Families Together Leading the Journey of Change for Families A truly inspiring approach to integrating services across Cheshire West and Chester. Steve Robinson, Chief Executive, Cheshire West and Chester Council Introduction 2012 saw Cheshire West and Chester Council and partners embark on a journey to transform services for families by developing and introducing an innovative and ambitious approach to service redesign and delivery through a programme called ‘Families Together’. Families Together is a key strand of the Altogether Better Whole Place Community Budgets proposition in West Cheshire and provides a unique opportunity to work together, transform the lives of families, and reduce dependency on services in the Borough. As we embark on the next stage of our journey, it is important to mark the first year of delivery by outlining the key achievements over the last 12 months, including outcomes as a result of working with our Year 1 cohort of 176 families. We would also like to thank our partners and colleagues for their support, contributions and opportunities created through partnership working to shape and develop the foundations of truly integrated services, underpinned by improved co-ordination and early intervention services. The Families Together team have been able to engage with families who we have identified as significantly hard to engage and are now making real inroads into building relationships and working with these families to bring about behavioural change. Superintendent Nicholas Bailey, Western Area Command, Cheshire Constabulary You asked… In developing our new approach partners asked for the following: 5. A robust workforce development 1. A clear and robust Governance Structure for Families Together 2. A positive brand synonymous with working with families 3. A new delivery model that enables more effective work with families and reduces multiple interventions 4. A new role as the facilitator of the coordination of support and behavioural change programme for Family Advocates 6. A Families Together toolkit for colleagues working with families 7. An evidence led, commissioned menu of interventions for working with families 8. A programme of proactive engagement of families to drive change in behaviours 9. An evaluative approach that will shape and inform future commissioning and service redesign Families Together did… Families Together have come a long way in delivering the vision of the programme and shaping support to families: 1. Delivered a partnership governance structure Families Together have established a governance structure that provides a robust framework for: • The delivery of Families Together priorities • Alignment with the Altogether Better Community Budgets programme and the Children’s Trust Board • A vehicle to progress the aims and objectives of the programme A recent internal audit highlighted the governance structure as “fully embracing audit, performance and risk management, providing a clear vision, well designed delivery model, programme documentation and a functional toolkit for working with families”. 3. Created a new delivery model to work with families Improving outcomes for families with a range of complex needs is a genuine people and place based interconnected challenge that requires co-ordination and input from a wide range of public services to truly get to grips with it. The Families Together delivery model has been designed, to reduce fragmentation, duplication and cost to agencies working with families and provides a holistic view of the family unit and issues, with a focus on improving outcomes whilst building family resilience and confidence. The ‘Family Advocate’ role co-ordinates support for families with a range of agencies, acting as their single point of contact supporting and challenging where appropriate, utilising a family agreement and the ‘Team Around the Family’ approach, which we have been instrumental in supporting as it has been rolled out across Cheshire West and Chester. The family agreement and development of a discretionary budget linked to the family action plan has been specifically designed to ensure ‘buy in’ and commitment to achieving outcomes and positive solutions for both families and agencies working on their behalf. The Families Together delivery 2.Developed an inclusive partnership brand – Families Together model has been instrumental in informing the design principles of the Integrated Early Support Model. Transforming Support for Families 35% Developing a unique, positive brand that inspires and enables partnership working and engaging with families was really important. The brand was developed in consultation with a range of partners and families we currently work with to truly represent working together and putting families at the forefront of what we do. Families Together is synonymous with this. The brand is now recognised with families and partners for the positive work with families. of year 1 families have achieved outcomes in relation to reduced risks to children; housing stability; neighbour nuisance; physical and mental health and moving closer to work. Source: Data and Analysis of Live Case Management Families Together has created a real opportunity for Cheshire Fire and Rescue Service to work in true partnership to tackle place based issues that affect our communities. Nick Evans, Community Safety, Cheshire Fire and Rescue Service 4.Pioneered the role of the Family Advocate The Family Advocate role was developed through consultation and engagement with key partners, families and national good practice to ensure the role reflects the values, attitudes and behaviours and tenacity required to co-ordinate support for families through a combination of ‘GRIP’ and ‘SUPPORT’. A fully resourced team of 12 Family Advocates (based in localities) are now working with families across Cheshire West and Chester. This includes the welcome addition of two secondee’s from Cheshire Fire Service, a key member of the Families Together Steering Group - the first of such partner secondments in the Region, enabling much quicker organisation and agreement of future secondments as part of Altogether Better following the template agreed by Families Together and HR colleagues. Cheshire Fire Service has since extended the offer to Cheshire East, Warrington and Halton. The Family Advocates and delivery of Families Together will be a fantastic enhancement of the emerging Integrated Early Support model and the Integrated Case Management Teams in the Autumn. 5. Produced a robust Workforce Development Programme Partners have been integral to the development and delivery of a programme of activity designed to provide the Family Advocates with a comprehensive knowledge of key agencies and partners, their interventions and way of working, including: • • • • • • • • • • • • • • • • • Team Around the Family Financial Inclusion Fraud & Risk Awareness Probation Services Cheshire Fire and Rescue Service Housing Associations Customer First Child Mental Health and CAMHS services ASB YOS Employee Skills and Learning Police Domestic Violence Adult Social Care Health Safeguarding JCP The Family Advocates have also recently undertaken an intensive Open College Network accredited programme for Supporting Families with Complex Needs recommended by the Troubled Families Unit. To further support the enhancement of the emerging Integrated Early Support model this training was extended to all our partners with colleagues from Cheshire’s Crime and Community Safety Team, Plus Dane and Weaver Vale Housing Associations and Stockport Council recently attending this programme. Families Together would like to commend and congratulate all colleagues, as they will shortly receive their accreditation. 