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Workshop: Using Extended Schools including on-
site health provision
‘Schools, Colleges, Children’s Services and Partners: Delivering for at risk
and challenging young people’ Conference, London, 23rd Oct 2008
developing people, improving young lives
Objectives
This workshop will
1. report on progress nationally of the extended schools roll-out, with an
emphasis on swift and easy access to targeted and specialist services
2. examine the benefits to schools and colleges of on-site health provision,
particularly contraceptive and sexual health services
3. explore a case study example of innovative approaches to the provision of
such services
4. highlight the support available from TDA and DCSF nationally
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2
Agenda
• Context John Morley – Extended Schools team, TDA
• Case study Nicola Baboneau - Community & Partnerships, The
Learning Trust
Chris Stein - Hackney Drug & Alcohol Action Team
• Questions/discussion
• Review and close
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3
Every Child Matters envisages agencies working together to deliver five
key outcomes for every child
“Extended Schools are ECM in action”
Sec of State for Children, Schools and Families, Sept 2007
4
4
What is an extended school?
As a hub of the community, an extended school provides access to a range of
activities and support . These include childcare, use of school facilities, parenting
support, after-school clubs and a range of health and well-being services.
By 2010 all schools will offer access to these services.
£1.3bn of extra funding is enabling schools to work in partnership with local
organisations to offer the whole community support, learning and enjoyment.
Evidence* shows a wide range of benefits, including improved pupil attendance,
attitudes and attainment. Pupils and parents benefit from increased
opportunities and schools benefit from teaching more motivated pupils who
achieve more and the community benefits from local access to services.
*Ofsted reports, HMCI annual report 2006/7, Extended Services in Schools and Children’s Centres 2006, and How well are they doing? The
Impact of Children’s Centres and Extended Schools 2008
5
65% of schools (14,234) are now providing access to the ES core offer
2010 Government
policy pledge
2008 Government policy pledge All schools providing
Half of primary* schools – 8,598 access to the full core offer
25,000 Third of secondary schools – 1,126
All schools
NUMBER OF SCHOOLS
20,000 As at 3 September
2008 18,500
Primary* 10,966 (64%)
15,000 Secondary 2,432 14,234
(72%)
Other** 836 (60%)
10,000
8,217
5,000
3,370
-
Sep '06 Sep '07 Sep '08 Sep '09 Sep '10
FCO schools already achieved Current FCO schools Future FCO schools targets
6 Source: LAs project management information via the change tool on the TDA website, 30 September 2008
*- Nursery schools are not included in the figures for primary schools
6
** - Other consists of nursery and special schools
‘Swift and easy access to targeted and specialist services’ is
the part of extended services that links schools into the
a continuum of support and opportunity
0 19
emerging children’s trust arrangements
maternity & integrated
primary Children’s extended
Youth
Health Centres Schools
Services
ContactPoint
Professionals
Third sector
Parents
Targeted
CAF
Lead
multi-agency
locality teams
Specialist
Specialist Services
7
Schools are becoming increasingly more focused in how they extend
their services to achieve specific outcomes, as part of their school
improvement planning procesS
Extended Blockers Characteristics Standards
support and and of successful and achievement
Services learners
enablers
design
Experience success + Family support Attitude
Raise self esteem + Confidence Behaviour
Improve physical - Bullying Attendance
health etc - Poor health High Aspiration etc
Teaching and
Curriculum
8
Provision of health advice services in schools &
colleges: what issues are we trying to address?
Historically high rates of teenage
pregnancy
Increasing rates of STIs
Harm arising from substance misuse
(including alcohol and smoking)
Rising levels of obesity
Poor emotional health & well-being
9
Why locate sexual health services in
education settings?
Barriers accessing contraceptive and sexual health advice
include: fears about confidentiality being breached; services
not being open at convenient times; and all-age services not
being young-people friendly
Locating services in education settings addresses these
problems because:
Young people can access services at times and in places that fit with
their daily lives;
Services are confidential and young people-centred.
