d e t a r g e t In s r a e Y y l r Ea y g e t a r St 2015-18 for children up to 7 years What t isis the Integrated Early Years Strategy? Wha Background lEnsuring service delivery is holistic, co-ordinated, seamless, of high quality and Inclusive. The Integrated Early Years Strategy is a three year strategy that aims to improve the life chances of children in Bradford by addressing inequalities, narrowing the gap and improving outcomes for all children including disadvantaged children and families across the district. Evidence is clear that children’s early years experiences shape their development, educational attainment and life chances. This strategy will focus on young children’s development – ensuring they are healthy, have good parent-child relationships and are ready for their next stage of learning. lEnsuring multi-agency working practices and systems are integrated. lPromoting shared approaches to foster children’s early learning and school readiness. lDelivering children’s centres services as early years hubs within local communities. lWorking with primary schools as key partners. lEngaging with voluntary sector provision and activities including that which is not commissioned by statutory bodies. lAcknowledging the significant contribution of volunteers and informal community activity to supporting children and families. lEnsuring evidence-based practice / planning is embedded and central to service delivery. lPromoting access to and involvement in high quality inclusive play and playwork experiences and activities. lPartner expertise being recognised, valued and utilised. lEnsuring services are value for money. lRecognising that the engagement and active participation of families is critical. lEnsuring that safeguarding arrangements are robust. lDeveloping a workforce that is highly skilled and well trained. lPromoting strong leadership and management. The strategy has been developed to ensure the provision of effective early childhood services through high quality universal services and timely access to specialist services as required. These services will promote prevention, early identification, intervention and targeted support. Robust partnership arrangements will be crucial to support delivery and ensure that community engagement and engagement of parents is at the heart of service approaches. This strategy recognises the wide range of partners that contribute to delivery of the strategy including local authority, health, schools, voluntary and private sector provision. They are all crucial partners in improving the life chances of children and bring different skills, resources and contributions. Vision to Improve Life Chances Implementation of the strategy will be based on the latest available evidence of what works and set in the context of key national and local drivers (Appendices 1&2). The Integrated Early Years Strategy is a key delivery mechanism for Priority 3 of Bradford’s New Deal: Good Schools and a Good Start for all our Children. Reporting will be via the Health and Well-being Board and the Education and School Improvement Board. The aim of the Integrated Early Years Strategy 2015-18 is: To deliver, in partnership, high quality services to all children and families across the district, with a focus on those who are most disadvantaged, in order to improve outcomes and reduce inequalities and ensure that all children have the best start in life, with an enriched childhood to enhance their life chances. This strategy will focus on five key objectives: Principles informing delivery of the strategy: 1 Children ready for school and schools ready for children. 2 Improve health and wellbeing for all children in the district. 3 Support and Increase parents’ knowledge and skills. 4 Support the development of high quality leadership together with a highly skilled and responsive workforce. 5 Promote integrated working and system change. We will work towards lChildren and families being at the heart of service delivery. lImproving outcomes and reducing inequalities lEnsuring that interventions are timely, early, well co-ordinated and effective. lDeveloping services that are integrated with clear pathways for families (maximising partnership working, reducing duplication with more effective use of available resources). 2 Vision and outcomes for children up to 7 Our vision Objectives To improve the life chances of children in Bradford by addressing inequalities, narrowing the gap and improving outcomes for all children Objective 1: Children ready for school and schools ready for children Indicators l Objective 2: Improve health and wellbeing for all children in the district and reduce inequalities Objective 3: Support and increase parents’ knowledge and skills. Objective 4: Support the development of high quality leadership together with a highly skilled and responsive workforce Objective 5: Integrated working and system change National measures for early learning l Key Stage 1 l Obesity in Reception Breastfeeding l Infant mortality l Oral health l Smoking cessation l Childhood accidents l Immunisations and vaccinations l Early education take