6.Developed the Families Together Toolkit 7. Compiled an evidence led Menu of Interventions The Families Together Toolkit has been developed to facilitate working with families, building on both local and national good practice and is designed to enhance the ‘Team Around the Family’ approach being used across Cheshire West and Chester when working with families and children. Families Together have also developed a Family Agreement that requires sign up and commitment from all services/ agencies involved as well as each individual A key aim of the Families Together Programme was to develop a menu of evidence based service interventions for use when working with families to ensure that the right mix of interventions will work in a much more coordinated way to help improve outcomes for families. This will also aim to prevent the escalation of problems and reduce the need for crisis or acute interventions. Pulling this menu of interventions into one place has initially helped us to develop a ‘toolkit’ of support and action family member. This enables the Family Advocate to co-ordinate the right services for the family and provides them with the authority to prioritise co-ordinated support in line with a families’ needs and identify and utilise any available sanctions to support progression of the plan towards sustainable outcomes for the family. This combined Toolkit will ensure best practice is used at all times when working with families whilst ensuring a co-ordinated consistent approach to engagement is provided by their dedicated Family Advocate. Such best practice will transfer into the emerging Integrated Early Support Model. that families and Family Advocates can draw on. It is also enabling providers of services to engage more effectively with Families Together, be clear about their role and further enhance relationships they have with other services working with families. In the medium to longer term, the menu of interventions will continue be developed as a result of learning from delivery, so that what is commissioned is increasingly based on evidence of ‘what works’, local intelligence, utilising local resources where possible, ensures best value for money and is ultimately targeted towards the needs of families and increasingly focused on preventions and early intervention. The Family Advocates were highly engaged and embraced every aspect of the training provided. The portfolios that have been submitted are a reflection of the dedication and motivation of this highly skilled team. Sue Rastall, Gill Strachan Associates Ltd 91% of year 1 families engaged Source: Data and Analysis of Live Case Management 8. Identified and engaged with Families in a respectful, positive way Many of the families identified for Families Together are known to several agencies. Partners were integral to the identification of families to ensure we are working with the families most in need of support and who cost the public purse the most based on the following criteria: • CRIME – households with 1 or more under 18 years old with a proven offence in the last 2 months; AND/OR households where 1 or more member has an ASBO, ASB injunction or antisocial behaviour contract or where the family has been subject to a housing related ASB intervention in the last 12 months • EDUCATION – a child has been subject to permanent exclusion; three or more fixed exclusions across the last three consecutive terms OR is in a Pupil Referral Unit or alternative provision because they have previously been excluded; OR is not on a school roll AND/OR has had 15% unauthorised absences or more from school across the last three consecutive terms • • UNEMPLOYMENT – households which have an adult on DWP out of work benefit LOCAL AUTHORITY DISCRETION – families with a child on a Child Protection Plan This has ensured Families Together have focussed on engaging with a cohort of families in their first 12 months who are also a priority to partner agencies across Cheshire West and Chester. To facilitate effective engagement with families the Families Together Team developed enhanced customer profiles to gain a greater understanding of the whole family unit and their needs and current or last know lead worker. Partner agencies have been integral to developing this intelligence led approach. These profiles aid the Family Advocate in the development of an overarching plan for the whole family that takes into account the impacts of individual actions, enabling improved co-ordination, prioritisation and planning for families. Work with the Year 1 cohort of 176 families is now underway with 91% of families currently engaged with the Families Together Team. Families that have previously been hard to reach have now engaged with the Programme which is a testament to the aims of the Programme and the outcomes that the Programme is aiming to achieve with these families. 72% of year 1 families have stepped down from social care Source: Cheshire West and Chester Children’s Social Care (Liquidlogic) YOS have welcomed the introduction of the Families Together Team within the West Cheshire area, and keen to continue to support its development and effectiveness. There are considerable benefits of a joined up approach in our work with a significant number of families given the shared nature of our priority outcomes. We look forward to contributing further to the interventions which can be provided, and working closely with the Family Advocates to help families make and maintain changes which are identified and needed. Jez Brown, Deputy Manager, Youth Offending Team 9.Influenced, shaped and informed DCLG and Whitehall Policy The Government has been very clear that work with Troubled Families requires real change to the systems that Local Authorities and partners use to work with families with more complex needs. For example, in speeches about the importance of this work the Prime Minister has referred to “sweeping away the bureaucracy that gets in the way”. The Troubled Families Unit have confirmed that they see our work as providing a leading edge example of how this system change work across partners should be approached – making the One Family, One Worker, One Plan model of working a reality by dealing with the multiple ways of working that can frustrate families and workers alike. We are regularly asked for information about our approach and asked to present at national events – sharing our work and picking up helpful ideas from others at the same time. The basis of the Families Together approach has also been central to the way the Altogether Better Whole Place Community Budget Programme has developed – and through this our work can influence national policy as well as help other areas. We are moving into a new phase – where the Families Together Programme will be delivered from new integrated case management teams. This is a major step forward and a great example of how the family intervention approach can be developed more widely. 30% of year 1 families have been closed to child protection Source: Cheshire West and Chester Children’s Social Care (Liquidlogic) Summary Families Together and partners will continue to inform and drive service transformation to ensure we remain at the cutting edge of service provision that meets the needs of families across Cheshire West and Chester. Families Together is confident that through continuing to work closely together the emerging Integrated Early Support model will develop into a truly integrated partnership approach that will improve outcomes for families and partners alike. Families Together Transforming Support for Families Contact the team on 0151 356 6559 or 0151 356 6558 or email [email protected] Families Together is a programme run by Cheshire West and Chester Council
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