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					Managers Forum
 17 March 2011



WELCOME
Today‟s Agenda
  09.30      The development of the Hertfordshire          David Ring
                   Integrated Support Teams          Julia Wright, Beverley
                                                               Dover
                                                       Lindsay Edwards
  10.20     Performance Management Framework for        Alison Twynam
                Safeguarding & Specialist services
  10.50                      Break

  11.10       Children’s Services Transformation       Jenny Coles, Sue
                                                         Williams, Neena
                                                              Khosla
            Developing the management programme         Louise Purser
                     for front-line managers
  12.30               Evaluation and Close              Richard Barrett




www.hertsdirect.org
Development of Integrated
Targeted Support Teams


Social Care Managers Forum

Thursday 17 March 2011



David Ring
Julia Wright / Beverley Dover
Lindsay Edwards



  www.hertsdirect.org
Development of Integrated Targeted Support Teams




Overview
• The Proposal
• Stakeholders Consultation Feedback
• The Way Forward


Intensive Family Support (Think Family / FIP)

Targeted Youth Support
  www.hertsdirect.org
                              The Proposal
  Improving Early Intervention and Targeted Services through a Local
  Service Delivery Partnership Framework


23 Local Service Delivery Partnerships

• Rationalising of existing school based       Multi-agency teams
  partnerships
                                               • Development of actual multi-agency
• Promote better educational achievement and     teams to deliver targeted support to
  well being for all children                    children and families (ITS teams)
                                               • Use of LSDP framework as basis for the
• Break down barriers to learning                configuration of the ITS teams
• Commission a network of services to          • Development of a range of governance
  provide preventative and targeted support      models for LDSPs
                                               • Potential for LSDPs to plan, commission
• Provide a clear pathway to specialist          and deliver a range of children‟s and
  services                                       young people services
• Be accountable for relevant outcomes for     • Implementation of new arrangements by
                                                 Sept 2011
  children and families in their community
   www.hertsdirect.org
Stakeholders Consultation Feedback
 • Support for the case pathway           •   Support for local presence

 • More integrated model welcomed         •   Need to ensure ITS arrangements
                                              equipped to take forward DSPL, etc
 • Strong support for ‘Team Around the
   Family’                                •   Resource allocation – where child lives
                                              or where chid goes to school?
 • Strong support for work done by
   C&YPSWs and PSWs                       •   Real opportunity to develop clearer
                                              pathways
 • Need for integrated approach to
   workforce development                  •   Need for effective and clear information
                                              sharing
 • Need for single point of contact AND
   single point of accountability
                                          •   Concerns re potential loss of
 • Support for local accountability and       consistent service delivery
   collaborative working
                                          •   Concerns re fair allocation of
 • Need for clear focus on early years        resources

                                          •   Confusion re proposed arrangements
   www.hertsdirect.org                        for LSDPs and lack of ‘sign up’
                                                             The Proposed Pathways
                                        Universal                                                                                                                             Targeted                                                                                                           Specialist

                                                                                         Lead Professional – Early Intervention                                                            Enhanced Lead Professional – Intensive Support
          Families & Communities




                                                                                                 Targeted                                                                                                                                                            Targeted




                                                                                                                         Specialist                                                                                                                                              Specialist
                                                                             Universal                                                                                                                                                        Universal



                                                 Direct Contact



                                                                                                                                                                                                                    CYP on edge of
                                                                                                                                                                                                                   care / threshold of
                                   Escalating Needs                                                                                                        Further concerns                                         other specialist
                                                                                                                                                                                                                        services
                                                                                                                        cy                                                                                                                                    y
                                                    CAF                                                            en                                                                                                                                    nc



                                                                                                                                      tea
    CYP with                                                                                                  ag                                                                                                                                    ge                                      Contributes to
                                                                                                           ti-                                                                                                                              lti-
                                                                                                                                                                                                                                                a



                                                                                                                                       m
   additional /                                                                                         ul                                                                                                                                                                                    intensive




                                                                                                                                                                                                                                                                          TA
                                                                                                                                                                                                                                        u


                                                                                                                                        aro
 complex needs                          Single Service Request                                      M                                                                                                                               M                                                           family




                                                                                                                                                                                                                                                                             F
                                                                                                                                            un
                                                                                                                                                                                                                                                                                             intervention
                                                                        Single, local


                                                                                                                                            d
                                             Request for                                                                                                                                                                                                                                         work
                                                                        access point
                                       Statutory Assessment /                                                                                                                                                                                                                                as required
                                                                        for targeted
                                              Statutory                   services




