Transcript Presentation title - Nottinghamshire County Council elections

Early Intervention and Prevention in
Nottinghamshire
Anthony May, Corporate Director for
Children, Families and Cultural Services
Nottinghamshire County Council
Early Intervention & Prevention
Strategy Context - 1
National:
• Reducing public expenditure
• Increasing pressure on Children’s Social Care
• Changes in the roles of local authorities and how
services are delivered
• A commitment to the early years and early
intervention from the Coalition Government
Nottinghamshire County Council
Early Intervention & Prevention
Strategy Context - 2
Local – reflects the national picture:
•Unprecedented budget pressure across the
public sector
•Review of services including the refocusing
and increased commissioning of services
•Continuing high demand on Children’s
Social Care
Nottinghamshire County Council
Our approach in Nottinghamshire
The challenge is to develop a whole systems
approach to the issues facing our services:
• Continuing the improvements to safeguarding in
Nottinghamshire made in the last 15 months
• Refocusing of Children’s Social Care as a service
providing high quality Child Protection Services
•Continuing to improve the effectiveness of our early
intervention and prevention services including:
– Early Years
– Targeted Support for young people
– Health
– The co-ordination of services & key processes such as the JAT & CAF
Nottinghamshire County Council
Safeguarding Improvement Programme
Significant improvements over the last year but
pressure on Children’s Social Care remains:
• An average of 1300 contacts each month
• More than 50% of the contacts (680) do meet the
thresholds for a referral to Children’s Social Care
• Only 90 CAF assessments initiated each month
• Only 60 referrals to Joint Access Teams each month
NB all figures (October 2010 – March 2011)
The role of the Children’s Trust
Executive
• Strengthened membership including health providers
and representation from district councils
• Children, Young People’s and Families Plan –
developing more effective early intervention and
prevention services will be a key priority
• Future joint commissioning of services
• District Early Intervention Management Groups
Our Ambition
...children, young people and their families
will receive the most appropriate support
to meet their needs at the earliest
opportunity in order to ensure better
outcomes and the cost effective delivery
of services....
Nottinghamshire County Council
Our principles for early intervention and
prevention work – 1
We will:
•Intervene at the earliest opportunity in order to secure
the best outcomes for children, young people and
families
•Target resources at the early years, in order to
maximise the future life chances of children and young
people
•Ensure that children and young people are effectively
safeguarded by all of the agencies and staff that work
with them
•Work together to reduce duplication in areas such as
the assessments of need
Nottinghamshire County Council
Our principles for early intervention and
prevention work – 2
We will:
• Ensure children, young people and families will be
supported to participate in key early intervention and
prevention processes
• Ensure that the views and experiences of children,
young people and families inform and influence the
design and delivery of services
• Use evidence-based practice to inform planning for
future service provision
• Adopt a whole family approach, whilst keeping the
child or young person firmly at the centre of any
intervention.
The Strategy’s key strands for development
I.
II.
III.
IV.
V.
The provision of services to ensure the best
start in life
The development of language for life
The engagement and support of parents and
carers
The development of effective structure and
processes
The use and provision of management
information
Each strand has a number of priorities and detailed
action plans
Nottinghamshire County Council
Developing more effective early
intervention & prevention services - 1
• Implementation of the Pathway to Provision initiative
• Development of the CAF as the truly common
assessment and referral process
• Fully utilising the capacity of the Joint Access Teams
as the key mechanism for early intervention
• Refocusing of our early intervention and prevention
services to meet the needs of children, young
people’s needs appropriately and at the earliest
opportunity
Developing more effective early
intervention & prevention services - 2
The focus of the presentations from colleagues
this morning will focus on this critical area
Future services will need to:
• Make more efficient use of available resources
• Ensure more effective targeting of resources to
children, young people and families with the greater
need
• Ensure equitable access across the County based
on need and local demography
Summary
Covered this morning:
1.
2.
3.
4.
The national and local context and challenges
The need for a whole systems approach to
ensure we identify and meet needs at the earliest
opportunity
Our ambition, the principles and key
development areas for early intervention and
prevention services
In the following presentations we will be looking
at the practical changes taking place in key
service areas to achieve our ambition
The refocusing of the Early Years
& Early Intervention Service
Nottinghamshire County Council
OUR AMBITION
We want children, young people and their families to
have the opportunity to achieve their full potential by
having the best start in life and access to services
when they need them most.
Nottinghamshire County Council
Coalition Government’s Vision for the
Foundation Years – the core purpose of
Sure Start Children’s Centres (draft)
“Improve the child development and school
readiness among young children and to reduce
inequalities. This includes identifying, reaching and
supporting the most disadvantaged families to improve
their parenting aspirations and skills, and to promote
health and well-being.”
Nottinghamshire County Council
Key Priorities (1)
•Redefine the Early Years offer, targeting services where there
is greatest need
•Ensure all early years provision is offered through a single
point of access
•Ensure there is sufficient childcare provision that is
accessible, sustainable, and of high quality
•Implement the Language for Life strategy to ensure the early
identification of language delay
•Implement the Family & Parenting review findings by
integrating and extending family support provision - delivering
throughout school transitions and across tiers 2 and 3.
Nottinghamshire County Council
Key Priorities (2)
•Use national and local evidence based
programmes/practice that are proven to make a
difference
•Support the work of the Joint Access Teams and the
use of the CAF through multi-agency
training/development programme and the
development of a quality assurance framework
•Develop a whole-family CAF tool and use of eCAF
•Deliver the Pathway to Provision enforcement plan
•Develop district early intervention and prevention
management groups
Nottinghamshire County Council
Key Priorities (3)
•Consider workforce development needs in light of
reshaped service.
