Children & Young People’s Services Making Every Intervention Count An overview for partner agencies and community and voluntary sector organisation about changes to services from April Agenda Item 8, Appendix 1

Consistent relationships with people that support them and open, honest communication that builds trust Their voices to be heard with empathy and understanding of their needs and not in judgement Their involvement in meetings that concern their future to help shape their next steps Clear information and advice to help themselves and to understand what support and services are available Early help when they need it More joined up services What children, young people & families want 144

Increasing levels of help are sought and are needed in areas such as family relationships, behaviour, emotional well-being, domestic violence, drugs and alcohol, caring responsibilities, education, training and jobs, accommodation, disabilities and other additional needs. We need to sustainable services that can improve outcomes for children and young people. CYP need to achieve £12m year in savings by 2017/18 compared to 2014/15. There are similar challenges facing other public sector agencies and on voluntary and community services. The challenge 145

There are a wide range of universal and public services in Suffolk and many assets and skills in our communities which work well and that we can build on We can do more by working together more effectively The opportunity GPs Health Voluntary & Community Services Police Local Council Services Ambulance Service Housing Adult & Community Services Children & Young People’s Services Schools Probation Hospitals Mental Health Department for Work and Pensions Substance Misuse Services Universal, Targeted and Specialist Services Early Years & Childcare Providers Youth Offending Service 146

Suffolk County Council’s Children & Young People’s Directorate (CYP) brings together services including early help, social care, community health, youth offending and education & learning. CYP works closely with a range of partners including schools, health, police, district & borough councils and community organisations Our aim as a multi-agency partnership is to make every intervention count for the children, young people and families of Suffolk. What that means is all services working together, recognising that we have limited resources which must be used wisely for the greatest benefit to all, to deliver an integrated service that improves lives. Making Every Intervention Count (MEIC) Our Vision: We want safer, happier children and to enable families to create sustainable change for themselves. 147

Development of the MEIC Programme In developing the Making Every Intervention Count Programme we consulted widely with staff and partners drawing on the views and feedback of service users This short video is from an event we held to reinforce our common purpose to make things better for children and families and to support the development of simpler, integrated and more local services 148

Children, young people and families at the heart of what we do Suffolk Signs of Safety & Wellbeing at the heart of how we practice Effective early help and, where needed, intervention One Family, One Plan, One Lead Worker Making the best use of community assets and universal services A strong local network of professionals Building resilient families and communities A skilled and confident workforce Building on what works Key Principles 149

 Teams working with children and young people of all ages rather than split 0-11 & 12+ to support more consistent work with the whole family.  Social Care team and Early Help teams working together across 13 locality areas in Suffolk.  4 Looked After Children’s Teams working closely with LAC Health, Education and Leaving Care services  Integrating Health Visiting and Children’s Centre teams to create a more joined up service.  Merging Fostering & Adoption to support achieving permanency for children in care at the earliest point and to improve the recruitment and support for foster carers and adopters.  Investing in IT systems and mobile working to help practitioners spend more time with families.  Creation of an Engagement Hub and an Intelligence Hub to bring together our expertise in these areas Changes in CYP from April

More local delivery from 13 Local Social Care and Early Help teams managed across 5 areas 151

CYP Leadership Team Partnership Nikki Edwards Education & Learning Allan Cadzow Early Help and Specialist Services Bronwen Whittaker Clinical Services & Chief Nurse Richard Selwyn Strategic Partnerships, Planning & Commissioning Gavin Bultitude Resources and Support Julia Dolan Schools Choice Judith Mobbs Skills Sue Cook Director for Children and Young People 152

Simplified CYP Teams Structure 13 local Early Help Teams 13 Health & Children’s Centres Teams County Parenting Team 13 local Social Care Teams 4 Looked After Children Teams Positive Choices & Make a Change 4 Fostering & Adoption Teams Youth Offending Intelligence Hub Engagement Hub 3 Area Safeguarding Teams Commissioning Early Help & Specialist Services 5 Children’s Homes Resources & Support Workforce Development *This does not record all individual teams in the structure Multi-Agency Safeguarding Hub (MASH) Education & Learning Standards & Excellence Inclusion Early Years Schools Choice LSCB Skills IT / Infrastructure 153

Key Contacts: Social Care and Early Help Social Care Service Manager Lowestoft and Waveney Jacquie Gould Early Help Service Manager West Interim: Sharon Byrne Early Help Service Manager Lowestoft & Waveney Clare Besley Social Care Service Manager Ipswich South and West Vikki Hurling Early Help Service Manager Ipswich South & West Jacci Spashett Social Care Service Manager West Glynn Smith Social Care Service Manager Central and South Suffolk Leo Flatters Early Help Service Manager Central and South Suffolk Joy Inameti Social Care Service Manager Ipswich N&E and Coastal Codrutza Oros-Marsh Early Help Service Manager Ipswich North & East and Coastal Interim: Jacci Spashett / Anna Shaw Head of Service Early Help – Anita Farrant Head of Social Care Fieldwork – David Jacobs 154