up l CAF take up l Parenting courses l Children centre engagement l Play team activities Early support packages l Pathways into work l Integrated Care Pathway l Parents as educators l Family Support Plans l Peer support l Children in low income households l Early bonding and attachment l Workforce development l l Delivery Plans New Deal for school readiness l Education Improvement Strategy Plan l Health and Wellbeing Strategy and Health Inequalities Action Plan l Child Poverty Strategy and Plan l Safeguarding Board Action Plan l Early Help Board Strategy and Action Plan l Early Learning Strategy l 2 Year Old Expansion Plan l Childcare Sufficiency Plan l SEND Plan l Obesity Strategy and Action Plan l Looked after Children Strategy/Plan Bradford’s Play Strategy/Plan l Every Baby Matters Strategy and Action Plan l Women and Infant Nutrition Group’s Plan l Better Start Bradford l Children’s and maternity network plans l l 3 Objective 1 Children ready for school and schools ready for children Good communication and language skills combined with strong social and emotional skills are essential for children to be effective learners throughout life and achieve their potential and improve their life chances. Context: confidence in parents, children and practitioners. lSupport parents in their role as their children’s first educators, enabling an enriched home learning environment in order to support children’s development. lEnsure sufficiency and take up of early education places and improve attendance rates for children 2–7. lSupport young children’s social and emotional development with a particular focus on early bonding and attachment. lEnsure availability of high quality early learning and childcare. lDeveloping self confidence and resilience in children through high quality inclusive play and playwork experiences. lOutcomes for children in early years are well below national averages. lThere is a high level of deprivation in the district. lIn more deprived areas outcomes are even lower with a high number of children eligible for the new early education offer for two-year-olds. Our Priorities: lNarrow the attainment gap between the lowest achieving 20% of children and their peers. lImprove language and communication of children in the early years schools and settings as these are the foundations that support children’s literacy skills as they move along in their learning journey. lPromote good child centred transitions that instil Objective 2 Improve health and wellbeing for all children in the district and reduce inequalities Good health and wellbeing is vital if children and young people are to enjoy their childhood and achieve their full potential. Establishing good lifestyle habits in childhood provides the basis for lifelong health and wellbeing. Context: lEnsure interventions to reduce the number of baby lThe prevalence of obesity or overweight in lReduce childhood obesity and increase physical deaths in the first year of life. Reception and Year 6 children is higher than the England average and much higher in more deprived parts of the district . lThe amount of dental disease amongst five year-olds is the highest in the region especially amongst children from poorer households and within some ethnic groups. lInfant mortality, low birth weight and emergency admissions to hospital rates are high compared to national or regional rates and they are highest in the most deprived parts of the district. activity and health eating. lActively promote breastfeeding. lImprove immunisation and vaccination rates. lEffective accident prevention strategies in place to reduce accidents. lEnsure minor illness management is effective. lEnsure the effective delivery of the Healthy Child Pathway and a seamless transition from health visiting to school nursing services. lInform and support parents in their understanding of the importance of physical and mental wellbeing in child development. lEncourage active involvement in high quality inclusive play and playwork in order to improve emotional and physical health. Our Priorities: lImprove dental health in the under fives. 4 Objective 3 Support and increase parents’ knowledge and skills. Parenting is an important, exciting, complex and challenging role. Positive parenting has a strong and significant impact on children’s ability to maximise the available opportunities and reach their full potential both personally and academically. Context: Our Priorities: lJust under a quarter of the district’s children are lEngage with parents in ways that enable them to classified as living in poverty. effectively support their children’s learning and development. lSupport parents/carers, schools and settings to positively support children’s personal, social and emotional development and ensure timely access to targeted and specialist support if required. lTimely access to appropriate information services and Early Help. lSupport schools and settings to actively engage parents as partners in their children’s learning. lEnsure a range of effective, appropriate and evidence based parenting programmes are available to those families who will benefit from this approach. lImproving pathways into work for parents – skills development and volunteering. lLow wages in the district mean that children living in working households can still live below the poverty line. lAdults living in Bradford District have lower skills levels than both regional or national averages, only 45% of adults are qualified to NVQ3 or above, compared to 56% nationally. lIn some parts of Bradford nearly half of adults have literacy skills at a level which makes everyday life difficult. 