1. Warwick Tomsett, Head of Targeted Services and Joint Commissioning
Presentation to Voluntary Action Lewisham Children and Young People Forum
22nd April 2016
Warwick Tomsett, Head of Targeted Services and Joint Commissioning

2. Purpose of presentation
To provide a strategic overview of priorities for children and young people in Lewisham
To explain how our governance processes work
To describe our approach to joint commissioning
To give an overview of some of our key priorities over the next couple of years and potential opportunities for the VCS

3. Children and Young People's Plan 2015–18
In order to maximise outcomes, we want all our children and young people to be resilient, knowing when and where to go for help and support when faced with challenges and adversities as they arise.
Secondly, we want our parents/ carers and young people’s workforce to be equipped to identify and respond to mental health emotional well-being needs amongst children and young people, intervening early and preventing needs from escalating.
Build child and family resilience
We want our children, young people and their families to be healthy and active, confident and able to make healthy choices and to understand how this can improve their development and wellbeing.
Through the delivery of our CYPP, we will improve and maintain the health and wellbeing of our children and young people, reducing health inequalities.
Be healthy and active
We will promote the highest aspirations and ambition for all our children and young people across the partnership, particularly to close gaps and secure social mobility.
We want all of our children and young people to achieve highly, supported by the best education, employment and training opportunities.
Raise achievement and attainment
We will work across the partnership to ensure that the right of every child to live in a safe and secure environment, free from abuse, neglect and harm is protected.
We will identify and protect children and young people at risk of harm and ensure that they feel safe.
Stay safe

4. Build Child and Family Resilience Raise Achievement and Attainment
Be Healthy and Active
Raise Achievement and Attainment
Stay Safe
BR1: Optimising the outcomes of pregnancy and the first 1001 days, including reducing toxic stress for children and securing attachment
BR2: Preventing poor outcomes and escalation of need, including for children in families at risk of crisis through early intervention
BR3: Promoting healthy relationships throughout childhood and adolescence
BR4: Mitigating the negative impact of insecure or unsuitable housing for children, young people and families
HA1: Improving our rate of immunisations
HA2: Ensuring our children and young people are a healthy weight
HA3: Improving mental and emotional wellbeing
HA4: Improving sexual health
HA5: Reducing the prevalence and impact of alcohol, smoking and substance misuse
HA6: Encouraging access to and usage of culture, sport, leisure and play activities
AA1: Ensuring there are sufficient school places for every Lewisham child
AA2: Ensuring all our children are ready to participate fully in school
AA3: Improving and maintaining attendance and engagement in school at all key stages, including at transition points
AA4: Raising participation in education and training, reducing the number of young people who are NEET at 16-19
AA5: Raising achievement and progress for all our children at key stages 1-4 and closing the gaps between under-achieving groups at primary and secondary school
AA6: Raising achievement and progress for all our children and closing the gaps between under-achieving groups at KS5 and post 16 so that all young people are well prepared for adulthood and able to access the best education and employment opportunities for them
SS1: Identifying and protecting children and young people at risk of harm and ensure they feel safe, especially from:
SS2: Reducing anti-social behaviour and youth offending.
SS1a: Domestic violence and abuse
SS1b: Child sexual exploitation
SS1c: Serious youth violence
SS1d: Child abuse and neglect
SS1e: Deliberate and accidental injury
AA7: Raising achievement and attainment for our Looked After Children at all key stages and Post 16
BR5: Providing stable and consistent support for our Looked After Children
HA7: Ensuring our Looked After Children are healthy
SS3: Ensuring that our Looked After Children are safe

5. Children and Young People's Plan 2015–18
For the plan is online:

6. Delivering our CYPP: Joint Commissioning in Lewisham
Early Intervention
Social Care
Maternity & 0-5
Joint commissioning across CCG and Local Authority covering six areas.
CAMHS
SEND
Children’s community health

