WHAT DOES AN INTEGRATED CHILDRENS SERVICE LOOK LIKE

1

• WHAT DOES AN INTEGRATED CHILDRENS SERVICE LOOK
  LIKE?
• A VIEW FROM HERTFORDSHIRE
• John Harris
• Director of Childrens Services
• Hertfordshire Childrens Trust Partnership
• People who work with Young People Conference
• March 29th 2007

2
OVERVIEW

• Childrens Services Reform
• Hertfordshire Context
• Framework for Design
• Platform for Delivery
• Driving change through partnership working
• Developing the workforce
• Final Thoughts Key Issues for Success

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CHILDRENS SERVICES REFORM

• Radical improvement in opportunities and outcomes
  for children
• Whole-system reform of the delivery of childrens
  services
• Build services around the child, young person and
  family
• Support parents and carers
• Integrate services across the age range 0-19
• Develop the workforce, changing culture and
  practice

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HERTFORDSHIRE CONTEXT

• 1.1 million population
• 262,000 children (0-19)
• 550 schools
• 10 Districts / Boroughs
• 2 Primary Care Trusts (with single management
  structure)
• 1 Connexions service and Police Authority
• Good alignment of locally based services

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PLATFORM FOR DELIVERY OF LOCAL SERVICES

• District Childrens Trust Partnership
• Local CYPP
• Universal Services
• Network of 82 Childrens Centres and 38
  Extended Schools Consortia
• Referral Pathways to Specialist Services
• CSF Health Private and Voluntary Sector

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Childrens centre School as part of a consortium
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AGES AND STAGES (0-13)
Lead Professionals (0-13) Health visitors
SENCOs Nursery nurses Children
Centre staff Early years staff Primary
schools Child care resources Family
support staff Parenting services Speech and
language therapists Education welfare
CAMHS Occupational therapists
Dieticians Counselling services General
practitioners School nurses ( Indicates
services that are also involved with older young
people)
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AGES AND STAGES (13-19)
Lead Professionals 11-19 Adolescent support
service Drugs and alcohol services Youth
Offending services Youth Workers Connexions
PAs Secondary schools Careers service Counselling
service Education support centres Young peoples
information centres FE Colleges Police Youth
programmes Unit - KS4 Centres.) Dieticians Sch
ool nurses Education welfare services CAMHS (
Indicates services that are also involved with
younger children)
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HERTFORDSHIRE CHILDRENS TRUST PARTNERSHIP
Childrens Trust Partnership Board The governing
board which sets the overall strategic direction
for HCTP and approves key principles and policies
Local Safeguarding Children Board (LSCB) LSCB
is an independent body which ensures that key
agencies such as local authorities, health
bodies and police, work together effectively to
safeguard and promote the welfare of all
children
HCTP Executive Group Ensures that agencies work
together effectively and oversees the overall
improvement cycle
District Childrens Trust Partnerships Ensure
that agencies work together effectively to
improve outcomes for children at local level
Strategy and Implementation Group Develops the
strategic direction for the Change for Children
programme and co-ordinates delivery of the
childrens trust project plan
Childrens Trust Reference Group Challenge the
Strategy and Implementation Group and
sub-groups, and act as childrens champions
across agencies and sectors
0 - 13 Planning Commissioning Group
11 - 19 Planning Commissioning Group
School Service Improvement Group
Multi-Agency Working Group
Workforce Development Group
These sub groups will take forward various work
strands in Phase 2
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CASE STUDIES

• CSF Workers early intervention through
  universal services
• Stevenage Childrens Trust Pilot school based
  multi-agency teams
• Targeted Youth Support
• Budget Holding Lead Professional

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ISSUES FOR THE WORKFORCE

• Shared analysis and rationale for change
• Engage staff and stakeholders in solutions
• Effective implementation of CAF and Lead
  Professional roles to sustain integrated working
  at local level
• Leadership behaviours that model integrated
  practice
• Local workforce strategy to support CYPP and
  childrens trust arrangements
• Encourage futures thinking

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KEY ISSUES FOR SUCCESS

• Whole-system approach agreed and implemented
  across HCTP
• Agreed platform for delivery, with alignment
  across agencies
• Agreed pathways and thresholds across universal,
  targeted and specialist services
• Capacity to commission services at local level,
  with defined commissioning budget
• Models of integrated practice with local examples
  of success