SCHEDULE 2

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					                                                                                                                         Appendix 1
                                                           SCHEDULE 2

                                         Schedule 2 Part 1: Service Specification

                                       SERVICE SPECIFICATION v1.4


                             The Family Preservation Service (Homebuilders®)

                             This Service Specification will be reviewed and updated as necessary in order to
                             maintain and improve the quality of service. The Commissioners will review all
Service                      available evidence regarding the service provision and reserve the right to revise the
                             service Specification in light of emerging new evidence. Both the service provider and
                             the Commissioner will agree any contractual changes in provision or practice on an
                             annual basis.

Commissioner Lead            [TBD]
Provider Lead                [TBD]
Period                       [XXX Date to XXX Date]



          1. Purpose

          1.1 Aims

          The aim of this specification is :
              To outline the service expectation of commissioners in regard to the provision of a rapid
                 response Family Preservation Service (Home builders) for families in Doncaster with
                 severe or complex needs who are at risk of family breakdown.
              To provide consistent, effective, accessible and safe services to children, young people
                 and families.
              To provide a quality service informed by guidance and based on current best practice

          Service aims:
               Supporting parents and carers in bringing up their children and young people in their
                  own homes
               Ensuring that children and young people experience a safe and stable environment from
                  their family, their school and their community

          The service will be provided to families with children and young people aged 0-18 who reside in
          the Doncaster Metropolitan Borough.


          1.2 Evidence Base

          Family Preservation Programmes have been delivered in the UK and a range of other countries
          (USA; Australia; Europe) for over a decade. There are a range of particular models, some of
          which come as a branded ‘package,’ but all of which involve similar elements. The focus is on
          rapid and intensive intervention by small teams at family crisis points (Tier 3/4).
                                                                                                     1
          A recent (2009) review of research into Family Preservation Programmes over the past decade
          found that out of home placements can be significantly reduced when based on the
          Homebuilders® model that includes the following key elements:

          1
           Nelson, K., Walters, B., Schweitzer, D., Blythe, B. J. And Pecora, P. J. (2009) A Ten-Year Review of Family
          Preservation Research: Building the Evidence Base, Casey Family Programmes



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       Immediate - Response to referrals within 24 hours
       Accessible - 24/7 access to workers
       Intensive – 12-15 hours per week
       Brief – up to 90 days
       Focussed – low caseloads of 2 families per key worker / 5 families per key worker where
        supported by other staff.

However there is a need for further research into the degree to which Family Preservation
Programmes prevent unnecessary child placements, which approaches are most effective with
specific target groups (i.e. BME groups; difference age groups; particular presenting issues) and
the relationship with other services delivered in parallel.

Locally there have been reports on the success of the implementation of Family Preservation
Programmes in Tower Hamlets and Merton, based on:
    A clear focus on working in partnership with parents in fulfilling their responsibility to
        provide quality care for their children,
    Intensive, comprehensive training of staff in Brief Solution Focussed Therapy.

Action for Children have found that crisis intervention services are most successful with families
with acute rather than chronic issues, and that effectiveness is significantly dependant on the
degree to which sustained support by other local services is developed. They also report that
their services that are based on the Family Preservation model have prevented a care
placement in around 90% of cases.

It is essential that any Family Intervention Programme reflect the following core principles:
       Whole family intervention - Focus on the family unit (‘Think Family’)
       Family strengths - Emphasis on strengthening the capacity of families to function
         effectively by building resilience
       Solution focussed – brief, intensive therapeutic support focussed on making changes
         and improvements
       Supporting independence - Involvement of family in designing all aspects to ensure
         they are appropriate and relevant, that there are shared goals, and that links are
         developed with comprehensive, diverse, and community based networks of support
       Refinement – based on and responsive to international best practice

Solution Focused Therapies are being effectively delivered to up over 180 children and young
people (2008/09) in Doncatser who require treatment for substance misuse. This figure is likely
to rise to around 300 in 2009/10.

The service provider will be expected to deliver a service that is consistent with national and
local strategies and best practise outlined:
     Care Matters: Time for Change (2007)
     Working Together to Safeguard Children (2006)
     Every Child Matters (2003)
     Every Child Matters: Change for Children (2005)
     The Children’s Plan: Building Brighter Futures (2007)
     The Children Act 2004
     The Children Act 1989
     The Children & Young Persons Bill (2008)
     National Service Framework for Children, Young People and Maternity Services (2004)
     Care Standards Act (2000)
     Think Family: Improving life chances of families at risk (2008)
     Doncaster Children & Young People’s Improvement Plan (2009)




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1.3 General Overview

There are numerous policy and strategy documents that provide information and direction for
future models of children’s services. These national policies concentrate on early intervention,
early prevention and increased targeting of provision to the most vulnerable children, young
people and families within society, furthermore working in partnership to safeguard children
through integrated pathways of care is fundamental to service delivery.

The principles of the service will be based on:

                                        Family Strengths
                                      Building on strengths
                                       Solution Focussed
                                          Shared goals
                                         Safety Focussed
                                    Whole family intervention
                                        Brief Intervention
                                      Delivering Resilience
                                    Supporting Independence
                               Eliminating the duplication of effort
                           International evidence based best practise

1.4 Objectives

The Family Preservation Service will provide rapid and intensive support to families in crisis with
severe and complex needs. Service objectives are:
 To promote and develop the strengths and resilience of families to successfully resolve their
   own issues
 To improve parenting skills and family relationships
 To widen the wider range of community resources and support drawn upon by families
 To co-ordinate workplans and plan care pathways with other local agencies and initiatives
   supporting parents

Overarching Strategic Outcomes

To support the delivery of Doncatser Children & Young Peoples Improvement Plan:
     An organisation that is modern, efficient and responsive
     Excellent Safeguarding, Standards and Practice
     Excellent Early Intervention and Prevention
     Excellent Educational Attainment for young people - An excellent Learning and Training
       offer which meets the needs of all young people and enables them to participate fully
       socially and economically.
     Delivering success through Workforce Development

To support delivery of the Every Child Matters agenda;

     All Children & Young People achieving the best possible physical and emotional health
      and well-being, both in childhood and into adulthood.
     Young people taking responsibility for their own health and making informed choices and
      decisions regarding their emotional and social development, and health and well being
      now and in the future
     Young People supported to make the transition to adulthood and to achieve their
      maximum potential in terms of education, health, development and well being
     Services and staff who are able to respond in a sensitive way which encourages
      engagement and provides high quality support for young people
     Children and young people are safeguarded and able to achieve their optimal outcomes
      throughout childhood, their teenage years and into adulthood
     Health, education and social care services organised around the needs of children and



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         young people and their families, with coordinated multi-agency assessments leading to
         prompt, convenient, responsive and high quality multi-agency interventions that maximise
         the child’s ability to reach his or her full potential.
       Integrated services which provide effective checks and more targeted support for Children
        & Young People who need it.
       Integrated services that embed Integrated Processes significantly reducing duplication
        and improving communication and the co-ordination of service delivery.
       Through the integration of service delivery via either the development of specialist multi-
        disciplinary teams and ‘Team around the Child’ models of care; the development of
        learning cultures and communities of practise across professional boundaries leading to a
        greater skill mix within the children’s workforce.
       Consistent information provided for parents and carers which supports and is responsive
        to need
       Appropriate help and support provided to parents and carers
       Parents are confident and able to bring up their children in a way that promotes positive
        health, development and emotional well-being
       All assessment result in clear management plans, based on evidenced informed
        protocols, guidelines and pathways
       Effective communication to relevant professionals involved in the care of the child or
        young person and to parents as appropriate (medical record)
       Increased customer satisfaction and experience.


