Directors of Children’s Services Event – 6 th July 2007

1. Directors of Children’s Services Event – 6th July 2007 IntegratedServices for Nottinghamshire Nottinghamshire County Council

2. Agenda: • Context • Aims • Methodology • Findings • The model • From virtual to actual.

3. Context - how did we get to where we are? • Nottinghamshire was a pathfinder for Targeted Youth Support (we were an early intervention pathfinder so no age limits) • We used this to develop our vision for tackling complex additional needs through “all-age” targeted support: • Early identification (CAF) • Simple processes (one story, told once) • Effective co-ordination (lead professional) • Safe and accessible settings (locality focus, driven by young people) • Swift and easy referral (extended services agenda).

4. Aims of integrated services model - what are we trying to achieve? • Improve access to multi-agency services • Enable services to work together better • Establish protocols for early intervention and co-ordination of provision • Improve services through effective participation • Improve quality and quantity of service provision • Complement other initiatives • Provide a “one stop” access model.

5. What is targeted support? To deliver services to children and young people with tier 2 & 3 needs and supports universal services in early interventions and accesses specialist tier 4 services Specialist services Tier 4 Targeted support for those receiving services Targeted support for those hidden from services Targeted services Tier 2 & 3 Preventative services for under 13s Early intervention and prevention for over 13s Universal services Tier 1

6. Local Context – how we used Kirkby as our model area. • Geographic target:. Kirkby College Family of Schools • Former coalfield and the related social and economic disadvantage. • Fits with the Annual Performance Assessment in relation to: • emotional health and well being • attainment • attitudes of young men from white, working class backgrounds. • Children and young people target: 0 to 19 years • Specific Issues: Strengthening emotional resilience and promotion of social inclusion.

7. Characteristics of Kirkby (and many other areas across Nottinghamshire) • Higher than average rates of teenage pregnancy • Higher than average rates of permanent exclusion • Higher than average rates of truancy • Higher than average eligibility and take up for free school meals • Lower than average attainment at Key Stages 3 and 4.

8. Methodology – how did we do it? Mobilise Discover Deepen Develop Deliver Decision points 1 2 3 Senior management Launch meetings Focused Interviews Senior management briefing Senior management briefing Develop plan with project manager Consolidate findings Service deliveryand users (young people/ families) Focused interviews /Groups Young Person’s journey workshops Service delivery workshops Change teams Pathfinders will deliver benefits quickly June 2006 January 2007

9. Findings – what were the emerging themes? • Work to strengths and recognise current good practice • Improved communication and shared language • Increase awareness of the network of people who share the same concerns • Find solutions not more problems • Make progress with some quick wins • Find a local model for working which builds trust and encourages sharing • Recognise that this is a continuum.

10. Criteria/guiding principles for developing the proposed model: • Strong visible presence • Building on current good practice • Driven by need and by children, young people and families • Early identification and translate into appropriate action • 0-19 • Adding value for schools • Optimise the use of skills, knowledge and experience • Promote shared targets • Respect service boundaries but enable seamless service.

11. The Virtual Team Model Aligned Services Core Services Core Group

12. The model in detail: • “Wrap around” services with the child/young person at the centre • Based around the family of schools • Operates within service boundaries, maximising skills, knowledge and experience without major structural change • Effective mix of prevention and intervention • Focus on early identification • Driven by a partnership of children, young people, families and practitioners.

13. The role of the core group: • Hold regular (monthly) meeting of local practitioners from key services/agencies • Accept requests for support from children, young people & services/agencies • Use the Common Assessment Framework (CAF) as an assessment tool • Nominate a Lead Professional to co-ordinate support to child or young person • Make decisions and direct interventions • Be informed by the needs of Children and Young People & be able to influence the direction and deployment of resources in targeted and universal services.

14. The core group in detail: • Inclusion Support Services • Connexions • CAMHS • Youth Services • Family SENCO • Social Care • Children’s Centre • School Nurse • Parent Participation Officer • Voluntary Sector Membership may change over time and may be different in each locality.

15. Critical Success Factors: • Universal commitment • Clarity of roles and responsibilities of the Core and Steering Groups • Effective co-ordination of the Core Group • Effective communications • Effective participation of children, young people and families • Effective monitoring and evaluation • Effective participation by the schools.

16. From virtual to actual • Implementation of the Virtual Team model across the Kirkby Family of Schools. Pilot with effect from 01st April 2007 • Adoption of the Virtual Team model as a means to developing targeted support across Nottinghamshire • Integrate the pilot and roll out with the wider development of locality working across Nottinghamshire • Six further families of schools in September 2007, with a rolling programme from then • Multi-agency appraisal of the gradual development of this virtual model towards full integration, based on a single point accountability • All services that can be managed through a single-point accountability, locality model to be integrated within three years.