Key Contacts: County Wide Services working from Ipswich, Bury St Edmunds and Lowestoft Head of Corporate Parenting- Cliff James Head of Service Safeguarding - Tina Wilson Youth Offending – Belinda Clabburn & Jen Meade Customer First and Multi-Agency Safeguarding Hub MASH Head of Service: Brenda McInerney 155

Key elements of the MEIC Programme Making Every Intervention Count Building Resilient Communities Multi Agency Teams Multi Agency Safeguarding Hub Support for Looked After Children Special Education Needs & Disabilities Reforms Better Information offer for families & practitioners Intelligence Hub & Engagement Hub & ICT Improvements Suffolk Signs of Safety & Wellbeing 156

Multi-Agency Safeguarding Hub (MASH) The MASH provides a single gateway, via Customer First, for new contacts to Suffolk Children and Young People’s Service and for safeguarding referrals regarding Adults at Risk of Abuse. Suffolk MASH is a multi-agency process where, through enhanced communication, risk is identified at an early stage, and co-ordinated, timely and proportionate interventions are decided in order to keep children and vulnerable people safe Benefits Consistent application of thresholds and decision making Access to key databases in one place and tools for gathering wider relevant information from partners agencies Resolving more contacts at the first point of contact Where needed, ensuring the right contacts are directed to the right point in a timely way What has been achieved so far Multi-disciplinary MASH team established from Summer 2014 Professionals Consultation launched What Next Work with partners to understand and manage demand Key CYP Contacts Brenda McInerney Rennie Everett 157

Multi Agency Teams With partners we are designing ways to work in a more integrated, joined up way that is better for children and families and that make best use of our joint resources. Early adopters are being developed in the Sudbury area and in Ipswich. This is an opportunity to develop and to test a whole system model which could then be extended across the county. Benefits An integrated approach to deliver : More effective multi-agency working Focus on early intervention Whole person/whole family approach Better connected people, services, community assets Prevent ill health & hospital admissions Enabling self care and independence What has been achieved so far A ‘whole system’ programme of work and governance has been established in Sudbury. Initial multi-agency forum in Ipswich What Next Implementing Integrated, Multi-Agency Teams and Neighbourhood Networks, co-locating where helpful Key CYP Contacts Graham Beamish, David Jacobs, Anita Farrant 158

Suffolk Signs of Safety and Wellbeing Signs of Safety has been adopted by Suffolk County Council Children’s Services as the overarching practice framework for all of its work with children and families. It is new way of working based on establishing positive relationships between professionals and families. – Families take ownership of change – Partnership with family’s natural network – Set of principles, disciplines, toolset – Straightforward approach and more purposeful work Benefits Collaborative way of working with families to secure the best outcomes for children and young people. Practitioners & families are reporting that this approach is more engaging, leading to more purposeful work and better outcomes University Campus Suffolk commissioned to evaluate the impact What has been achieved so far? Trained >1,000 people from Suffolk County Council and >200 from partner agencies. Being applied in practice What Next Embedding and deepen practice Extension of training Putting SoS practice at the heart of systems & processes Key CYP Contacts Lyn Baran 159

Building Resilient Communities CYP are working with Community Action Suffolk, voluntary and community sector organisations and a range of local place-based initiatives. There are a range of people that are ‘community connectors’ that exist to help make join-ups to the breadth of resources that exist in many of our communities e.g. Community Organisations, Police Safer Neighbourhood Teams, Borough and District Community Teams, CYP Building Community Capacity Officers Benefits Families and the support around them, together with community services sustain most families without the need for more specialist services. These networks can play an more extensive role in prevention, provide complementary support when more specialist services are involved and be key to successful ‘stepping-down’ from specialist service involvement What has been achieved so far? Support to range of local initiatives What Next Modelling successful communities Improved common understanding of community resources Develop Sudbury Neighbourhood Network Enable and grow volunteering Key CYP Contacts Tina Hines, Pauline Henry 160

Intelligence Hub & Engagement Hub We are creating an Intelligence Hub to bringing together our systems, information and analysis expertise to better inform prevention, risk identification and targeted improvement in outcomes. We are also creating an Engagement Hub to bring together our expertise in consultation and participation including children’s rights and as a focus for building community capacity. Both Hubs draw together the people already within CYP where these activities exist separately in services Benefits To inform operational and strategic decision making Service development informed and led by those directly involved Better use of available information resources Joined up intelligence with partners Shared expertise and resilience across services What has been achieved so far? Hubs in place from April 2015 What Next Consolidating and streamlining internally Improved shared intelligence with partners Key CYP Contacts Intelligence Hub – Angela Dakin (interim) Engagement Hub – Pauline Henry 161

