe.
  2. Redirect departmental funding to support a fixed term project officer based within the department to manage the project, and resource from MOVE Europe to support given scale required to initiate the pace of the transformation. Project lead to develop a full project timeline in collaboration with MOVE Europe.
  3. Mini MOVE assessment framework adapted to ensure suitability for the age group.
  4. Develop pre and post outcome measures to assess both individual outcomes and family outcomes.
  5. Deliver Senior Practitioner training to physiotherapists within ABUHB on the model, allowing them to be able to effectively assess and develop Mini MOVE programmes for pilot children.
  6. Identify and assess pilot group of children using the Mini MOVE assessment framework. Number of children to be identified in initial scoping phase of the project. Pilot cohort across ABUHB to receive Mini MOVE assessments, goals and programmes.
  7. Train education staff to Practitioner level and support families of individuals to practise movement skills.
  8. Progress reviews of each child at 3- and 6-month intervals with new goals set at each.
  9. Create online parental training videos and resources to facilitate family involvement and delivery at home.
  10. Complete full project evaluation and write up learning.
  11. Disseminate learnings and identify methods of rolling Mini MOVE out more widely.

Anticipated benefits

By identifying children appropriate for MOVE with physical disabilities at an earlier age, introducing this approach right from diagnosis and on entry into therapy services and working collaboratively with the whole team around the child, greater health outcomes can be achieved in a more cost-effective way. We also believe earlier engagement in the strengths-based programme from parents and carers could also create less dependency longer term.