                                                                                                                                                                                                                                                                                                              Social Care / Level 3&4 services
                                             Notification
                                                                                                                   the family                        Integrated, Targeted Services                                                                       Intensive
                                                                                                                                                                                                                                                          Support
                                                                                                                                                 · Early Intervention & Targeted Support
                                                                                                                                                                                              Leads focused,
                                                                                                                                                                                                 intensive,

                                                                                                                                                 · Targeted Youth Support
                                                                                                                                                                                             family intervention

                                                                                                   Needs
                                                                                                    Met                                          · Targeted support for special and
                                                                                              Co-ordinates &
                                                                                               Contributes
                                                                                                                                                   additional needs
                                                                                                                                                 · Targeted Support from Associate




                                                                                                                                                                                                                                                                                                   Step-up
                                                                                                 to Team
     Universal Services




                                                                                              around Family




                                                                                                                                                                                                                                                                                     Step-down
                                                                                                                                                   Members

                                       Delivery of universal services, systemic capacity building & preventative work


                                                                                                                                                                                                                                                                                 CYP on cusp of
                                                                                                                                                                                                                                                                                     care



                                                                                                                                                                                                                                CP concern




   CYP where there                                                                                                                                                                                                                                                                   CYP where there
                                                                                                     CP concern

www.hertsdirect.org
   is a CP concern                                                                                                                                                                                                                                                                   are CP concerns
The Way Forward




Local Partnerships


Transition arrangements


Integrated Targeted Support Teams




  www.hertsdirect.org
Local Partnerships


• Changed political and financial landscape

• Lack of „sign-up‟ and changed role of LA

• The proposed framework of 23 LSDPs will not be taken forward

• The LA will respond to partnerships which emerge from schools and other providers

• Starting with existing districts

• Possibility of partnerships within districts

• Transition arrangements to support development of partnerships

• Local accountability for targeted services



    www.hertsdirect.org
Transition Arrangements

• 2 year transition funding to:
     •   Support the development of local partnerships
     •   Sustain support worker capacity

• Partnership Development (£658k)
     •   Deployment and management of SFWs
     •   Facilitate development of the partnership
     •   Seek sources of revenue and grant funding
     •   Develop links with voluntary sector
     •   Monitor outcomes and effectiveness of ITSTs
     •   Prepare for actual commissioning of services

• School Family Workers (£1.74m)

• Lead Schools
   www.hertsdirect.org
Integrated Targeted Support Teams

                                           OBJECTIVES

•   Establish the Hertfordshire Integrated Targeted Support Team structure
•   Close collaborative working with universal services
•   Support provided through direct intervention and through delivery of systemic support for staff in
    universal settings
•   Ensure maximum efficiency in use of resources and budgets

•   Enable local partnerships to take responsibility for assessing, planning and providing support –
    ‘localism’ and local decision making

•   LA to provide strong leadership and ensure statutory duties met

•   Early intervention to avoid unnecessary escalation

•   Enable children to have their needs identified, assessed and met as they emerge

•   Provide support that tackles barriers to learning

•   Maximise impact of resources – leanest management and effective deployment of staff

     www.hertsdirect.org
Integrated Targeted Support Teams

                           2 Integrated Service Groups

 Early Intervention & Targeted
                                             Targeted Support for Special
 Support (services for c&yp)                 and Additional Needs
 • Early Intervention & Targeted Support
   Teams                                     • Educational Psychology
   Targeted Support Workers
                                             • Early Years SEND
   Intensive Family Support                  • SEND
   PCSOs, YCROs
   Links to DCs, HVs, etc
                                             • Behaviour & Attendance
                                             • Education Support Centres
 • Targeted Youth Support Teams



 • Universal Youth Support Teams



   www.hertsdirect.org
Hertfordshire Integrated Targeted Support Services


                                                                                       Deputy Director Services to Children &
                                                                                                  Young People




                                                                     Double District Manager
                                                                                                                        Double District Manager ITS
                                                                       Services for Young
                                                                                                                                   team
                                                                             People




     Specialist
                               Step up / Step
                                   down



                                                Intensive Family
                                                                                                                            Targeted
                                                 Support Teams                     Targeted Youth
                                                                                                                           Support for
                                                                                      Support
                                                                                                                            Special &
     Targeted                                                                                                              Additional
                                                Early Intervention                                                        Needs Teams
                                                   & Targeted
                                                 Support Teams



