Progress Report - Moving Towards a Child Centred System

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    THEMUNROREVIEW OFCHILDPROTECTION

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    AcknowledgementsIwouldliketothankJo,Sammie,JayandHollyforthedrawingsonthefrontcover.Iaskedthemtosketchimagesthatcapturedwhattheysawasagoodrelationshipbetweenachild

    oryoungpersonandahelpingprofessional.

    Iamverygratefultothemanypeopleinalloftheservicesthatworkwithchildren,young

    peopleandfamilieswhohavesharedtheirideasandexampleswithme.Ihavebenefited

    from

    feedback

    from

    so

    many

    that

    I

    cannot

    list

    them

    all.

    I

    would

    like

    to

    acknowledge

    the

    help

    giventomebyAlexBurghartandexpressmythankstoBarnardosforallowingmetohave

    somuchofhistime.FromtheDepartmentforEducation,Iwouldliketosingleoutthehelp

    providedbyRogerParrandJeanettePugh.

    ProfessorEileenMunro

    01May2012

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    Contents

    ExecutiveSummary 3

    Chapter1:Introduction 6

    Chapter2:Increasinglocalandprofessionalflexibility 9

    Chapter3:Redesigningservicesaroundchildren,young 17

    peopleandfamiliesneeds

    Chapter4:Childrenssocialcareandsocialwork 27

    Chapter5:Learninghowwearedoing 42

    Chapter6:Conclusion 51

    References 55

    Annex RecommendationsfromtheMunroreview: 59

    Progressupdate

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    ExecutiveSummaryMyreviewmaderecommendationsthatwill,together,helptocreateaworkenvironment

    thatwillbettersupportprofessionalsingivingchildrenandyoungpeoplethehelpthey

    need.Thisreportconsidershowwellimplementationoftheserecommendationshas

    progressedintheyearsincethereviewspublication,andhowthechildprotection

    landscapeasawholeischanging.

    Theoverall

    conclusion

    of

    this

    report

    is

    that

    progress

    is

    moving

    in

    the

    right

    direction

    but

    that

    itneedstomovefaster.Therearepromisingsignsthatsomereformsareencouragingnew

    waysofthinkingandworkingandsoimprovingservicesforchildren.Thereare,however,a

    numberofreformsthatstillrequireimplementation;asthishappensoverthenext12

    months,thepaceofchangeshouldbehastenedfurther.

    Onefundamentalchangethatisneededisforalltohaverealisticexpectationsofhowwell

    professionalscanprotectchildrenandyoungpeople. Theworkinvolvesuncertainty:we

    cannotknow

    for

    sure

    what

    is

    going

    on

    in

    the

    privacy

    of

    family

    life,

    nor

    can

    we

    predict

    with

    certaintywhatwillhappen. Toooften,expectationshavebecomeunrealistic,demanding

    thatprofessionalsensurechildrenssafety,strengtheningabeliefthatifsomethingbad

    happenssomeprofessionalmustbetoblame. Thishascontributedtothedevelopmentof

    adefensiveculturethatfocusesoncompliancewithtargetsandrulesinsteadofwhether

    servicesareprovidingeffectivehelp. Havingrealisticexpectationsofprofessionalswillmake

    iteasierforthemtohavethe confidencetousejudgmentinsteadofapplyingrulesthatdo

    notmatchaspecificchildsneeds,andthehumilitytoreflectonweaknessesintheirpractice

    sothat

    they

    can

    learn.

    IncreasinglocalandprofessionalflexibilityChapter2looksatprogressinreducingstatutoryguidancesothatthereismorescopeforprofessionalandlocalautonomy.Therehasbeensomeunderstandabledelayin

    implementingthesechanges,causedbytheneedforproperpublicconsultation.

    Akeyissueistheremovaloffixedassessmenttimescales.Theexperienceofthetrial

    authoritieswhoweregrantedexemptionsfromthesestatutorytimescaleshasbeen

    positive.Theyreportthattheadditionalflexibilityhasencouragedbetter,morethoughtful

    workingpractices,andbetterandclearerconsiderationofpriorities.

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    RedesigningservicesaroundchildrenandfamiliesneedsChapter3dealswithchangesinthemanyservicesthatplayapartinsupportingfamiliesandimprovingchildrenssafetyandwellbeingbeforetheyrequireattentionbychildprotection

    agencies. Theimprovedprovisionofearlyhelpthroughbetterinteragencyworkingwasa

    keyfeatureoftheoriginalreport.Thisreporthasfoundmanyencouragingexamplesof

    servicesworkingtogetherandwithsocialservicestoprovidebetterunderstandingof

    childrensneeds.Someexistingstatutoryguidanceis,however,stillhamperingcoworking

    andjointassessmentoncetheGovernmenthasremovedthis,allservicesshouldbebetter

    placedto

    work

    together

    to

    offer

    improved

    early

    help.

    Therearemanyotherreformstakingplaceinparalleltothoseinchildprotection,most

    notablyinhealthandpolicing.Becausethesenewworkingenvironmentsarestillevolving,I

    emphasisethatitisextremelyimportantthattheGovernmentshouldcontinuetofacilitate

    andencourageunderstandingbetweenservices.

    ChildrensSocialCareandsocialworkChapter4focusesonchildrenssocialwork,ondevelopmentsinsocialworkexpertisearisingpartlyfrommyreviewbutalsofromtheworkoftheSocialWorkReformBoardandthenew

    CollegeofSocialWork.Importantimprovementsarealreadybeingmadetoinitialeducation,

    inselectingtherightpeopletotrain,andinmeetingtheneedsofthoseaspiringtobethe

    nextgenerationofsocialworkers.Thesereformsareabsolutelyvitaltoensurethatthe

    professionisequippedtomakethebestdecisionsforchildren.

    Akeyconcernofthereviewwasthattheviewsoffrontlinepractitionersshouldbeproperly

    representedtomanagersandbudgetkeepersatcentralandlocallevelsothattheycan

    understandtheimpacttheirdecisionsmighthaveonworkwithchildrenandfamilies.

    Consequently,ithasbeenencouragingtoseetheGovernmenthastakenstepstoappointa

    ChiefSocialWorkerandthatlocalauthoritiesarestartingtorecruitPrincipalSocialWorkers

    totheirteams.

    Whatisparticularlyencouragingisthatsomelocalauthoritiesarealreadydeveloping

    innovativewaysofworkingthatareenhancingthequalityofhelpreceivedbyfamilies;this

    chaptergivessomeexamplesofgoodworkalreadyunderway.

    L i h d i

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    Thechapteralsodiscusseshowlearningcanbe(andisbeing)encouragedatlocallevel

    throughpeerreview,atcaselevelthroughcasemanagementanalysis,andbybetter

    consultationand

    conversation

    with

    children.

    Finally,

    it

    discusses

    the

    capacity

    building,

    methodologicalrefinementandculturalchangenecessarytofullyimplementaSeriousCase

    Reviewprocessfocusedonwholesystemimprovement.

    ConclusionChapter6emphasisestheimportanceofimplementingalltheproposedreformsinconcert.In

    order

    to

    create

    anew

    culture

    within

    child

    protection

    it

    is

    necessary

    to

    increase

    the

    flexibilitytorespondtoneedsonthegroundbothwithinandacrossservices,tohavethe

    skillsandexperiencetotakeadvantageofthisflexibility,andtobeabletoassess,learnand

    respondtohowwellwearehelpingchildren.Addressingindividualpartsofthesystemwill

    onlysucceedinpushingproblemselsewhere,leavingchildprotectionasweak,orweaker,

    thanitwasbefore.Implementingthesereformsasawholewillgiveprofessionalsthescope

    andskillstheyrequiretobetterprotectchildrenandtocontinuetoimprovetheirmethods

    andmeans.

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    Chapter1: Introduction1.1 Now,ayearaftermyfinalreportwassubmitted,isagoodtimetoreflectonthe

    progressbeingmadeinimplementingmyrecommendations.TheGovernmentwill

    shortlybepublishingradicallyrevisedstatutoryguidanceforconsultation.Ihaveseen

    onlydraftversionsandthecommentsinthisreportarebasedonthesebutthe

    versionsthatarepublishedmaydifferinsomerespects.Anewinspectionframework

    alsocomesintooperationinMay. Thesefundamentalchangeswillmakeasignificant

    contributiontohelpingthesystemreorientateitselffromcheckingcomplianceto

    learninghow

    well

    children

    and

    young

    people

    are

    being

    helped,

    and

    having

    sufficient

    flexibilitytorespondtotheselessons.Thisisthetimewhenlocalservicesand

    professionalsneedtoseizetheopportunitytomovetowardsachildcentredsystem.

