Supporting Families Pathway Toolkit Event

1. Supporting Families Pathway Toolkit Event November 22nd 2012 Chris McLoughlin Service Director, Children’s Safeguarding & Prevention

2. 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

3. 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

4. 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 monitored 2. 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

5. 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

6. 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)

7. 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

8. 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

9. Troubled Families- Stockport’s Supporting Families Programme Steve Skelton GM Community Budgets Lead for Troubled Families

11. 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

12. 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.

14. Partnership Working RSL / ALMO NHS Commissioners Probation Children’s Mental Health Colleges Social Care Police Foundation Trust MoJ / CJS JCP Schools

15. 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

16. 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

17. The new NHS in England& Workforce is the key Gillian McLauchlan Greater Manchester Public Health workforce Lead gillian.mclauchlan@nhs.net

18. 2 Themes • Implications of the Health and Social Care Act • Structure • Accountabilities • The pivotal role of workforce • Who they are? • Develop and support

19. Health and Social Act 2012 • Better Care • Better Treatment • No decision about me without me • Clinicians at the heart

20. The NHS before the reforms

21. New structure

22. New arrangements

23. Implications • Currently state of flux • Data • Health and Wellbeing Board • Health - part of Local Authority functions

24. The critical role of the Workforce • 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

25. Develop and Support 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