supporting families pathway toolkit event november 22 nd 2012 chris mcloughlin service director,...
TRANSCRIPT
Supporting Families Pathway Toolkit Event
November 22nd 2012
Chris McLoughlin Service Director, Children’s Safeguarding & Prevention
What is the Supporting Families Pathway?
• Transformational process that has changed the way we identify need and offer support to children and families.
• A way of working that ensures services are coordinated as early as possible to support children and families in Stockport
• Operates from the ‘front door’ of the Contact Centre
• CAF & Universal Recommendations made when issues first emerge
How has this work been developed?
• Intensive research and analysis at the Contact Centre to understand how we could better identify issues earlier
• Data collection• Consultation with range of internal and external
services• Gap analysis• The production of a set of recommendations to
transform practice
How do CAF recommendations work?
1. Practitioner contacting the Contact Centre. If decision- no role for social care - case screened in SFP and CAF recommendation made direct to practitioner and monitored2. If written notification eg police/ A&E submitted to contact centre following response to an incident where concerns about a child or family raised. Case screened and CAF recommendation made to appropriate service 3. Parent rings contact centre for support: case screened and CAF recommendation made to appropriate service • All followed up after 20 working days
What has changed?• All cases presented at the contact centre, are
screened using a multi agency screening tool• Structured Step up/down processes via CAF • Full time Social Care managers based at Contact
Centre• Senior Practitioner- CAF Expert at Contact Centre• Families are offered tangible support, early in the
development of a problem • CAF & Universal recommendations made and
monitored after 20 working days• Chronologies now started as soon as issues
emerge. Enables more effective targeting of vulnerable families to reduce escalation
Benefits• Families offered early help support as soon as
issues are identified• Reduced ‘waste’ and duplication• Enhanced interface between Tier 2 agencies and
Childrens Social Care• Enhanced multi agency working with GMP, Health
Visitors & School Nurses, PVI Sector• 12 month period 1500 families screened for early
help needs that previously wouldn’t have been ‘on the radar’
• Validated nationally as effective emerging practice by Centre for Excellence & Outcomes (C4EO)
Toolkit
• Share learning and resources with other areas• Inform social work and educational degree
programmes to enable students to explore current, ‘real life’ practice
• Funded by Greater Manchester Health Innovation and Education Cluster
Next Steps
• Build on strong foundation of the Supporting Families Pathway to widen ‘front door’ at Contact Centre
• Use the pathway to underpin our Troubled Families work (Stockport Supporting Families Programme)
• Enhance the Universal recommendation aspect of the pathway
• Ensure child and family voice informs evaluation
Troubled Families- Stockport’s Supporting Families Programme
Steve SkeltonGM Community Budgets Lead for
Troubled Families
Troubled Families: National & GM Focus• National TF programme - Three years of additional funding; PbR;
identifies families by looking for symptoms– Crime / Anti-Social Behaviour - School attendance / Truancy– Adults not in employment - High cost / high demand
• GM TF programme - 3-5 years to ‘re-wire’ public services; reform the mainstream to deliver sustainable inter-generational improvements for families; and focus on the causes!– Domestic abuse / violence - Substance misuse – Mental wellbeing - Chronic limiting illness / disability– Low income - Poor educational attainment– Child safety issues - Inadequate living arrangements
• Both programmes – limited cohort of high-cost / high-demand families; impact on whole-public sector; need to address whole families issues and relationships in a sequenced way
Stockport Data and Evidence• 38 Stockport families meet 3 government criteria • 291 Stockport families meet 2 government criteria (+13 out
of area attending Stockport Schools)• Conservative costings reveal 38 families have cost 1.1 million• Domestic Violence: 24% of families meeting 3 criteria have
been involved in a domestic abuse (DA) incident within last 6 months and 42% within last 18 mths. Of those families meeting 2 criteria, 10% have been involved in a DA incident in last 6 months and 18% within last 18 mths.
• Missing From Home: 24% of families meeting 3 criteria have had at least one child go missing from home in the past 6 months and 42% within the last 18 mths. Of those families meeting 2 criteria, 6 % have had at least one child go missing from home in the past 6 months and 15% within the last 18 mths.