Improvements in ICT and processes to improve service delivery It is recognised that there is a dis-proportionate amount of time spent by practitioners and managers at their desks rather than with families The case-management systems and the infrastructure that supports them needs to be improved. A programme of work to do this is underway within CYP. Benefits More face-to-face time with families Reduce burden of data recording on practitioners Improved data that in turn enables better information analysis and intelligence More Mobile working Enabling better information sharing to protect and support children and families What has been achieved so far? CareFirst Transformation Programme established to streamline social care case- management Guardian system supporting MASH in place Tools supporting more mobile working increasingly in place What Next Improved electronic records management Key CYP Contacts Gavin Bultitude 162

Better information for families, communities & practitioners to help themselves Tools such as Suffolk Infolink are increasingly joining up information about community organisations and services Getting the right information, at the right time via the right channels to people is a challenge, and an opportunity, that continually needs to be addressed. Ways to do this better and to enable information to be owned by families themselves and flow both ways are being explored. Benefits Information can enable and empower people to help themselves and to help others. This can support prevention, early intervention and sustained support in local communities. What has been achieved so far? Ongoing development of Suffolk Infolink as a shared resource that can be populated and effectively used by all What Next Better join up and communication of information Making better use of digital channels and tools (Apps, text, self-serve) Key CYP Contacts Richard Selwyn, Anita Abram, 163

Support for Looked After Children Looked After Children are among the most vulnerable groups in society. Along with partner agencies, CYP has a special responsibility for children while they are in our care and also as Care Leavers developing to adulthood and independence. A programme of work is underway working with housing, education and health partners to improve provision in Suffolk. A consultation on changes to fostering allowances is also being prepared to increase the number of foster carers for teenagers, sibling groups and children with additional need Benefits Prevention of the need for children to come into care Increased opportunities for permanence for children Improved outcomes for children in care and care leavers What has been achieved so far? Work underway on supported housing What Next Consultation on fostering allowances Key CYP Contacts Cliff James, Sally Stoker 164

Special Education Needs & Disability Reforms In Suffolk a joint programme of work is underway supporting the national drive to improve services for children and young people aged 0-25 with special education needs and disabilities (SEND). This includes a focus on: – participation of children, young people and parents in decision making – high aspirations and improving outcomes Benefits Information about across education, health and social care in one place as a ‘Local Offer’ Statements of Special Education (SEN) integrated Education, Health and Care Plans. What has been achieved so far? Development of the SEND local offer Replacing Statements of SEN with integrated EHC Plans What Next Further developments supporting Personal Budgets and developing pathways into adulthood Key CYP Contacts Cheryl Sharland 165

Direct Customer Experience Education, Learning & Employment HealthWellbeingSafetyCommunity Dependency on Public Services (Anti-social behaviour, Crime / Fear of Crime, Resilience of Communities, Sufficiency of services in Suffolk) (Child Protection, Repeat Referrals, Child in Need, entry into Criminal Justice, Permanence for Looked After Children) (For parent/carers and children - Emotional Well- being, Mental Health, Happiness, Relationships, Self Harm) (Cost of Public Services, Rent Arrears, Evictions, Benefits) (Obesity, Substance Misuse, Teenage Pregnancy, Breast feeding, Smoking) (Attainment, Attendance, take up of early years education, NEET) (Have things got better/worse, how & why are things better/worse, service user experience) Sustainable success will need to be measured across a range of outcomes 166

What will the future look like? Staff are able to use laptops and mobile phones to effectively access and record information remotely enabling them to: spend more time working directly with families help customers and partners use digital channels There is an established culture of relevant straightforward and timely information sharing The right information is presented in the right way encouraging families and practitioners to help themselves and to help others One Family, One Plan, One Lead worker Intelligence gleaned from joining up and using data informs better decision making and evidences impact Suffolk Signs of Safety and Wellbeing is embedded helping families create sustainable change for themselves More in-house foster carers providing good homes for children and reduce the costs of care The education / therapeutic / accommodation provision needed for Suffolk children exists in Suffolk The impact of Early Help Services and Targeted Services helps children to be safe, healthy and happy so they are ready for school and can achieve at school Professionals working with children are confident in locally managing more safeguarding concerns Multi-agency and community support comes together effectively around families One’ System that is easy to Navigate with no wrong door. Timely and proportionate early intervention prevents needs escalating 167

Allan Cadzow – Programme Director / Graham Beamish – Programme Manager / Katie White – Programme Officer Programme – Website – Making Every Intervention Count Programme Contacts 168