Pre-Birth to 19: A New Vision for Essex · 2017-03-29 · Overview Pre-Birth to 19: A New Vision...

February 2017

Pre-Birth to 19: A New Vision forEssex

PB19

In partnership with:

ThePublicOffice



Overview

Overview


We’re on a mission to give children andyoung people in Essexthe best start in life

Children and young people getting the best

start in life is perhaps our most important

and unifying passion for Essex.

We know that supporting children and their

families from conception, through birth and the

early years, and into young adulthood will give them

the best possible chance to succeed.

Overview


We know thatparents are keyParents are children’s first and most enduring

educators. Building the capability and capacity

of parents and family members to support

themselves and support one another must be

central to our approach.

Communities too can play a big role in providing

support and growing the protective factors that

help families navigate the ups and downs of life

successfully.

In the past,we worked on a deficit model:


Overview

We now know we must start with family capability:We need to start here, with what people

can do. We need to understand how to

build and grow it, embedding the principle

and practice of early intervention -

anticipating what families might need and

supporting them before they struggle.

All too often, professionals have

been tasked with identifying what

is wrong or what is missing

— seeing presenting problems

and then stepping in to fix things.

Overview

of how our system of support for families, children and young

people is designed, organised and delivered. We need:

To really achieve this,we need transformation

Unifying Vision

A much more powerful shared sense of mission

Aligned ActionAlignment of

previously separate resources and activity

Families Mindshift

A shift in our mindset,beliefs, our culture andpractice in how we work(together) with families

Outcome Focus

A consistent and integrated focus on a single set of shared

outcomes





Where we’ve come from...



We knew we weren’t doing well enough in Essex...

• We were spending a lot but still seeing many children and young people with poor outcomes

• Large gaps in performance between boys and girls in some places

• Majority of children on free schoolmeals not reaching a ‘good level ofdevelopment’ at age 5


The existing 'system'

FNP

School

Nursing

(5-19)

Children’s

CentresSchool

s

Health Visiting

service

(0-5 HCP)

Community

Health

Provider

Acute

Trust:

Maternity

3rd

Sector

Primary

Care

Social

care


Focus

We stay relentlessly focused on citizens’

outcomes and experiences as the only

measures of success that really matter.

Adapt

We intentionally seek out opportunities to

create and innovate as a core part of what

we do, always staying focused on citizens’

outcomes and being savvy about risk.

BelieveWe strongly believe that most citizens want and

are able to own their own outcomes and be

masters of their own destinies, and that we

should promote and support independence

wherever possible and appropriate.

CollaborateWe know we need to think about the whole

system, and we take every opportunity to

understand and solve problems together –

even when this feels like it adds complexity.

EngageWe are deeply committed to listening to

citizens and communities, and to involving

them directly in understanding problems,

designing and testing solutions, and co-

producing outcomes.

LearnWe know that change starts with us, both as

individuals and collectively, so we make time

for our own learning, and to come together to

analyse, reflect and learn in an honest and

open way.

6 principles that have - and must continue - to underpin ourwork:


In-depth ethnographicresearchhelped us to:

• explore the lived experience of families

• understand their experiences of existing support, needs, and preferences

• understand the hopes and

aspirations of families and

perceived enablers and

blockers to achieving their

goals

Pre-Birth to 19: A New Vision for Essex

!We uncovered some


disruptive insights• Families tell us that, despite everyone’s best efforts, they

don’t always get the right help at the right time

• Parents are isolated, lonely and struggling to make friends

• Chances to help parents build relationships are being missed

• Parent don’t want or need more provision — they don’t get

value from what’s already there

• There are few places where young parents feel comfortable

• Parents get conflicting advice from different practitioners

• Parents recognise good parenting advice, but they struggle to

make it work at home



Where we've come from...

West Essex 100 Day ChallengeLocal family engagementThe 100 Day Challenge team also carried out extensive

engagement with local families including:

• Survey monkey online questionnaires via

Children’s Centre Facebook page

• Face to face questionnaires with vulnerable

families currently engaging with Family

Solutions

• Health Visitor feedback board in clinic

• Face to face interviews with residents

using Wild and Wacky Play Centre

Findingsechoed ethnographic research:• services are difficult to

navigate, and often to access

• parents don’t know who to turn to (so resort toA&E)

• parents would like more information in order to self-manage health conditions where possible


Where we've come from...


We co-developed Our New System Vision

Timely support

Connect with

parents at the

earliest point and

make it easy for

them to access

support as and

when they need it.

Practical support

Help parents to

learn the practical

skills and do the

practical things

they need to do to

look after a child,

the family and

themselves.

