Welcome to the ‘Giving Nottingham Children the Best Start in Life’ stakeholder event

Housekeeping Fire alarm Toilets Refreshments Questions

Outcomes of Session By the end of the session the attendees will have had the opportunity to understand: The current and emerging needs of children, young people and families in Nottingham City The integrated service model for 0-19s The mode of delivery The indicative procurement timelines

Nottingham City Demographics

Children and Young People in Nottingham 48% of women are breastfeeding at 6-8 weeks 1,560 (39%) of children in Nottingham did not reach a good level of development by age 5 years 35.6% of five year olds examined had experience of dental decay 28% of reception age children in Nottingham City are obese or overweight 18.7% of mothers were smokers at the time of delivery Nearly 4,000 children and young people have a mental health problem 2016, the rate of children on a child protection plan was 83 per 10,000 children and young people; higher than the statistical neighbour rate of 57 per 10,000

Nottingham City Assets 74 Primary schools, 16 Secondary and 4 Special Schools 18 Children’s Centres 6 Play and Youth Centres Small Steps Big Changes in 4 wards of the city A reputation as an Early Intervention City A renowned Teaching Hospital Trust 57 GP practices

Background: Nottingham City Child Development Review Rationale: Health Visitor and FNP transfer Big Lottery: Small Steps Big Changes Early Intervention City Outcome of Review: A defined universal and early help pathway for pregnant women, babies, children and young people; delivered in an integrated way, through a consistent evidence-based approach by a competent and confident workforce.

Background: Nottingham City Child Development Review Process: Set up Governance Group and Steering Group Agree a set of shared outcomes for 0-19 and success indicators Review all internal and commissioned universal and early help services Map current service delivery against the evidence base and NICE guidelines Make recommendations Consult and refine the recommendations

Background: Nottingham City Child Development Review Develop a series of logic models to test an optimum pathway of support based on the recommendations This has informed the service specification for The Best Start in Life service

Logic Model Population Activity Output Immediate Outcome Intermediate Outcome Ultimate Outcome 16-24 year old Training Prog Number of Increased skills Number who Improved unemployed to develop skills attendees and confidence get a job employment in a city completing levels

The vision for the new service We have high aspirations that every child in Nottingham will have the best start in life and achieve everything they are capable of in childhood and adulthood. We believe that with the right support more children will be in good physical and emotional health, be ready for school and developing skills for adulthood

Service Model Description The commissioned Children’s Public Health Service Provider will integrate a range of existing services across the 0-19 age range. The key elements are: Health Visiting Family Nurse Partnership (Adapt) Breastfeeding Peer Support Public Health Nurses 5-19s (formally known as school nursing) Public Health Nutrition and Domestic violence and abuse training and expertise nurse  Moving towards further integration with The Early Help Service 0-5s Children’s Centre Teams

A Phased Approach to Full Integration Phase 1 of the Service (Day 1) Delivery of the activities and functions identified in the service specification by both providers (Some activities have been allocated to a specific provider or a specific practitioner) Both providers plan and work together to avoid duplication of activities Activities are aligned and become more streamlined

A Phased Approach to Full Integration Phase 2 of the Service: (an iterative process through year 1 and 2) Co-productive work by both providers to refine an integrated model of delivery which is viewed as a single service by families and minimises geographical and professional boundaries Establishing of multi-disciplinary teams aligned to the 8 Local Area Committees and the Care Delivery Groups This will be facilitated through a partnership agreement between the Children’s Public Health Services Provider and Nottingham City Council

Early Help Services Early Help sits in The Children’s Integrated Services Directorate and provides the Children’s Centre and Play and Youth Offer Located in 6 teams with 6 Children’s Centre Hubs and 12 spokes and 6 adventure playgrounds and youth centres

Early Help Services Children’s Centre metrics remain in place: Registrations, Reach and Sustained Contact Each team consists of 5 Family Support Worker Level 2 3 Family Support Worker Level 1 Management and Practice Specialists are shared with the Play and Youth teams

The Structure

Early Help Services Each team delivers weekly in term time: 3 open access sessions 3 PEEP sessions 3 family support clinics 6 adult support sessions Up to 30 1:1 case work including Priority Family and New Forest Parenting Programme cases Family activities in every school holiday All activity is on asklion.co.uk

Early Help Services Weekly attendances during 2016/17 performance year: Under 5’s 1500 All 3200 240 sessions delivered per week Includes partner monitoring

The Service Procure one contractor for the Integrated Children’s Public Health Service There is a potential for delivery by a consortium of providers: Nottingham City Council encourages bidders to work together to explore this possibility The service will be aligned to the 8 Local Area Committees/Care Delivery Groups Location of services to be as close to ‘pram pushing’ distance from citizens homes as possible

Indicative Timelines for Procurement Tender to be released Early Autumn Awarded early 2018 Service to commence April 2018 However we do recognise there will be an extended period of mobilisation from April 2018 in order to deliver ‘Day 1 of the Service’

Questions?