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Early Intervention and Prevention in Nottinghamshire

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Early Intervention and Prevention in Nottinghamshire. Anthony May, Corporate Director for Children, Families and Cultural Services. Nottinghamshire County Council. Early Intervention & Prevention Strategy Context - 1. National: Reducing public expenditure - PowerPoint PPT Presentation
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  • Early Intervention and Prevention in NottinghamshireAnthony May, Corporate Director for Children, Families and Cultural ServicesNottinghamshire County Council

  • Early Intervention & Prevention Strategy Context - 1National: Reducing public expenditure

    Increasing pressure on Childrens Social Care

    Changes in the roles of local authorities and how services are delivered

    A commitment to the early years and early intervention from the Coalition Government

    Nottinghamshire County Council

  • Early Intervention & Prevention Strategy Context - 2Local reflects the national picture:

    Unprecedented budget pressure across the public sector

    Review of services including the refocusing and increased commissioning of services

    Continuing high demand on Childrens Social CareNottinghamshire County Council

  • Our approach in NottinghamshireThe challenge is to develop a whole systems approach to the issues facing our services:

    Continuing the improvements to safeguarding in Nottinghamshire made in the last 15 months

    Refocusing of Childrens Social Care as a service providing high quality Child Protection Services

    Continuing to improve the effectiveness of our early intervention and prevention services including: Early Years Targeted Support for young people Health The co-ordination of services & key processes such as the JAT & CAF

    Nottinghamshire County Council

  • Safeguarding Improvement ProgrammeSignificant improvements over the last year but pressure on Childrens Social Care remains:

    An average of 1300 contacts each monthMore than 50% of the contacts (680) do meet the thresholds for a referral to Childrens Social Care Only 90 CAF assessments initiated each monthOnly 60 referrals to Joint Access Teams each month

    NB all figures (October 2010 March 2011)

  • The role of the Childrens Trust ExecutiveStrengthened membership including health providers and representation from district councils

    Children, Young Peoples and Families Plan developing more effective early intervention and prevention services will be a key priority

    Future joint commissioning of services

    District Early Intervention Management Groups

  • Our Ambition...children, young people and their families will receive the most appropriate support to meet their needs at the earliest opportunity in order to ensure better outcomes and the cost effective delivery of services....Nottinghamshire County Council

  • Our principles for early intervention and prevention work 1We will:

    Intervene at the earliest opportunity in order to secure the best outcomes for children, young people and familiesTarget resources at the early years, in order to maximise the future life chances of children and young peopleEnsure that children and young people are effectively safeguarded by all of the agencies and staff that work with them Work together to reduce duplication in areas such as the assessments of need Nottinghamshire County Council

  • Our principles for early intervention and prevention work 2We will:Ensure children, young people and families will be supported to participate in key early intervention and prevention processesEnsure that the views and experiences of children, young people and families inform and influence the design and delivery of servicesUse evidence-based practice to inform planning for future service provisionAdopt a whole family approach, whilst keeping the child or young person firmly at the centre of any intervention.

  • The Strategys key strands for development The provision of services to ensure the best start in lifeThe development of language for lifeThe engagement and support of parents and carersThe development of effective structure and processesThe use and provision of management information

    Each strand has a number of priorities and detailed action plans

    Nottinghamshire County Council

  • Developing more effective early intervention & prevention services - 1Implementation of the Pathway to Provision initiative

    Development of the CAF as the truly common assessment and referral process

    Fully utilising the capacity of the Joint Access Teams as the key mechanism for early intervention

    Refocusing of our early intervention and prevention services to meet the needs of children, young peoples needs appropriately and at the earliest opportunity

  • Developing more effective early intervention & prevention services - 2The focus of the presentations from colleagues this morning will focus on this critical area

    Future services will need to:

    Make more efficient use of available resources

    Ensure more effective targeting of resources to children, young people and families with the greater need

    Ensure equitable access across the County based on need and local demography

  • SummaryCovered this morning:

    The national and local context and challenges The need for a whole systems approach to ensure we identify and meet needs at the earliest opportunityOur ambition, the principles and key development areas for early intervention and prevention servicesIn the following presentations we will be looking at the practical changes taking place in key service areas to achieve our ambition

  • The refocusing of the Early Years & Early Intervention Service

    Nottinghamshire County Council

  • OUR AMBITION

    We want children, young people and their families to have the opportunity to achieve their full potential by having the best start in life and access to services when they need them most.