KEY GMP CSCare Housing Probation Debt A&E GP
Child Psycholo
gyKITE COT Jigsaw
ASBAT GMP Victim crime Family B
Cprotection Hvisitor Snurse Substance Tier 2 HomelessSpecialist Health
Legal County Court
PRU SENSchool Action
+FIP MFH
Mother
CSCare CSCare CSCare CSCare Homeless CSCare CSCare CSCare Debt Debt Debt Debt Debt Cprotection CSCare CSCare Debt Tier 2 Tier 2 Debt CSCare CSCare CSCare CSCare CSCare CSCare GMP GMP CSCare Tier 2Specialist Health Tier 2 Tier 2 CSCare CSCare CSCare Substance
Housing CSCare Debt Substance Housing Debt CSCare CSCare CSCare CSCare CSCare Debt CSCare CSCare
Specialist Health
Legal County Court
Specialist Health
Debt Probation
Debt SubstanceSubstance Tier 2 CSCare DebtSpecialist Health
Debt Debt Cprotection Cprotection CSCare GMP GMP
CSCare Cprotection GMP Housing GMP
GMP GMP
GMP
victim victim GMP victimGMP
GMP
GMP
Year 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr3 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4
Partner 1CSCare CSCare CSCare CSCare Homeless CSCare CSCare Substance Substance Housing Substance Died
CSCare CSCare CSCare Substance Relationship endedCprotection
victim victim victim victim
Year 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr3 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4
Daughter 1
CSCare A&E A&E A&E Homeless CSCare CSCare CSCare CSCare CprotectionCprotectionCprotection CSCare CSCare CSCare CSCare CSCare Tier 2 CSCare
Child Psycholo
gy CSCare CSCare CSCare CSCare GMP Cprotection
Legal County Court
Legal County Court CSCare CSCare
Legal County Court CSCare CSCare Adult
A&E A&E CSCare A&E CSCare GMP CSCare GMP Hvisitor CSCare CSCare GMP CSCare CSCare CSCare
A&E A&E GMP Hvisitor CSCare CSCare
Specialist Health
CSCare CSCare GP Housing Cprotection victim
victim victim victim victim
Year 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr3 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4
Daughter 2
Born CSCare CprotectionCprotectionCprotection CSCare CSCare CSCare CSCare
Child Psycholo
gy Tier 2
Child Psycholo
gy
Child Psycholo
gy
Child Psycholo
gy Hvisitor GP CSCare GMP Cprotection
Legal County Court
Legal County Court CSCare CSCare
Legal County Court CSCare CSCare
GMP
Specialist Health
Child Psycholo
gy
Child Psycholo
gy CSCare
Child Psycholo
gy CSCare
Child Psycholo
gySpecialist Health GP CSCare GMP CSCare CSCare
SEN SENCSCare
CSCare
Child Psycholo
gy Hvisitor
Child Psycholo
gy GP CSCare
Specialist Health
Specialist Health
Housing CSCare CSCare CSCare GP Cprotection
CSCare
School Action Plus
victim
Year 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr3 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4
Partner 2Relationship started Substance Tier 2 GMP GMP
Tier 2Victim victim victim victim
Year 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr3 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4
Daughter 3
born Hvisitor CSCare CSCare CSCare CSCare CSCare
Child Psycholo
gy CSCare CSCare CSCare CSCare GMP Cprotection
Legal County Court
Legal County Court CSCare CSCare
Legal County Court CSCare A&E KITE
TAC level 3
School Action +
PRU PRU PRU
CSCare Hvisitor CSCare CSCare GMP CSCare CSCare KITE KITE 1x FTECOT
KITE 3 x FTETAC level 3
TAC level 3
Cprotection CSCare CSCare CSCareCOT
TAC level 3
ASBAT MFH
MFH MFH MFH MFH ASBAT MFH 2nd ABC ASBATMFH MFH ABC MFH MFH MFH
NACRO FIP MFH MFH MFH
MFH MFH MFH MFH MFH MFH
Year 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr3 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4
Son 1
born CSCare CSCare CSCare
Child Psycholo
gy CSCare CSCare CSCare CSCare GMP Cprotection
Legal County Court
Legal County Court CSCare
Specialist Health
Legal County Court CSCare CSCare
School Action +
KITE KITE KITE
CSCare CSCare CSCare GMP CSCare CSCare
School Action + CSCare
KITETAC level 3
COT COT
Cprotection CSCare
School Action +
CSCare
TAC level 3
victim Jigsaw
victim
Year 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr3 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4 qtr 1-2 qtr 3-4
Children’s ProbationRSL / ALMO NHS Commissioners
Colleges
Social Care
Mental Health
JCP Foundation Trust
Schools
Police
MoJ / CJS
Partnership Working
Government expectations-evaluation of health outcomes
• GP/Dentist registration• Number of adults/children experiencing mental
health difficulties• Number of children diagnosed with ADHD• Number of adults with long standing illness• Hospital and A&E attendances across families• Prevalence of self harm• Under 18 conceptions• Substance misuse prevalence adults/children
Health agencies are crucial to success – but it’s not easy!
• High level buy-in from GM HWB, CCGs and providers• But NHS reform - opportunities & challenges:
– New players and (extremely!) complex commissioning arrangements
– But we have some influence, through GM, on DH, and new ideas / space to reform
• Crucial is a shared view of the value of deep, detailed, practical, operational integration between partners
• The next presentation will provide more context, and the following exercise will give delegates the chance to discuss a more integrated future way of working
The new NHS in England
& Workforce is the key
Gillian McLauchlanGreater Manchester Public Health workforce
Implications of the Health and Social Care Act
Structure Accountabilities
The pivotal role of workforce Who they are? Develop and support
2 Themes
Better Care
Better Treatment
No decision about me without me
Clinicians at the heart
Health and Social Act 2012
Currently state of flux
Data
Health and Wellbeing Board
Health - part of Local Authority functions
Implications
70% recurrent NHS costs relate to staffing 80% of workforce still be working for NHS in
10 years time
Service changes – need workforce on board
Professional grouping /silo recruitment & workforce planning
The critical role of the Workforce
Understand the workforce’s context Understand rational behind change &
their enhanced role can assist and improve lives
Existing and New workforces Health and social care curriculum Integrated workforce planning The multi professional approach to
training and development
Develop and Support the workforce