Integrated Children’s Services - First Steps -

Integrated Children’s Services- First Steps - Rod Matthews 27 July 2005

First Steps – a Framework for Integrated Children’s Services Agenda 13:00 – 16:30 13:00 Introduction RM 13:10 National Projects in context RM 13:15 First Steps – a combined perspective RM 13:45 Key Issues from the Social Exclusion Unit RT 14:15 Break-out session 15:00 Break 15:20 Key Issues from the ISA Programme MS 15:40 Key Issues from the IDeA RM 15:50 Break-out session feedback RM 16:00 Question time & next steps Panel 16:30 Close

National and Regional Projects in Context 2002-2005 22 National Projects& £80m spent, 9 Regional Partnerships, c40 Sub regions, plus the thematic Partnerships with a wide range of ODPM and locally funded programmes. The outcomes is a wealth of products, a small number of which are software (16), a bout 200 are about methodology and around 850 are knowledge products. These are available via ‘PROP’ & the NWeGG products catalogue, and there is a drive to combine product databases There is an issue that the products tend to be individual and need to be accessible to practitioners and those that can affect change, they need to be seen in context. The future of National Projects – Local Authority led following the ROADS “Safe homes” programme.

First Steps – a Framework for Integrated Children’s Services • A combined perspective • National Projects, Regional & sub-regional Partnerships, thematic • Identification Referral and Tracking • Information Sharing And Assessment Programme • RYOGENS • FAME • Common Assessment Framework • Children Act 2004 • Integrated Children's Service • Single Assessment Process • Single Assessment Record • Single Child Index • Electronic Social Care Record • Personalised Learning Environment • NHS National Programme for IT • Government Connects (Gateway) • Priority Service Outcomes

Knowsley’s approach to the ROADS Programme • We recognised that the ‘interested parties’ were finding e-government • and National Projects too nebulous and too techy in their language. • We also were confused by overlaps and competing initiatives, We too had • problems in translating the individual and sometime competing products into • a meaningful business case, relevant to Knowsley’s circumstances. • We were particularly concerned at the lack of cross-agency understanding, • and specifically the funding / cost of such programmes. • I was concerned that Children’s Agenda was in the “too-hard box”, and • that against the size of the task, that developments were slow to initialise • But at the same time we were hearing about lots of really good work • happening – perhaps too much!, and some anxieties reached as far as • Hansard!. • So I volunteered to try and bring together, rationalise the respective strands, products and discussion on Children’s Services, to write them up and make the findings available with some of the how-to products included

First Steps – Introducing Gaps, overlaps, thoughts and hints First Steps - Structure of the document; Section 1 - Policies Stakeholders and Initiatives Section 2 - Agencies, teams and business processes involved Section 3 - Cost, Affordability, redistribution – impact and effect Section 4 - Structured methods, governance, change and communication Section 5 – Technologies and information management

The real aim 4 3 2 1

First Steps Section 1 – Central Government Scope

Regional Schools Admissions Portal Single Child Index ISAP RYOGENS Crime and Disorder Education Health & Social Care First Steps Section 1 – Local Authority Scope Next Agenda Item – 13:45 (Social Exclusion Unit)

ROADS National Project Connexions Parents Schools Acute Trusts Client Youth Probation Young Youth Inclusions People groups Offending Children Support Leisure & Teams Panels Community Practitioners Education Services Carers CAMHS Primary Care Police Trusts Voluntary Sector ISA Social Programme Services Managers Housing Directors of Services eGov Leads Children’s Services Non - practitioners IT managers DOH CYPSP DFES Sponsors ICS Programme External Managers ODPM Technology Partners First Steps Section 2 – Stakeholders and Processes

First Steps Section 2 – Stakeholders and Processes

4 3 2 1 First Steps Section 3 Identifying Affordability

First Steps Section 4 Change Management • Readiness Assessment Checklist • Model Project Approach • Model Communication Plan • Model Change Plan • Template Risk Analysis