1.5 Expected Outcomes

National Indicators
NI17       Perceptions of anti-social behaviour PSA 23
NI 22      Perceptions of parents taking responsibility for the behaviour of their children in the
           area
NI 50     Emotional health of children
NI 65

NI 68
NI 69   Children who have experienced bullying
NI 70   Hospital admissions caused by unintentional and deliberate injuries to children and
         young people
NI 71   Children who have run away from home/care overnight
NI73    Achievement at level 4 or above in both English and Maths at Key Stage 2
         (Threshold) PSA 10
NI79    Achievement of a Level 2 qualification by the age of 19 PSA 10
NI 87   Secondary school persistent absence rate
NI91    Participation of 17 year-olds in education or training DCSF DSO
NI92    Narrowing the gap between the lowest achieving 20% in the Early Years Foundation
        Stage Profile and the rest PSA 11
NI102   Achievement gap between pupils eligible for free school meals and their peers
         achieving the expected level at Key Stages 2 and 4 PSA 11
NI106   Young people from low income backgrounds progressing to higher education PSA 11
NI 110  Young people’s participation in positive activities
NI 111  First time entrants to the Youth Justice System aged 10 – 17
NI 112  Under 18 conception rate
NI 114  Rate of permanent exclusions from school
NI 115  Substance misuse by young people
KIGS CH01 Children on CPR per 10,000 pop aged under 18
KIGS CH02 Initial Child Protection conferences per 10,000 under 18
KIGS CH03 CPR during the year per 10,000 pop aged under 18
KIGS CH39 Children looked after per 10,000 aged under 18
KIGS CH141 Referrals of children under 18 per 10,000 population
KIGS CH142 Referrals that are repeat referrals within 12 months




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Performance Indicators
 To reduce the need for children to be accommodated under Section 20 Children Act 1989
 To reduce re-referrals to children’s social care
 To reduce re-registrations for Child Protection Plans
 To reduce the incidence of placement breakdown among young children looked after in
    foster care

Impact measures
    % of goals achieving positive impact
    % families achieving positive impact for at least 1 goal
    % CYP remaining in family home at end of intervention
    % family members who found the service helpful or very helpful
    % family members satisfied or very satisfied with the service
    % family members reporting increased community based support
    Goodmans SDQ
    Parent Hassles Questionnaire
    Stability of placements

Specific key outcomes:
Family
 Improved communication and quality of family relationships
 Conflict resolution and anger management
 Improved level and range of support networks
 Improved access to health services, particularly CAMHS and adult mental health services
 Confidence to address issues and seek support

Parents
 Parenting skills

Children and young people
 Improved school attendance
 Improved behaviour at school and engagement with education
 Reduced risk of offending



2. Scope


2.1 Service Description

The service will provide a rapid response family preservation service for families with children
aged 0-18 with severe or complex needs (Tier 3 and 4), who are at risk of family breakdown.


2.2 Accessibility/acceptability

The service will be provided to families with children and young people aged 0-18 who reside in
the Doncaster Metropolitan Borough who:
     Have been assessed as having severe or complex needs (Tier 3 and 4) via a CAF or an
       Assessment under the Framework for the Assessment of children in Need and their
       families; or
     Have been referred to children’s social care; or
     Have one or more CYP subject to a Child Protection Plan; or
     Have one or more CYP looked after by the Local Authority




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and

         Have an acute crisis that exposes them to family/placement? breakdown; or
         Where the potential for family reunification in the short term has been identified


2.3 Whole System Relationships

Pathways of care will be developed across Local Authority children’s services, health care
(primary and acute services), early years, and education to provide quality, consistent and safe
signposting or referral to appropriate services.

The service will be flexible and responsive, adapting to the individual needs of children and
families in terms of their circumstance e.g. strengths, level of risk, culture, ethnicity, language
and disability.

The provider will be expected to have clear operational standards in place in relation to how their
service interfaces with, and relates to, all of the agencies supporting the delivery of family
support packages, and those that will continue to support the family after the intervention has
ended.

The provider will be required to evidence effective working arrangements with a range of local
services to ensure families receiving support have access to a range of services delivering
evidence based interventions to meet their specific needs.


2.4 Interdependencies

Significant interdependencies will be strengthened across primary/community, acute and tertiary
care, social care, education services, schools, youth services and the voluntary & community
sector. Pathways will develop and agreed methods of communication need to be in place to
enhance transition arrangements between services. There will be interdependencies of lesser
significance across the whole children’s service community in Doncaster.

Safeguarding is at the heart of services for Children Young People & Families and providers will
be required to ensure the South Yorkshire Child Protection procedures and processes are
embedded into their service delivery.


2.4.1 Competencies required for the delivery of the service
All practitioners who work with children, young people and families should be able to
demonstrate a basic level of competence in the six areas of The Common Core of Skills and
Knowledge for the Children’s Workforce to ensure a well trained and competent skills mixed
team, working towards self directed teams who are professionally accountable for the delivery
and performance of outcome focused commissioned services. All six of these areas are
essential for all staff working in the Family Preservation Service:
     Effective communication and engagement
     Child and young person development
     Safeguarding and promoting the welfare of the child
     Supporting transitions
     Multi-agency working
     Sharing information

There is significantly more work to do on quality standards and the accreditation and training of
staff, and mobilising the trained workforce to deliver courses. There is also a need to
differentiate between staff for whom parenting support is a core or a non-core role.

Family preservation / support competencies

Knowledge, skills and abilities:



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       Skills in assessing, jointly with people and families, their circumstances, strengths,
        needs and preferred outcomes
       Understanding of individual, family and community dynamics
       Skills and knowledge to deal with hostile and aggressive responses to family support,
        without putting their own safety at risk
       Knowledge of the frameworks of law, policy and regulation affecting family support
       Skills, knowledge and judgement required to recognise and evaluate levels of risk to
        children and adults, assess possible measures to reduce and manage the risks, and
        take appropriate action
       Skills in enabling people to exercise choice, be involved in decisions affecting them, and
        use resources to secure the outcomes they want
       Skills in communication, particularly with and on behalf of children and adults with
        limited ability to convey their own views and wishes
       Skills in negotiating and coordinating services provided by networks of support for
        families
       Skills in inter-agency collaboration and multi-disciplinary teamwork, and understanding
        of the roles and functions of other professions and agencies
       Information-sharing, negotiating and advocacy skills to assist people in obtaining
        resources, services and benefits
       Skills in effective record-keeping and use of records to review progress and learn from
        practice
       Commitment to continuing personal and professional development and the acquisition of
        advanced and specialist skills and knowledge

Family support methods
    Professional relationships based on warmth, trust and rapport with people using
       services
    Social models of assessing people’s situations and working with them to overcome
       barriers to participation and independence
    Practice that seeks to put power in the hands of people to manage their own situations,
       with the social worker as facilitator
    Work that integrates individual, family and community dimensions in a creative balance
    Distinctive approaches to understanding and working with risk, recognising the need to
       safeguard those who are vulnerable whilst enabling people to take the risks that go with
       ordinary everyday living
    Modern approaches to established casework skills and methodologies, working
       systematically and in an integrated way to keep a focus on people’s practical, social and
       psychological wellbeing
    Applying and extending principles of personalisation, which have always been at the
       heart of social work at its best, to help people find individual solutions to their situations
       and achieve satisfactory outcomes
    Effective joint working with other disciplines, other social care staff, volunteers, foster
       parents and advocates


Note that competencies will be brought in line with the CWDC’s emerging Children's Social Care
Professional Development Framework, which will have a specific focus on the professional
development of workers in domiciliary care and family support services

Competencies required for the specific elements of the service should be explicit in job
specifications of relevant practitioners.

2.4.2 Staffing and Experience

All staff should hold qualifications appropriate to their role.

Registered practitioners should hold a relevant and current registration, possessing competence
and skills in line with their specific role; which needs to be evidenced and supervised. The
service should demonstrate an appropriate skill mix with all levels of staff holding relevant and



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current qualifications suitable to the role.