5 Objective 4 Support the development of high quality leadership together with a highly skilled and responsive workforce Strong leadership and a highly skilled and responsive workforce are essential to the delivery of high quality services. Effective intervention and evidence-based practice and intervention can support every child in achieving the best outcomes. Context: Our Priorities: lHealth, wellbeing and educational outcomes for young children are not improving fast enough and remain below the England average and are worse in more deprived areas. lResources are stretched and in some cases reducing; we need to ensure what we do as a workforce is as effective as possible to improve outcomes especially for children at higher risk of poor outcomes. lWe need to ensure our workforce is highly skilled and responsive to the needs of children in the future to improve outcomes and reduce inequalities. lDeliver multi-agency training programmes based on best available and emerging evidence and effective practice. lEmbed whole family approaches across the workforce (early years and primary schools). lPromote peer support and mentoring. lApply and extend good and best practice across the district. lUse the skills and knowledge of the diverse nature of the workforce. lPromote and develop a common language, messages and use of evidence based practice. Objective 5 Integrated working and system change Integrated working and system change is integral to the delivery of effective services and providing early help for vulnerable children and families in order to meet the full range of needs within each family and strengthen their ability to provide care and support to each other. Context: Our Priorities: lSystems and processes need to be streamlined to lEnsure improved communication, information and data sharing. lPromote and develop a common language and shared evidence based messages. lImprove timely interventions and appropriate help at the right time. lImprove team around the child and family approaches to improve outcomes and reduce inequalities. lEnsure the Integrated Care Pathway is fully and effectively implemented and linked to all other key pathways. lAligning multi-agency pathways and services to ensure maximum impact on outcomes and inequalities. lEnsure effective transition of family support from children’s centres and health visitor services to schools. remove duplication, identify and address any gaps. lResources are limited and there is a need for cost effective and readily available services for all families. lWe need to ensure all partners work together in an integrated way to make best use of our resources, to ensure consistent, high quality provision across the district. lTo improve outcomes and reduce inequalities we need to ensure our most vulnerable families are identified early and encouraged through easily accessible services to sustain engagement. 6 Appendix 1 National Drivers Recent national reviews and strategies, including the Marmot Review published in 2010, all support ensuring services and interventions are focused on prevention and early intervention for pregnant women and young children to ensure children get a good start in life and reach their potential. The Children and Families Act 2014 seeks to improve services for vulnerable children and to support families. It underpins wider reforms and policies published in recent years to ensure that all children and young people can succeed, no matter what their background. Early Education provides the opportunity to improve the life chances of all children and ensure that they are ready to take full advantage of their next stage of learning. Recent expansion of funding for 2 Year Olds has meant that free Early Education places are now available to those children living in the poorest families across the district. Evidence shows that 2-year-olds in good and outstanding Early Years provision see real benefits in terms of their early language skills, and physical, social and emotional development. Preschools, nurseries, school nurseries and childminders all play a vital role. Working in partnership with all providers we will support a sector led approach to quality improvement across the district. Investing in the early years of a child’s life with effective evidence based interventions, with both universal services and also targeted approaches with families and children at risk, ensures all children will have improved outcomes and reduces inequalities. The cost benefit of this approach in terms of an invest to save model for the future is also well evidenced. 