From Extraordinary Lives to Ordinary Lives

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From Extraordinary Lives to Ordinary Lives
Redesigning Childrens Health Services in
Dumfries and Galloway Second best is not good
enough for Scotlands looked after children and
young people
Philip N Jones Chief Executive Dumfries and
Galloway Council 19 April 2007
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Dumfries and Galloway a snapshot

• Third largest region in Scotland (2,380 square
  miles)
• Population 147,210 (2003)
• Largest town Dumfries (population 32,136)
• Population density 23 people per sq km
  (national average 65)
• 18 of the population are under 18
• 444 Looked After Children (April 2007)
• Main contributors to economy - agriculture,
  forestry, food processing
• Around 15,000 employed by the Council and NHS
  Dumfries and Galloway
• Unemployment generally below the Scottish
  national average but there are pockets of high
  unemployment and areas of multiple deprivation

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Community Planning in Dumfries and Galloway

• Council, NHS, SEDG and Police have co-terminus
  boundaries
• Community Planning won COSLA Excellence Award in
  2003
• Audit Scotland 2006 Review of Community Planning
  highlighted good practice in Dumfries and
  Galloway
• Integrated approach to Chief Officer Group and
  Child Protection Committee membership
• Councils 2003 Management of Change programme
  integrated Social Work with Education
• Committee commitment to retaining integration
  (April 2007)
• Working on Community Health Partnership

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The Health Challenge in Dumfries and Galloway

• Patterns of ill health
• Medical technological advances
• Workforce Issues
• Regional Planning
• Health Detriments- rarely just poverty- seldom
  just health needs or disability- its never just
  the child- each service can make a difference,
  but none can make all the difference

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The National Context

• Plethora of reports from Scottish Executive and
  other
• agencies with common themes- integration /
  joint working / common approach- consulting and
  communicating
• - child-centred- safe, nurtured, healthy-
  achieving- respect, responsible, involve
• - inclusive- delivering Best Value services
  effectively

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Starting Points in Dumfries and Galloway

• Strengthened paediatric services in the community
• Developed Occupational Therapy services
• Increased pre-assessment for children
• Development of accreditation process for health
  promoting schools
• Strengthened NHS services for looked after
  children and child protection
• Establishment of and advanced booking scheme for
  respite services
• Contributed to an integrated substance misuse
  service

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But..

• There are still too many cases where the outcomes
  are not satisfactory
• Even our current level of integration is not
  enough even when it works
• There are questions about confidence in
  devolution
• Are we releasing the potential of all of our
  colleagues?

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So..?

• We need to create a culture where we all believe
  we can make a difference and where we want to
  make a difference together
• We need to listen, to learn, to act and
  communicate
• We need to disperse leadership
• We need to take some risks
• We need to get commitment from all services at
  all levels

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ICSP Our Vision for Our Children

• The vision for our children- confident
  individuals- effective contributors- successful
  learners- responsible citizens
• To achieve this the children need to be- safe-
  nurtured- healthy- achieving- active-
  respected and responsible- included

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Redesigning Childrens Health Services
Planning and Priorities
Communication with Stakeholders
Leadership Staff Development
Review Planning Requirements Consult
Stakeholders Revise Childrens Services Plan
Leadership Development Working in Partnership
Guide Workforce Planning and Development
Delivering Better Outcomes for Children and Young
People
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Integrated Childrens Services Planning And
Delivery
CSCOG Support and Governance
Workforce Planning Development
Delivering a Healthy Future
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Group Roles

• Chief Officers Group (CSCOG)
• Leadership and direction
• Strategic Priorities
• Policies, Strategies and Delivery Plans
• Stewardship of Resources and Performance
• Planning and Delivery Groups
• Plan Actions to Deliver Strategic Priorities
• Implement, Monitor and Review these Plans
• Review (and revise if necessary) existing
  multi-agency groups
• Report to CSOG

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The Corporate Parent
the formal and local partnerships needed
between all local authority departments and
services, and associated agencies, who are
responsible for working together to meet the
needs of looked after children and young people
- If this were my child
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How We Can Do It Five Strategic Priorities

• Keeping Children Safe1.1 Child Protection1.2
  Preventing and tackling Domestic Abuse
• Early Intervention2.1 Enhance early intervention
  in schools and health services2.2 Making
  Childrens Hearings Work
• Engaging children, young people and families
• Integrated Assessment Framework supported by the
  Data Sharing Partnership
• Workforce Planning and Development

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This Year We Will

• Finalise the Integrated Childrens Plan
• Implement the revised Planning and Delivery
  Structure
• Approve planning and delivery group action plans
  and ensure cabinet responsibility for
  cross-cutting issues
• Establish monitoring systems to ensure what we
  agree should get done, gets done and is done on
  an ongoing basis

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Expectations Five Years On

• The way we do things in Dumfries and Galloway
• Outcome measures of service improvement
• Children, young people and families as partners
  in change

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In Summary

• Redesigning childrens health services is
  everybodys business
• Childrens health services form part of the wider
  development of multi-agency integrated childrens
  services planning
• Its not just about re-structuring
• We cannot just target the most vulnerable and
  least advantaged young people we need to think
  holistically about all our services in terms of
  their impact on all our childrens health
• Providing better services means getting more from
  what we have
• We must invest in the strategies that we believe
  will work, but we must also prioritise the
  resources we have