Clerical and administration need a good understanding of the sensitive and confidential nature of
work, receive relevant ‘in-house’ training to effectively inform their role. Customer care skills
training recommended.

All staff should receive an appropriate induction, have access to mandatory and statutory
training annual appraisal/review and personal development planning


2.4.3.Safeguarding Children

The service will provide services that ensure children are safeguarded from neglect or abuse in
line with: Working Together to Safeguard Children (2006), the South Yorkshire Child Protection
Procedures.

All professionals and organisations have a key role to play in actively promoting the health and
wellbeing of children.

Safeguarding competencies
The duty to safeguard children and young people is a core responsibility of all staff working
within the children’s service. The provider is responsible for ensuring that their staffs are
competent and confident in carrying out their responsibilities for safeguarding and promoting
children’s welfare. The provider is required to ensure that all professionals who work with
children and families are able to:

       In clearly understand the risk factors and recognise children in need of support and/or
        safeguarding the provider will need to evidence the use of a Risk management tool.
       Recognise the needs of parents who may need extra help in bringing up their children,
        and know where to refer for help
       Recognise the risks of abuse to an unborn child
       Contribute to enquiries from other professionals about children and their family or carers
       Liaise closely with other agencies, including other health professionals
       Assess the needs of children and the capacity of parents/carers to meet their children’s
        needs, including the needs of children who display sexually harmful behaviour
       Plan and respond to the needs of children and their families, particularly those who are
        vulnerable
       Contribute to child protection conferences, family group conferences and strategy
        discussions
       Contribute to planning support for children at risk of significant harm, e.g. children living
        in household with domestic violence or parental substance misuse
       Help ensure that children who have been abused and parents under stress (e.g. those
        who have mental health problems) have access to services to support them
       Play an active part, through the child protection plan, in safeguarding children from
        significant harm
       As part of generally safeguarding children and young people, provide ongoing
        promotional and preventative support, through proactive work with children, families and
        expectant parents

Standards of Safeguarding competence
    All staff working with children and their families have accessed mandatory child
       protection training including updates. The provider will explicitly determine which staff
       should attend the appropriate level of training in line with the Doncaster Safeguarding
       Children Board: Interagency learning and development programme.
    All staff working with children and their families demonstrate appropriate use of the CAF
       process ensuring CAF assessments are completed within 48 hours.
    All staff will be able to access specific child protection supervision as necessary.
    Staff demonstrate in their records and reports each family has a thorough assessment
       and analysis which includes risk factors that parents or adult carers may pose to the



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        child /young person
       Staff demonstrate in their records appropriate referral onto other agencies with evidence
        that there is a timely response to onward referral for example to Children’s Social Care
        Services.
       Staff implement and embed actions arising from serious case reviews as recommended
        by the Local Safeguarding Boards.
       In accordance with LSCB procedures staff will seek advice and make checks with Local
        Authority Children’s social care services and when indicated make subsequent referrals.
       Staff are aware of Information sharing policies and use these appropriately.
       Participation in Child Protection Audit as required

Training and support re safeguarding.
Working to ensure children are protected from harm requires sound professional judgements to
be made it is demanding work that can be distressing and stressful a culture of continuous
improvement. The provider will:-
     Ensure all of those involved have access to advice and support from, for example,
       peers, managers, or named and designated professionals
     Training is in place so that staff are aware of how to recognise and respond to
       safeguarding concerns, including signs of possible maltreatment
     Releasing staff to attend appropriate training
     Staff have the opportunity to consolidate learning
     Ensure that staffs have access to specific child protection/children in need supervision.

Tupe

There are a number of staff currently providing elements of these services who are employed by
the current service provider. Therefore if there is a change in service provider through the
procurement process there will be Tupe implications for the new provider.

Independent Safeguarding Authority




Key Features of the role of the Independent Safeguarding Authority:

    •   Expected to apply to almost 11 million workers and volunteers
    •   It will be illegal for barred individuals to undertake or apply for positions in regulated
        activity.
    •   Individuals undertaking regulated activity, provided by an organisation, must be ISA-
        registered.
    •   It will be illegal for organisations to engage a barred or non ISA-registered person in
        regulated activity.
    •   Employers must check that prospective employees who will be undertaking regulated
        activity are ISA-registered.
    •   Does not extend to personal and family relationships.

Once the ISA Scheme has been fully rolled out, it will be illegal to engage anyone in regulated or
controlled activity* without first being registered and subject to continuous monitoring by the ISA
Scheme.

Employers will be legally obliged to confirm such employees are registered with the ISA.

         th
From 26 July 2010 all new entrants to roles working with vulnerable groups and those
switching jobs within these sectors will be able to register with the ISA and be checked by them.




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New entrants to the workforce & those moving jobs will be the first to go through the scheme.
Thereafter, all members of the existing workforce will be phased into the scheme over a five
year period.

The Independent Safeguarding Authority (ISA) has been created to help prevent unsuitable
people from working with children and vulnerable adults. Since 31 March 2008, the ISA has
been providing advice on barring decisions for List 99, the Protection of Children Act (PoCA) list
and the Protection of Vulnerable Adults (PoVA) list to the Secretaries of State for Children
Schools and Families (DCSF) and Health (DH).

On 20 January 2009, ISA assumed responsibility for making those decisions. From the 13
March 2009, the ISA also assumed responsibility for making barring decisions previously made
by the Department of Health, Social Services and Public Safety (DHSSPS) under the Protection
of Children and Vulnerable Adults (Northern Ireland) Order 2003 (POCVA) and the Department
of Education (DE) under the Prohibition from Teaching or Working with Children Regulations
(Northern Ireland) 2007 (Unsuitable Persons Regulations). This will further strengthen the
Government’s safeguarding arrangements by establishing the toughest ever vetting and barring
scheme - placing decisions in the hands of independent experts.

Organisations in England and Wales who were required or able to refer individuals to the DCSF
or DH in respect of List 99, PoCA or PoVA need to make referrals to ISA. Organisations who
were previously required or able to make referrals to the DHSSPS or DE in respect of POCVA or
the Unsuitable Persons regulations should make referrals to the ISA.

From 20 January 2009, the ISA has been making decisions on who should be prevented from
working with children or vulnerable adults in England and Wales. From 13 March 2009, the ISA
will make decisions on who should be prevented from working with children or vulnerable adults
in Northern Ireland. If you need to make a referral after that date you should complete the
appropriate form, print and return to the Independent Safeguarding Authority with any supporting
documentation.

For more information see: www.isa-gov.org.uk


2.5 Relevant Local, Regional and National Networks and Programmes

The service will work with statutory, community and third sector providers and commissioners
through local, regional and national networks to develop integrated pathways for children young
people and their families.


2.6 Sub-contractors

Sub-contracting arrangements are not currently in place with regards to any part of this service.
All sub contracting arrangements, whether material or not, must be notified to the Commissioner
and formally included within the relevant Schedule of the Contract. Should the Provider wish to
sub contract any or all of this service prior agreement from the Commissioner must be obtained.



3. Service Delivery


3.1 Service Model

The service will provide a rapid response family preservation service for families with children
aged 0-18 with severe or complex needs (Tier 3 and 4), who are at risk of family breakdown.

It will consist of a multi-agency team offering needs based packages of both practical and



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therapeutic family support. Support will be based on Solution Focussed Brief Therapy reflecting
the following core principles:
     Whole family intervention - Focus on the family unit (‘Think Family’)
     Family strengths - Emphasis on strengthening the capacity of families to function
         effectively by building resilience
     Solution focussed – brief, intensive therapeutic support focussed on making changes
         and improvements through small, realistic steps
     Supporting independence - Involvement of family in designing all aspects to ensure
         they are appropriate and relevant, that there are shared goals, and that links are
         developed with comprehensive, diverse, and community based networks of support
     Refinement – based on and responsive to international best practice

The service will be:
    Immediate - Response to referrals within 24 hours
    Accessible - 24/7 access to workers
    Intensive – 10-15 hours per week
    Brief – upper limit of 90 days (3 months) involvement
    Focussed – low caseloads of 5 families per key worker where supported by other staff.

