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

2. Housekeeping
Fire alarm
Toilets
Refreshments
Questions

3. 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

4. Nottingham City Demographics

5. 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

6. 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

7. 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.

8. 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

9. 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

10. 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

11. 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

12. 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

13. 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

14. 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

15. 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

16. 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

17. The Structure

18. 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

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

21. 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

23. 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’

24. Questions?