Transcript Integrated Working

Integrated Working
Presentation to Camden
PCT and London
Borough of Camden
30th August 2007
Mary Galashan, DCSF
Contents

What is Integrated Working (IW)?

Why and how was Integrated Working developed?

Is there any evidence that IW improves outcomes for
children and young people?

Why should health practitioners participate?
What is Integrated Working?

Integrated working is where everyone supporting children and
young people works together effectively to meet their needs and
improve their lives.

By combining their professional expertise, knowledge and skills and
involving the child, young person or family throughout, practitioners
can:


identify needs earlier;

deliver a coordinated package of support that is focused around the
child or young person; and

help to secure better outcomes.
Integrated working is achieved through collaboration and
coordination at all levels, across all services, in both single and
multi-agency settings. It requires clear and ongoing leadership and
management. At an operational level, it is facilitated by the
adoption of shared service delivery models, tools and processes.
Technology change is only one part of
the picture of Integrated Working …
Technology
Change
ContactPoint
ICS
Integrated
needs
analysis
Safeguarding
arrangements
e-CAF
+
Business
Change
Lead
professional
+
Culture
Change
Early &
holistic
identification
of needs
Improved
information
sharing
Coordinated
service
delivery
Why was Integrated Working developed?

The cross government Every Child Matters: Change for
Children (ECM) programme and the Integrated Working
processes and tools were developed following the
inquiry into the death of Victoria Climbiè.

The development of the NSF for Children, Young
People and Maternity Services was also influenced by
the inquiry’s recommendations .

The policies set out in ECM and NSF are designed both
to protect children and maximise their potential.

Evidence from existing collaborative practice and
consultation on ECM endorsed the view that better
outcomes will be secured by services working together
more effectively on the front line.
The challenge for ECM – Sept 2003
Social
Services
YOT
PCT
CAMHS
Social
Worker
Youth
offending
team
Health
visitor
Child
psychologist
At risk
ASSET
register
Risks to
parents
Conduct
disorder
Children
in need
Youth
Service
Connex
-ions
LEA special
educational
needs
Ed
Youth
welfare
workers
officer
Connex
-ions
PA
SENCO &
Ed Psychologist
APIR
Statement
of SEN
EWS
Universal
Education
Children’s
Fund
Universal
Healthcare
= agency
= worker
= assessment
Benefits of integrated working
Faster, more coordinated delivery of
service for the child
or young person
Earlier, more
effective
intervention
Improved
information sharing
and collaborative
working across
agencies
Earlier, holistic
identification of
needs
Better service
experience for
children, young
people and families
Improved outcomes
for children, young
people and families
Key elements of Integrated Working
Integrated Processes and Tools
Information sharing
guidance
Lead professional
Service directories
ICS
Common
Assessment
Framework (CAF)
ContactPoint
Championing
Children
Children Missing
Education
Integrated
Front-Line
Service
Delivery
Children’s
Centres
Extended
Schools
Targeted Youth
Support
Safeguarding
Children’s health
NSF
Youth crime
Reduction
•
•
•
•
•
Improved outcomes:
Be Healthy
Stay safe
Enjoy and achieve
Make a positive
contribution
Achieve economic
well-being
The focus of these tools is generally early
intervention & prevention
Common assessment
from this point
Lead professional from this point
Lead role already
required by statute
or best practice, e.g.
key worker
Statutory or
specialist
assessments
Information sharing between
practitioners - supported by
ContactPoint
Implications for Health practitioners


Children Act 2004 placed statutory duties on all services
including:

to participate in making arrangements to promote co-operation to
improve the well-being of children and young people

to put in place arrangements to safeguard and promote welfare of
children and young people

to participate in the Local Children’s Safeguarding Board

to disclose information to and permit access to information
databases (ContactPoint)
NSF Standards 1,3,5,6,8,9 all promote integrated
working
“Being healthy” supports the other 4 ECM
outcomes


Health practitioners have a key role to play as part of an integrated
workforce supporting children and young people including:

providing universal support service in very early years

role in preventive services

promoting a healthy lifestyle

supporting children with particular health needs
Improving all outcomes for children, young people and their families
For more information

Every Child Matters website - www.ecm.gov.uk

Information on integrated working available at
www.ecm.gov.uk/integratedworking

Latest updates on CAF, eCAF, ContactPoint are available from the IW page

Latest updates on ICS are available at www.ecm.gov.uk/ics

Guidance and training materials for integrated working processes and tools –
also go to www.cwdcouncil.org.uk

Fact sheets, case studies, Making It Happen