Support will be predominantly delivered in the family home, with the aim of maximising additional
support from family, extended family, neighbourhood, community. Key aspects of the
intervention include:
      Defusing the immediate and precipitating crisis within the home that lead to the service
        referral
      Engaging and involving all family members
      Liaison with other agencies involved with the family, and identification of potential
        additional sources of support
      Identifying issues and developing specific, measurable goals that are agreed by all
        family members
      Assisting all family members to acquire the skills to achieve the goals

While support is brief and intensive, it will also be adapted in line with emerging and changing
needs and preferences of family members.

After completion, families will be tracked after six months to identify whether progress has been
maintained. ‘One-off’ review sessions may be offered to consolidate the benefits.

The provider will establish clear step-down processes and protocols with the Integrated family
Support services in Doncaster.

The establishment of effective partnerships with a range of other agencies is essential for
building independent networks of support for families that continue after the Family Preservation
intervention.


3.2 Pathways

The service will work with statutory, community and third sector providers and commissioners
through local, regional and national networks to develop integrated pathways for children young
people and their families.

3.3 Specific Issues

Health & Safety

The service will maintain a clear Risk Management Policy and Procedure.

Celebration & Complaints Procedure




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The provider is required to have a clear Celebration & Complaints Policy and Procedure that
takes a positive and constructive approach to feedback and complaints. Complaints must be
dealt with in a timely and responsive manner, with lessons are learned from them and remedial
action taken as required in order to improve the service. Where a complaint is not resolved
adequately via the providers Complaints Procedure, the user will have the option of taking the
issue further via the Commissioner’s Complaints procedure and/or relevant statutory bodies.



4. Referral, Access and Acceptance Criteria


The service will be provided to families with children and young people aged 0-18 who reside in
the Doncaster Metropolitan Borough who:
     Have been assessed as having severe or complex needs (Tier 3 and 4) via a CAF or an
       Assessment under the Framework for the Assessment of children in Need and their
       families; or
     Have been referred to children’s social care; or
     Have one or more CYP subject to a Child Protection Plan; or
     Have one or more CYP looked after by the Local Authority

AND

       Have an acute crisis that exposes them to family/placement? breakdown; or
       Where the potential for family reunification in the short term has been identified

4.1 Geographic coverage/boundaries

The service will be provided to families with children and young people aged 0-18 who reside in
the Doncaster Metropolitan Borough.

4.2 Location(s) of Service Delivery

Services will be provided dependent upon the characteristics of the service and the needs of the
local population, through a range of delivery methods and locations that are suitable and
acceptable to the family. It is expected that these services will be predominantly delivered
through the family’s own home.

4.3 Days/Hours of operation

Hours of operation will meet the needs of the service users, the local population and fit around
the needs of family members. Taking those needs into account the hours of operation will also
be balanced against the capacity and needs of the service.

4.4 Referral criteria & sources

The service will be provided to families with children and young people aged 0-18 who reside in
the Doncaster Metropolitan Borough who:
     Have been assessed as having severe or complex needs (Tier 3 and 4) via a CAF or an
       Assessment under the Framework for the Assessment of children in Need and their
       families; or
     Have been referred to children’s social care; or
     Have one or more CYP subject to a Child Protection Plan; or
     Have one or more CYP looked after by the Local Authority

AND

       Have an acute crisis that exposes them to family/placement? breakdown; or
       Where the potential for family reunification in the short term has been identified




                                              12
        “Children, Young People and their families are at the heart of everything we do”
                                                                                            Appendix 1

Likely sources of referral will be:
     The family
     Children’s Social Care
     Schools and education
     YOT
     Health (General Practitioner; CAMHS; Specialist nursing)
     Youth services
     Voluntary and community sector organisations

In principal the need for a referral will be based upon thorough needs assessment and analysis
having been undertaken though any service provider utilising the Common Assessment
Framework.

4.5 Referral route

To be determined

In principal the need for a referral will be based upon thorough needs assessment and analysis
having been undertaken though any service provider utilising a multi-agency assessment: either
a Common Assessment under the Framework or an assessment under the Framework for the
Assessment of children in need and their families.

In the case of self referral the service will manage all contacts with the service users to ensure
effective referral into the service.

Any child or family where risk or need for enhanced services is identified should result in further
communication, sharing of information and partnership working to plan integrated packages of
care and intervention for the child, siblings and family members as appropriate.

4.6 Exclusion Criteria

The provider will not actively exclude any service user groups

4.7 Response time and prioritisation

All referrals will be responded to within 24 hours.
To be determined: the define what constitutes a ‘response’? – ie. Consider referral;
communicate decision to referrer and family; visit family?


5. Discharge Criteria & Planning


Clear criteria will be established for the closure of cases or deferral as appropriate.
This will be based upon the principles of:
     the achievement of goals,
     increased resilience and independence of the family,
     improved outcomes for the child, young person and their family
     family requiring intervention after 90 days
     or the need for statutory intervention.

To be determined: the step down care planning process into Integrated Family Support
Solutions.



6. Self-Care and Patient and Carer Information




                                                13
       “Children, Young People and their families are at the heart of everything we do”
                                                                                           Appendix 1

The service will take into account the information needs of all family members at each step of
the intervention and provide the appropriate information as necessary. This reflects the
principles of developing strengths and supporting independence

The information needs of particular groups will need to be considered as part of service delivery.
Information to service users should be provided in relevant community languages, or family
members whose first language is not English should be offered access to:
     A trained advocate; or,
     Interpretation services.


7. Quality of Care, Key Responsibilities, Premises & Information Management & Technology


Quality of Care

The ##### approach to quality assurance is underpinned by an agreed set of principles. They
are: -
     The work will ensure the safety of children and young people and improvements in
       customers experience are central
     International best practice should be used to benchmark all standards agreed
     Adherence to a clear governance framework
     The work should be innovative and sustainable and applicable to the wider
       children’s services community
     The work will meet organisational objectives around inequalities and fitness for purpose
       priorities

The provider shall carry out the services in accordance with the standards and
       recommendations:
    Contained in the Statement of National Minimum Standards
    Contained within the appropriate national/professional recommendations

The Quality Indicators outlined in this service specification include:
    Access times to the service
    Undertaking and sharing the results of patient experience surveys
    That robust governance frameworks are in place including the reporting and monitoring
      of complaints accidents and Serious Untoward Incidents with appropriate notification to
      ####

        In addition, the provider shall ensure that policies and procedures are in place that
        ensures:
       All staff employed or engaged by the provider are informed and aware of the standard of
        performance they are required to provide
       All staff are trained in line with any national/professional recommendations
       Staff performance is routinely monitored and that any remedial action is taken where
        levels of performance are not in line the agreed standard of performance

The approach to the development of quality standards in contracts is continually evolving and
the service will/may be asked to support the continuing development of these standards.


Key Responsibilities

The Provider’s key responsibilities will include:

   The Provider will provide overall management of the service and will maintain a central point
   of contact for #####.




                                                14
        “Children, Young People and their families are at the heart of everything we do”
                                                                                              Appendix 1

6.2   The Provider will ensure the co-ordination of IT, data collection and quality assurance
      process to allow for timely and comprehensive reporting to ### on agreed service
      parameters

      The Provider will protect customers through systems that
        identify and learn from all safety and other reportable incidents
        Make improvements in practice and share any such improvements and any lessons
          learnt with the wider children’s services community
        ensure that safety notices, alerts and other communications concerning safety which
          require action are acted upon within required time-scales.
        Comply with the procedure for reporting serious untoward incidents

      The Provider will ensure that
        the service is carried out under supervision and leadership;
        practitioners continuously update skills and techniques relevant to their work and
          maintain relevant professional registration
        Practitioners participate in regular audit and reviews of services.

      The Provider will
        apply the principles of sound practice and corporate governance;
        actively support all employees to promote openness, honesty, probity, accountability,
          and the economic, efficient and effective use of resources;
        undertake systematic risk assessment and risk management;
        ensure financial management achieves economy, effectiveness, efficiency, probity and
          accountability in the use of resources;
        challenge discrimination, promote equality and respect human rights; and

      The provision of a range of practise and administrative support staff appropriate for provision
       of the service

      The Provider will support their staff through
        having access to processes which permit them to raise, in confidence and without
          prejudicing their position, concerns over any aspect of service delivery, practice or
          management that they consider to have a detrimental effect on the delivery of services;
          and
        organisational and personal development programmes which recognise the contribution
          and value of staff, and address, where appropriate, under-representation of minority
          groups
        have a relevant system to monitor and maintain performance and conduct

      The Provider will have a systematic and planned approach to the management of records to
      ensure that, from the moment a record is created until its ultimate disposal, the organisation
      maintains information so that it serves the purpose it was collected for and disposes of the
      information appropriately when no longer required.

      The Provider will
        undertake all appropriate employment checks and ensure that all employed or
          contracted professionally qualified staff are registered with the appropriate bodies;
        require that all employed professionals abide by relevant published codes of
          professional practice.

      The Provider will ensure that staff concerned with all aspects of the service:
        are appropriately recruited, trained and qualified for the work they undertake;
        participate in further professional and occupational development commensurate with
          their work throughout their working lives.

      The Provider will have systems in place to ensure that
        staff treat children, young people their parents and carers with dignity and respect;



                                                 15
          “Children, Young People and their families are at the heart of everything we do”
                                                                                              Appendix 1
       appropriate consent is obtained when required for all contacts with children, young
        people their parents and car and for the use of any patient confidential information; and
       staff treat patient information confidentially, except where authorised by legislation to the
        contrary.

   The Provider will have systems in place to ensure that children, young people their parents
       and carers
     have suitable and accessible information about, and clear access to, procedures to
       register formal complaints and feedback on the quality of services;
     are not discriminated against when complaints are made; and
     are assured that organisations act appropriately on any concerns and, where
       appropriate, make changes to ensure improvements in service delivery.

   The Provider will make information available to patients and the public on their services
   provide patients with suitable and accessible information on the service they receive and,
   where appropriate, inform them what to expect throughout the service delivery.

   The views of children, young people their parents and carers are sought and taken into
   account in designing, planning, delivering and improving all services.

   The Provider will ensure that services are provided in environments, which promote effective
   care and optimise outcomes by being
       A safe and secure environment which protects patients and their property, and the
        physical assets of the organisation; and
       Is supportive of patient privacy and confidentiality.

Premises

Services will be delivered in a range of settings appropriate to the needs of the family and the
intervention. This may include the family home or in integrating services with appropriate
existing local community based services such as Children’s Centres, Schools, Youth Services
and Lift Buildings supporting good local access.

We expect to commission services that
    meet the needs of patients and their families
    consider the availability of child care for siblings
    are conducted in buildings appropriate to the nature of the service
    ensure that practitioners have ease of access to sites of service provision
    Any contractual arrangement will include confidentiality, dignity and                   privacy
      arrangements.

The Provider will negotiate with #### regarding the portability of different aspects of the service
with respect to providing these services in a variety of fixed premises in locations across the
Doncaster area.

The provider will ensure that all access and equality issues are addressed from the first Equality
Impact Assessment and its subsequent reviews.

The provider will need to ensure that the service is sufficiently well located geographically to
allow ease of access for as many Doncaster residents requiring the service as possible.

For the purposes of this service this is judged to be within a maximum of 30 minutes travel time
by public transport. These services must be located in an area that is accessible by all members
of the public and should therefore have good public transport links. All premises must have
access which is in line with current legislation.


Information Management and Technology

Effective lines of communication will be established between all relevant stakeholders. IT



                                               16
        “Children, Young People and their families are at the heart of everything we do”
                                                                                          Appendix 1
technology must be compatible to meet all agreed requirements.

Requirements and ownership of information systems to be determined.




8. Quality and           Quality and          Threshold         Method of        Consequence
Performance Indicators   Performance                            Measurement      of Breach
                         Indicator(s)
                         Response to                                             Require
Immediate response       referrals within     90%               Referral log     Improvement
                         24 hours                                                Action Plan
                         Comprehensive
Improving user
                         initial referral
experience                                    100%              Referral log
                         screening and
                         assessment
                         Proportion of
                         those meeting
Access                   the criteria         100%              Referral log
                         receiving a
                         service
                         Users reporting
                                                                Annual user
                         immediate
Ongoing access                                90%               satisfaction
                         access to
                                                                survey
                         workers
                         >10 hours
Intensiveness of
                         support per          100%              Support log
support
                         week
                                                                Annual user
                         Users reporting
                                              90%               satisfaction
                         >10 hours
                                                                survey
                         <3 months per
Length of support                             100%              Support log
                         family
                         5 families per
Caseload                                      100%              Support log
                         key worker
                         Review of
                         goals and
Care Planning            future plans at      100%              Support log
                         end of
                         intervention
                         6 month follow
                                              100%              Support log
                         up
Service user                                                    User
                         User
experience                                    >80%              satisfaction
                         satisfaction
                                                                survey
                         Staff in multi-
                         agency teams
                         or TAC express
                                                                Annual staff
Workforce                satisfaction         90%
                                                                survey
                         with joint
                         working as part
                         of that team
                         Training:
                         TAC & Lead
                         professional
                                                                Training
                         Signs of Safety      100%
                                                                Strategy
                         Solution
                         Focussed Brief
                         Intervention



                                             17
       “Children, Young People and their families are at the heart of everything we do”
                                                                                            Appendix 1
                          Service users
                          reflect local
Reducing Inequalities                         TBD                 Carefirst
                          demographics
                          and diversity
Outcomes
Reduced family
                          LAC number/rate     TBD                 CareFirst
breakdown
                          % families
                          supported who
                                                                  Review
                          did not have a      90%
                                                                  CareFirst
                          care placement
                          within 12 months
Reduced risk of family    Re-referral
                                              TBD                 CareFirst
breakdown                 number/rate
                          Child Protection
                                              TBD                 CareFirst
                          Plan number/rate
Additional Measures
for Block Contracts:-
Staff turnover rates

Sickness levels

Agency and bank
spend

Contacts per FTE



9. Activity

 Activity Performance        Threshold                Method of           Consequence of breach
       Indicators                                   measurement
  Average no. active             XXX                 Support log              Service improvement
         cases            (= XXX workers                                               plan
                             x 5 cases)
  Total annual cases             XXX                Support log
                          (= XXX workers
                           x 20 cases per
                               annum)
  Level of care being        In line with      Monthly performance             Payment may be
       provided             agreed levels          monitoring                     withheld

Estimate of costs, with   Maximum annual       Monthly performance             Payment may be
  actual costs to be       value of £XXX           monitoring                     withheld
    provided in the
  proceeding month
      User data               Personal         Monthly performance             Payment may be
                           information re.         monitoring                     withheld
                                users




                                             18
       “Children, Young People and their families are at the heart of everything we do”
                                                                                             Appendix 1
Activity Plan

The commissioners will agree the content of the Activity plan as described above with the
provider.

Activity and Performance monitoring of the service will be carried out by the Commissioner. It is
however the expectation that the service provider will also monitor their own performance.

Activity and Performance Monitoring will be ‘live’, therefore:

The provider will:
    ensure performance information on Activity and the Quality & Performance Indicators is
       inputted into ‘Covalent’.

The Commissioners will:
    undertake performance-monitoring:
             (i) monthly by reviewing the Activity on ‘Covalent’.
             (ii) quarterly by reviewing the Quality & Performance Indicators on ‘Covalent’.



10. Continual Service Improvement Plan


Implementation Plan will be required.



11. Prices & Costs




10.1 Price

 Basis of Contract         Unit of          Price          Thresholds      Expected Annual
                           Measurement                                     Contract Value
                                                                           £
                                                                           £
 Total                                      £                              £




                                                19
         “Children, Young People and their families are at the heart of everything we do”
                                                                                           Appendix 1
Appendix 1


              Doncaster Children’s Services Family and Parenting Support

                               Family Preservation Service
                                            &
                           Integrated Family Support Solutions

                                     NEEDS ANALYSIS



The vision for Doncaster’s Children & Young People:

        Every child and young person will be and feel safe, and will be protected from
         harm, abuse, exploitation and neglect.
        Every child and young person will benefit and a loving, caring home, whatever
         the domestic circumstances.
        Every child and young person will have access to a range of excellent
         learning and training which meets their needs.
        There will be a range of exciting, stimulating activities and things for children
         and young people to do, chosen by themselves.
        Families experiencing challenges and stress will receive effective, responsive
         help and support.
        The Children’s Service will actively promote resilience and independence for
         young people and their families.
        All children and young people will be encouraged to be healthy and have the
         information that enables them to make responsible lifestyle choices.
        All children and young people will be enabled to achieve their full potential
         and become economically active citizens.



    1. Being a child in a family in Doncaster

                  There are currently 72,393 children and young people living
                   Doncaster aged between 0 and 19 (2006 estimate); this
                   accounts for one quarter of the total Doncaster population. Of
                   these, 55700 are aged between 5-19 years (2006 estimate
                   Source: Office for National for Statistics, 2008) The number of 0-19 year
                   olds has decreased steadily from c.77,000 in 1993. This age-
                   group is projected to decrease to 70,500 by 2018, but after this
                   to increase to 74,000 by 2031.

        Age          0-19       <1 year    1-4 years     5-9 years      10-14         15-19
                    years                                               years         years
   Mid -             72,393        3,507      13,279        16,962       18,762        19,883
   2006
2001 Census-based estimates
Data source: Mid-Year Estimates from the Office for National Statistics - Compendium for
Clinical and Health Indicators, 2008.




                                              20
        “Children, Young People and their families are at the heart of everything we do”
                                                                                          Appendix 1
      There are 19870 children are registered in primary schools in
       Doncaster and 21070 are registered in secondary schools in
       Doncaster. The data on the ethnicity of school children highlights the
       fact that Doncaster has a mainly white population. (Appendix1 shows
       ethnic breakdown)

      Most children registered with Doncaster schools speak English as their
       first language; 3.6% of primary and 4.3% of secondary school pupils
       are known or believed not to have English as their first language
       (DCSF 2008).

      Estimated numbers of children with disabilities in Doncaster is 5197
       based on 7% of the population. This is based on the Office for National
       Statistics estimate of 7% based on the General Household
       Consultation 2002, and this is the percentage quoted by the Council for
       Disabled Children.

      12.6 babies in every 1000 died within the first 12 months of their lives in
       Doncaster in 2007.


Stay Safe

Based on the Framework for the Assessment of Children in Need and their
families – model representing the Extent of children in need in England at any
one time it can be estimated that there are potentially around 26000
vulnerable children and around 2280 children in need in Doncaster.

      Doncaster has 310 children and young people who are the subject of
       Child Protection Plans. (source – Doncaster MBC CYP Vulnerable Children
       & Safeguarding Performance Information Booklet April 2009) This figure has
       remained fairly constant over the last 12 months. Over half of these
       plans (53.5%) have the category of abuse of neglect.

      There are currently 457 children and young people in public care in
       Doncaster (source – Doncaster MBC CYP Vulnerable Children &
       Safeguarding Performance Information Booklet June 2009) This figure has
       increased by 15% since 2005. Almost a quarter of Doncaster’s looked
       after children are living outside of Doncaster area. 34% of looked after
       children and young people are in the10/15 years age range.

      During the period March – June 2009 the children and young being
       looked after were as follows:
  Month          Total No         Section 20’s         Interim Care        % previously
                                                          Orders           looked after
March                18                 14                   4                 28%
2009
April 2009           19                  6                   13                  16%
May 2009             5                   2                    3                  0%
June 2009            12                  8                    4                  0%

                                             21
       “Children, Young People and their families are at the heart of everything we do”
                                                                                         Appendix 1

     The weekly cost of social services for children looked after is £728 per
      week compared with £150 per week for children supported in families
      or independently. (based on average costs for England – Unit Costs of Health &
      Social Care 2007)

     On examining a sample
      of 15 records of children and young people in public care, the majority
      of these have had social care involvement for a number of years prior
      to the status changing to becoming looked after, some going on for up
      to 10 years. A number have been in and out of public care several
      times.

     There are currently 438 children and young people who are the subject
      of a Child in need plan.

     On average 216 Initial Assessments are carried each month (2008/09
      data) around a quarter of these are to assess family dysfunction and
      relations. (based on Mar & April 2009)

     The Child in Need census of 2005 shows that 59% of children identified
      as in need and receiving a service are in the category of abuse or
      neglect, compared with 37% for the whole of England.

     More than half of the Initial Assessments carried out result in no further
      action from the social care teams. (based on Mar & April 2009)
     23.7% of referrals to social care teams are repeat referrals.

     In the first 5 months of 2009, 148 Common assessments were
      completed. 76 of these assessments identified a need for parenting
      support.

     During the period 1/9/08 – 8/5/09 Families First have worked with 690
      families. Of these 36.5% of the work was to address behaviour issues
      and 38% was to provide family support.


Be Healthy

     The prevalence of breastfeeding at 6/8 weeks from birth is 26.30%
      (NI53)

     When measured in 2006/07, a fifth of reception and a third of year 6
      pupils were either overweight or obese.


Enjoy & Achieve

     In 2006/07 there was a persistent absence rate from schools of 4.7%
      compared with a national average of 3.6%.


                                            22
      “Children, Young People and their families are at the heart of everything we do”
                                                                                          Appendix 1


      In the same period there were 80 permanent exclusions from schools.

      Children achieving well in their early years, measured by NI72 is at
       51% which is just above the national average.

      There are 715 children and young people in Doncaster schools who
       have identified behaviour, social and emotional difficulties.

Make a positive contribution

      The Youth offending team worked with 449 young people in the period
       1/4/08 – 31/3/09 who were identified as being at risk of offending
       providing prevention services. In addition assessment and support was
       provided to an additional 276 young people who had received a final
       warning following low level offending behaviour.

      The parent(s) of 164 of the young people mentioned above have
       received some parenting support from the Youth Offending Service
       during the period 1/4/08 – 31/3/09.

      The perceptions of parents taking responsibility for the behaviour of
       their children in the area is 21.9% (of 1719 giving an opinion in the Place
       Survey 2008 – NI22)


Achieve economic well-being

      The 2001 Census provides information on the number of households
       with dependent children and no adult in employment; this can be used
       as an indicator of levels of child poverty. In Doncaster there were
       34680 households with dependent children, and of these 7560 were
       households without adults in employment. (source HM Revenues &
       Customs)

      In 2001 there were 8,124 Doncaster households consisting of a lone
       parent, with one or more dependent children. In 50% of the lone parent
       households the parent was not working. Data source: 2001 Census table,
       KS22.

