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Write Up...

Knowing Me, Knowing You

Children’s Service in South West Edinburgh

Monday 19th June 2-4pm WHEC

Opening Presentation by Dr Sarah Clegg, CCH & Dona Milne, Public Health Consultant

On your Soapbox

Gordon McLean, Lifelong Learning Gordon.McLean@edinburgh.gov.uk

Youth work Parent and carer support Community Development……. Working with community Libraries Life Stages approach – transitions

Sandra McLeod, Housing Sandra.mcleod@edinburgh.gov.uk

5000 tenants Recent transformation of services Oct Patch officers w/c 200 family 2016 housing options Not having a garden is one sort of problem they might help with Proactively contact tenants

Tom Costelloe, Speech and Language Therapists Tom.Costelloe@nhslothian.scot.nhs.uk

Speech, language, communication difficulties Feeding, stammer Cerebral palsy –feeding Hearing impairment 100 across Lothian homes Schools, families, hospitals A lot through play Drop in sessions available Language development Encourage schools to acquire skills

2Gillian Dawson, Team Lead, Children and Families, Social Work Contact: Gillian.Dawson@edinburgh.gov.uk

60 Social Workers in South West Edinburgh 2 teams brought together in recent times LAAC children Children in need Referrals from Social care Direct team

Tommy Blue, CAMHS Co-ordinator, Edinburgh City Tommy.Blue@nhslothian.scot.nhs.uk

Under 18s – based at RHSC but not moving to new building Referral must go through a professional Consultation service available to health care workers (details will follow)

Helen Harrison, Police Scotland Helen.Harrison@scotland.pnn.police.uk

2 officers Response officers 24/7 to deal with emergencies Community team – longer term, problem solving School officers – engagement with schools , youth Family , Household Support Officers Early Intervention and Prevention Relaunching “Making the Difference” Form builds intelligence on youths who

are disruptive in the area Locality Improvement Plans – in development. looking at how we are working

in partnership guidelines set by Scottish Government.

Simon Porteous, Families and Household Support simon.porteous@edinburgh.gov.uk

Daily briefings Put plans in place to carry out joint services This service ideal for Sophie as encompasses many aspects Parenting, domestic abuse, housing School attendance, linked in with PPP classes, community safety, PRS

screening, youth justice Joint working with Sandra McLeod’s team on housing , debt, who is in arrears

3Round tables...

What are we doing right for Sophie?

What could we do better for Sophie?

Going forward from Round Table Discussions...

Organise another event in October (Date has been set for 05 Oct)

D Milne and J Miller

Health Visitor Pathway input at next event D Milne and J Miller

Circulate updated delegate list with emails J Miller

Circulate email to service leads to get info on what services are available in Southwest and contact info

J Miller

The group agrees that Sophie is a familiar child...

What are we doing well for Sophie?

CCH and CAMHS have a good working relationship They get to know each other

Getting to know people/co-location works. FaHST – support for family, family solutions, Antisocial behaviour –

works because of daily meeting and joint triage Internal communication and putting names to face is hugely

beneficial. Had lots of pilots in this area – bursts of good work (e.g. Safe and

Together). Surgeries in Fountainbridge Library

What could we do better for Sophie?

4 We need to recognise that some families cannot bring/prioritise their

children. We need to bring “care” to them eg. Outreach drop ins Multi systemic therapy for early years - More joint working Sometimes our structures don’t support the family/child. More family support workers to support families at early stages with

all their issues – parenting, housing, debt, finances, attendance. Practical and emotional support. More parenting courses – offered at earlier age when families more

likely to engage. HVs identify issues with mental health but nowhere to refer to until

CAMHS age 7 too late. Need earlier provision Challenge is that we offer suggestions but they can’t really implement

suggestions (e.g. flat is damp, no garden) and this can be improved by making relevant referrals

Early intervention PPS = overloaded, not enough of them, once prescribed, can’t get

parents to attend Problem getting parents to appointments HVs heavily relied on by CCH but once they go to school and are no

longer under HV, CCH don’t know where to refer to. Concern files are flagged up – more social support needed by

school/nurseries but they are not currently available. Parent Home Groups Stopping because of extension of hours in

nurseries (makes nurseries a babysitting service instead) – this is not a positive development for Sophie

Linking in with housing – introduce someone to work with family at earlier stage

Would be useful to have a Directory – Community Resources –Service name where based, how to contact them – e.g., What’s app type website

It would be useful to know referral criteria – would be good to know why some children get appointments and others don’t.

Some families need help with processes, remembering appointments so commitment to making services local all help this.

Joint CPD Knowing me, Knowing You event a few times a year

5 Good to have just SW- just so kids don’t have to have so many

appointments Would be good to develop relationships with other services so that

one service can ask advice of another service without necessarily having to introduce another service

Starting step – be more systematic to have joint team meetings – have a slot on team meetings

Better links with schools More joint work with FAHST team Local champions volunteer Understanding needs /wants of Sophie and her family Text for appointment reminders We sometimes make assumptions about partners roles and

responsibilities. We sometimes not clear who best to invite to planning meetings (e.g. child in kinship – LAC nurse only does initial assessment - school nurse may not be involved – who to attend?)

More generic roles lead to better engagement (less passing the buck) so attempt to solve problems. Longer term involvement.

Families do not want to work with lots and lots of different professionals – working together helps families to engage.

Co-location helps services to know each other, so information sharing is getting better, which helps us to help families.

New Health and Wellbeing drop-in to open in Tynecastle CHS after summer (in partnership with school nurses, Dunedin Canmore Youth, LL and Healthy Respect). Will also look to involve school police link officer.

Identifying social isolation More accessible information