•Secure efficiency savings - £3.25m.
KEY DATES:
•Following a consultation period, recommendations
to the County Council in December 2011
•New management structure in place by March 2012
•New commissioning agreements in place by
September 2012
Nottinghamshire County Council
‘Enabling infants to become rounded, capable
people results in great and lasting social benefits
through a lifetime that includes happiness and
security in childhood, achievement in education,
readiness for productive work and, above all,
successful parenthood’.
‘Early intervention: the next steps’. Graham Allen MP. Jan 2011
Nottinghamshire County Council
Developments in children’s health
services and the wider NHS
NHS Nottinghamshire County
Public Health
Children and Young People Team
July 2011
NHS Nottinghamshire County
Presentation
• Picture of health (JSNA)
• NHS role in early intervention and prevention
• Developments in children’s health service
•The wider NHS
•Challenges and opportunities
NHS Nottinghamshire County
Picture of health in Nottinghamshire
• 179,500 children and young people aged 0-19 years
• Average overall for most indicators of health
•Wide variation within the county
–low birth weight, smoking in pregnancy, hospital admissions,
teenage pregnancy rates, linked to deprivation
•Key health issues for Nottinghamshire:
–childhood obesity, emotional health and wellbeing, sexual health,
substance misuse, CYP with disability, vulnerable groups
www.nottinghamshire.gov.uk/childrenstrust/jointstrategicneedsassessment.htm
NHS Nottinghamshire County
Prevention and early intervention:
the role of the NHS
•Universal services
•Antenatal care – midwifery
•The Healthy Child Programme:
•Health visitors
•School nurses
•Child health surveillance (GPs)
Services contributing to ensuring the best start in life
NHS Nottinghamshire County
Key national developments in children’s
health services:
The Department of Health is planning for the
development of two initiatives nationally:
–The Health Visiting Implementation Plan 2011-2015,
(including revised core offer)
–Family Nurse Partnership Programme
NHS Nottinghamshire County
The wider NHS in Nottinghamshire
•‘Listening’ exercise now complete
•Clinical commissioning groups: 6
•Public Health move to Local Authorities
•Health and Wellbeing Board
•PCTs in existence until 2013 (clusters)
•Transforming community services (TCS) complete
–New providers of community children’s services
NHS Nottinghamshire County
Challenges and opportunities
•Financial challenges within the NHS
•Loss of organisational memory, capacity
•Fragmentation of services
•Effective partnership working –
–HWB, joint commissioning, Public Health move
•Clarity of purpose: e.g. EI&P Strategy
•Evidence based practice, cost effectiveness
NHS Nottinghamshire County
Thank you!
Children and Young People
Public Health
Birch House
Ransom Wood Business Park
Southwell Road West
Mansfield
Nottinghamshire
NG21 0HJ
The development of a Targeted
Support Service for young
people
Nottinghamshire County Council
Scope of Services
• From the age of 8
• At risk of
involvement in crime
and ASB
• ASB linked Parenting
Orders and
Contracts
• Substance Misuse
• Missing children and
“runaways”
• Youth homelessness
• Improving
participation in ETE
• Outreach youth work
in ASB hot-spots
• Young Carers
• Resettlement for
custody leavers
Nottinghamshire County Council
Ethos
• Young person centred
• Minimum number of professionals
involved in meeting needs
• Minimising number of plans and
appointments and reducing repeat
assessments
• Solution focused approaches
involving families and carers wherever
possible
Nottinghamshire County Council
Team Structure
• 3 locality based multi-disciplinary
Targeted Support Teams
• Co-located NCC, health and voluntary
sector and police staff
• County wide Outreach and Open
Access Team
• County wide Young Carers service
delivered by Family Action
Nottinghamshire County Council
Operation
• CAF based referrals and assessment
• Published eligibility linked to “Pathway
to Provision”
• Individualised programme approaches
led by a named case manager
• Direct links into CAMHS
Nottinghamshire County Council
Children's Social Care,
Sustainable and fit for the future:
A new vision and focus
Nottinghamshire County Council
Why a new vision and focus? Demand
June 2008 –
June 2009
June 2009June 2010
June 2010June 2011*
Contacts
10,031
14,308
17,252
Referrals
6,164
9,595
9,488
Initial Assessments
4,866
5,589
8,373
Core Assessments
728
1,096
2,083
Child Protection
Plans
398
727
824
Looked After
Children (LAC) **
501
623
716
Social Care
activity measure
Children’s Social Care
vision and mission
“To give the most vulnerable children and
young people in Nottinghamshire the
support and protection they need to be
safe, secure, happy and to achieve their
full potential”
Vision is underpinned by the following
principles
• Children’s Social Care works to protect and support the
most vulnerable children and young people in society
• We will keep children at home in their families wherever
possible and where it is safe to do so
• Children should exit the care system by returning to their
family or into alternative permanent placements, such as
adoption, as quickly as possible
Immediate challenges; managing the
demand on the Service
• Significant investment in;
– additional front line staff (Including agency)
– increased cost of placements for Looked After
Children
• Inspection;
– Positive Ofsted Unannounced inspection in
February 2011
– Positive Peer Challenge in May 2011
– Full safeguarding inspection in the autumn
Transformation Programme
• 18 months – 2 years programme to develop a new
operating model for Children's Social care
• Priority projects, including:
–
–
–
–
–
Multi-agency safeguarding hub
Locality based teams
Permanence team
Transition services for children with disabilities
Support to young people aged 16+
• Implementing a sustainable, cost effective and efficient
operating model that links to early intervention and gives
clear support to JATs