Hillingdon Children and Families Service

Hillingdon Families Service and Triage Prototype Launch 12 March 2012

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DISCOVERY PHASE Gaps Identified - Common Themes

Many services, multi agencies and individuals working with the family Overlap and gaps in services Some families move back and forward through services Loads of practitioners going in and out of family Works well when they get the right relationship Bounce around lots of services, repeating their ‘story’ – no one seems to have the whole story Families enter into the system at different places which leads to different journeys Family context, rather than individual context needs to be understood

We know that some children and families face multiple problems, including:

• • • • • • • • poor attainment poor attendance or exclusion poor physical and mental health youth offending substance misuse a lack of basic and life skills anti-social behaviour domestic violence

Whole Systems approach to Family Intervention

Allocates to

Tier 1 - Signpost to Universal Services

Single Point of Access Allocates to

Tier 4 Services - inc Special Educational Needs Children at Risk Tier 2-3 FAMILY CENTRE/S

Providing targeted intervention (0-18)

Tier 2-3 - Family Intervention Service Multi-disciplinary holistic family approach Inc. Family Support, Targeted Youth Support, Education Welfare, Community Safety, Housing, Mental Health and so on Tier 1-2 INTERVENTION

PROGRAMMES i.e. Parenting, Drug and Alcohol support, Health promotion etc

Tier 1-2 – Children

Centre’s Providing earliest/lightest touch interventions

Triage Service

The ‘Triage’ Service will become the unified ‘front end’ for accessing the full range of statutory processes, proactive and preventative services and for universal information, advice and guidance, ensuring that its work is characterised by high quality decisions at the appropriate speed.

Objectives

• • • Will become the point of contact for all requests for service across tiers 1-4 Will play a quality assurance role to ensure the quality of referrals into the services. Will screen and provide an initial decision to where the referral will be passed to.

Prototype Model

Triage Team

Concern about a Child R&A Duty Team Request for information Channel Migration Opportunities will aim to filter out some of contact Qualified decision ?

Family Information Service Will be responsible for providing information, advice and guidance for those who do not meet Tier 2-4 Thresholds Tier 4: Special Educational Needs Children at risk etc Tier 2-3: Family Intervention Service Tier 1: Universal Services

Family Intervention Service

AIM

To create a new multi-agency holistic and integrated Family Intervention service for children across the 0-18 age range and their families. To ensure that children, young people and their families are able to access additional support services that are responsive to their needs early in a child’s life or in the onset or identification of difficulties at all levels of need.

Hillingdon Families Service - Organisation design

P Adult Mental Health CwD YOT P Housing P DV

Non-FIT Partner Services

LBH Non-LBH Police CAMHS P

FIT Early intervention

Substance misuse KiSS Family Central Centre Parent s

FIT Key Worker

Health Visitor P IFS HNF TaMHs GP’s/ Hospital CiC Sorted TYST ES CDC CiN TP 16+ Link EWO CAB P Asylum Youth Centre & Reed Libraries Services Children Centre** JC + Vol.

PPS Orgs Beh.

Schools Support EPs P * Given other organisational reforms, it may sensible not to include this function at present ** School Based Children Centres *** Includes Family Support workers based in Family centres FIT has two main functions: 1 – Key worker activity (dark blue): Case assessment, decision making and plan delivery 2- Early Intervention/preventative activity (light blue): counselling services, intervention programmes (e.g. Triple P) and management of Family Centre spaces P Priority for early engagement with prototype

Prototype Launched 12 March 2012

What is a Prototype?

“a design approach that enables new ways of working to be tested and refined at lower risk and lower cost, before full implementation” • Why prototype?

– Helps maintain service delivery while changes are being made – – Test new ways of working Small teams which will be built up over time

Prototype arrangements - Triage

What will Triage do?

• Receive and allocate all referrals and requests for service for High Need Families, Targeted Youth Support, Intensive Family Support, Early Years and Central Parenting • Provide information on Universal Services for Children and Families • Give advice and guidance on how to complete a CAF assessment correctly As of 12 March 2012 • All request for services for the above teams will need to be made to Triage team through a CAF assessment • Referrals will be allocated to: – Universal services/Provide information – – Hillingdon Families Service Statutory Services

Prototype arrangements – Hillingdon Families Service (HFS)

What will HFS do?

• Appropriate new cases will be allocated by Triage to Hillingdon Families Service • HFS will work with the whole family through key working with an early intervention approach Prototype • One member of staff from existing teams will be working together as a prototype team to test the new way of working • The new process will be reviewed constantly, will a full review at the end of June