    Myconclusionisthatthingsaremovingintherightdirectionbutneedtomovefaster.

    1.2 Myreportlastyearsoughtaculturechangeinthewaythatchildrenandyoungpeopleareprotectedfromharm. Theyneedprofessionalswhoareabletounderstandand

    help

    them.

    This

    requires

    intelligence

    and

    good

    skills

    in

    getting

    on

    with

    family

    members,incopingwiththestrongemotionsthatarestirredup,inhelpingpeople

    solveproblems,andinmakingdecisionsaboutwhat,onbalance,isinthechildor

    youngpersonsbestinterests.Suchimportantandcomplexworkneedsgood

    guidance,goodmanagement,andgoodrecords.However,asmyreviewconcluded,

    thesystemhadbecomeunbalancedsothattherewasanundueemphasison

    recordingandcompliancewithtargetsandprocedures.Consequently,professionals

    hadtoolittletimewithfamiliesandtoolittlescopetousetheirexpertiseandmake

    judgments.

    1.3 Thepositiveresponsetomyreviewshowshowmanyagreewiththisanalysis.Thereisrealenthusiasmforchange.Butitisnoteasytoshakeoffthecomplianceculture.At

    heart,thisworkinvolvesuncertainty:wecannotknowforsurewhatisgoinginthe

    privacyoffamilylife;wecannotpredictwithcertaintywhatwillhappentochildren;

    wecanonlymakejudgmentsanddecisionsthat,ontheevidenceavailable,lookthe

    best.Yet,toooften,expectationshavebecomeunrealistic.Governmentandlocal

    documentsare

    peppered

    with

    the

    word

    ensure

    on

    matters

    where

    no

    one

    can

    realisticallydoso.Publichorrorwhentragediesoccurhasstrengthenedthebeliefthat

    ifsomethingbadhappenssomeonemustbetoblame.

    1.4 Thecompliancecultureisanunderstandableresponsetothisimpossibleexpectation.The need to avoid and deflect blame ripples through the system encouraging people

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    fornotseeingthehandwritingonthewallforgettingthatitwaswrittenininvisible

    inkthatbecamelegibleonlyafterward.Actionsthatseemedprudentinforesightcan

    lookirresponsibly

    negligent

    in

    hindsight

    (Kahnemann,

    p.203.)

    1.6 RecentcommentsfromtheGovernmenthavebeenhelpfulinencouragingamovefromablametoajustculture.InrespondingtotheSeriousCaseReviewonthecaseof

    theJChildreninEdlington,MichaelGove,theSecretaryofStateforEducation, wrote:

    Peopleworkinginthesecircumstancesneedtohavetheconfidencethattheywillbe

    backedbytheirmanagerswhentheytakedifficultdecisionswithgoodintentand

    soundjudgment,

    whatever

    the

    outcome

    (2012).

    1.7 TimLoughton,theParliamentaryUnderSecretaryofStateforChildrenandFamilies,hassoughtfeasiblegoals,forexample,endinganintroductiontonewguidanceon

    tacklingsexualexploitationwiththeambitiontomakechildrensaferratherthan

    safe(DepartmentforEducation,2012).Althoughitmayseemasmalldifferencefrom

    ensuringthatallchildrenaresafe,itisanexampleofwhatIhopewillbeamore

    realisticcultureofexpectation.

    1.8 TheGovernmenthasacceptedalltherecommendationsfrommyreview,withsomeprovisos.AppendixAliststheactionstakeninresponsetoeachrecommendationbut,

    withinthisreport,Iwanttolookathowtheyareinteracting. Untilthemajorchanges

    instatutoryguidanceandinspectionareimplemented,localagenciesarelimitedin

    theirfreedomtoredesigntheirworkpractices.However,therearemanyexamplesto

    reportofsignificantdevelopmentsbothplannedandalreadyunderway.

    1.9 Therearealsoothermajorchangesgoingonthatarehaving,orwillhave,amajorimpactonchildprotection.InthereformsIdiscussinthisreport,itisdifficultto

    separateouttheimpactthatmyreviewhashadfromseveralotherinfluences.

    1.10 Thecutsinpublicsectorfundingareclearlysignificant.Thismeansthatservicesareattemptingtoimplementmyrecommendationsalongwithotherchangesneededto

    livewithintheirbudgets.ThereisariseinreferralstoChildrensSocialCarethatmay

    belinked

    to

    cuts

    in

    support

    services

    for

    families.

    The

    financial

    problems

    and

    welfare

    reformsalsoaffectfamilieswithestimatesofincreasingchildpoverty(Bradshaw,

    2011,Browne,2012).Althoughparentsonlowincomescanprovideexcellentcare,it

    iswellestablishedthatpovertycorrelateswithneglectinparticularandsotheremight

    beanincreaseinreferralsbecauseofthis.

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    beensentmanyexamplesofreforms.ThesurveyofLSCBChairsprovidedvaluable

    informationonhowpeoplewereimplementingmyrecommendationsbutthe

    responserate

    was

    only

    39%

    so

    it

    may

    not

    be

    representative

    of

    the

    whole

    country.

    The

    ChildrensImprovementBoard(CIB)hasprovidedusefuldataonwhatlocalareasare

    doing.TheCentreforExcellenceandOutcomesinChildrenandYoungPeople's

    Services(C4EO)hasbeencollectingexamplesofsuccessfulinnovationsinfamily

    supportthatillustratetherangeofactivitiesgoingon.Theinformationgatheredfrom

    allthesesourcesprovidesinsightsintowhataspectslookfeasibleandwhatisworrying

    people.Italsoconveysawelcomesenseofenthusiasmforthechanges.

    1.13 Thisreportprovidesanoverviewofprogressonthesetofrecommendationsthatwilltogetherhelpcreateaworkenvironmentwhereprofessionalshaveincreasing

    confidenceandcompetence,andwheretheprimaryfocusisonwhetherornot

    childrenhavebeenhelped. ThenextchapterlooksattheGovernmentsactionsin

    reducingstatutoryguidancesothatthereismorescopeforprofessionalandlocal

    autonomy.Changeshereallowchangesintheinspectionprocesswhichmanyhave

    seenasaprimedriverofthecompliancecultureandthenewinspectionframework

    couldalsobeaprimedriverinencouragingalearningculture.ChapterThreedeals

    withthe

    changes

    in

    the

    many

    services

    that

    play

    apart

    in

    supporting

    families

    and

    improvingchildrenssafetyandwellbeing. Theextentofpolicyreformandfunding

    cutsmakechangeunavoidableandmanyareasareredesigningtheirservicesto

    improvefamiliesaccesstotherighthelpinatimelymanner.Theyare,however,

    hamperedbythecontinuedpresenceofthestatutoryguidanceandbytheinspection

    process.ChildrensSocialCarefiguresinthischapterintermsofhowitworkswith

    otherservicesbutChapterFourisspecificallyonitandondevelopmentsinsocialwork

    expertise

    arising

    partly

    from

    my

    review

    but

    also

    from

    the

    Social

    Work

    Task

    Force.

    Changesareneededinthewaythedifferentservicesmonitorthemselvesanddefine

    goodpractice. ChapterFivelooksatprogressinwaysoflearninghowwellweare

    doinginhelpingchildren.Finally,(ChapterSix)Iofferanassessmentofprogress.

    1.14 Thesereformsareonlythestartofanongoingprocessbywhichthechildprotectionsystemcanbetterservechildren;takentogethertheyshouldcreatework

    environmentsinwhichbetterpracticeislikelytoflourish.Thereisverymuchfurther

    togo

    but,

    one

    year

    on

    from

    the

    publication

    of

    my

    review

    Iam

    delighted

    to

    be

    able

    to

    reportthatthejourneyhasbegun.

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    Chapter2:IncreasinglocalandprofessionalflexibilityIntroduction2.1 Therehasbeenconsiderableprogressinplanningtorevisestatutoryguidance.Radical

    changestothisguidanceandtoinspectionwererecommendedinmyreviewbecause

    theyhad,overtime,beenabsorbedintoadefensivecultureandbeengivenundue

    prominence.Thiswasseentodistractattentionfromchildrenssafetyandwelfareby

    becomingthe

    focus.

