Croydon Children and Young People’s Early Help for Croydon’s Families 2014-2017 (reviewed 17th June 2015) 1 Most of the time families enjoy their lives and can cope with problems that emerge with the help of their extended family, friends and community. Our ambition is that when extra support is needed confident and skilled practitioners work in partnership with families to help assess their needs and identify the best services to help prevent problems from escalating We have refreshed our 2012 Early Help Plan and continue to build on our aspirations Babies, children, young people and families build their resilience and autonomy Services are delivered at the earliest possible moment to prevent the escalation of problems All partners share responsibility and are accountable for their actions Services are outcome focussed and evidence based Practitioners are informed, resilient and responsive In this next plan our increased emphasis will be to engage all partners, both children and adult services, in a ‘think family’ approach as we believe strong families offer babies, children and young people a firm foundation for life. What do we mean by early help? By ‘early help’ we mean: - preventing problems from arising in the first place so that families continue to be able to support themselves - getting to problems early as they emerge so that they do not escalate and reduce families capacity to be independent - all practitioners working positively and in partnership with families as part of an ‘early help’ approach We have an Early Help Board which is a sub-group of the Children and Families Partnership. The role of the Early Help Board is to ensure that there is an early help system across the partnership so that when families need extra support we have confident and skilled practitioners working in partnership with families to assess their needs and identify the best services to help prevent problems from escalating. The Board will be responsible for ensuring all partners are accountable for their contribution to the system, for unblocking difficulties and for developing a culture of ‘early help’ across the wider adult, children and families’ workforce in Croydon. The Board meets quarterly to review the action plan and oversee progress. 2 Our Early Help plan builds on the work of the last two years by partners in Croydon including - Family Engagement Partnerships – health services and children centres working together and identifying and working with families with babies and young children. Based on this work we are now developing our Croydon Best Start programme - More assessments (CAFs) were undertaken with some evidence that families are getting more of the help they need - Children and young people continuing to achieve well at school. We have redeveloped the ‘CAF’ into an Early Help Assessment which brings together the needs of the whole family - Partnership approach to reducing under 18 conceptions has proved effective. For those young parents we are providing support through our Family Nurse Partnership. We have expanded our Family Nurse Partnership Team - Reduction in school exclusions. This work continues through the Fair Access Panels and managed moves - Improvements in support for victims of domestic abuse and sexual violence. There has been extensive work by partners to develop the strategy and to deliver enhanced services Further information that informs our approach, service development and commissioning There are many sources of data that help the partnership make decisions on what services are needed. For example through the Children and Families Partnership Plan, Croydon Safeguarding Children’s Board Annual Report, Joint Strategic Needs Analysis (JSNA) on emotional and mental health, JSNA on Domestic Abuse and Sexual Violence etc. We have developed an ‘early help dashboard’ which is a set of basic indicators. We now have access to more robust early help data and are able to review the contribution of each agency to early help assessments and referrals to MASH. We have more information for our Early Help Dashboard which is giving a broader picture of what activities partners are engaged with to ensure children, young people and families access help as early as possible. But we need to hear more from children, young people, families and frontline practitioners about what they think makes a difference. Some key questions to be addressed include how much do we do? how well do we do it? is anyone better off? was it cost effective.? Being an Early Intervention Place Croydon was nominated by the Early Intervention Foundation (a charity set up to drive forward early intervention in England) as one of the first of 20 Early Intervention Places in England. Through collaboration with the Foundation and wider network of Places we will aim to improve outcomes for children and young people by increasing access to effective early help services that prevent personal, social and economic cost increase the effectiveness and value for money of services in Croydon through the increased use of evidence of what works build the evidence base on the interventions that work and promote effective approaches to early help nationally. 3 The Early Help Board and Children and Families’ Partnership has set five priority areas that it wants to influence. Partnership Priorities for Early Help Priority 1: we want all who could benefit, to be able to access high quality community-based services to prevent problems from emerging Central to this approach is a focus on building on the resilience and strengths of families and community. This particularly focusses on making sure we have sufficient good quality universal services such as health services, childcare, school places, youth offer etc but also a strong community sector that is often the first port of call for families. Priority 2: we want all practitioners in universal settings to be able to identify emerging needs early and support families to prevent the need for more intensive support/interventions through good quality early help assessments The need for early help can occur at any point in time in a child or young person’s life. For early help to be available at the first possible moment a problem starts to emerge, we need practitioners in universal and