Childrens Futures:

1
Childrens Futures Towards a Childrens Trust
for Suffolk
2
Childrens Futures The History

• Began in Suffolk 2001 by small group from
  Education, Health and Social Care
• Consultation with range of partners to establish
  a shared vision
• Post of County Manager, Childrens Futures
• Legislation
• DfES 5 year strategy for children and learning
• National Service Framework for Children, Young
  People and Maternity Services
• Childrens Act 2004
• Every Child Matters Change for Children
• Childrens Futures Programme Team Established

To promote an environment and deliver services
in which all children and young people can
flourish, as the basis of a fulfilling life
3
A real need to refocus

• Identified as required by those involved
• A robust Programme Structure required
• clear leadership
• governance highly visible and prominent
• Need to meet the opportunity of radical and
• dramatic change
• re-engineer processes not just re-organise
  structures
• the childs view at the forefront
• Building on the work and principles already
  done

4
Approach
I have worked with the ECM initiative from its
very early conception at central, regional and
local government level and Suffolks Childrens
Futures approach is for me the first time it has
felt real Six months ago I was one of 10 people
on a VCS Every Child Matters Expert Advisory post
to Margaret Hodge, we met many times, where we
heard both her views and those of the Home
Office, DfEs.. At Whitehall we sat around the
table talking about the value of integrationeach
time we experienced only one department in
isolation presenting. Today in Suffolk Im
sitting with representatives from education,
social care, health all seconded to a childrens
futures team and several representatives form the
voluntary and community sector reviewing initial
thinking about what integration and more
effective involvement of the VCS should look like
in Suffolk.we are doing what people at Whitehall
talk about what should be done. Thats what makes
this real for me Dr Bud Simpkin, Chief
Executive, SCVYS

• 250 people consulted
• Over 170 interviews undertaken
• 12 workshops
• Covering Statutory, Voluntary and Independent
  Sector
• All levels Parent, Front-line, Supervisory,
  Middle-Management, Executive
• Countywide coverage
• 40 central government documents analysed

5
Some Key Data

6
Government Mandate
What the Children Act aims to achieve
7
As Is The Need for Change
8
How it is now
9
Guiding Principles

• We are working to the spirit behind Every Child
  Matters, not just its obligations
• Children and young peoples welfare is paramount
  and must be promoted and safeguarded
• All Suffolks children and young people must be
  encouraged to aspire to their highest possible
  achievement
• Parents, carers and all household members will be
  valued as partners
• Children, young people and their families will
  experience an integrated, needs led service which
  is delivered in their community.
• The service will build on and strengthen the
  capacity in families and communities
• No Wrong Door families will be guided to the
  services they need.
• A common approach to assessment will minimise
  duplication, be more efficient and enable a
  shared understanding of the child and young
  persons family
• We will focus on early intervention in order to
  reduce the need for specialist services

10
Definitions Tiers a revised view
4 Complex Needs High Cost
3 Specialist Services
2 Additional Support
1 Universal
11
Solution 3 Key Elements for Consultation

• Service Delivery Universal Offer, Integrated
  Team
• Infrastructure and Work Environment
• Accountability / Commissioning Approach

12
Starting point How it is now
Community
Schools
Paediatrician
Primary Health Care
Child Protection
Friends
AE
Therapists
Relatives
Recreation
Universal Services
Specialist Services
Voluntary/ Community
LAC
Neighbours
GPs
Ed Psych.
Faith Groups
Childcare
Psychiatrist
Early Years
CDC
13
Proposed Model Universal Offer, Integrated Team
Specialist Services
Community
Relatives
Paediatrician
Friends
Neighbours
Child Protection
Faith Groups
Parents
Therapists
Carers
Universal Offer
Recreation
LAC
Voluntary/ Community
Siblings
Ed Psych.
Childcare
CDC
Primary Health Care
Psychiatrist
Early Years
Schools
AE
GPs
Universal Services
14
Service Delivery - Proposal
Universal Offer

• Universal Offer
• Warm welcome with an immediate positive response
  ( No wrong door )
• Health screening, advice and support before and
  during pregnancy and after birth
• Preparation, advice and support with parenting
• Developmental screening, immunisation and
  continuing health promotion advice including
  nutritional, sexual health and well being
• Access to a range of play, child care and early
  education opportunities
• A school place with a curriculum appropriate to
  individual need that involves parents and carers
  in enabling children to achieve the five ECM
  outcomes
• Access to advice about employment, training,
  income and housing
• Access to a range of recreational activities
• A safe environment in which children and young
  people can thrive and flourish
• Opportunities for life long learning for all
  family members including basic skills
• Assessment for specialist services when required

15
Integrated Team could include
Service Delivery - Proposal
Universal Offer

• Behaviour Support Service Staff
• Education Psychologists
• Primary Mental Health Worker
• YOS- preventative
• Youth Workers
• Personal Advisors (Connexions)
• Leaving Care Workers
• Link Advisor
• Business Support Workers
• New Family Liaison Workers

• Team Manager
• Midwife
• Health Visitor/Nursery Nurse
• Social Workers/Family Support Workers
• Early Years Practitioners
• School Nurses
• Extended Schools Officers
• School Representatives/SENCOs
• Education Welfare Officers
• Advisory Teachers for Learning Support

16
Proposed Model links with specialist services
Specialist Services
Community
Relatives
Paediatrician
Friends
Neighbours
Child Protection
Faith Groups
Parents
Therapists
Carers
Universal Offer
Integrated Team
Recreation
LAC
Voluntary/ Community
Siblings
Ed Psych.
Daycare
CDC
Primary Health Care
Psychiatrist
Early Years
Schools
AE
GPs
Universal Services
17
Process Promoting Independence
18

• What might the integrated team do?
• They might provide
• health screening, advice and support before and
  during pregnancy and after birth
• developmental screening, immunisation, and
  continuing health promotion advice
• including nutrition, sexual health and positive
  mental health and emotional well being
• a range of preventative interventions for
  children, young people and families drop in and
• self-help groups and courses eg language
  development, behaviour support, child
• development and parenting
• information about other services and activities
  within the local community e.g. schools,
• extended services, play schemes, sport and
  recreation

19

• What might the integrated team do?
• They might provide (continued)
• early identification and support to children
  with special needs disabilities their
  families
• Information, advice and access to play, early
  years, education and childcare for children
• access to specialist targeted health and
  education services
• access to advice about employment, training,
  income and housing
• access to opportunities for life long learning
  for all family members
• access to a range of recreational opportunities
• There is no such thing as hard to reach
  families
• only hard to reach services

20
Support Structures
Specialist Services
Organisational Support
Integrated Team
21
Proposed Model support infrastructure
Specialist Services
Community
Relatives
Paediatrician
Friends
Neighbours
Child Protection
Service Delivery
Faith Groups
Parents
Therapists
Carers
Core Offer
Universal Offer
Core Team
Recreation
LAC
Voluntary/ Community
Siblings
Ed Psych.
Daycare
CDC
Primary Health Care
Psychiatrist
Early Years
Schools
AE
GPs
Universal Services
22
Infrastructure and Work Environment
Property
Roles
Community Based Sites (e.g. Schools, Libraries,
Childrens Centres)
Front Office come to us Customer contact
Flexibility of access for all colleagues
go to them Customer contact
Back Office No customer contact
HQ
Policy Strategy Dem Servs
23
Infrastructure and Work Environment
Workforce Development
24
Proposed Model - Accountability
Specialist Services
Community
Service Delivery
Universal Offer
Operational Accountability
Universal Services
25
Accountability / Commissioning Approach - May
2005
District Councils
Social Inclusion
Crime Justice
Social Care
Connexions
Vol. Sector
Education
Health
Police
YOS
LSC
C YP Part Board
Children's Futures
Steering Group (
Actions Groups x3)
C YP Shadow Mgmt
Board
Safeguarding Board
(ACPC)
Connexions Board
YOS - Chief Officer
Mgmt Group
DAAT
Children's Fund
Crime Disorder
Partnership
CAMHS
Early Years Childcare
Partnership
Joint Commissioning
Group
26
Levels of integration towards the Childrens
Trust
Accountability / Commissioning Approach -
Proposal
Partnerships / Commissioning
Others
Integrated

• GPs
• Courts
• Etc.