    Data

    such

    as

    timescales

    that

    began

    life

    as

    intelligent

    indirect

    measuresofthequalityofhelpchildrenreceivedbecamethedirectgoalofpractice.

    Theguidancealsoproliferatedovertheyearswiththeoriginalprescriptionofgoals

    beingincreasinglyaugmentedwithprescriptionofhowtoachievethem,thereby

    creatingincreasingobstaclestoflexibilityandreformatthelocallevel.

    2.2 TheGovernmentacceptedmyrecommendationsonthisbuthasnotyetpublishedrevisedstatutoryguidanceforconsultation. Thisdelay,albeitforgoodreasons,has

    causedsomeproblems,withsomehesitatingtostartreformsincasetheGovernment

    changesitsmindandothersfeelingfrustratedbecausetheycanonlypartlyimplement

    reformsuntiltheguidanceallowsthemmorefreedom.Thereformoftheinspection

    processisfurtheraheadwitharevisedframeworkhavingbeenpublishedfor

    consultationinJuly2011,pilotedinfivelocalauthorities,andcomingintoforceinMay

    thisyear.

    2.3 Movingresponsibilityfordecidinghowtomeetthestatutorydutiestolocalandprofessionalcontrolrequireschangeinhowprofessionalsworktogether.Thereare

    manyexamples

    of

    formal

    and

    informal

    mechanisms

    being

    developed,

    and

    we

    can

    drawontheevidencefromthelocalauthoritieswhoweregrantedexemptionsduring

    myreview(seebelow)tobecomemorefocusedonthequalityofhelpchildrenare

    receiving.

    2.4 Inmovingfromacompliancetoalearningculture,professionalsneedmorespacetoexercisejudgmentandrespondtothevarietyofneedsofchildrenandfamilies.

    However,thosefeedingbackonmyreviewhaveaskedmetoclarifywhenrulesare

    stillessential.

    Morejudgment,fewerrules2.5 Whyshouldtherebemorejudgment? Asdiscussedinthefinalreportofmyreview

    ( 3 1 3 5) l d d f ti l f t f th

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    thathasbeenembeddedinEnglandisimpressivenotjustinrelationtoconcerns

    aboutabuseorneglectbutalsoinsupportingfamilieswhoarereceivinghelpfrom

    morethan

    one

    service.

    2.6 Rulesarealsodesirablewhendealingwithsimpleactionswherethereisarightwaytodothings,e.g.insomeaspectsofpreparingacourtapplication. Butsomedegreeof

    professionaljudgmentisneededwhendealingwithcomplicatedtasks,forexample

    whendecidingwhetherareferralrequiresanurgentresponse.Guidancemayoffer

    suggestionsoffactorstoconsiderbut,ultimately,thecompetentprofessional

    exercisesjudgmentindetermininghowtorespond.

    2.7 Overtheyears,theincreaseinstatutoryguidanceandoflocallycreatedruleshasmeantthatthescopeforjudgmenthasbeenerodedwithcomplicatedtasksbeing

    treatedassimple.Asaconsequence,professionalsabilitytobechildcentred,tomake

    decisionsthattakeaccountofthespecificcircumstancesofthechild,hasdiminished.

    Thefixedtimescaleforassessments,forinstance,hasformanybecometheoverriding

    concernsothatanassessmentisconcludedbecausethedeadlinehasbeenreached

    notbecausetheworkerthinkstheyhaveacquiredagoodenoughunderstandingof

    thechildsneedstomakeasounddecisionaboutwhattodo.

    Revisionstostatutoryguidance2.8 TheGovernmentfeltitwasnecessarytoconsultwidelybeforemakingsuchradical

    changes.Atthetimeofwriting,revisedversionsofWorkingTogethertoSafeguard

    ChildrenandFrameworkfortheAssessmentofNeedofChildrenandtheirFamilies

    shouldshortlybepublishedforformal,publicconsultation.Thissetofdocuments

    containaradically

    reduced

    amount

    of

    central

    prescription,

    with

    Government

    retaining

    theresponsibilitytosetouttheduties,roles,andprincipleswhileprovidingmorelocal

    andprofessionalcontrolofthewaythatthesewereimplemented. Thismajor

    reductioninGovernmentcontrolhasstrongendorsementfromMinistersand

    indicatesaconfidenceinthesectortotakemoreresponsibility.

    2.9 Itisimportantthatthisguidanceleavesnooneinanydoubtabouttheirresponsibilitiestosafeguardandpromotethewelfareofchildren.Itmustmakeitvery

    clear

    what

    must

    be

    done.

    However,

    it

    should

    free

    professionals

    from

    the

    degree

    of

    prescriptiononhowtomeettheirresponsibilitiesthattakesawayspacefor

    innovation,judgment,andtheflexibilitytomeetthespecificneedsofindividual

    childrenandyoungpeople.

    Taking more responsibility sharing and learning

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    inlinewiththewaysthattheychoosetoredesignthewaylocalserviceswork

    together.

    2.12 Ihaveheardsomeconcernthatlocalautonomywillleadtoaproliferationofassessmentformsandproceduresthatwillcomplicatelifeforservicesthatworkwith

    manydifferentareas.Inrelationtoassessmentforms,thesearenotcurrentlycentrally

    prescribedandsothechangesinstatutoryguidancethatIrecommendedmakeno

    difference.TheCommonAssessmentFrameworkhasneverbeenstatutoryandhas

    beenmodifiedinmanyplaces.ChildrensSocialCarehavebeenfreetochangethe

    assessmentformsusedbysocialworkerssinceJune2009whenthelimitationsofthe

    formsinICSwererecognisedand,actingontheadviceoftheSocialWorkTaskforce,

    theGovernmentagreedthatICTsystemsshouldbelocallyownedandlocally

    implemented.Inrelationtoprocedures,variationwillbelimitedbythefactthatthey

    refertoimplementingthesameduties.Somedegreeofflexibility,however,is

    desirable.Therearemanyexamples,discussedinthefollowingchapter,ofmajor

    reformstothewaythatservicesworktogetherinengagingandsupportingfamilies

    and,currently,thereareunintendedrestrictionsarisingfromstatutoryguidance.In

    areasadoptingtheSignsofSafetyapproach,forexample,theycurrentlyhaveto

    duplicatedocumentation

    instead

    of

    just

    using

    the

    forms

    designed

    for

    the

    approach.

    2.13 Standardisationhasvaluewhenweknowhowtodosomethingtoahighstandardbut,insafeguardingchildren,westillhavemuchtolearnandsoitisprematuretocreatea

    detailednationallyprescribedwayofworking.Itisimportanttohavetheflexibilityto

    allowlearningandimprovement.TheexperienceoftheICSsoftwareinChildrens

    SocialCarehasbeenalessoninthenegativeimpactofpoorlydesignedtoolson

    professionalpractice.

    2.14 TherearealsoconcernsthatthereducedguidanceinWorkingTogethertoSafeguardChildrenhappeningatthesametimeastheradicalreformofthehealthservicemayleadtoalossofattentionbeingpaidtosafeguardingchildreninthehealthsector.This

    isdiscussedinthenextchapter.

    2.15 Thereisconsiderableevidenceofprogressinpreparingtoexercisethisgreaterresponsibilityandofservicesdevelopingmechanismsforworkingtogethertolearn

    andimprove. ItisnotthecasethateachLSCBorservicehastoactalone.

    2.16 TheChildrensImprovementBoardplaysasignificantpartinsupportingreform.Ithassetoutitsproposedactivityasfollows:

    Localimplementation,ifitistobeeffectiveandsustainedovertime,needstobe

    collectivelydrivenbythesector,notjustbyindividualCouncils.CIBwillplayakey

    roleinthisatbothnationalandregionallevelsthrough:

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    2.17 ThetraininginleadershipforDirectorsofChildrensServices(DCSs),formerlyprovidedattheNationalCollegeforLeadershipofSchools,isbeingcontinuedbutisnow

    providedby

    the

    Virtual

    Staff

    College.

    This

    provides

    on

    going

    support

    to

    DCSs

    and

    trainingtoaspirantDCSs.

    2.18 TheCollegeofSocialWorkisnowinoperationandisdevelopingservicesthatsupportprofessionaldevelopmentinlinewiththerecommendationsoftheSocialWorkTask

    Forceandmyreview.Theotherprofessionalcollegescontinuetohelptheirmembers

    understandandmeettheirresponsibilitiesinrelationtosafeguardingchildren,

    providingtrainingandguidancefortheirmembers.