                            Local
                        Partnerships:
                         Partnership
                                                                                   Universal Youth
     Universal          Development
                                                                                       Support
                           Officers
                        School Family
  www.hertsdirect.org     Workers
                                                                                        Deputy Director
                                                                             Services to Children & Young People




                                                                                                                                           Head of Targeted
                                                                                                                                          Services (Education)




Double District                       Double District                                                                                                              ITS Team
                   Double District     Operational       Double District     Double District            ITS Team          ITS Team
 Operational                                                                                                                                  ITS Team           Area Manager        ITS Team
                    Operational          Manager          Operational         Operational             Area Manager      Area Manager
   Manager                                                                                                                                  Area Manager         Policy Lead for   Area Manager
                     Manager          Policy Lead for      Manager              Manager               Policy Lead for   Policy Lead for
Policy Lead for                                                                                                                             Policy Lead for       EY SEND &        Policy Lead for
                   Policy Lead for        Positive       Policy Lead for     Policy Lead for           Behaviour &       Educational
Participation in                                                                                                                                 PPQA               Complex             SEND
                   Vulnerable YP      Activities & Vol        PPQA           Youth Justice             Attendance        Psychology
Learning & IAG                                                                                                                                                       Needs
                                          Sector




   Universal           Universal          Universal           Universal          Universal
   Services            Services           Services            Services           Services                SEN Team          SEN Team             SEN Team            SEN Team          SEN Team
    Team                Team               Team                Team               Team




   Targeted            Targeted           Targeted            Targeted           Targeted
    Youth               Youth              Youth               Youth              Youth                  Early Years       Early Years         Early Years          Early Years       Early Years
   Support             Support            Support             Support            Support                   SEND              SEND                SEND                 SEND              SEND
    Team                Team               Team                Team               Team




      Early               Early              Early               Early              Early
 Intervention &      Intervention &     Intervention &      Intervention &     Intervention &            Educational       Educational         Educational          Educational       Educational
    Targeted            Targeted           Targeted            Targeted           Targeted               Psychology        Psychology          Psychology           Psychology        Psychology
    Support             Support            Support             Support            Support                  Team              Team                Team                 Team              Team
     Team                Team               Team                Team               Team




                                                                                                          ESC &             ESC &                ESC &               ESC &             ESC &
                                                                                                          ESTMA             ESTMA                ESTMA               ESTMA             ESTMA




                                                                                                        Behaviour &       Behaviour &          Behaviour &         Behaviour &       Behaviour &
                                                                                                        Attendance        Attendance           Attendance          Attendance        Attendance

          www.hertsdirect.org                                                                              Team              Team                 Team                Team              Team
  Intensive Family Support



  Julia Wright
  Project Manager, Supporting Vulnerable Families

  Beverley Dover
  FIP Manager

www.hertsdirect.org
Intensive Family Support

A number of projects have been developed using the Think Family
approach:


• South Oxhey Family Intervention Project

• Scaffold Project across the County
         South Oxhey, Stevenage, Waltham Cross, Borehamwood


• Housing Challenge FIP, key workers based in six of the ten districts
         Three Rivers, Dacorum, Stevenage, Broxbourne, East Herts, Welwyn/Hatfield


• Two Health Parenting Practitioners, county wide

• Police/Barnardo‟s - Sele Farm project


    www.hertsdirect.org
Intensive Family Support

   Current Arrangements




       Scaffold           South               Housing           Parenting             Sele
       Project            Oxhey               Challenge         Practitioners         Farm
       (4 Teams)          FIP                 FIPs - ( 6 )                            Project
                                                                                      (Police-
                                                                                      led)
  3 x Team                                  6 x FIPs
                       1 x Manager          LA / RSL based    2 x HPFT          1 x Police Sgt
  Managers:            (CSF)                                  FIPs
                                            in:                                 1 x Barnardo’s
      1 x CSF (S        1 x ATM (CSF)       Broxbourne,                         Services Manager
  Oxhey FIP)            3 x FIP workers                                         2 x Police FIPs
                                            Dacorum, E        One nominally
      1 x ACF          (recruited/                                              2 x Barnardo’s
                                            Herts, Three      allocated to
      1 x Police Sgt        paid via EIG)                                       FIPs
                                            Rivers,           each half of
  2 x CSF                                                                       1 x WDP FIP
                                            Stevenage,        the county
  4 x PCs
  0.5 x Health                              Welwyn Hatfield
                                                                                Operating
                                                                                along-side
   www.hertsdirect.org                                                          Broxbourne/E
                                                                                Herts EI&TS
Intensive Family Support

  Outcomes
  • All the Think Family initiatives were beginning to demonstrate significant success in
    addressing the needs of high contact families.

