Wyre Local Children’s Trust Partnership Integrated Service Model September 2010 Hilary Fordham, Head of Commissioning, Children’s Services

North Lancashire Area Commissioning Group Part of the Children’s Trust arrangements Representatives from all local commissioners – including the local children’s Trusts Development of a Commissioning Intentions Vision

Service Integration Duplication of work Financial climate – need to improve our use of resources Delivery of policy – care around the child and think family Agreement at senior level to pursue the development of an approach – Principles Take up in East Lancashire

Tertiary Services (on a Lancashire or NW basis) North Lancashire - Integrated Service Model Services are based around neighbourhoods with Schools and Children’s Centres at the heart encompassing a range of Universal Children Services, including Community, Primary and Social Care supporting that neighbourhood to build self sufficiency. There may also be an element of targeting of services (Progressive Universalism) demonstrated by the different sized circles based on need. Tier 4 eg NICU CAMHS Inpatient beds Tertiary Services (on a Lancashire or NW basis) Tier 3 – Specialist Services – Children Comm Nursing / CAMHS North Lancashire wide (in some cases wider) Tier 2 – Targeted Services eg OT / Physio Localities Localities Neighbour- hoods Neighbour- hoods Neighbour- hoods Neighbour- hoods Tier 1/2 - Children’s Centres, Schools, Universal Health

Integrated Service Model and Commissioning model Tertiary Services (on a Lancashire or NW basis) North Lancashire wide (in some cases wider) Localities Localities Neighbour- hoods Neighbour- hoods Neighbour- hoods Neighbour- hoods

Agreement to Develop Further Workshop May – Local Children’s Trusts / District Councils and Practice Based Commissioners Fleetwood area as potential ‘early adopter’ Shared and agreed as way forward with providers – July Local Children’s Trusts for discussion September

Next steps Overseen by Transitional Board Fleetwood Early years work underway Discussion on older children’s model Understanding financial and other resource inputs Workshops with staff Other areas Identify other ‘neighbourhoods’ Understanding financial and other resource inputs Agree how model would work in identified neighbourhoods.