Voluntary Health Scotland Conference SallyAnn Kelly 13 th May 2014

Strategic overview GIRFEC – underpins and overarches  builds solutions with and around children, young people and families  enables children and young people to get the help they need when they need it  supports a positive shift in culture, systems and practice  involves working better together to improve life chances for children, young people and families  involves working better together to improve life chances for children, young people and families

Early Years Framework   Deliver tangible improvement in outcomes and reduce inequalities for Scotland’s vulnerable children.   Put Scotland squarely on course to shifting the balance of public services towards early intervention and prevention by   Sustain this change to 2018 and beyond

To make Scotland the best place in the world to grow up in by improving outcomes, and reducing inequalities, for all babies, children, mothers, fathers and families across Scotland to ensure that all children have the best start in life and are ready to succeed Ambition

Stretch Aims 1. 85% of all children reached all of the expected developmental milestones at the time of the child ’ s 27 ‐ 30 month child health review, by end ‐ % of all children reached all of the expected developmental milestones at the time the child starts primary school, by end ‐ % of all children in each Community Planning Partnership area will have reached all of the expected developmental milestones and learning outcomes by the end of Primary 4, by end Positive pregnancies which result in the birth of more healthy babies by end % in the rates of stillbirths and infant mortality 15% in the rates of stillbirths and infant mortality

Journey so far…..  Focused on collaborations within Community Planning Partnerships  First time the approach has been used at this scale and outside a clinical setting  Using existing evidence of what works and trialling new approaches (tests of change)  Learning Sessions (all CPP’s engaged)  National Champions appointed for each of 5 workstreams  Looking at what the ‘big ticket/key changes’ are to test and implement in sites –Attachment –Ante natal care

Early learning from GIRFEC and Early Years …..  Huge amount of interest in and a real commitment to improvement  Good examples of early attempts to understand and analyse PLACE and communities and link to service planning  Many examples of good practice emerging in relation to GIRFEC and early years work –Named person –Local planning –Effective and evidenced based interventions –Parenting support

Challenges….  Culture –Some risk averse cultures stand in way of transformational change –Communication remains a key issue  Governance –We need meaningful, inclusive and effective governance –What is our route in to try to influence?  Move to outcome focused practice and implications for –Service user engagement and participation –Changing professional practice –Measuring and defining impact and success –How we procure or develop services –Wider responses to local ‘need’

Opportunities …..  Centre on people –Use the policy framework to really define our purpose –Work alongside communities and support them to realise their own gifts and strengths –Examine our commitment to non judgemental and compassionate interactions and responses every day, all of the time  Influencing the change agenda and the move toward more local working –If we always do what we’ve always done we will always get what we always got! (JW) –Apply domestic and international knowledge –Challenge the status quo and the internally focussed ‘tweaking approach’ of our organisations and public bodies