  • South Oxhey FIP became the blue print for all the Think Family developments.




• 19.7% reduction in Substance misuse               • 29% reduction in families
• 41.2% reduction in families facing DV               involved in offending/ASB

• 26.9% reduction in families where school          • 26% reduction in families with
  attendance is a problem                             mental health problems
• 21.9% reduction in households where               • 32.1% reduction in families living
  there has been unemployment                         in poor accommodation
                                                    • 7.6 reduction in families
                                                      struggling with debt
   www.hertsdirect.org
Intensive Family Support
The Way Forward


   Bring together the current Think Family Projects into one team.
   Develop an Intensive Family Support resource.
   Eventually form part of the Integrated Targeted Support Teams




    Double                Double
    District        +     District                2 x quadruple districts
    ISFT                  IFST                    (2 x ISFTs) each to                  Double District ISFT to
    Watford +      +      Dacorum                 comprise:                 Double     comprise:
    Three                 + St                    1 x Manager                          1 x Manager
                                                                            District
    Rivers                Albans                  1 x ATM (EIG                         3 x FIPs (EIG funded)
                                                                            ISFT
                                                  funded)                   St’nage    1 x CSF worker
                                                  5 x FIPs (EIG funded)     +N         1 x Police PC
                                                  2 x CSF (sponsored)       Herts      1 x Housing Challenge
                                                  4 x PC (sponsored)                   FIP
                                                  2 x 0.5 Health
    Double       Double                           (sponsored)
    District     District                         4 x Housing
              +
    IFST         IFST                             Challenge FIPs
   Broxbourne    B’wood
   + East        + Wel-
   www.hertsdirect.org
   Herts         Hatfield
Intensive Family Support



Intensive Family Support Teams


• The IFST would have sufficient capacity to provide support to 30-40 high risk
  families in each double district.

• Totals 150-200 high risk families across the county.

• The teams will be supported by the 2 parenting practitioners

• The outcomes achieved through the current Think Family initiatives indicate that this
  resource would provide the opportunity to engage positively with high risk families

• Resulting in the reduction in number of children and young people becoming CLA,
  involved in incidents of ASB and school exclusion.




    www.hertsdirect.org
  Services for Young
  People


       Lindsay Edwards

       Policy Lead: Vulnerable Young People
       Operational Manager: Welwyn Hatfield & Hertsmere



www.hertsdirect.org
Services for Young People




   www.hertsdirect.org
Targeted Youth Support




    • Support for vulnerable young people in need and their families

    • Support young people to make a successful transition to adult life

    • Prevent family breakdown

    • Prevent escalation into specialist services




   www.hertsdirect.org
Age Focus




    • 13-19 years

    • From secondary transition where the child is beyond parental
      control

    • From 10-17 yrs. for young offenders in receipt of a sanction above
      a reprimand

    • Up to 25 yrs. for care leavers or young people with learning
      difficulties or disabilities




   www.hertsdirect.org
Referral Pathways




   • Team around the family, where early intervention has not resulted
     in adequate progress & criteria for TYS are met

   • Targeted Advice Service where contacts received from CSC meet
     the criteria for TYS

   • Courts

   • Step down from specialist services




   www.hertsdirect.org
Eligibility Criteria




    • Young person experiencing difficulty in family relationships – could
      lead to family breakdown

    • High risk behaviour or harm – could lead to family breakdown or risk
      to community

    • Standard of care or protection not appropriate to age & does not
      meet threshold for social care

    • Subject to formal warning or court order

    • CLA with clear plan to return home or independent living as part of a
      statutory review




    www.hertsdirect.org
Assessment




    • CAF +

    • Structured assessments
           - ASSET
           - CRAFFT




   www.hertsdirect.org
Interventions




     • Multi-disciplinary teams

     • Holistic and comprehensive approach

     • Specialist skills

     • Average 12 weeks




    www.hertsdirect.org
Data




   Number of Open Cases

   • 868 Open cases as of 1 March 2011

   • 168 New cases since 1 February 2011

   • 700 Previous existing SAT and YOT cases




   www.hertsdirect.org
Number of Open Cases




   www.hertsdirect.org
Referral Source


  • Assessment Teams/Academies (40%)

  • YOT (22%)

  • TAS (21%)


   Status of Child
  • CIN (60%

  • Tier 2 (15%)

  • Child Protection (14%)