community settings to be confident and skilled practitioners working in partnership with families using early help assessments to to help assess their needs and identify the best services. Priority 3: we want families to benefit from high quality and effective targeted services that meet their identified needs We need to ensure that all targeted services are evidence based so that we can be more assured that families receive the right service at the right time. Services need to be whole family focussed, using an holistic and integrated assessment, assertive key worker and multiagency based with an agreed family plan that engages all members of the families and helps them return to independence. Priority 4: we want investment and spending decisions to shift resources from late to early intervention Partners will work together to oversee a collective and concerted shift of investment and spending decisions from late to early intervention that provides better outcomes for babies, children and young people. There is a need to identify current spend against early and late intervention and identify areas where we can best invest earlier and reduce later costs. Croydon Best Start (based on the Primary Prevention Plan) from conception to 5 will be a key element of ensuring investment is at the very earliest stage in a child’s life. Priority 5: we want confident practitioners to work together as part of a Croydon wide early help system Effective early help requires all practitioners who work with babies, children, young people, families and adults who are parents to act together and act early. This requires a whole system approach across children, adult and community service partners from schools to police to social care to vulnerable adult services etc. We need all partners to take responsibility for playing their part in the system, to holding on to the batton and not letting families go until they are in the right place. Systemic approaches such as ‘team around the family’, family Early Help Assessment (CAF), information sharing all contribute to an effective early help system. 4 Children and Families Partnership will monitor the following aspects of the Early Help Plan through Priority: Increase impact of early intervention Proxy indicator: Number of early help assessments completed (total and by partner agency) in relation to inappropriate referrals to MASH Increase resilience in vulnerable families by increasing the number and percentage of closed early help assessments where outcomes are met High level actions Actions Measures of achievement Implement integrated service for 0-5s through Best Start programme Establish multi-agency Board with full parental engagement By 2017 Joint Chairs of Best Start Board (Tina Hickson, Dwynwen Stepien) First Board report by 1st October 2015 Best Start Transformation Manager (Denise Clements) 2017 Denise Clements and Joint Head of Children’s Integrated Commissioning in ICU (Sam Taylor) Implement and monitor against the use of the Early Help pathways Transformation programme with key milestones is agreed Develop and agree commissioning intentions that support the delivery programme for Croydon Best Start Early Help Module in place and provided detailed analysis by sector 50% parents on board by 2017 Appropriate parental codesign structures in place Plan in place with 6 monthly reporting to the signatures of the Transformation Bid Agree commissioning principles and specification Monthly reports that provide detail of the agencies who are undertaking early help assessments and evidencing a plan and ICT problems overcome and partners external to council able to use EHM 11th May and full reporting by 1st September 2015 Chair of Early Help Board (Ian Lewis) 1st September 2015 available to health EMS/EHM/CRS Governance Board Early Help Module (EHM) in place for partners Presentation and discussion with the Children’s Safeguarding Board May in 100% increase, from current baseline, in assessments for under 5s 5 Completion date 1st January 2015 available to schools 31st March 2016 Lead Education Sub-group and Health Sub-group of Croydon Children’s Safeguarding relation to the partnership commitment to early help – recommendations will form the action plan 50% increase, from current base line, in assessments by schools Board to regularly monitor the improvements in the use of the Early Help Assessment Partners accountable for increase in EH assessments in particular schools and health sector – particularly under 5’s Training and support in place for settings 100% schools engaged with Early Help Advisors 100% of early years settings knowing where to go for support 31st March 2016 Strategic Manager for Early Help (Debby MacCormack) and Anita McGrath for CSCB 6 monthly report to QUAP Strategic Manager for Early Help (Debby MacCormack) Training feedback showing effective in improving confidence of practitioners Quarterly audit of EH with reports and recommendations to the QAPP sub group of the safeguarding board Joint offer so that it is clear early help is part of safeguarding Quality assurance audit shows increase in % of cases that are good or outstanding Quality assurance evidences improvement in early help assessment processes across all partners – including step downs from CSC 6 Re-commission family support services to fit with Best Start, Youth Offer and other priorities Review of commissioning arrangements for 0-5 and 519 services commissioned outside of the ICU alignment with health improvement services commissioned by ICU as appropriate Better use of commissioning, contract and provider e.g. joint monitoring where appropriate 2016 review Denise Clements/Sam Taylor/Amanda Tuke 2016 for children’s centres As and when existing contracts end 2016 and as and when existing contracts end 2016 for youth offer Denise Clements Sam Taylor Also to ensure within requirements of the contract is early help & DASV training and processes as part of safeguarding requirement New commissioning arrangements for Best Start in place New commissioning arrangements for play and youth offer which are in line with 5-19 health improvement commissioning strategy led by ICU and other 5-19 preventative plans 7 Dwynwen Stepien Amanda Tuke
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