    Nottinghamshire County Council

  • Coalition Governments Vision for the Foundation Years the core purpose of Sure Start Childrens Centres (draft)

    Improve the child development and school readiness among young children and to reduce inequalities. This includes identifying, reaching and supporting the most disadvantaged families to improve their parenting aspirations and skills, and to promote health and well-being.

    Nottinghamshire County Council

  • Key Priorities (1)Redefine the Early Years offer, targeting services where there is greatest need

    Ensure all early years provision is offered through a single point of access

    Ensure there is sufficient childcare provision that is accessible, sustainable, and of high quality

    Implement the Language for Life strategy to ensure the early identification of language delay

    Implement the Family & Parenting review findings by integrating and extending family support provision - delivering throughout school transitions and across tiers 2 and 3.

    Nottinghamshire County Council

  • Key Priorities (2)Use national and local evidence based programmes/practice that are proven to make a difference

    Support the work of the Joint Access Teams and the use of the CAF through multi-agency training/development programme and the development of a quality assurance framework

    Develop a whole-family CAF tool and use of eCAF

    Deliver the Pathway to Provision enforcement plan

    Develop district early intervention and prevention management groups

    Nottinghamshire County Council

  • Key Priorities (3)Consider workforce development needs in light of reshaped service.

    Secure efficiency savings - 3.25m.

    KEY DATES:

    Following a consultation period, recommendations to the County Council in December 2011

    New management structure in place by March 2012

    New commissioning agreements in place by September 2012

    Nottinghamshire County Council

  • Enabling infants to become rounded, capable people results in great and lasting social benefits through a lifetime that includes happiness and security in childhood, achievement in education, readiness for productive work and, above all, successful parenthood. Early intervention: the next steps. Graham Allen MP. Jan 2011Nottinghamshire County Council

  • Developments in childrens health services and the wider NHS

    NHS Nottinghamshire County Public Health Children and Young People Team

    July 2011NHS Nottinghamshire County

  • Presentation Picture of health (JSNA) NHS role in early intervention and prevention Developments in childrens health serviceThe wider NHSChallenges and opportunitiesNHS Nottinghamshire County

  • Picture of health in Nottinghamshire 179,500 children and young people aged 0-19 years Average overall for most indicators of healthWide variation within the countylow birth weight, smoking in pregnancy, hospital admissions, teenage pregnancy rates, linked to deprivationKey health issues for Nottinghamshire: childhood obesity, emotional health and wellbeing, sexual health, substance misuse, CYP with disability, vulnerable groups

    www.nottinghamshire.gov.uk/childrenstrust/jointstrategicneedsassessment.htmNHS Nottinghamshire County

  • Prevention and early intervention: the role of the NHSUniversal servicesAntenatal care midwiferyThe Healthy Child Programme:

    Health visitorsSchool nursesChild health surveillance (GPs)

    Services contributing to ensuring the best start in lifeNHS Nottinghamshire County

  • Key national developments in childrens health services:The Department of Health is planning for the development of two initiatives nationally:

    The Health Visiting Implementation Plan 2011-2015, (including revised core offer)

    Family Nurse Partnership ProgrammeNHS Nottinghamshire County

  • The wider NHS in NottinghamshireListening exercise now completeClinical commissioning groups: 6Public Health move to Local AuthoritiesHealth and Wellbeing Board PCTs in existence until 2013 (clusters)Transfo

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