1. SUPPORT FROM THE START: EVERY CHILD MATTERS Supporting families and children aged 0 – 5 Being healthy Being safe Economic well being Making a positive contribution Enjoying and achieving

2. Significance of early circumstances: national evidence (DfES diagram: showing relationship of social- economic circumstances and achievement)

3. Key inequalities follow similar geographical patterns, and reflect levels of child poverty

4. PREGNANCYSCHOOL Additional support provided when and where it is needed, ensuring the inclusion of all children/families Developing systems to ensure an integrated & inclusive journey from pregnancy to school 0 - 5 Identifying the ‘offer’ available for all children/families

5. UNIVERSAL ENTITLEMENT - 1 A core offer for all children aged 0 - 5 (delivered where feasible through integrated Children’s Centres) Child and family health services Parenting and family support Family learning, and access to training and education Information, guidance and signposting Early years education, childcare and play

6. ENTITLEMENT – 2 Wider offer for all families: Successful neighbourhoods: ensuring a focus on families with young children Health, social care & decent housing Safe communities/ environment. Accessible transport Training and employment. Family friendly policies Access to services, ensuring connectivity Education, play, leisure, sports & arts, particularly outdoor activity

7. Building an integrated and inclusive approach to supporting the pregnancy/0 – 5 journey/pathway An integrated and entitlement framework: Link all care pathways/journeys for -0 to 5: smooth transitions. Routes to access/ensure inclusion in all services in ‘Sheffield Sure Start offer’ Empowering and engaging parents/carers Link to comprehensive information and advice, and signposting to services/additional support Integrated universal assessment system, linking into the Common Assessment Framework Common language, linked to core workforce skills Information/data as a basis for continual improvement in service delivery

8. Mapping the 0-5 journey Developing a system to map all the services and ‘high level actions’ from all plans contributing to the 0 – 5 journey – from pregnancy to transition into full time school. The system identifies the source plan, and maps the services and actions against: Every Child Matters outcomes and aims The key judgements and evidence in the Joint Area Review (JAR) Joint Inspection Framework and the Annual Performance Assessment (APA) of Council Children's Services.

9. Mapping the 0 – 5 journey con’t The eleven National Service Framework (NSF) Standards for Children, Young People and Maternity Services. The 0 - 5 ‘offer’ – city wide universal services and universal services targeted at disadvantaged areas. Identification of additional support to ensure inclusion of all children, identifying the focus group. Indicators of need and success, against the 250+ national indicators and any additional local indicators.

10. One example (to be shown electronically at the Board) Service &/or high level action Strategic Plan Development of Maternal Care Pathway, linked to integrated journey. Pathway highlights choices and targets services to individual needs. Provides access to additional support (specialist pathways) where/when needed. Delivers integrated local services through Children's Centres where possible.  links  Links to: Strategy for Maternal Health 2004-2010

11. ECM Outcome: Being healthy  (All 5 aims) Joint Inspection Framework: Key Judgement  Joint Inspection Framework: Evidence  Parents and carers receive the advice they need to keep their children healthy Maternity provision is accessible and targeted to individual needs  NSF 11

12.  NSF 11: Women have easy access to supportive, high quality maternity services, designed around their individual needs and those of their babies NSF Markers of good practice: Baseline assessment Gaps/actions required/ priorities Lead provider and/or commissioner

13.  Linking to 0 – 5 offer and additional support   Universal offer: City wide  Universal offer: targeted areas  Additional support Identifies elements of the universal pathway/journey for all mothers/ babies/families (example to be provided) Pathway identifies services for all families in targeted disadvantaged areas: e.g: smoking cessation Universal pathway links to pathway for vulnerable groups – includes e.g. substance misuse maternity service

14.  Links to indicators Services & high level actions  Identifying appropriate indicator to measure need and changes over time and/or measures of success Identification of appropriate national indicator or of local indicator  Links to national indicators by ECM outcome area 

15. Midwifery PREGNANCY SCHOOL Additional support provided when and where it is needed  Mapped onto an integrated and inclusive journey: mapped by age group Example: Early visit from midwife Named midwife. A midwife available 24/7 Health VisitingEarly Years Schools 0 - 5 Identifying Service leads: Offer available for all children/families

16. Questions for the Board Any comments on the system being developed for mapping the 0 – 5 journey. Views on whether it would be a useful system for the 0 – 19+ journey as a whole.