Karen Bradshaw, Shropshire Council Dr Julie Davies, Shropshire CCG

Children’s Trust Area Forum -South

Programme Overview

Introduction Karen Bradshaw

Healthy Child Programme Overview Anne-Marie Speke

Break

All

Children and Young People’s Strategy Refresh and Action Planning

Karen Bradshaw

Feedback and Plenary

All

New Children’s Services Structure –

Shropshire Council

Director of

Children’s Services

Karen Bradshaw

Head of Education

Improvement

Anne Gribbin

Head of

Safeguarding

Kevin Peers

Service managers Service managers FSP LC -

Monkmoor SSCB

Shropshire’s Safeguarding Children Board, (SSCB), is the key statutory mechanism for co-ordinating local work to safeguard and promote the welfare of children and ensuring the effectiveness of that work.

SSCB Priorities 2012/2013: • Missing Children, to include child sexual exploitation and trafficking • Compromised Parenting, to include domestic abuse, parental substance

misuse, and parental mental ill health • Communication between and across partners

SSCB Priorities 2013/2015: • Review current priorities and focus in light of learning progress.

SSCB Annual Report April 2012-March 2013: • Assesses the safeguarding performance and

effectiveness of partner agencies • Includes lessons from inspections, audits and

reviews undertaken • Sets out priorities for the coming year • www.safeguardingshropshireschildren.org.uk

Challenges for partner agencies:

• capacity of front-line services to respond to demand and complexity of child protection work

• the impact on frontline practice of continued organisational change and reform within partner organisations

• the impact of the Family Justice Review in terms of capacity to adhere to timescales and additional requirements with family court proceedings

• the impact of cuts within public sector and to voluntary sector services on the provision of early intervention and some areas of more specialist assessment

• 299 practitioners trained (Mar – Aug 2013)

• Practitioners report they are feeling more confident to provide appropriate support

• 361 early help consultations provided by Early Help Advisors (Jan-Aug)

• 98 referrals through the Early Help & Resource Panel (Jan-Aug)

Early Help

• Enhance commissioned as new early help

provider from 1 September 2013

• Led by YSS , Enhance will deliver Early Help support for CYP aged 0-19 years in Shropshire

• Enhance will deliver interventions previously delivered by Barnardos, Divert and Homestart

Early Help provision

• An Evaluation & Outcomes Framework will

be implemented to measure impact • It includes: quality assurance framework,

feedback from Children and Young people and families, learning from case studies, national literature

Early Help what’s next

• 2 separate reviews of CAMHs in last 2 years • Actions taking place against all of the tiers

following the reviews of the service

• Strategic group in place between Shropshire and T&W

CAMHs Update

Overview of Progress to date:

• Action plan in place and service improvement plan for CAMHs service

• Commissioner appointed for CCG – picking up CAMHs on an interim basis.

• Agreement by all parties for single point of access (taken forward through Early Help)

• TAMHs will continue with additions to the programme

CAMHs Update (2)

Tier 1 – Universal Provision

Tier 1 : • Support and training through TAMHs programme • Schools, Children’s Centre, Youth support, Early Years • VCS • Midwifery, Health Visitors, school nurses etc. • All frontline staff working with children/ Families/

carers

Tier 2 –Targeted Services

Tier 2 – Targeted Services in Need Children Early Help Officer, Schools, Children’s Centres, VCS, GPs,

School Nurses, Family Solutions, Paediatricians, Educational Psychologist, social workers, occupational therapists,

counsellors, senior primacy mental health worker, nurse specialists.

Tier 3 & 4

Tier 3 – Specialist Services – Moderate to Severe mental health difficulties

Social workers, psychiatric nurses, psychiatrist, occupational therapist, therapist, speech and language

therapist, family therapist

Tier 4 - Highly Specialist Services – Severe Mental health difficulties

Shropshire CCG is commissioning organisation that

recognises the importance of our young population and investment in their care and future despite having a

challenging local position of a growing elderly population

CAMHS

• New ways of working that: 1. Focus on prevention, early identification

and prevention 2. Reduce numbers accessing tier 3 services 3. Family support 4. Financial efficiencies 5. Focus on mental health – children & adults 6. Communication/ information exchange 7. Developing Community resilience

Business Planning

• Understanding the needs of a community, and

redesigning services to meet those needs in the most effective and efficient way

• Linking with the Shropshire Council Business Planning

• Areas: Church Stretton, Craven Arms, Oswestry

and Monkmoor

Locality Commissioning

In Monkmoor, following issues emerging:

• Parenting capacity

• Children not school ready

• Parents not following health advise -smoking/ breastfeeding.

• Children missing medical appointments

• Impact of wider community culture on parenting

Locality Commissioning -

Partners involved in the Monkmoor area include: Children’s Services, Schools, Public Health, Severnside Housing, Police, Fire and Rescue Service, Health, Shrewsbury Town Council, VCS, and local churches. Prototypes of new ways of working are due to start in October. Operational Lead - contact Carolyn Healy carolyn.healy@shropshire.gov.uk

Monkmoor

Drivers: • Financial • Inspection • Outcomes for Children • Changing Context

Challenges: • Collaborative working • Doing things differently • Early identification & prevention • Family approach/ holistic services • Changing requirements/expectations

Future Direction