      The take up of formal childcare by low-income working families stands
       at 17% (NI118)

Following the Government’s Family at Risk Review a new Government
initiative called ‘Think Family’ was developed to achieve better outcomes for
families at the most risk. ‘Think Family' is an integral part of delivering a
continuum of services and means reforming systems and services provided
for vulnerable children, young people and adults to ensure services work
together to:

      Identify families at risk to provide support at the earliest opportunity;


                                             23
       “Children, Young People and their families are at the heart of everything we do”
                                                                                           Appendix 1
       Meet the full range of needs within each family they are supporting or
        working with;
       Strengthen the ability of family members to provide care and support to
           each other.

The National Indicators directly supported by Think Family are as follows:

PI code       Description                                               Current      National
                                                                        Value        Value
NI17          Perceptions of anti-social behaviour PSA 23                33.1%         20%
NI22          Perceptions of parents taking responsibility for           21.9%         30%
              the behaviour of their children in the area HO
              DSO
NI40          Drug users in effective treatment PSA 25                    Not          Not
                                                                         known        known
NI50          Emotional health of children PSA 12                        64.6%         Not
                                                                                      known
NI55          Obesity among primary school age children in               11.6%         Not
              Reception Year DCSF DSO                                                 known
NI56          Obesity among primary school age children in               19.1%         Not
              Year 6 DCSF DSO                                                         known
NI65          Children becoming the subject of a Child                    9.4%        13.6%
              Protection Plan for a second or subsequent time
              DCSF DSO
NI73          Achievement at level 4 or above in both English             73%         71.86%
              and Maths at Key Stage 2 (Threshold) PSA 10
NI79          Achievement of a Level 2 qualification by the age           64%         72.37%
              of 19 PSA 10
NI87          Secondary school persistent absence rate DCSF               8.3%          Not
              DSO                                                                     known
NI91          Participation of 17 year-olds in education or               69%           Not
              training DCSF DSO                                                       known
NI92          Narrowing the gap between the lowest achieving             32.4%        34.82%
              20% in the Early Years Foundation Stage Profile
              and the rest PSA 11
NI102         Achievement gap between pupils eligible for free            Not          Not
              school meals and their peers achieving the                 known        known
              expected level at Key Stages 2 and 4 PSA 11
NI106         Young people from low income backgrounds                    40%           Not
              progressing to higher education PSA 11                                  known
NI111         First time entrants to the Youth Justice System              557        -19.30
              aged 10 – 17 PSA 14
NI112         Under 18 conception rate PSA 14                            -18.3%       -10.7%
NI114         Rate of permanent exclusions from school DCSF              0.01%          Not
              DSO                                                                     known
NI115         Substance misuse by young people PSA 14                     10%           Not
                                                                                      known
NI117         16 to 18 year olds who are not in education,                 8%           Not
              training or employment (NEET) PSA 14                                    known




                                              24
        “Children, Young People and their families are at the heart of everything we do”
                                                                                                Appendix 1

2. Feedback from users, parents carers


    Focus groups should be based on the findings of the survey, aiming to delve deeper into
    the issues and causes, and to prioritising improvements.


    Feedback from children and young people’s consultation event ‘Be Seen, Be Heard’ tells us
    that their priorities are:

•   Be Healthy
                 •   Having a clean home.
                 •   Supervision when playing outside.
                 •   Being helped to develop good habits not bad ones such as smoking,
                     drinking etc.
                 •   Decreasing pub opening hours.
                 •   More PE time.
                 •   More play time – some felt this may reduce bullying/fighting.
                 •   More time before school for healthy activities.
                 •   Greater choice of after-school clubs.
                 •   Increased time on cooking lessons with emphasis on healthy food
                 •   Cycling lessons for all.
                 •   More public parks near to homes; more public areas for children – ‘more
                     parks with trees and roundabouts’.
                 •   More organised out of school team sports.

•   Stay Safe:
                 •   Adults taking responsibility for the care and safety of children.
                 •   Having appropriately trained staff in schools to mediate if something
                     happens.
                 •   Parents not going to the pub leaving children at home – ‘get a carer to watch
                     me’.
                 •   More police on the streets/more police stations.
                 •   Victim mediation with bullying; ‘1 on 1 talking about the problem’.
                 •   Getting new toys for schools, replacing broken ones.
                 •   Suggestion of more surveillance cameras.
                 •   Talking to everyone to stop bullying.
                 •   To give children advice on how to stay safe.
                 •   Teachers to give comfort (in bullying situations) and children to be kind, have
                     manners, not be angry.


•   Enjoy & Achieve:
              • More school trips.
              • More parental school visits – to encourage children more and support them
                  more.
              • Letting children decide the lunch menu.
              • Cooking lessons.
              • School teams, different sports.
              • After-school clubs / hobby clubs out of school / cooking club/ science club /
                  homework club.
              • ‘The Council should do a survey on hobbies in schools for clubs.
              • Educational activities out of school, museum visits – ‘the Council to arrange
                  it and then raise the money for it’.
              • Personal stereos and audio books.

                                               25
                                                                                            Appendix 1
               •   Visual things to work to.
               •   Teachers and staff to explain things slowly.
               •   Dress up and role play.
               •   Having teaching assistants.
               •   Use of small white boards.
               •   Practical activities.

•   Make a Positive Contribution:
             • Generally most of the comments made by children in this section were
                  introspective.
             • With regard to being involved in the community the children felt that they
                  could be involved in recycling and helping people in the community.
             • There was concern shown about drunks in public spaces and parks – this
                  coincides with earlier comments about supervision during outside play.
             • They felt that school councils could be more involved in activities within the
                  community
             • That they [children and young people] should be taught respect for each
                  other, taught about racism and not discriminating against others.
             • There should be cooperative behaviour between schools, police and
                  families.
             • With regard to developing entrepreneurial behaviour it was felt by some that
                  it was difficult now because of the ‘credit crunch’. However they felt that,
                  that they should be involved in activities such as fundraising, charity work
                  and helping to develop ideas for raising funds etc at an early age. They see
                  cooperative behaviour as a key to achieving in this area.

•   Achieve Economic Well-being:
              • More helpers in schools – ‘have assistant teachers’.
              • More choices for children in schools, eg on sport, classroom colours etc.
              • More experiences out of school/outside learning to solve problems.
              • To undertake activities that challenges them.
              • Teaching ICT and skills for the future.
              • Interesting activities, fun activities.
              • Stopping bullying.
              • Leaning about money.
              • More books in schools.
              • Children to choose school trips.
              • More lessons off standard curriculum such as acting, drama, interactive
                 activities.
              • Have theme weeks – eg art, maths, recycle, investigate

•   To have more choice
•   To have more involvement in decisions involving them
•   To participate and be consulted




                                             26
                                                                                           Appendix 1
Feedback available from Families First ( FF ) evaluation

Methodology

             Interviews with key individuals:
             Focus group facilitation
             Paper survey
             Documentation review
             Phone survey

Feedback from Children and Parent’s


Examples of Parents / Carers feed back

               Positive feedback received from parents attending parenting groups
               Thanks from parents of children receiving summer activities
               Families were grateful for help from FF during the flooding
               Several families have phoned to say how useful they had found the service
                and how positive and how positive they have found their worker in dealing with
                their problems
               Thanks from parents for looking at the situation they were in and helping them
                to see away forward


Example of Children and young people’s feedback

                  Gave me confidence
                  Taught me some new things
                  Helped me to think about things
                  Helped me to make some changes in the things I do
                  Helped with other things
                  Helped me to get closer to my family
                  Helped me to live a much brighter life .Shown me how to look and take care
                    of myself more .Also appreciate each other more


Other possible feedback from children centre SEF’s




                                                 27
                                                                                                                                                           Appendix 1

     3. Mapping of current provision

 Services can be mapped using the 8 key areas of Family Support and the 4 tiers of need by listing services using the following matrix:
 See appendix 2 for details of Doncaster services.