Some evidence that education-based services are more attractive to
hard to reach groups, such as young men and young people from BME
communities
It provides a way for PCTs to target hard to reach groups, in a cost-
effective way
10
Benefits for the school
Helps prevent young women dropping-out due
to early pregnancy (one research study said
10% of female apprentices left courses due to
pregnancy)
Helps young people avoid/tackle early any
sexual health concerns that might be
impacting negatively on their learning
Less need to take time off to attend clinic
appointments 11
Exploring innovative approaches to the
provision of school-based adolescent health
and well-being services
Nicola Baboneau,
Community & Partnerships, The Learning Trust
Chris Stein
Hackney Drug & Alcohol Action Team
Improving Health Services for Young
People
• Youth Matters (DfES)
The development of a young people friendly service
model identified as pivotal in delivering the health
related components of the ‘Information, Advice and
Guidance’ strand
• Our Health, Our Care, Our Say White Paper Making
NHS services easy to use and trusted by young people
DCSF Children’s Plan
• Sets out goals for 2020 including enhancing
well-being particularly at key transition points
• All young people participating in positive
activities to develop personal and social skills
and promote well-being
• Child health improved with the % of obese and
overweight children back to 2000 levels
National programmes that support well-
being
• Personalised learning • National Healthy Schools
assessment for learning Programme
• SEN framework and common • Child Health Strategy
assessment framework (CAF) • Extended Schools
• Support on safeguarding and programme
security • National obesity strategy
• Support for PSHE, CPD & • PE & Sport Strategy – two
Social and Emotional Aspects hours a week rising to five by
of Learning (SEAL) 2011
• Development of five hours a
week cultural activities
Hackney Context
• High levels of deprivation
• Culturally diverse with a young population
• JAR 2006 rated children’s services as Good
• Access to services in schools, colleges, youth
centres and other community or
neighbourhood-based facilities, including
outreach and detached provision
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Targeted youth support
• Recognition that a young person with multiple needs
can fall below the thresholds of individual agencies, but
where, in total, these multiple needs pose a significant
risk
• Clear emphasis on working with those who, without
help, are at future risk of further problems, including
teenage pregnancy
• Integrated approach to prevention is breaking down the
demarcation between universal and specialist services
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Building aspirations and self esteem
• Keeping young people engaged at school is a
priority with a clear focus on skills and
qualifications
• Developing social and emotional skills
• Addressing risk factors and building resilience
• Helping to foster supportive and positive
families, communities and peer groups
18
Hackney is one of four Teenage Health Demonstration
Sites (Youth Matters)
19
Partnership in Action
City and Hackney Primary Care Trust, The Learning
Trust, London Borough of Hackney, East London and
City Mental Health Trust, Connexions, Off Centre
(counselling) and Sub 19 (substance misuse)
developed a holistic service model centred on the
needs of young people aged between 11 and 19 years
old living in Hackney
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Young People’s Engagement
A wide-ranging consultation exercise was carried out
with young people in Hackney prior to the design of the
service model. The consultation asked young people
what they wanted the service to offer, who they wanted
to see and what they wanted the service to look like.
The findings from the consultation formed the
foundation of Hackney’s model
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Hackney’s Three Tier Model
• Tier three: specialised health services, including peer support groups aimed
at young people with chronic conditions including sickle cell, epilepsy, asthma
and HIV in transition or with physical or sensory disabilities.
• Tier two: targeted health services, including GP and nurse practitioner
sessions, sexual health, diet, physical activity and smoking cessation sessions
aimed at those most in need reaching out into local communities, but provided
at a central location.
• Tier one: open access service providing information, advice and guidance to
young people but still orientated towards defined target groups.
22
Health in Schools
• Exploring innovative approaches to the provision of
school-based child and adolescent health and well-
being services
• School nursing service – drop-in sessions, school
health profiles
• 100% of schools signed up to Healthy Schools
Programme; 60% have achieved NHSS
• Service providers contribute to health improvement
and PSHE work in schools
23
Health Huts in schools
• Students in two full-
service extended schools
now have direct access
to information, advice
and support on personal
issues and well-being on
site
24
Next Steps ‘Someone to talk to’
• A broad-based confidential health advice service with
sexual health advice being just one component
• Open to students in the pupil referral unit and on-site
youth centre at Stoke Newington School
• Trained staff display attitudes and values that are
welcoming and non-judgemental
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• Issues addressed include anxiety, emotional
health and well-being, sexual health, drugs and
alcohol, exam stress, family relationships,
healthy living and many other health related
issues
• Support includes diet, exercise (including
dance) and signposting to local events and
activities
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Health Hut reception
Stoke Newington School
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Wider school context
Health Hut at Hackney Free School
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Health Hut reception
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