    2.19 Whilethereisgreatvalueinprofessionalgroupsbeingabletoadaptguidancetosuitthespecifictasksandcontextsinwhichtheirmemberswork(andindeedmanyof

    themdothistosomedegreealready),thereisalsoaneedtokeepacheckonwhether

    thisvariationleadstoincompatibilitiesintheguidancebeinggiventothedifferent

    groups.IsuggestthattheChiefSocialWorkertakesonaleadroleincoordinatinga

    groupofrepresentativesfromtheprofessionsinvolvedtofacilitatediscussionofany

    emergingproblemsintheWorkingTogetherguidanceandsuggestrevisionsasneeded

    inthefuture.

    2.20 Aswellasthemoreformalmechanismsforsupport,Ihavebeengivenmanyexamplesofservicesgettingtogethertohelpeachother.Thefollowingisbynomeansa

    comprehensivelistbutindicativeofthetypeofactivitiesgoingon.Manyofthese

    groupsareregional,usingthegroupingsoftheformerGovernmentOfficesforthe

    Regions.Theyhavebeenmeetinganddiscussingplans,withsomemakingplansfor

    jointdevelopmentwork.TheLondonSafeguardingCouncilsgroupcontinuestoco

    ordinateservicesacrossLondon.IhaveattendedregionalworkshopsforLSCBsinthe

    NorthEast,

    North

    West

    ,and

    the

    East

    Midlands

    where

    discussions

    highlighted

    the

    challengesandopportunitiespluswaystheycouldworktogethertoencourage

    reform,withsomeofthemusingtheCIBasaforuminwhichthiscollaborationcanbe

    maintained.TheEastMidlands(2011),forexample,areplanning/implementinga

    schemeofUnannouncedSafeguardingAssuranceVisitsdesigned

    toprovidesupportandchallengetoeachlocalauthorityintheleadershipandmanagementoftheirsafeguardingpractice.

    tosupporttheregionalaspirationtodevelopastrongercultureofreflectivesafeguarding

    2.21 TheNSPCCorganisedaseriesoffreemultiagencyeventstoprovideopportunitiesforconsiderationoftheworkforcechallengesarisingfromtheMunroreview.The

    feedbackreported:

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    Evidencefromthetrialauthorities2.23 Anotherconcernhasbeenthatreplacingthestatutoryguidanceontimescaleswitha

    judgmentofqualityandtimelinessforthechildwillleadtodrift.Thisisamajorissue

    andevidenceofdriftwastheoriginalreasonforintroducingguidanceonaverage

    timescales.However,thereissomeevidencetocounterthisconcern.Duringmy

    review,Iwasabletoobtainpermissionforsomelocalauthoritiestobegranted

    exemptionsfromsomerules.Theexperiencesofthesetrialauthoritiesprovidegood

    evidenceofthepositiveeffectsofincreasinglocalautonomyandshouldhelptoallay

    someanxiety.

    2.24 TheexemptionsgrantedtoeachlocalauthoritybytheDepartmententailedthesettingasideofthefollowingrequirementsofWorkingTogethertoSafeguardChildren

    (HMGovernment,2010):

    (i) therequirementthattherebeatwostageprocessofassessment,aninitialassessmentfollowedwhereappropriatebyacoreassessment(8LAs);

    (ii) Thetimescalesforcompletinginitialandcoreassessments(10and35working

    days

    respectively)

    (6

    LAs);

    (iii) Removalofthe15workingdaytimingfromdateoflaststrategydiscussiontotheinitialchildprotectionconference(1LA):

    (iv) The10workingdaytimescalebetweenaninitialchildprotectionconferenceandfirstcoregroupmeeting(2LAs).

    2.25 Oneclearlessonfromtheseauthoritiesisthatchangeisnotsimplyaquestionoftaking

    away

    intrusive

    rules

    and

    allowing

    good

    practice

    to

    flourish.

    One

    authority

    commentedontheinitialslownessofchangethoughthissubsequentlyaltered:

    Therewasevidencethatfirstlinemanagersarestillprescribingastricttimescalefor

    assessment,withreferenceinfourcasesto,forexample,completecomplex

    assessmentwithin35days.Thiswasdisappointingbutnotunexpected.Itsuggests

    that,despitebriefingsforallstaff,thetraditionalcultureoffrontlinedutyservicesis

    solidlyentrenchedandwilltakesometimetodispel.Suggeststhatourbriefingand

    rationalefor

    the

    change

    was

    not

    communicated

    clearly

    enough.

    Somesocialworkersstatedintheirauditinterviewsthattherewaslimitedfeelof

    significantchangeinthewaytheyfelttheywereassignedassessmentswithaplanof

    workbymanagerstheyfeltthattheirmanagersremainpreoccupiedwith

    timescales,asopposedtotimelinessandquality.(Wandsworth)

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    Islingtonreported:

    Workersreportkeyimprovementsintheirpracticeas:

    * Moretimetoconsiderthehistoricalfactorsinthecase.i.e.readingpastfiles

    andcompilingchronologies.

    * Moretimetoplanhowtoconducttheassessmentandreflectonthe

    informationgathered.

    * EverythingdidntneedtobedoneononlyonevisitLesspressuretovisit

    thefamily,conductchecksandwriteareportinthe10dayIAtimescale.Thispractice

    previouslyled

    to

    pressurising

    the

    family

    to

    comply

    with

    these

    timescales

    and

    make

    decisionssometimesbasedonlimitedinformationfromonevisitand/orwithoutall

    thestandardinformationchecks.WorkersreportspecificallytheconflationofIA&

    CAandtheredefinitionofthe10daytimescalemeanstheyareabletospendthefirst

    visitdoingbasicsafetychecksandbuildingarapportwiththefamily,whichthey

    believeleadstoabetterworkingrelationshipandbetteroutcomes.

    Buttheyalsowarn:

    Itishighlyimprobabletherelaxationofassessmenttimescalesalonewillsignificantly

    improvethequalityofassessingandplanning,itisonepartofajigsaw(Islington).

    2.27 Onepainfullessonthatsomehavereportedisthattheyfoundtimescaleshadbeenoperatingasasmokescreenand,onceremoved,theylookedbeyondthemtothe

    qualityofworkbeingdoneandfocusedonimprovingit.Thisis,ofcourse,adesirable

    lessonsinceitledthemtofocusonenhancingskill.Lookingatqualityalsodraws

    attentiontothepurposeofassessments:toprovidethebasisformakingadecision,afactthatseemstohavebeenforgottenbysometowhomcompletingformswithinthe

    specifiedtimehadbecomethetaskitselfratherthanameanstoanend.

    2.28 Inhavingthestatutorybasisfortimescalesremoved,theauthoritieshavenotabandonedthembutreturnedtousingthemasoriginallyintendednotasafixed

    timeforallchildrenandyoungpeoplebutasindicativeofthetimewithinwhichmost

    assessmentsshouldhavebeencompleted,someshouldbedonemoreurgently,

    othersneed

    longer

    to

    be

    good

    enough

    to

    form

    asound

    basis

    for

    decision

    making.

    Managersmonitortheoveralltimeandexaminewhysometakesignificantlylonger.

    Thismayormaynotcauseconcerndependingonthereasons.Itisimportanttokeep

    familiesinformedofwhatishappeningandwhentheymayexpectadecisionorto

    explainthereasonsfordelay.

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    revisedtheframeworkforinspectionofthelocalarrangementsfortheprotectionof

    children.ThesenewinspectionsbegininMay2012.

    2.30 Theframeworkhasbeenthesubjectofdevelopment,consultation,pilotingandrevisionduringthepasttwelvemonths.Centraltothechangeisaveryclearintention

    onthepartofOfstedtofocusonboththeimpactandeffectivenessofhelpand

    protectionforchildren,youngpeopleandtheirfamilies,inadditiontoamorerigorous

    examinationofthequalityofprofessionalpractice.Inspectorswillbeexamining

    closelyhowwellchildrenandyoungpeopleareprotectedfromsignificantharmbut

    alsohoweffectivelythoseatriskof,orthosesuffering,harmareidentifiedand

    helped.Ofstedhavemadeclearthatearlyidentificationandearlyhelparefirmly

    withinthescopeofthenewinspectionsandthatthedegreetowhichagenciesworktogethertoconstructaneffectivelocalsystemaresignificantaspectsofthenew

    approach.