                Information,     Informal Support    Outreach &     Education & Childcare   Parenting   Therapeutic Support   Alternate Care   Specialist & Targeted
             Advice & Guidance                      Home Visiting                           Education                                                Support
SEVERE &
COMPLEX




TARGETED




ADDITIONAL




UNIVERSAL




                Information,     Informal Support    Outreach &     Education & Childcare   Parenting   Therapeutic Support   Alternate Care   Specialist & Targeted
             Advice & Guidance                      Home Visiting                           Education                                                Support


 If available, additional information such as the number of cases/clients per annum and the spend per annum could also be mapped.




                                                                                  28
                                                                                                                                                                                                                                 Appendix 1
                           There also needs to be consideration of the referral and care pathways. An example is below, but the areas highlighted in yellow need to be adapted
                           for the Doncaster context:
                                                                                                                  Family Support Modelling
                                                                                                                                                                                                = Borough wide service

                                                                                                                                                                                                = Multiple Teams
                                                                                                                                                                                                          Need/Area Based Resource
                                                                                                LEVEL 4                                                                                                   Senior Family Support Consultant
                                                                                          [Severe & Complex]      CAMHS           Social Work           YOT                                               Family Support Workers
                                                                                                                   Tier 4           Teams              Tier 4
                                                                                                                                                      Service)                                  = Transition Points
Framework for Assessment




                                                                                                                            FAMILY PRESERVATION
                                                                                                                                   SERVICE
                               SIGNS OF SAFETY TRAINING




                                                                                             LEVEL 3
                                                                Brief Intervention




                                                                                           [Targeted]



                                                                                                                       Integrated Family Support
                                                                                                                               Solutions
                                                                                                                                                                                                Referrals to Integrated Family Support
                                                                                                                                                                                                 Solutions from three Gateways (Children’s
                                                                                                                                                      SFSC                                       Centres; Schools; Integrated Youth Service)
                                                                                       LEVEL 2
                                                                                     [Additional                                                FSW                                             Some current Families First staff
                                                                                       Needs]                                                            FSW
                                                                                                                                                                                                All Parenting Practitioners

                                                                                                                                                                                                Children’s Centre Family Support Staff

                                                                                                                                                                                                Primary Mental Health Workers in Schools

                                                                                                                                                                                                  Universal provision in Children’s Centres
                                                                                             Children’s Centres               Extended Services &                 Integrated Youth Services  Speech and Language Therapists inProvision
                                                                                                                                                                                                     Schools and Youth Service
                                                                                                                                                                                                                                Schools
                                                            LEVEL 1                                                                 Schools
                                                                                                                                                                                                School Parent Support Provision
CAF




                                                          [Universal]                                                                                                                                Midwives and Health visitors

                                                                                                                                                                                                       GPs
                                                                                                                  Public and Family Information Service (PAFIS)
                                                                                                                                        29
                                                                                                                                                                                                       Universal Child care
   4. Strategic developments

The Doncaster Children’s Service Improvement Plan outlines five major areas of development which have been identified from OfSTED
reports and the DCSF Diagnostic Report which need to be tackled for services to improve. This includes:

       “The improvement of early intervention and prevention strategies and an improved interface between universal, targeted and specialist
services must be developed. The Common Assessment Framework must be embedded in universal and targeted services and more rigorous
and effective inter agency procedures must be developed in concert with partners”

The Improvement Plan outlines the following actions:
Action                                                  LAA Priorities                             Performance Indicators
Excellent Safeguarding Standards & practice
We will review the current level of qualified social    16. Improve the Framework for              NI59 – Initial assessments of children’s
workers and unqualified workers, including the          Safeguarding Children                      social care carried out in 7 days.
family support and social care workers to determine                                                NI60 – Core assessments for children’s
the level of effectiveness and whether the balance                                                 social care
needs to shift to support a particular group of staff                                              NI63 – Length of placement of looked after
in the context of carrying out high quality                                                        children.
safeguarding services.
Excellent Early Intervention & Prevention
We will audit the existing range and type of early                                                 NI56 Obesity amongst primary school age
intervention and prevention to ensure that the          18. Reduce anti-social behaviour           children -year 6
services match the needs of children, young people      12. Support residents to lead active and   NI112 Under 18 conception rate
and their carers.                                       healthy lives.                             NI115 – substance misuse by young
We will ensure that actions to further reduce the       11. Reduce alcohol and drugs misuse        people
number of first time entrants to the Youth Justice                                                 NI117 NEET
System are comprehensive, well targeted and
effective.
We will ensure that targeted and specialist services
are restructured so that they can deliver the broader
Every Child Matters agenda and integrate more
effectively with specialist services.



                                                                         30
We will audit the existing range and type of early
intervention and prevention services to ensure that
they are fit for purpose.
We will, with our partners in Health, commission
services to ensure that 8000 additional babies are
breastfed at 6/8 weeks by 2013.
We will through the Healthy Futures programme,
work with NHS Doncaster and Partners to create a
business case to commission integrated Family
Support Services.
Excellent Educational Attainment for young people
Reduce permanent exclusions                         8. Increase educational achievement         NI114 – rate of permanent exclusions
                                                    9. Reduce school absences and exclusions    NI78 5 or more GCSE A*-C
                                                    10. Build a skilled and diverse workforce   NI79 level 2 qualification by age 19




                                                                  31
   5. Analysis of gaps and priorities for development

The analysis and identification of current service provision has highlighted the
following:


      There a high level of children looked after in Doncaster (457). 22% of
       these children and young people are looked after under section 20
       arrangements and a number of these have been looked after for more
       than one episode. Based on the weekly figure of £728 for a child
       looked after, a 15% increase equates to an additional cost of £43,000
       per week.

      The current provision is a complex picture: there are multiple teams
       and individuals providing a range of family support and parenting
       services.

      The funding comes through multiple funding streams including short
       and fixed term grants.

      Service providers are providing a mixture of interventions across all
       tiers and there appears to be little co-ordination in the planning and
       delivery of services.

      There is a lack of understanding from service providers about at which
       tier they are providing services (Universal, targeted or specialist) and
       thresholds are inconsistently applied.

      Services appear to have evolved and are delivered based on the skills
       of the practitioner rather than the needs of the family.

      There is a lack of evidence base for effective intervention with families
       in Doncaster and the outcomes from the services are unquantifiable.

      There is little evidence of targeting services at those who require it
       most.

      There is a significant financial investment in Family Support Services in
       Doncaster.

      There appears to be a gap where no current family support services
       are providing a ‘rapid response’ service i.e.: response within 24 hours,
       service available 24/7 to support families in need.




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                                          32
APPENDIX


Schools: Pupils by local authority area and government office region
January 2008 (Provisional)

                         Doncaster                Doncaster                    England

                          Number                        %                             %


White                              38180               93.26%                             81.25
White                              37362               91.26%                              77.4
British
Irish                                  66              0.16%                               0.35
Traveller                              69              0.17%                               0.05
Of Irish Heritage
Gypsy/ Roma                           132              0.32%                               0.15
Any Other White                       552              1.35%                               3.25
Background
Mixed                                 690              1.69%                               3.45
White And Black                       272              0.66%                                1.2
Caribbean
White And Black                        75              0.18%                               0.35
African
White And Asian                       157              0.38%                                0.7
Any Other Mixed                       186              0.45%                                1.2
Background
Asian                                 890              2.17%                                8.1
Indian                                248              0.61%                                2.4
Pakistani                             451               1.1%                                3.2
Bangladeshi                            17              0.04%                                1.3
Any Other Asian                       175              0.43%                               1.15
Background
Black                                 300              0.73%                               4.45
Caribbean                              69              0.17%                                1.4
African                               197              0.48%                               2.55
Any Other Black                        36              0.09%                                0.5
Background
Chinese                               109              0.27%                               0.35
Any Other Ethnic                      221              0.54%                                1.2
Group
Classified                         40390               98.7%                               98.8
Unclassified                          68               0.17%                                .55
All pupils                         40940
Data Source: DCSF 2008




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