Peer support

Make peer

support a

key part of

delivery, and

informal social

opportunities a

key part of the

system.

Integrated support

Find ways to work

together to stop

parents receiving

overlapping and

conflicting advice

and support

from different

professionals

Relationally thoughtful

support

Understand that

establishing trust

and building

relationships with

a person is critical

to success.



Co-design with ChildrenCentre families unlocked newideas for how support could beimproved:


• We need to focus on building the resilienceof families and reducing their isolation

• It’s all about relationships — professionals and families need to build relational capabilities

• No-one wants or needs more services — families aren’t getting best value from what already exists

• There is poor collaboration and connection between services — this doesn’t make sense for families and limits impact of professionals work


We saw that the key insights weresystemic:



Where we’re going...

County wide

• 0-5 Healthy Child ProgrammeIncludes Health Visiting

• 5-19 Health Child ProgrammeIncludes School Nurses

• Healthy Schools Programme -

Improving health & well-being of children in school

• Family Nurse Partnership (FNP)modelSupport for young mums with their first child

• Sure Start Children’sCentresCommunity based support for children and families


West Essex

• Children’s Community Nursing

• Community Paediatrics (including autistic spectrum disorder and Looked After Children Medicals)

• Community Therapies(speech and language, occupational therapy, physiotherapy)

• Community Specialist Continence

Outreach Service (Including Products)

• Specialist School Nursing

• Paediatric specialist A&E Liaison

• Community Dietetic Service

Where we’re going...

What’s in scope?The new PB19 model primarily pulls together services currently being delivered by

Essex County Council (ECC) Children’s Centres contracts, and 0-5 and 5-19

Healthy Child Programme contracts. In the West Essex Quadrant, it also includes

the CCG’s Community Health contracts:

Commissioners want the new providers to

create an integrated service that will:

Provide a

more flexible

support

model for

families and

children throughout

childhood, by freeing

up staff currently tied

to Children Centre

buildings

Retain universal services

such as health

visitors, but with real

focus on families at

greatest risk of not

achieving desired

outcomes

Improvesupport to those

in greeatest nee with significant focus

on early intervention,

and re-distribute

resources across the

County to the areas of

greatest deprivation

Invest to

build

stong,

resiliant familieswho are able to

identify when things

need addressing and

have the skills and

confidence to find

solutions or ask for

help

Harness and support families andcommunities to develop their own support activitiesthrough the

community building

work of the voluntary

sector in Essex

Retain a

50 hour/week

Family Hub (registered

Children’s

Centre) in each

of the 12 Essex

Districts

Create 26

Family Hub

delivery sites,

and a network of

outreach sites taking services to

where parents/

families actually

need them

Create an integratedPre-Birth to 19 workforce

galvanised around a common setof outcomes, as

articulated in the Our System Vision

Reduce the pressures on expensive, acute/ crisis intervention services & systemssuch as Accident

and Emergency, GP services andChildren’s Social Care




What now?

What now?

An Integrated Pre-Birth to 19 Health, Well-being and Family Support Services (PB19) delivered by Virgincarewith Barnardos

Four geographic quadrants

• North East (Colchester, Tendring)

• Mid (Braintree, Chelmsford, Maldon)

• South (Basildon, Brentwood, Rochford, Castle Point)

• West (Harlow, Epping Forest, Uttlesford)

One integrated service across West Essex

What now?

How will we judgesuccess?

We recognised that traditional KPIs did not tell us or providerswhether families were really getting what they needed, or makingprogress.

Traditional KPIs created work without learning for both providers and contract managers.


We worked together to develop a different approach:

• Meaningful KPIs,

to be triangulated with

• Family Voice

Measuring can

be meaningful!

We have given the

freedom for the provider

to showcase the impact

of their work through

innovative methods (eg

showing video stories,

bringing parents along

with them, interactive

case studies etc)

The State of the System

Working in this waywe are confident that together we can deliver...

What now?

• Genuinely strengths-based work that is not orientated around services or family failure

• Better outcomes for children especially the most disadvantaged

• Tenacity to hold onto a shared, long-term view, recognising that this is about securing generational change

• Parents feeling more confident in their abilities and less reliant on the usual touch points (e.g. GPs,A&E)

• Essex children - especially the most disadvantaged -

living in communities where they feel more loved,

valued, supported and included than ever before....

Thank you!Let’s make it happen

For more information and to get involved contact:

Chris MartinDirector of Commissioning for

Families and Young People,

Essex County Council


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Pre-Birth to 19: A New Vision for Essex · 2017-03-29 · Overview Pre-Birth to 19: A New Vision...

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