    2.31 Newelementsoftheinspectionmethodologyincludedirectobservationofpracticeandcasetrackingandsampling,whichinvolveanexaminationofthequalityof

    managementoversightandcasesupervision.Inspectorsalsoattendchildprotection

    planning,reviewandcoregroupmeetingswherethisispossible.Thenewframework

    describesan

    inspection

    focused

    on

    the

    childs

    journey

    from

    needing

    to

    receiving

    help.

    Criticallytheirexperiencesonthatjourneyarereviewed(includingwhethertheyfeel

    theyhavebeenhelped)andthedifferencethatismadebytheprofessionalshelping

    andprotectingthemandtheirfamiliesistobeevaluated.

    2.32 Thepilotinspectionsinsupportofthenewframeworkprovidedencouragingfeedback.Thenewandstrongeremphasisontheeffectivenessofhelpandprotection

    andthequalityofprofessionalpracticedidsecurethebasisforjudgmentsabout

    impact,children

    and

    young

    peoples

    direct

    experiences,

    and

    the

    change

    that

    was

    beingeffectedinfamiliesthroughthearrangementstohelpandprotectthem.Local

    authoritiestakingpartconfirmedthattheexaminationofpracticeatthefrontlinewas

    refreshingthoughdemanding.ThedecisiontoinvolveDirectorsofChildrensServices

    inthejudgmentbuildingmeetingattheendoftheinspectionwasparticularlyvalued

    andconfirmedtheadvantagesofatransparentmechanismtoevaluateobserved

    professionalpracticeaspartoftheseinspections.(PreviouslyDCSswereonly

    presentedwithagreedinspectionfeedback,ratherthanbeingabletohearthenature

    anduse

    of

    evidence

    in

    reaching

    judgments.)

    Tracking

    and

    sampling

    the

    cases

    of

    childrenandyoungpeoplewaswellsupported,particularlyasameansofjudgingthe

    qualityofprofessionalpractice.Inspectorsinvolvedintheseearlypilotinspections

    alsosaidthattheirincreasedclosenesstopracticebroughtthemclosertoevidence

    aboutthedifferencethatprofessionalinterventionsweremaking.Thelinkbetween

    plans for children management oversight and the quality of supervision was reported

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    thatthesenewinspectionsareconcernedwithchildprotectionandnotwider

    safeguarding.Creatinganinspectionexperiencethatisnotbasedonadeficitmodel

    andthat

    identifies

    good

    practice

    and

    improvement

    is

    also

    achallenge

    that

    Ofsted

    have

    committedtocontinuetoevaluateduringthefirstyear.Theyhavealsoconfirmed

    theirintentioninthenewframeworktofocusonwhatmakesthebiggestdifferenceto

    thelivesofchildren,youngpeopleandfamilies.Thisfirstcyclewillbesignificantin

    establishingthatexpectationsarenottoohighbutarerealisticandambitiousabout

    theprotectionofchildrenandyoungpeople.Ofstedsroleindescribingandsharing

    emergentandstrongpracticewillbeimportantinanewsystemthatisbeginningto

    establishstronglocalarrangementsintheabsenceofnationallyprescribedrules.

    Weakerauthorities

    will

    need

    to

    learn

    from

    those

    performing

    strongly

    and

    making

    moreimpact.Regularevaluationandsharedlearningofthesedevelopmentsisarich

    resourcethatOfstedwillwanttomakeavailableinsupportofchildrensservices

    takingtheleadintheirownimprovement.

    2.34 Whilstmyfinalreportrecommendedthatthenewinspectionsshouldconsiderthecontributionofallprofessionals,Inotethatthenewframeworkisasingle

    inspectorateframeworkonly.IampleasedthatwhenOfstedpublisheddetailsabout

    the

    new

    arrangements

    in

    January

    of

    this

    year,

    they

    also

    announced

    the

    development

    overthecomingtwelvemonthsofanewsharedinspectorateframeworkduefor

    implementationin2013.Thiswillbeanimportantextensionofthesignificantnew

    foundationsthatIbelievethesefirstinspectionsthisyearwillestablish.Ofsted,the

    CareQualityCommission,HMIProbation,HMIConstabularyandHMIPrisons,haveall

    publiclyconfirmedtheirintentiontodevelopandbepartofamultiagencyinspection

    programmewithpractice,effectiveness,andchildrenandyoungpeoplesexperiences

    atitsheart.Itwouldalsobedesirablefortheseinspectionstofocusonthe

    effectivenessof

    the

    LSCB

    and

    the

    contribution

    of

    all

    partners

    to

    it.

    Inspection

    that

    is

    focusedontheeffectivenessofpractice,thedevelopmentofprofessionaljudgment

    andadeepreflectiononthedifferencethatthisismakingforchildren,youngpeople

    andtheirfamiliesissignificantprogressandaconsiderableleverinthesystem

    changesthatmustcontinuetodevelopandimprove.

    Conclusion2.35 Therecommendationsrelatingtochangesinstatutoryguidanceandtheinspection

    processareimportantcomponentsoftheculturalchangeneeded.Therehasbeen

    considerableworkdoneonallofthesethoughsubstantivechangeshavenotyetcome

    intoforce.Thisdelayhasobviouslylimitedservicesabilitytoreviewtheirwaysof

    working,revisedocumentation,andimprovetheirsoftware(andtheimpactwillbe

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    Chapter3:Redesigningservicesaroundchildren,youngpeopleandfamilies

    needs

    Introduction3.1 Inmyreview,Iusedtheconceptofthechildsjourneytolookatserviceprovision

    fromtheviewpointofthechildoryoungpersonratherthantheprovider.Thisdraws

    attentiontothenumberofdifferentserviceswhomaybeincontactwithfamily

    membersandhaveaninfluence,directorindirect,onchildrenandyoungpeoples

    experiencesastheygrowup.Thereactivechildprotectionservicesdealwithonlya

    smallpercentageoftheproblemsthatchildrenandyoungpeopleexperience;most

    formalhelpisprovidedbyuniversalservicesortargetedservices.Thathelp,besides

    improvingtheirwellbeingingeneral,alsosignificantlyreducestheincidenceand

    severityofabuseandneglect.Servicestoadultswhoareparentsareasimportantas

    thosedirectlyworkingwithchildrenandyoungpeoplesincetheycanimprovethe

    qualityofparentingthatthechildexperiences.

    3.2 TheimportanceofworkingtogetherhaslongbeenappreciatedinEnglandandgoodprogresshasbeenmadeinrecentyears.Inrelationtoearlyhelp,althoughtherehas

    beenlessstatutoryprescriptionthaninchildprotection,myreviewhighlightedthat

    increasedflexibilityisstillneededtoallowthemtofindbetterwaysofworking

    constructivelytogetherandwithchildprotectionservices.Bycreatingthespacefor

    servicestoworktogetherandbyencouragingthatworkthroughLSCBs,Healthand

    WellBeingBoards,andmultiagencyinspectionsitshouldbepossibletoimprovethe

    qualityof

    early

    help

    for

    vulnerable

    children

    and

    young

    people

    EarlyHelpandFlexibility3.3 Earlyhelpisgivenassoonasaproblememergesandisintendedtoprevent

    escalation.Itcreatestwochallenges(a)decidingwhatlevelofskillisneededtohelp

    thefamilythevisibleproblemmaybelowlevelbutbeduetocomplexcausesthat

    arehard

    to

    change

    and

    (b)

    whether

    the

    concerns

    are

    evidence

    of

    actual

    or

    potential

    abuseorneglectandwarrantreferraltoChildrensSocialCare.

    3.4 TheGovernmentspoliciesonCommunityBudgets,FamilyInterventionProjects,andTroubledFamilieshavebeendevelopedinresponsetoevidenceoffamilieswhohave

    numerouscontactswithservicesbutshowlittlebenefit.TheDepartmentfor

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    3.5 Researchonneglectfulfamiliesproducessimilarfindingsofineffectiveresponses,often

    linked

    to

    inadequate

    assessments

    of

    the

    degree

    of

    harm

    that

    the

    children

    were

    suffering.

