IWG 4 (1)
National Service Framework for Children, Young People and Maternity
Services in Wales
Purpose: To report on 2005/2006 Self Assessment Audit Tool information
Key Messages:
(A) The profile of the NSF is currently high within the partnerships due to the: Value of the information sharing exercise between organisation,
 Extensive resources required to collect the required information to
complete the SAAT by the deadline of March 31st 2007
(B) A high percentage of the partnerships achieved a 6 (the top score) against
the Core Key Actions in 05/06 (92%)
A comparatively lower number of partnerships scored a 1 (the lowest score)
against the Core Key Actions in 05/06 (14%). Partnerships scoring a 1 have
ensured that progress has been and continues to be made against these
initial low scores.
(C) According to SAAT 05/06 information in descending order the strongest
service delivery is: Maternity Services
 Acute & Chronic Illness & Injury
 Key Actions Universal to all Children
 Children & Young People in Special Circumstances
 Disabled Children and Young People
 Children and Young People with Mental Health Problems & Disorders
(D) Whilst all the partnerships have embraced the NSF concerns have been
raised: The labour intensive information collecting exercise which is essential
to the complete the SAAT. (approx 3 months needed to input the
SAAT)
 The different interpretations of key actions by individual organisations
and partnerships. This has led partnerships to question the validity of
the SAAT returns.
 The resource implications arising from the NSF process and from
developmental work against the actions
(E) Solutions to the problems identified from the initial evaluation of the 05/06
SAAT information during research & discussion are being identified. Updates
on progress will be made available to all interested organisations.
Impact:
The SAAT is seen primarily by practitioners as a valuable tool to collect and
share information between organisations within the Children and Young
People Partnerships.
Support mechanisms for the NSF (E.g. Children & Young People’s Plan
Guidance and Guidance for the Children Act 2004) are now coming on line
1
IWG 4 (1)
and will help to ensure the profile of the NSF remains consistently high on
partnership organisations senior management agenda’s
The majority of partnerships have incorporated the coordinating
responsibilities of the NSF into existing performance and quality assurance
roles. In some partnerships the Children and Young People’s Coordinator has
taken on NSF coordination as well as existing responsibilities.
Case Study
Conwy and Denbighshire Local Authority’s and Local Health Board’s
have appointed one dedicated NSF post between the 4 organisations.
Rhondda Cynon Taff NSF coordinating responsibilities are part of one
post along with a service delivery role
Each of the partnerships has been provided with a basic summary of their
2005/2006 information by the Children’s NSF Implementation Support
Manager. This includes signposting partnerships with low scores to the
highest scoring partnerships for that particular action so that partnerships can
start to share information and good practice. All recipients of this information’s
have found the information useful in implementing the NSF.
Good Practice
Following discussion with the Children’s NSF Implementation Support
Manager Torfaen Local Authority has invited other Local Authority’s
accessing the same NHS Trust to consider the potential to work together
on certain key actions and to adopt a similar approach to how they then
work with partner agencies.
The NSF Implementation Support Manager has visited CYP Partnerships and
NSF Practitioners offering initial support including additional SAAT information
on request & making relevant connections. Technical support including
solutions to technical problems and SAAT training is also being provided.
During the final quarter of 06/07 the NSF Manager has been tasked with: Continuing the SAAT development and SAAT technical support
 Work on clarifying the roles and responsibilities of organisations
involved in the NSF
 Produce additional web pages for the NSF website
 Establishing a robust process to answer queries on NSF actions
 Develop an appropriate process to initiate common language and
definitions for NSF actions.
 Scoping and arranging workshops to address national issues such as:a. Involvement in the NSF process from the Voluntary Sector,
Schools, School Council’s, Youth Council and GP’s which will
include children & young people’s participation as appropriate.
b. Scoring, moderating and challenging scores
c. NSF information collection and collation
d. Interpretation of NSF actions
2
IWG 4 (1)
The next round of SAAT information is required by 31st March 2007 which will
consist of an update against the 84 Key Core Actions and initial reporting
against the 119 developmental actions. This will enable a year on year
comparison of the data and give the opportunity to evidence progress made
since 2005/06.
Outcomes:
Velindre NHS Trust scores and qualitative data have been removed from the
2005/2006 SAAT information. This was agreed by WAG in December 2006
due to the inappropriate scoring which had a large negative effect on scores.
Highest Scoring Actions in 05/06
2.24 Patient Safety Incidents and prevented
accidents (near misses), including
medicines errors, are thoroughly
investigated and reported to the National
Patient Safety Agency and other relevant
agencies/bodies in line with the Welsh
Assembly Government requirements
3.1 Pregnant women are offered an holistic
assessment at their initial interview with a
named midwife and care is planned to meet
their needs and recorded in the jointly
agreed individual care plan.
21
0
Partnerships Partnerships
scored a 6
scored a 1
against this
action
21
0
Partnerships Partnerships
scored a 6
scored a 1
against this
action
Lowest Scoring Actions in 05/06
2.15 LA’s have a Lead Director and Lead
Member, who is responsible for coordination and partnership working in the
delivery of children's services in the local
authority area
2.55 School children are informed of the
availability, purpose and access routes to
services that are in place to protect them
from harm, including Child Line, the
NSPCC Child Protection Helpline, social
services, the Children’s Commissioner for
Wales and advocacy services.
19
Partnerships
scored a 6
against this
action
12
Partnerships
scored a 6
against this
action
3
Partnerships
scored a 1
against this
action
3
Partnerships
scored a 1
against this
action
Appendix 1 of this report outlines the 84 Key Core Actions reported on in
05/06 giving details of the highest and lowest partnership scores recorded, the
national median for each action, number of partnerships scoring a 1 against a
particular action and the number and names of partnerships scoring a 6
against a particular action.
Background Information
3
IWG 4 (1)
National Service Framework for Children, Young People and Maternity
Services in Wales: Welsh Assembly Government
Children’s NSF information is available on the following website
http://www.wales.nhs.uk/sites3/home.cfm?OrgID=441
Children’s NSF Implementation Support Manager
Nia Lewis
E mail [email protected]
Direct line 02920 46 8683
4