  • CLA (7%)


   www.hertsdirect.org
Working Together



      • New service:
             - speed of change
             - establishing teams
             - changing culture
             - skilling up
      • Safe transfer of cases

      • Recording

      • Joint working



   www.hertsdirect.org
Performance Management Framework
for Safeguarding and Specialist
Services



• Alison Twynam, Wendy Evans



www.hertsdirect.org
           Inputs                           Inputs                         Inputs                         Inputs

          PMDS                   Business Object reports (team        Monthly Data set          Board Performance Report
        ICS alerts                        level data)               PPQA quarterly report              (monthly)
  Business Object reports              Case file audits                  including:
                                   Feedback from Standards                  IRT                  Performance & Standards
                                            meeting                          CP                      Report (quarterly)
                                                                                                                                                       Chief Executive
                                          Team Plan                     Complaints
                                                                        audit report
                                                                           L&OD



                                                                                                                                                            SMB
       INDIVIDUALS                         TEAMS                      SERVICE AREAS                      BOARD

           Weekly                          Weekly                         Monthly                        Monthly
                                      Case allocation
                                                                                                                                                          Executive
      Case monitoring                 Case monitoring            Exception reporting on “ones    Monitoring of Performance     ·   Monthly exception      Members
                                   Analysis of daily reports              to watch”             Report (Exception reporting)       reporting

          Monthly                         Monthly

Supervision for case direction        Budget monitoring                                                                                                HCTP Executive/
                                                                          Quarterly                      Quarterly
   and reflection with line       Performance Monitoring at                                                                                               Health &
          manager                      Team Meetings             Performance and Standards        Monitoring of Quarterly      ·   Quarterly           Wellbeing Board
                                     Supervision of staff                 meeting               Performance and Standards          Performance &
                                                                                                          Report                   Standards Reports
                                          Quarterly
          Annually
                                                                                                                                                       HSCB Executive
                                        Peer auditing
 Formal review of progress                                                Annually                       Annually
against objectives at mid year
and end year (in accordance                                      Self assessment and priority   Self assessment and priority   ·   Director‟s Annual
    with corporate PMDS                                                    setting                        setting                  Report
                                          Annually
         framework)
                                                                                                                                                        CLA Executive
                                 PMDS – mid and end year
                                 Review and development of
                                         team plan



                                                                          Outputs                                                                       CS&CP Panel
                                                                                                         Outputs
          Outputs                         Outputs                Board Performance Report
                                                                        (monthly)                 Director‟s annual report
     Supervision notes              Team meeting notes           Performance & Standards
  Actions for improvement          Actions for improvement           Report (quarterly)
           PMDS                          Team plan                     Action plans




            www.hertsdirect.org
Meeting dates and deadlines for Reports (April 2011-March 2012)
                                                            Quarter 1                                     Quarter 2                                             Quarter 3                     Quarter 4

                               April             May           June             July          Aug            Sept        Oct                Nov                 Dec           Jan           Feb                        Mar
     Executive




                              Every two
       CLA




                               months
                  Executive
                 Executive
                   HSCB
                   HSCB




                                              HSCB Exec     HSCB Exec                                  HSCB Exec                       HSCB Exec             HSCB Exec
                                               13 May        10 June                                     9 Sept                         11 Nov                 9 Dec
 Monthly meeting
  Jenny Coles/
   Chief Exec
     CS&CP




                                               CS&CP                      CS&CP
      Panel




                                                Panel                      Panel
                                               10 May                     5th July
 Health and
 Wellbeing
   Board
 and Standards
  Performance

    meeting




                                            Performance                                  Perfromance                                Performance
                                            & Standards                                  & Standards                                & Standards
                                               3 May                                       16 Aug                                      1 Nov
 Monthly CSF
 Monthly CSF

   Meetings
  Meetings




                               Report to
    Board




                                                Report to     Report to      Report to                    Report to   Report to          Report to           Report to      Report to   Report to                 Report to
   Board




                                 CSF              CSF           CSF            CSF                          CSF         CSF                CSF                 CSF            CSF         CSF                       CSF
                                Board            Board         Board          Board                        Board       Board              Board               Board          Board       Board                     Board
           PMDS
          PMDS




                              Performance                                                                                                                                                           Annual Appraisal
                                                                                                                                  Mid Year Progress Review
                               Agreement




                              www.hertsdirect.org
Questions for you
1. What is your individual and team‟s role in
   taking forward the framework?



2. Have you any suggested changes?




www.hertsdirect.org

				
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