    Itisthechronicnatureofneglectthatisknowntobeparticularlycorrosivetochild

    development.However,protectivesystems,likethoseacrosstheUK,havedeveloped

    aroundaforensiccore,andarenotoriouslyclumsywhenitcomestodealingwith

    sustainedproblemsratherthanoneoffevents.Neglectasdefinedbytheofficial

    systemhasbecomeoverlycomplicatedandprocessbound.Adistancehasdeveloped

    betweencommon

    sense

    empathy

    with

    the

    unhappiness

    of

    hungry,

    tired,

    un

    kempt

    anddistressedchildrenandanoverlybureaucraticandanxietyriddensystemfor

    reachingouttohelpthem.Thereseemtobemanydelaysandbarrierstochildren

    receivingaswiftandcoordinatedresponse

    Somerespondentsidentifiedtheproblemthatchildrenandfamiliescan

    bebombardedwithservicesthatappeartohavelittleappreciableimpactonthe

    qualityofthechildsdaytodaylife(ActionforChildren,2011,p.2021).

    3.6 TheSeriousCaseReviewonFamilyZ(HaringeyLSCB,2012)providesaclassicexampleofrepeatedreportsofconcernaboutthechildrenandyoungpeoplescareandwell

    beingfailingtotriggeranadequateassessmentoftheharmtheyweresufferinguntil

    theyhadhadprolongedexposuretoneglect.

    3.7 Therefore,thegreaterflexibilityarisingfromtherevisionofstatutoryguidancemayleadtobetterwaysofrespondingtoconcernsaboutneglectand,inparticular,to

    tacklingthe

    problem

    that

    the

    current

    child

    protection

    guidance

    is

    better

    designed

    for

    respondingtoincidentsofabusethantochronicpatternsofparentingthatharmthe

    childsdevelopment.Inwritingofmyreviewinrelationtoimprovingearlyhelp,Matt

    DunkleyDCSofEastSussexsaidimportantly,itoffersanopportunitytodothings

    differently(EastSussexCountyCouncil,2011).

    3.8 ThemanyexamplesofreformsIhavereceivedshowhowareasandservicesaregrappling

    with

    the

    complexity

    of

    children

    and

    young

    peoples

    needs

    and

    are

    already

    workingthroughwaysofgettingtherighthelptotherightfamiliesasquicklyas

    possibleandofhelpingthoseworkingwithfamiliesoutsidechildprotectiontomonitor

    andmanagerisktochildrenandyoungpeople.

    3.9 Forexample,inSuffolk,theIntegratedAccessTeamthatiscolocatedwithpolicewas

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    Theimportanceofworkingtogether3.11 Arecentsummaryofmessagesfromresearch(Davies&Ward,2012)hasawealthof

    valuablematerialandendorsesthesoundnessofthepreventiveagenda,keymessages

    include:

    Programmesthatpreventtheoccurrenceofabusearelikelytobemoreeffective

    thanthosethataddressitsconsequences.

    and

    Apopulationbasedapproachtopreventionisnonstigmatizing,morelikelytoreach

    familiesearlyandpreventescalationofabuse,andmorelikelytoreachthose

    childrenwhosemaltreatmenttendstopassunnoticed(p.71).

    3.12 TheEveryChildMatterspolicyofthelastGovernmentdidmuchofthegroundworkinestablishingthevalueofservicesworkingbettertogether.Davies&Wardsreviewof

    researchonprogress,includestheobservationsthat:

    Importantadvanceshavebeenmadeinrecentyearsatthepracticelevelthroughinnovativeapproachestoservicedeliverysuchasmixeddisciplinary

    teamsandcolocationofworkers.

    Therearealsoslowbutimportantadvancesinasharedsenseofresponsibilitybetweenagenciesandreductionsinthesilomentalityto

    working.Itisimportanttobuildonthesegains.

    LocalSafeguardingChildrenBoardshaveplayedanimportantpartinbuildingstrongerrelationshipsthroughprovidinghighqualityinteragencytrainingandbuildingnetworkingarrangementsbetweenandacross

    disciplinarygroups(2012p.137).

    3.13 Theyalsowarn:Therearerisksthattheseadvancescouldbelostasaresultofradicalrestructuringofservices.Itwillbeimportantthatservicesaremindfuloftheserisksas

    therestructuringbedsin.

    3.14 Thereissimilarriskfromtheothermajordriverofreformatpresent:fundingcutstoallservices.Localauthorities,forexample,arehavingtoaccommodateto28%

    reductionintheirfundingonaverage,butestimatesofthecutsinchildrensservices

    vary(ADCS,2012). Theevidencesofaristhatareasaremakingsignificantattempts

    to protect early and preventive childrens services but do not think this can be

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    assessmentoftheeffectivenessofthehelpbeingprovidedtochildren,youngpeople

    andfamilies(includingtheeffectivenessandvalueformoneyofearlyhelpservices,

    including

    early

    years

    provision)

    (recommendation

    6).

    3.16 TheGovernmenthasconcludedthatanewdutyisnotnecessarybecausetheexistingdutyonlocalstrategicbodiestocooperate(Section10oftheChildrenAct2004)

    meetstheneedalready.IntheirresponseinDecember(DepartmentforEducation,

    2011),theysaid:

    TheGovernmenthasbeenworkingwithpartnerstoconsiderthebest

    routeto

    secure

    Professor

    Munro's

    vision

    of

    atransparent

    and

    co

    ordinated

    offer

    of

    earlyhelpforchildrenandfamilies.WehaveengagedwithpartnersinADCS,health,

    policeandeducationandhaveconcludedthatwedonotneedanewstatutoryduty

    todeliverearlyhelpandthatthereissufficientexistinglegislationtorealise

    ProfessorMunro'srecommendation.Wewillcontinuetoworkwithpartnersto

    clarifyexistinglegislationtoemphasisetheimportanceofearlyhelp.Inthe

    meantimeweencouragelocalareastocontinuetoworktoprovideearlyhelpforthe

    compellingargumentsthatProfessorMunroarticulated.

    3.17 Continuedcommitmenttoworkingtogetherwillalsobepromotedbytheimplementationofanotherofmyrecommendations(recommendation2)thatthe

    InspectionFrameworkshouldexaminetheeffectivenessofthecontributionsofall

    localservices,includinghealth,education,police,probation,andthejusticesystemto

    theprotectionofchildrenandyoungpeople.Thishasbeenacceptedbytherelevant

    inspectoratesbut,becauseofthediversityintheirwaysofoperating,workisneeded

    tocreateasharedapproachandthisisplannedtocomeintooperationinJune2013.

    Relatedpolicies3.18 Thereareseveralrelatedpoliciesthatmakeavaluablecontributiontoeffective

    safeguarding.TheGovernmentsappreciationoftheimportanceofearlyhelpled

    themtosetupareviewheadedbyGrahamAllenofearlyinterventiondelivery.This

    reportedin2011(Allen,2011).Theprimaryrecommendationarisingfromthese

    reportswas

    the

    establishment

    of

    an

    Early

    Intervention

    Foundation.

    Graham

    Allen

    outlinedthepurposeoftheindependentFoundationas:

    Beastrongvoicetopromoteandfostertheimpactofearlyinterventionworkandaddvaluetothosewhoalreadyworkinthefield.

    Evaluate and validate the evidence based programmes and practises in the

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    3.20 RecognitionoftheimportanceofcollaborationbetweenservicesisalsoevidentintheGovernmentscontinuationoftheFamilyImprovementProjects(FIPs)andthe

    introduction

    of

    the

    Community

    Budgets

    and

    Troubled

    Families

    scheme.

    Evidence

    from

    themonitoringofFIPs(DepartmentforEducation,2011a)hasalreadyshown

    encouragingresultsinimprovingchildrenandyoungpeoplescare.

    3.21 ThenewTroubledFamiliespolicybuildsonthethinkingbehindFIPsandalsoseekstoharnesstheeffortsofthemanyservicesthatcanbeinvolvedwithonefamilytocreate

    amoreconstructivecollaborativeeffort.Itisinnovativeinthatitwill:

    runprimarily

    on

    apayment

    by

    results

    basis

    to

    incentivise

    local

    authorities

    and

    other

    partnerstotakeactiontoturnaroundthelivesoftroubledfamiliesintheirareaby

    2015.TheGovernmentwilloffertopayupto40percentoflocalauthorities'costsof

    dealingwiththesefamilies(PaymentbyResultsModel)payableonlywhentheyand

    theirpartnersachievesuccesswithfamilies.

    TheGovernmentwillalsofundanationalnetworkoftroubledfamily'trouble

    shooters'ineach(uppertier)localcouncil.Thetroubleshooterswilloperateata

    seniorlevel

    to

    oversee

    the

    programme

    of

    action

    in

    their

    area

    (Dept

    for

    Communities

    andLocalGovernment,2012).

    3.22 Anotherrelatedaspectofgovernmentpolicyishealthreform.Healthservicesmakeamajorcontributiontothehealthandwellbeingofchildren,youngpeopleandtheir

    families,andtheirreformwillhaveasignificanteffectonsafeguarding.Itwillbe

    extremelyimportantthatLSCBs,HealthandWellBeingBoards,andprofessional

    bodiescooperatetoensurethatsafeguardingdoesnotgetlostinthemix.

    3.23 Currenthealthpoliciescontainmanydevelopmentsthatwilldirectlycontributetoimprovingthequalityofsafeguarding.TheMarmotReview(2010)highlightedthe

    inequalitiesinhealthoutcomesandtheimportanceoftakingalifecourseapproachto

    planningservicesthatemphasisesthevalueofpreventionandearlyhelp.TheHealthy

    ChildProgramme019hasambitiousgoalstoimproveallchildrensdevelopment.The

    plannedincreaseof4,200additionalhealthvisitorsby2015(DepartmentofHealth,

    2011a)willsignificantlyimprovetheirabilitytosupportfamilies.Theexpansionofthe

    FamilyNursePartnership(2012)willhelpsomeofthemostvulnerableparents

    throughpregnancyandtheearlyyears.Mentalhealthpolicyisalsoofrelevance,both

    forchildren,youngpeopleandtheirparents(DepartmentofHealth,2011b).The

    relevanceoftheNHSoutcomesframeworkisdiscussedinChapter5whenlookingat

    feedbackonhoweffectiveservicesarebeing.

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    partnersandcommunitiessharedprioritiesforaction.Theprioritiesshouldreflectthe

    issuesthatmattermosttocommunitiesandwherethegreatestimpactcanbemade

    on

    health

    and

    wellbeing

    outcomes.

    3.25 TheJointHealthandWellbeingStrategies(JHWS)willsetouthowtheNHS,localgovernment,widerpartnersandcommunitieswilladdressthepriorities,andimprove

    bothservicesandhealthandwellbeingoutcomes.Thiswillincludeplansforhowthey

    canworktogether,forexampleusingsharedbudgetsandjointcommissioningto

    integrateservices,aswellasthecontributionindividualpartnerscanmake.Itwould

    alsobebestpracticetoincludeactiontoaddresswiderfactorsthatimpactonhealth

    andcare

    outcomes,

    such

    as

    housing,

    education,

    the

    economy,

    or

    crime.

    3.26 Howevertheradicalscaleofchangeintheorganisationofthehealthservicethatisnowinprogressisalsocausingconcern.Fearhasbeenexpressedthattheembedded

    mechanismsforkeepingaclearfocusonsafeguardingchildrenandyoungpeoplemay

    getlostorreducedintheprocessofchange. TheRoyalCollegeofPaediatricsand

    ChildHealthisconcernedabouthowsafeguardingstandardswillbemaintainedand

    improvedinthereformedhealthserviceandrecommendedthatNICEshoulddevelop

    aquality

    standard

    for

    safeguarding

    to

    drive

    service

    improvement

    (RCPCH,

    2012).

    This

    wouldbeavaluablemeansofhelpingthenewsystemkeepaclearfocuson

    safeguardingastheradicalreformsareimplementedandIendorsetheir

    recommendation.

    3.27 Thenewhealthsystemgivesweighttousersviewsbutgivingchildrenandyoungpeopleameaningfulvoiceisadistinctchallenge.Unlikeadults,theydonothaveany

    leveragethroughthevotingsystem;theyhavelittlevoiceintheusualchannelsof

    communication.On

    many

    issues,

    one

    can

    expect

    their

    parents

    to

    represent

    their

    needsandviewsbutthisclearlydoesnotapplywhentheissueischildprotectionsince

    parentsareunlikelytocomplainthattheirabusivebehaviourisgoingundetected.

    Thereforeitisessentialthattheconsiderableexpertiseonsafeguardinginthehealth

    serviceismaintainedanditshouldbereadilyavailableasthenewentitiescomeinto

    operation. Thesystemofnamedanddesignateddoctorsandnurseswillbe

    maintainedbutthereshouldbeformalarrangementsforlinkingthemintothenew

    systemsothattheyinformmanagerialdecisionmaking.

    3.28 InmyreportIrecommended:TheGovernmentshouldworkcollaborativelywiththeRoyalCollegeofPaediatrics

    andChildHealth,theRoyalCollegeofGeneralPractitioners,LocalAuthoritiesand

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    thetimeofwritingthisreport,itwasstillunclearwherethisframeworkwillbe

    published.

    Examplesoflocalreforms3.29 PartlyasongoingimplementationofthelastGovernmentspolicyandpartlyin

    responsetotheAllenreviewandmine,therearenumerousexamplesoflocal

    authoritiesandpartneragenciesseekingtoimprovethewaystheydecidewhatlevel

    ofhelpisneededandtoimprovetheamountofhelpofferedtofamilieswhohave

    significantproblemsbutwhichdonotmeetthecriteriaforaservicefromspecialist

    services,including

    child

    protection.

    Ican

    only

    give

    asample

    of

    the

    reform

    here.

    Many

    morecanbefoundontheC4EOwebsitesincetheycalledforexamplesoflocal

    practicearoundearlyhelpandthesearenowbeingpublishedastheyarereceived.

    (http://www.c4eo.org.uk/themes/earlyintervention/default.aspx?themeid=12&access

    typeid=1)

    3.30 Colocatingservicesisacommonstrategyandthesemultidisciplinarygroupsseembetter

    able

    to

    answer

    the

    question

    what

    help

    does

    this

    family

    need

    and

    who

    is

    best

    abletoprovideit?ratherthanthemoreindividualquestionshouldmyserviceaccept

    thisreferral? Therearemanyexamplesofnewwaysofdiscussingconcernsand

    managingreferralsthatseemtobeimprovingthespeedwithwhichfamiliesare

    gettingtotherighthelpandreducingthenumberofreferralstoservicesthatresultin

    noofferofhelp.

    3.31ThepoliceledinitiativeMultiAgencySafeguardingHub(MASH)thatImentionedinmy

    final

    report

    has

    now

    been

    evaluated

    by

    the

    National

    Foundation

    for

    Educational

    Research(Goldenetal,2011).Theteam,comprisingpeoplefrompolice,healthand

    ChildrensSocialCare,worksinasealedintelligencehub,meaningthattheycan

    shareinformationwithintheteambutthereareagreedrulesinplacecoveringthe

    releaseofinformationtostaffintherestoftheorganizationsinvolved.Theteam

    providesadviceandinformationonsafeguardingmatters.Itmakesaninitial

    assessmentofriskbeforedecidingonappropriateactionandallocatingcases

    accordingly.Theevaluationisclearthattheworkisstillinitsearlystagesbutinitial

    findingsare

    promising.

    3.32 Policehavealsobeeninnovativeindevelopingaservicetohelpchildrenandyoungpeoplewhoarethevictimsofdomesticviolence.OperationEncompass,developedin

    DevonandCornwall,hastrainedkeyadultsinschoolstosupportchildrenandyoung

    people who witness domestic violence When police are aware of an incident of

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    3.34 WhiletheCommonAssessmentFrameworkpolicyremains,manyareashavemademodifications

    to

    the

    original

    form

    to

    suit

    local

    needs

    (56

    per

    cent

    in

    the

    LSCB

    questionnaire)and,insomecases,toimprovecompatibilitywiththeChildrensSocial

    Caresoftware,ICS. Somehavealsoalteredthefocusfromtheindividualchildtothe

    familysotheCAFhasbecomeaFAF(FamilyAssessmentFramework)andtheTAC

    (TeamaroundtheChild)hasbecometheTAF(TeamaroundtheFamily).

    3.35 Hertfordshireprovidesanevaluatedexampleofimprovingaccesstoservices.ThisreportistakenfromtheC4EOwebsite(downloadedon25.4.12):

    The Right Response, by the Right Service at the Right Time,

    HertfordshireBackground and drivers for change

    The Right Response project was set up in July 2009 to develop and

    embed multi-agency arrangements which best support how children

    and families receive services and where revised arrangements couldmake best use of available resources. The driver was high social

    care referral rates and some families were not receiving a promptresponse (where the needs were for family support, as opposed to

    safeguarding). Findings supported the view that some referrals

    could have been better addressed in other ways, including the use

    of the Common Assessment Framework (CAF) and this would alsosupport social care colleagues in providing an improved service to

    the most vulnerable children.