Education Crime & Disorder Health Social Care Single Child Index First Steps Section 5 Technology and Information • CRM or not to CRM • Wait ? • Develop interfaces model in LGOL-Net • Data matching • Access control • IOUM / IONM Next Agenda Item – 13:45 (Social Exclusion Unit)

First Steps Section 5 – Information sharing protocols Next Agenda Item – 13:45 (Social Exclusion Unit)

ODPM Social Exclusion UnitRichard Turl 27 July 2005

Breakout Session 14:15 – 15:00 Group 1 - Policies Stakeholders, Initiatives and Agencies Group 2 - Cost, Affordability, Performance and Change Management Group 3 - Technologies and information management

Breakout Session 14:15 – 15:00 Group 1 Facilitator TBA • Group 1 - Policies Stakeholders and Agencies • Who appears to be engaged / or not • What are the key dates – events • What is agency / practitioner restricted and unrestricted data • What are the key issues with the role of the lead practitioner • Is notification (IONM) as far as we will ever get based on current • organisations

First Steps: Break-out Feedback – Group 1 Group 1 - Policies Stakeholders, Initiatives and Agencies Most of the discussion centred on the role of the Lead Practitioner, as the leading edge of the stakeholder groups concerned. Some organisations use the term Lead Practitioner and Some Lead Professional, and it was felt useful to standardise. Should the lead practitioner be defined by the stakeholders, or by the family / child as their chosen, most trusted or most available contact. Given the potential range of contact/scenarios for the lead, they need to be CRB checked, this would have to include third sector (voluntary organisations).

Breakout Session 14:15 – 15:00 Group 2 Facilitator Rod Matthews • Group 2 - Cost, Affordability, Performance & Change Management • Who is paying for the integration • Should there be a redistribution of costs • What is the term – is short term 1 year or 5 years • What is the balance of performance indicators from BV to QoL • Is there a single ICS programme in your Authority • What Communication is taking place

First Steps: Break-out Feedback – Group 2 (1 of 2) Group 2 - Cost, Affordability, Performance and Change Management There are potentially different approaches to defining the scope of Children’s Services, and how to address the CSD Portfolio, with moveable Boundaries between Adult and Children’s services. So far there may have been an apportioning existing resources and some pressure on accommodation budgets, but this seems to be shuffling the resources and there seems to be much less clarity over capital for systems and change. There was a feeling that there was an emerging link to the efficiency agenda, but that due to the reapportionment of people, their net capacity being focused on children’s services, perhaps meant that (without additional resources) that their efforts towards the efficiency agenda might be of a lower priority. It was felt that the source of new capital was unclear and that it might be attached to bidding, with potentially annual cycles if missed. But it was also strongly felt that whilst there is an IT element that the programme is very much more about the softer issues in transformation change, partnership and culture development. When considering that the programme may cause a net efficiency, there were some question as to whether all of these can all be claimed from the implementation of integrated services, or whether some of these were about changed business practice (ie implementing EDM) that may have occurred separately, or as part of this programme. Some questions over what might be expressed in the Annual Efficiency Statement.

First Steps: Break-out Feedback – Group 2 (1 of 2) Group 2 - Cost, Affordability, Performance and Change Management In terms of savings, it was recognised that the LA was bearing the brunt of the costs and therefore the % of savings was small in comparison to the spend on services (sub 1%). It was questioned as to whether the saving should be passed back up the line from NHS / Police and over what period the changes should be monitored / analysed. It was further questioned as to what period of time the results were expected in – would politicians commit to a cause and effect that was greater than 4 years There were some concerns over KPI(s) and a fairly universal view that the organisations were very much defined by the impact in PIs, but also some great ideas about impact assessment, reduced waiting lists. It was also recognised that savings and PIs may be affected by latent demand. Finally it was considered essential to get the attention of the Chief Execs and Finance Directors to lead this agenda as their appeared to be Weak Strategic (from the centre) Leadership which was leaving too many unknowns