7. Children and Young People’s Strategic Partnership Board
Democratic oversight and Partnership Governance Structures
Health and Wellbeing Board
Children and Young People’s Strategic Partnership Board
Safeguarding Children Board
Safer Lewisham Partnership
Young Mayor & Advisors, Children in Care Council, Corporate Parenting Board
Children & Young People’s Joint Commissioning Group
Be healthy and active
Build child and family resilience
0-5 Steering Group
Clinical Commissioning Group
Support to Families Steering Group
Mental Health and Emotional Wellbeing Board
SEND Board
Healthy Child Programme Board
Promoting Healthy Weight Group
Smoke Free Future Delivery Group
Mental Health and Emotional Wellbeing Board
Sexual Health Commissioning Board
LSCB Task Groups:
Child Death Review Overview Panel
Monitoring Evaluation & Service Improvement
Policies, procedures & training
Communications and Publicity
Serious Case Review Group
Raise achievement and attainment
Stay safe
School Improvement Board
Pupil Places Strategic Board
0-5 Early Intervention Steering Group
LAC Virtual School
Safer Lewisham Partnership
Safeguarding Children Board
Looked After Children oversight via Safeguarding Children Board

8. TWO KEY DELIVERY VEHICLES FOR CHANGE: CAMHS TRANSFORMATION & HEADSTART
Commissioning Priorities: CYP Mental Health & Emotional Wellbeing Strategy
Mental Health and Emotional Wellbeing Strategy :
Vision:
“Our children and young people will be emotionally resilient, knowing when and where to go for help and support when faced with challenges and adversities as they arise. Those that require mental health support are able to access this, where and when they need it. Secondly our parents/carers and young people’s workforce will be equipped to identify and respond to low levels of emotional well-being amongst our young people.”
Aims:
create better, clearer, more responsive care pathways to enable improved access into appropriate services
invest in evidence based training and practice, to ensure earlier identification and improved support
embed resilient practice in community settings, where we will create a young person population that is better able to cope when faced with adversity
increase awareness of mental health and emotional well-being and provide guidance regarding where to go for support
TWO KEY DELIVERY VEHICLES FOR CHANGE: CAMHS TRANSFORMATION & HEADSTART

9. Commissioning Priorities: HeadStart Phase Three
Giving young people support and skills to cope with adversity and do well at school and in life.

10. Commissioning priorities: delivering our CAMHS strategy
Place the emphasis on building resilience
Services built around the needs of children, young people and their families
Improve access so that they have the right service at the right time and as close to home as possible.
Deliver a clear joined up approach: linking services so care pathways are easier to navigate for all children and young people
Sustain a culture of continuous evidence-based service improvement
Improve transparency and accountability across the whole system

11. Commissioning Priorities: Early Help
Single Point of Access & Multi Agency Safeguarding Hub
Support for vulnerable families
Early Help Programme
Workforce development
E-CAF

12. Service priorities for the youth mutual Key steps for implementation
Commissioning priorities: Youth Service Mutualisation
What is a mutual?
Public service mutuals are organisations that have left the public sector but continue delivering public services. Employee control plays a significant role in their operation.
Service priorities for the youth mutual
Key steps for implementation
December 2015
Mayor and Cabinet approve plans for a Youth Service Mutual
The Youth Service has had a key focus on the following outcomes for young people:
Improved life skills
Increased involvement in education, employment and/or training
Staying safe and well and preventing needs from escalating
These principles continue to underpin our specification for the new service.
Spring 2016
Tender process for ongoing Youth Service restricted to mutuals
Summer 2016
New arrangements commence

13. Commissioning priorities: 0-19 & OHSEL
Health visiting
School nursing
Service redesign and transformation of activity & recommissioning for 2017/18
Integrated Public Health Nursing service
Neighbourhood care network model

14. Potential opportunities for the VCS
Lewisham Youth Service
Successful bidder for the youth service mutual will be known in June.
VCS representation on the selection panel
Expectation outlined in tender that the successful provider will work proactively with the local VCS in the delivery of services – we want the current model for joint working to continue.
Exact values and processes for this will be the responsibility of the new provider.
The mutual will provide a vehicle to explore new funding streams beyond the local authority and provides opportunity for new partnerships with local VCS organisations.
If successful we will support the VCS to play a key role in the delivery of HeadStart by:
Providing dedicated via our Youth and Community lead to develop existing offers of support to form part of our menu of services.
Develop sustainable funding streams via schools which the VCS can bid for to deliver resilience based services:
Total HeadStart funding over five years for schools to commission support from our menu of services = £1.6m
Total expected contributions from schools each year based on tapered funding model = £800k

15. Warwick Tomsett, Head of Targeted Services and Joint Commissioning
Telephone: