Getting it Right for every child in Greater Glasgow and Clyde Children’s Services Learning Objectives. . To increase knowledge and understanding of: • the Scottish Government expectations under Getting it right for every child • the National Practice Model for Getting it right for every child • how and when the roles of Named Person and Lead Professional are applied in health visiting services • The definition of wellbeing. Moving away from ……… Ch/Fam Education Health Social Work Adult Services Moving Towards . . . Children and Young People (Scotland) Act (2014) To improve the way services work to support children, young people and families, the Act sets out a statutory requirements to: • • • • Ensure that all children and young people from birth to 18 years old have access to a Named Person; Put in place a single planning process to support those children who require it; Place a definition of wellbeing in legislation; and Place duties on public bodies to coordinate the planning, design and delivery of services for children and young people with a focus on improving wellbeing outcomes, and report collectively on how they are improving those outcomes http://www.legislation.gov.uk/asp/2014/8/contents/enacted The SG GIRFEC essential components • • • • • • • improves outcomes for children through doing things differently so as to make better use of existing resources involves children and families in decision making and respects their rights consistently identifies at an early stage children who need help increases the capacity of health and education to meet children’s needs reduces paperwork and duplication of systems draws help towards the child rather than passing the child from one service to another frees up staff time to take action that will improve the life chances of children and families. Scottish Government Guidance 2008 http://www.scotland.gov.uk/Resource/Doc/318937/0101828.pdf A National Approach. . . • • To establish a Getting it right for every child practice approach across Scotland • To establish a single children’s services system based on an integrated framework of developing children and young people’s wellbeing To progress cultural change which supports the successful implementation of GIRFEC Value children and families Child or young person at the centre informing how we think and act The child’s whole world right now and in the future. Early support to build resilience, prevent difficulties The right support to understand what’s happening, to participate in decisions about their lives Build from strengths and resources The right to be physically and emotionally safe Extra barriers need extra effort - value diversity Dignity, respect, patience, honesty, reliability and integrity • Respect different contributions, expertise and pressures and cooperate with each other • Value each other, show sensitivity to the impact of your work on others • Look after each other’s wellbeing as well as the wellbeing of children and families • Respect the right to confidentiality for children and for families, while recognising the duty to promote, support and safeguard children’s wellbeing • Come together as one system, bringing help around the child and family in a coordinated and unified way • Involve, consult and actively build relationships across professional boundaries • Treat each other with dignity, respect, patience, honesty, reliability and integrity VALUE PROFESSIONALS Principles of the strengths based approach • • • • • • • • • All people have strengths and capacities People can change - given the right conditions and resources, people’s capacity to learn and grow can be harnessed and mobilised People can change and grow through their strengths and capacities People are experts in their own situation The problem is the problem; the person is not the problem Problems can blind people from noticing and appreciating their strengths and capacity to find their own solution People have good intentions People are doing the best they can The power for change is within us The five key questions of GIRFEC 1 What is getting in the way of this child’s wellbeing? 2 Do I have all the information I need to help this child? 3 What can I do right now to help this child? 4 What can my agency do to help this child? 5 What additional help, if any, may be needed by others? What is assessment and planning? • Developing relationships and ensuring that all relevant people are supported to be involved • Encouraging and recording the views of parents and children • Gathering information • Structuring information to make sense of it • Analysing information to articulate the impact on the child/young person • Planning outcomes - taking decisions about what needs to change in a child/young person’s life • Agreeing what actions need to happen to achieve the change • Agreeing an acceptable time to complete actions • Agreeing who is responsible • Reviewing progress against desired outcomes Safe: Protected from abuse, neglect or harm Healthy: Having the highest attainable at home, at school and in the community standards of physical and mental health. Access to suitable healthcare and support in learning to make healthy and safe choices Achieving: Being supported and guided Nurtured: Having a nurturing place to in their learning and in the development of their skills, confidence and self-esteem at home, at school and in the community live, in a family setting with additional help if needed or, where there is not possible, in a suitable care setting Active: Having opportunities to take part in Respected: Having the opportunity activities, such as play, recreation and sport which contribute to healthy growth and development, both at home and in the community along with carers to be heard and involved in decisions which affect them Responsible: Having opportunities Included: Having help to overcome social, and encouragement to play active and responsible roles in their schools and communities and where necessary having appropriate guidance and supervision and being involved in decisions which affect them educational, physical and economic inequalities and being accepted as part of the community in which they live and learn Two roles under GIRFEC Every child has a Named Person from birth who is normally a Health Visitor or Family Nurse. This role continues when the child attends school with a depute or head teacher becoming the Named Person. Their job is to promote, support and safeguard the child’s wellbeing within the universal service. They are the contact point for families and professionals if there are concerns about wellbeing and their job is to decide on what kind of help children need. A number of children will require a Lead Professional when they have a Child’s Plan. This is when the help that needs to be provided is not accessible within the services generally available to the Named Person and a targeted intervention is required to address the child’s wellbeing needs. Their job is to lead and coordinate all the separate assessments and plans from each agency into one integrated assessment and Child’s Plan. The function of the Named Person The Children and Young People (Scotland ) Act 2014 Part 4, Section 19, Sub-section 5 (5) The function referred to in subsection (1) are (a) Doing such of the following where the named person considers it to be appropriate in order to promote, support or safeguard the wellbeing of the child or young person (i) advising, informing or supporting the child or young person, or a parent of the child or young person (ii) helping the child or young person, or a parent of the child or young person to access a service or support (iii) discussing, or raising, a matter about the child or young person with a service provider or relevant authority; and Such other functions as are specified by this Act or any other enactment as being functions of a named person in relation to a child or young person The GIRFEC Lead Professional “Depending on the nature of the child’s needs and the coordination required to deliver the Child’s Plan, the role of Lead Professional may be undertaken by the Named Person or another relevant practitioner. The agency taking responsibility for the management of the Plan is referred to as the Managing Authority.” Proposal for the development of guidance to support the GIRFEC provisions in the Children and Young People (Scotland) Act 2014 So what does this mean for the HV? • The Named Person should be routinely introduced at the point of first contact and the role explained to families before any assessment takes place. • Health Visitors should establish whether the parent knows whether their child has a Lead Professional (HV should have been involved if this is the case). • HV must utilise the Wellbeing Universal Assessment, My World Triangle Assessment and Child’s Plan appropriately within their own service to understand the child’s needs. • Health Visitors must record all significant events in the Chronology of Significant Events for that child. Other professionals may also make them aware of significant events which should be recorded. • HV must consider whether sharing information with any other professionals will help to promote, support and safeguard a child’s wellbeing. • HV must consider how, what and when to communicate with other professionals in order to promote, support and safeguard a child’s wellbeing. • HV may have to coordinate multi-disciplinary/multi-agency communication to bring all relevant professionals together to agree a Child’s Plan. • Where the HV is considered to have the greatest expertise to manage the Child’s Plan they will take on the role of the Lead Professional. Sharing information under GIRFEC When to share • Will sharing prevent physical/emotional harm or physical neglect to the child or to a third party or prevent or detect crime? • Will not sharing cause harm to any other aspect of the child’s wellbeing? What to share • Is everything you are sharing directly relevant? • Are you sharing as little as possible? Who to share with • Does the person you are sharing with need to know? • Can the person you are sharing with help the child? How to share • Choose a secure method for sharing, share data and keep a record
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