Breakout Session 14:15 – 15:00 Group 3 Facilitator Joe Daniels • Group 3 – Technologies and Information Management • CRM or not to CRM • Data Matching • Will the culture accept automated referrals based on flags of concern • Is the NHS Code of Connection a necessity -

Must have cross silo input and direction Form Follows Function Requirement Base Infrastructure Information Management More than ‘just’ IT IT pushing forwards, but who should be leading ? But, we don’t know what tools there are - yet Especially with regard to data leadership Data Sharing First Steps: Break-out Feedback – Group 3 (1 of 6) Group 3 - Technologies and information management A popular group, but recognising that this is a business led issue and that technologies need to create the capacity;

Council could hold an index, but CRM but not necessarily as a core ICS delivery System There are many other systems CRM Data matching is really the issue, esp for the children most at risk Lot of local (people) knowledge used now,. A resource not to be ignored First Steps: Break-out Feedback – Group 3 (2 of 6) Group 3 - Technologies and information management

Needs top down – driving from Central Gov Info Sharing Toolkit exists, but no standard Becomes v hard with the large no of agencies Joined up working Working, multi-agency, mixing cultures Local eGov Standards Body – moving Slowly People happy to share data if the benefits are clear (SEU) Point DfES National Agreement to govern index being mooted Who’s data is it ? First Steps: Break-out Feedback – Group 3 (3 of 6) Group 3 - Technologies and information management

Raises question over who chooses to Legal , National Act? More likely to be local than national Should there be an opt-out? Single Child Index But more about info sharing Need to address suspicions over why data is being held and what the benefit is First Steps: Break-out Feedback – Group 3 (4 of 6) Group 3 - Technologies and information management

Access to local patient record ? Difficult to balance with access to social care record Use ? Use ? Tracing service NHS Code of Connection Very hard to meet requirements, and is expensive Its going to get harder and more complex as more people become involved in delivering children’s service First Steps: Break-out Feedback – Group 3 (5 of 6) Group 3 - Technologies and information management

Building Offering £120k for Children’s System Middleware Anite Capita EMS Suppliers Do you split adult and children’s systems If it is one system then this helps the family view Need to get away from paper based filing But if one, this needs to manage any internal conflicts between CSD / Education and Social Services First Steps: Break-out Feedback – Group 3 (6 of 6) Group 3 - Technologies and information management

BREAK 15:00 – 15:20 27 July 2005

DfeS Information Sharing and Assessment ProgrammeMark Simmonds 27 July 2005

Improvement and Development Agency 27 July 2005

I&DeA and Integrated Children’s Services • Related activities in the North West • Extended Schools • http://www.idea-knowledge.gov.uk/idk/core/page.do?pageId=1721743 • Role of District Councils • http://www.idea-knowledge.gov.uk/idk/core/page.do?pageId=1715891 • Stocktake • http://www.idea-knowledge.gov.uk/idk/core/page.do?pageId=611896 • Contacts • http://www.idea-knowledge.gov.uk/idk/core/page.do?pageId=877209 • Events • NWest events are being held in Nov and March • http://www.idea.gov.uk/children

First Steps – Question time and ‘next steps’ • National Projects in context & is Aligned with IDeA / DfES / ODPM • Considers the objectives, converges and creates a logical sequence • Takes product from across NPs and applies them in a defined objective • Tells a story for Practitioners, Chief Executives & Finance Directors • Discusses the policies and targets • Builds upon the ROI methodology, Sprint4, and Prince2 • Commences a cross-agency business case discussion • Aims to help get people mobilised • Full document is available at; • http://development.knowsley.gov.uk/downloads/firststeps.html

Integrated Children’s Services- Close - Rod Matthews 27 July 2005

Integrated Children’s Services - First Steps -