• Schools
• Adults Community Services
• District Councils
• Early Years Providers
• Voluntary Community
• Services
• Acute Hospitals
• Transport
• Police

• Childrens Fund
• CAMHS
• Childrens Community
• Health Service
• Youth Offending
• Service

• Children Family Services
• Education Support Services
• Connexions
• Community Education
• Youth Services
• Druq Alcohol Action Team
• Sure Start

27
Accountability / Commissioning Approach
The Childrens Trust
Safeguarding Board
Director CYP
Partnership, Commissioning Resources (CSD)
Policy, Strategy, Business Performance
Partnership Governance
Area Director(s)
Includes planning, QA, Performance Management
Would include overall management of involvement
processes
Specialist Services and Additional Skills
Area Management Team
Local commissioning co-ordinated via clusters

• Clear Streamlined Accountability
• Meaningful Stakeholder Access
• Accountable to the Community
• Scalable for Further Integration

Cluster Commissioning Group(s)
Universal Services
Integrated Team(s)
28
Proposed Model
Specialist Services
Community
Service Delivery
Universal Offer
Operational Accountability
Universal Services
29
The Change Agenda

• Twin track
• change management culture, processes and
  behaviour
• with maintenance and improvement of core business
• Focus on Key Areas for Improvement, while
  re-engineering whole system
• Specific Service Developments and Improvements to
  act as enablers, e.g.
• Childrens Centres (34 by April 2008)
• Childrens Fund projects
• Extended Schools
• 14-19 review (report in November 2005)
• Integration of Connexions and Youth Services
  (April 2006)
• Others?
• Committed to developing a single Children and
  Young Peoples Service plan
• Prepare for Joint Area Review in 2007
• Need clear project plan, programme management and
  achievable timescales

30
Change Management

• Childrens Futures team bringing clarity around
  project planning and programme management, within
  overall framework for service improvement
• 4 Workstreams for the next phase
• Business Improvement
• Commissioning and Accountability
• Workforce Development / Cultural Transformation
• Work Environment / Public Access

31
Consultation until 7 October 2005Your views
countPlease tell us what you think

• Contact us
• www.suffolkcc.gov.uk/corpservices/SocialInclusion/
  ChildrensFutures.htm
• Email- Childrens.futures_at_cyp.suffolkcc.gov.uk

32
Appendix1 Case Example for Slide 17Single
parent with two children aged 3 and 7 years (most
families will access the universal services they
need without the need for additional help from
the Integrated Team)

• NEEDS
• Level 1
• How to access pre school provision
• Information about benefits
• Sleeping and feeding problems
• Level 2 
• Debt, benefit, tenancy problems
• Issues arising from separation/divorce affecting
  parenting
• Social isolation
• Level 3
• Deteriorating behavioural difficulties with
  school age child causing difficulties in school
• Factors leading to limited coping capacity
• Level 4
• Poor speech and language development
• Sensory Impairment
• Difficulties arising from more complex family
  dynamics impacting on childs development
• Last level
• Where there is thought to be a more immediate
  risk to the child

• RESPONSE
• Level 1
• - Information and advice
• - On the spot advice
• -On spot advice
•  Level 2
• - Advocacy
• - Access to informal parent groups and networks
• - As above
• Level 3
• - Require involvement of more than one team
  member FSW, school nurse, HV (Key worker), school
  representative
• - Use of parenting groups
• Level 4
• - Draw upon SALT
• and more specialist Social Care staff
• - Direct referral to Specialist services e.g.
  Family therapist
• Last Level
• - Direct referral to Specialist services e.g.
  Family therapist