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Bedfordshire

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Clinically-led services for children and young people ... have background understanding of the aetiology of aggression and sexual abuse ... – PowerPoint PPT presentation

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Title: Bedfordshire


1
Bedfordshire Oracle working together in
partnership
understanding the context of sexually
inappropriate behaviours
2
What Makes Oracle Unique?
  • Clinically-led services for children and young
    people
  • Fully integrated therapeutic care and education
  • Expertise in forensic behavioural psychology
  • No bolt-on consultants or services
  • 100 ownership by employees/directors

3
Bedfordshire a brief history 1
  • Special Measures since 2002
  • Expenditure on LAC out of control
  • Lowest expenditure on Family Support
  • 3.5 million overspend
  • Record number of Looked After Children
  • Worst Performing County Council

4
Bedfordshire a brief history 2
  • In 2004 services were unsafe
  • Not getting the basics right
  • Unacceptable standards tolerated
  • Limited understanding of performance
  • No control on resources
  • No preventive capacity

5
Bedfordshire a brief history 3the vicious circle
6
Bedfordshire a brief history 4
  • We agreed to change our focus
  • To deliver improved outcomes for children and
    young people in Bedfordshire both now and in the
    future.  

7
Bedfordshire a brief history 5
  • We did this by
  • Continually improving the provision and
    commissioning of services
  • Using an integrated approach looking at needs
    across children's and adults health, education
    and social care issues working in partnership
    with young people, parents, other agencies and
    the voluntary sector
  • by investing in preventative measures which will
    improve life chances in a targeted way
  • Using multi agency / professional panels
    according to need to decide/review and monitor
    outcomes

8
Bedfordshire a brief history 6
  • Its all about Commissioning!
  • Vision of Commissioning
  • Providing children and families with the right
    services at the right time and at the right
    Intensity based on their needs

9
Bedfordshire where we are at now in 2008
  • Reduced numbers of LAC from 445 to 278
  • Cut LAC expenditure by 4 million
  • Halved out of authority placements
  • Doubled expenditure on family support
  • Rated as good in 2007 JAR
  • Won three national commissioning awards
  • Dramatically improved outcomes for children

10
Bedfordshire Commissioning across the spectrum of
need
Vulnerable
Complex
Universal
Acute
MAAG Panel
Bedfordshire Allocation Panel
11
Managing the resources of risk
understanding the context of sexually
inappropriate behaviours
12
Aim of the session
  • To illustrate an example of how partnerships
    between the independent and Local Authority
    sector can effectively respond to case scenarios
    involving the assessment and management of risk.

13
Oracle expertise
  • Established specialist RCC (inc SIB/SHB)
  • Registered School (875/6035)
  • Individual therapy (3 full time clinicians)
  • Integrated therapeutic care and education
  • Forensic Psychology expertise (MAPPA)
  • Free training for local authority practitioners
  • Consultancy service (non-residential cases)

14
Managing Risk
  • In most situations internal risk management
    protocol is effective in managing situations.
    Sometimes there is a requirement to seek
    consultation from professionals external to an
    organisation. (Steve Gray WILL SHARE A BRIEF CASE
    EXAMPLE HERE...)

15
The nature of partnership
  • Independent risk consultants are not there to
    provide definitive answers, but to feed into the
    core group investigative and decision-making
    process

16
Benefits of a consultancy view
  • Consultants have background understanding of the
    aetiology of aggression and sexual abuse and the
    methodology to influence risk-reduction.
  • Can offer a systemic, objective overview
  • Highlights communication gaps, information
    deficits and professional dangerousness.

17
Benefits in multi-agency approach
  • Facilitates a coordinated approach, to encourage
    sharing of information across professional
    disciplines.
  • Provides a needs-led, evidence-based methodology
    to inform decision-making.
  • As history of cases develops, evaluation of
    outcomes can influence future policy, practice
    and research methodology.

18
Benefits the checks and balances
  • Risk decisions are scrutinised and coordinated.
  • Can skill-up social work teams in risk,
    decision making practice.
  • Continues thread through multi-agency working for
    smoother transitions and step down to alternative
    settings

19
Diversification of consultancy activity 1
  • individual domiciliary assessments on young
    people
  • short-term therapeutic, domiciliary interventions
  • therapeutic residential care and education
  • Risk assessment training for field social
    workers, managers and psychologists.

20
Diversification of consultancy activity 2
  • Advisory support for parents and substitute
    carers to enable them to manage challenging
    behaviours, hence avoiding the need for placement
    moves or residential care.
  • Case consultancy on an informal network basis,
    practitioners can discuss cases by telephone.

21
Benefits of diversification
  • The relationship between the purchaser and
    provider remains dynamic in order that services
    are needs-led, evidence-based and offer
    best-value.
  • Social workers have become more confident to
    assume a role in risk management as their
    awareness of risk assessment process has been
    enhanced.

22
Regional commissioning benefits
  • The model is amenable to the inclusion of other
    neighbouring local authorities, who could share
    cost and benefit from an innovated team of
    professionals.
  • Has specialist resources on hand in region,
    without initial capital and ongoing capital
    investment.

23
Dual region benefits
  • Enables young people or parental figures to stay
    within their own families and/or county.
  • Invites collaboration with neighbouring Local
    Authorities to share costs, resources and good
    practice.
  • DCSF Joint regional and inter-regional
    commissioning possibilities (CYP Bill)

24
Financial benefits
  • access to specialist RCC provision (between 1 and
    8 beds in one region)
  • shared financial risk (less risk if extend Beds
    SLA to more partners)
  • benefit of specialist consultancy work
  • Bedford I bed block purchased 10 saving on
    spot purchase rate

25
Financial benefits cont
  • Consultancy time in lieu of bed (if not occupied)
    included in block purchase cost
  • Guaranteed expert input on all cases
  • 20 saving on normal consultancy costs for cases
    over and above those included in the SLA

26
Financial benefits cont
  • Free training to LA practitioners enhanced PRTL
    opportunities
  • Oracle reduced risk through guaranteed
    placements. Improved cash flow accelerated
    training and development and ability to enhance
    the skill base of entire Oracle team and offer
    more clinical expertise availability to LAs.

27
And Finally
Better outcomes will be secured by services
working together more effectively on the
front-line to meet the needs of children, young
people and their families.
Earlier, holistic identification of needs
Earlier, more effective intervention
Improved information sharing across agencies
Better service experience for children and
families
Reducing duplication of services
Evidenced based treatments and reduced costs !
28
Our Contact Details
  • Alison Trainor mobile 07809 195335
  • Office tel. 0870 850 2949
  • Office fax 01260 297 673
  • e-mail info_at_oraclecare.com
  • website www.oraclecare.com

29
Oracle Consultancy Services
understanding the context of sexually
inappropriate behaviours
30
Oracle Consultancy Services
  • Specialising in
  • Compilation of Risk Assessment / Risk Management
    Strategies
  • Design and Implementation of Relapse Prevention
    Programmes
  • High risk / complex case scenarios
  • Court Assessments
  • MAPPA advice

31
Oracle Consultancy Services
  • Undertaken by our team of clinicians, qualified
    in
  • Forensic Psychology
  • Clinical Psychology
  • Cognitive Behavioural Psychotherapy

32
Oracle Consultancy Services
  • Contact Details
  • Tel 0870 850 2949
  • e-mail consult_at_oraclecare.com
  • website www.oraclecare.com
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