7 References that support this strategy Fair Society Healthy Lives The Marmot Review UCL Institute of Health Equity (2010) Supporting Families in the Foundation Years Department for Education and Department of Health (2011) Are you ready? Good practice on school readiness Ofsted (2014) Foundation Years: Sure Start Children’s Centres House of Commons Education Committee (2013) Munro Review of Child Protection: final report - a child centred system Department of Education (2011) Public Health Outcomes Framework Public Health England (2013) Health visitor implementation plan - a call to action 2011-15 Department of Health (2011) The Guide to Early Years Profiles NHS England and Public Health England March (2014) Measuring what matters: A guide for children’s centres UCL Institute of Health Equity (2014) Independent report to Her Majesty’s Government - Early Intervention: the next steps Allen G MP (2011) Independent Review of Poverty and Life Chances - The Foundation Years: preventing poor children becoming poor adults Field F (2010) Children and Young People’s Health Benchmarking Tool Child and Maternal (ChiMat) Public Health England (2015) Children and Families Act (2014) SEN Code of Practice (2014) School funding reform; next steps to a fairer system Department for Education (2012) Lamb Inquiry: Special educational needs and parental confidence Lamb B (2009) The economics, technology and neuroscience of human capability formation Proceedings of the National Academy of Sciences of USA Heckman (2007) Conception to age 2 –the age of opportunity WAVE Trust (2013) The Effective Provision of Pre-School Education (EPPE) Project Sylva et al Institute of Education et al (2004) Our online version of this document has links to all the relevant references. 8 Appendix 2 Local Drivers District priorities Education and School Improvement Strategy The Joint Strategic Needs Assessment (JSNA) 2014 for Bradford district identifies the fact that many of the key outcomes for children in early years are worse than England averages and are significantly worse in more disadvantaged populations and within some specific communities. These outcomes include infant mortality rates, dental decay rates, school readiness in Reception (EYFSP), obesity rates and child poverty rates. Educational attainment overall for children and young people is below average and well below average in more deprived parts of the district. The Education and School Improvement Strategy (2013-2017) has three priorities: lChildren starting school are ready to learn lYoung people leaving school are ready for the world and life lAccelerating the rate of achievement and attainment of students Good schools and a good start in life Priority 1 of the New Deal approach Bradford Council has five key priorities as part of the New Deal approach for 2014 onwards and Priority 1 is led by the Director of Children’s Services. Priority 1 includes improving school readiness and ensuring that all children get a good start in life. The Integrated Early Years Strategy, which will include lessons learned arising from the Better Start Bradford programme roll out, is key to this element of Priority 1. Community Strategy The district’s Community Strategy sets out three core transformational priorities. These are: lEducational attainment lRegeneration lSkills development Children and Young People’s Plan The Better Start Bradford programme is a £49 million programme awarded to Bradford in June 2014 by the Big Lottery Fund. It is a programme funded over 10 years and is focused on improving outcomes for pregnant women and young children in 3 of the most deprived wards in the district. Bradford’s Children’s Trust via its Children and Young People’s Plan has agreed three priorities for all partners to work towards in the district. This plan is currently under review for 2015-17. lTo improve educational outcomes lTo reduce the effects of child poverty lTo protect vulnerable children and young people Principles of Bradford’s New Deal approach Health and Wellbeing The principles to achieve the kind of local government and integrated local state we are expecting to be in 2020 are: The Health and Wellbeing Strategy (2013-2017) has agreed six priorities: lGive every child the best start in life in the Bradford district lHelp all children, young people and adults to do well and have more control over their lives lCreate fair employment and good work for all lHave a healthy standard of living for all lCreate and develop healthy places and communities lStrengthen the role and impact of ill-health prevention Principle 1: Enabling Community Leadership – the District should have a culture and systems of governance which are vibrant, inclusive and democratic. The Council provides strong, transparent community leadership by involving all other public, private and third sector bodies who share the council’s purpose. These partners provide collective leadership, support and resources for engaged and empowered citizens, and this relationship leads to the co-design and coproduction of public value. The Health and Wellbeing Strategy is underpinned by the Health Inequalities Action Plan (HIAP) which includes six priorities specifically focused on children; infant mortality, child poverty, parenting and early years development, children reaching their potential particularly with SEN or disabilities and oral health. Principle 2: Integrated Local State – the Council and other public bodies which constitute the local state will integrate planning and delivery so that shared priorities, based on wellbeing outcomes, 9 Principle 5: Reducing Inequalities - All policies and strategies will aim to reduce the inequalities in income, health, education and other aspects of wellbeing which have affected and excluded significant parts of the population and which limit opportunity and life chances. Principle 6: Subsidiarity: decision-making is devolved to the lowest appropriate level – so that strategies and services can be tailored to meet the needs of specific individuals, families and communities. This principle also needs to be aligned to principles 1 and 2, wherein appropriate levels of governance and integration may determine or influence the location of decision making at different spatial levels – regional, district or local – and where appropriate, involves individuals in co-production or personalised commissioning. drive decision making, joint commissioning, resource allocation and joined up services and relationships with citizens and service users. Principle 3: Reducing Demand, Changing Expectations and Behaviour – Policies and strategies will be focused on actively managing, and where possible, reducing demand for services in order to manage costs within reducing resources and to eliminate waste. Principle 7: Productivity and Value for Money – policies and strategies will be able to demonstrate a commitment to delivering improved outcomes or reduced social costs in ways which minimise financial cost and waste and maximise economic efficiency and societal impact. This may involve a degree of trade-off between incurring costs in the short-term against intended longer term benefits, and recognition that some aspects of wellbeing and public value are not amenable to economic measurement. There also needs to be consideration of the balance to be struck between the economic risks inherent in innovation, and the potential future cost benefits which could accrue if innovation is successful. Such policies and strategies will require the Council and partners to work with citizens and service users in order to change expectations that existing services can continue to be provided in the same way and at the same level. Such policies and strategies will also involve citizens and service users in ways which change their behaviour so that they take greater responsibility, individually and collectively for meeting their own needs. Five Year Forward View Bradford District Health & Care Principle 4: Investing in Prevention and Early Intervention – A critical approach to managing demand in ways which reduce cost, eliminate waste and develop more positive, co-productive behaviours is through shifting strategies upstream towards preventing costly problems occurring in the first place, or at least intervening in problems before they become chronic and intractable. This Five Year Forward View (2014-2017) report was published in 2014 by Airedale Wharfedale and Craven, Bradford District and Bradford City Clinical Commissioning Groups includes a commitment to the Marmot Review and specifically this includes giving children a good start in life and maximising their capabilities. Research demonstrates that such strategies work best when they engage partners working on common or related outcomes, where resources can be pooled or aligned, and where delivery is joined up and engages service users in designing and delivering the outputs and interventions which lead to improved wellbeing and/or reduced social failure. 10 Appendix 3 Strategy and Delivery Plans Bradford’s Children and Young People’s Plan provides the over-arching strategic framework for the Integrated Early Years Strategy. There are a number of multi-agency strategies and delivery plans that are currently being implemented across the district. These include: lNew Deal for School Readiness lSEND Plan lEducation Improvement Strategy and Plan lLooked After Children Strategy / Plan lHealth and Wellbeing Strategy and Health lBradford’s Play Strategy / Plan Inequalities Action Plan lEarly Childhood Services Service Plan lChild Poverty Strategy and Plan lEvery Baby Matters Strategy and Action Plan lSafeguarding Board Action Plan lOral Health Improvement Strategy and Action Plan lEarly Help Board Strategy and Action Plan lWomen and Infant Nutrition Group’s Plan lEarly Learning Strategy lHealth Visitor Implementation Group Action Plan and Integrated Care Pathway Action Plan lTwo Year Old Expansion Plan lChildcare Sufficiency Plan lParenting & Family Support Strategy lObesity Strategy and Action Plan lChildren’s and Maternity Network Plans 11 The wording in this publication can be made available in other formats such as large print and Braille. Please call 01274 433582.
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