    The overarching focus was to ensure a multi-agency approach to

    achieving the best outcomes for a child or young person, without

    delay, and where their needs are met at the lowest possible tier ofservice (wherever safe to do so) and for all practitioners to take

    full responsibility for ensuring that everything possible is done to

    prevent unnecessary escalation of issues or needs. A threshold

    document was developed to ensure that thresholds of need for

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    families including an increase in CAF activity, where this provides

    co-ordinated multi-agency support to families.

    There had also been an increase in CAF activity since theintroduction of the Targeted Advice Service. There were 451 CAFs

    recorded in the first quarter of 2010, compared with 171 in the

    first quarter of 2009. The number of CAFs started in March 2011was the highest to date, at 188. The work of TAS has been

    considered a significant contributing factor to this increase.

    From a sample audit of 22 cases received and progressed by TAS,the findings were that

    In 17 cases (77%), the young person and family had receivedthe required support and their needs were being addressed

    or have been met;

    In three cases (14%), needs were not addressed due tofamily refusal to engage and practitioners agreed to monitorthe needs of the child/young person;

    In two cases (9.1%), additional information was gathered andthe needs for the child considered to be particularly

    complex and of concern, requiring a referral to social care.

    The audit included feedback from referrers about the service they

    received from the Targeted Advice Service. Of the 22 cases

    audited, 95.5% of referrers felt that they received good adviceand support (referrers were: 59% health, 13.6% police, 13.6%

    family, 9% schools and 9% Voluntary & Community Sector).

    In addition, the stigma felt by families being referred to social

    care should not be under-estimated and the changes made in

    managing contacts and referrals means only those cases meetingthreshold are referred to social care.

    3.36 Attentionispaidtochildrenandyoungpeopleacrossthelifecourse,notjustintheearly years In Walsall there is an interesting example of a multi agency service for

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    youngmensproject.Withthechild/youngpersonastheirfocus,theylistentothem

    andworkalongsidethemtorecogniseandunderstandwhatishappeningtothem,

    and

    the

    impact

    that

    exploitation

    in

    the

    widest

    sense

    has

    on

    their

    lives.

    Conclusion3.37 Childabuseandneglectneedstobeseenwithinthewidercontextofhowsociety

    supportsfamilies.ChildrensSocialCareisjustoneofmanyservicesthatworkwith

    oneormorefamilymembers.Manyofthepolicydevelopmentsatpresentseekto

    integratetheeffortsofdifferentservicesbettersincethereisconsiderableinefficiency

    ineach

    working

    separately

    and

    possibly

    duplicating

    efforts

    in

    some

    cases

    while

    other

    familiesreceivenothing.Therearealsoeffortstoofferhelpatanearly(orearlier)

    stage.However,thisdoesnotnecessarilymeanthatproblemsneedlowerlevelsof

    skilltosolve.Itisnecessarytohavegoodqualityassessmentsandmonitoringto

    identifywhichproblemsarehardtodealwithandneedamoreskilledresponse.The

    greaterfocusonoutcomesshouldmakethiseasiertoachieve. Anotherproblemisto

    identifywhichchildrenandyoungpeoplearesufferingabuseorneglectandneeda

    referral

    to

    Childrens

    Social

    Child

    Care

    because

    of

    this

    (referrals

    may

    be

    made

    for

    other

    reasonstoo).Creativeinnovationsareproducingnewmultiagencywaysofdealing

    withthischallengingjudgment.

    3.38 Therearemanyexamplesofgoodprogressandcreativeinnovationsothatfamiliesreceivehelpinamorejoinedupway.Asthesenewmethodsofworkingtogetherare

    developed,itisimportantthatChildrensSocialCarecanadaptandfitin,reducingthe

    problemsthatarecurrentlyoftenreportedofdepartmentsbeingoverlybureaucratic

    andremote

    in

    their

    relationships

    with

    other

    services.

    Therefore,

    the

    increased

    local

    controlallowedintherevisedstatutoryguidanceshouldbeofgreatbenefithere.

    3.39 ThemultiinspectionprocessandtheLSCBsproposedroleinmonitoringtheeffectivenessofearlyhelpshouldencouragethesedevelopmentsandtheplanned

    HealthandWellBeingBoardswillmakeasignificantcontributiontoprioritisingand

    coordinatingpreventiveservices.

    3.40 Thefutureofearlyhelpliesverymuchinthehandsofservicesthatworkwithyoungpeopleandfamilies,theauthoritieswhocommissionthemandtheprofessional

    bodieswhorepresentandregulatethem.Allmustcooperatewitheachother,and

    withsocialservicesinordertohelpchildrenandyoungpeoplereceivehelpthatmight

    preventseriousconcernsfromescalatingtochildprotectionissues.

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    Chapter4:ChildrenssocialcareandsocialworkIntroduction4.1 Thecomplianceculturethathadbecomesowidespreadhadmademanysocial

    workersfeelthattheywerenolongerabletodorealsocialwork.Theorganisational

    prioritiesweresofocusedoncomplyingwithtargetsandperformanceindicatorsthat

    frontlineworkersoftenfelttheywerenotsupportedenoughbytheirmanagersin

    keepingaprimefocusonchildrenandyoungpeoplesbestinterests.Thedataentry

    demands,too,hadtakensomuchtime thattheyseverelyhamperedtheirabilityto

    formconstructiveworkingrelationshipswithfamilymembers. Effortstoimprovethe

    qualityofpracticehadplacedundueweightonthecontributionofguidancemanuals

    andthisincombinationwiththeperformancemanagementregimehadledtothe

    coreskillsandknowledgeintheindividualworkerbeingundervalued.

    4.2 Freeingupsocialworkersfrombureaucracyisnecessarybutnotsufficienttoproducehigh

    quality

    practice.

    As

    the

    many

    examples

    Ihave

    been

    given

    illustrate,

    managers

    in

    ChildrensSocialCarerecognisethatsocialworkersneedtobegivenongoingtraining,

    coaching,andsupervisiontoexerciseprofessionaljudgmentwell. Theneedformore

    robusttrainingandongoingdevelopmentwasattheheartoftheSocialWorkTask

    Force(2009)recommendationsaswellasmyown.

    4.3 Progressisbeingmadeonstrengtheningtheprofessionasawhole,creatingacareerstructurethatrewardsthosewhochoosetofocusonincreasingtheirexpertise,and

    onredesigning

    childrens

    social

    care

    services

    so

    that

    they

    reflect

    this

    greater

    priority

    beinggiventotheorganisationsabilitytohelpchildren,youngpeopleandfamilies

    effectively.Thischapterlooksatprogressonbothissues,beginningwithprofessional

    developments.

    ProfessionaldevelopmentsSocial

    Work

    Training

    4.4 ThechangesadvocatedbytheSocialWorkTaskForcerelyfortheirsuccessfulimplementationonthepracticalframeworksandtoolsdevelopedbytheSocialWork

    ReformBoardwhichcanstrengthenthesocialworkprofessionanddevelopabetter

    qualityofpractice.Theseincludeimprovementstoinitialeducation,inselectingthe

    right people to train and in meeting the needs of those aspiring to be the next

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    allowbothlecturersandcourseleadstoreviewcontent.Newstandardsforpractice

    placementshavealsobeendeveloped.

    4.6 TheSocialWorkReformBoardisnearingitsendandwillbepublishingareportwhichwillgivefulldetailsofprogressandcontinuethemomentumofreform.Future

    progresswilldependonlocalauthoritiesandotheremployers,highereducation

    institutes,andtheprofessionusingtheframeworkstodriveimprovements,whichwill

    take5 10yearstoembed.

    4.7 TheCollegeofSocialWorkhastakenownershipofanumberofframeworksdeveloped

    by

    the

    Reform

    Board

    with

    the

    sector.

    Key

    aspects

    that

    will

    improve

    training

    are:

    Aprofessionalcapabilitiesframework(PCF)whichestablishessharedexpectationsofsocialworkersateachstageoftheircareers.Theseexpectationswillunderpin

    thesocialworkdegree,asocialworkersfirstyearofemployment,andtheir

    continuingprofessionaldevelopment;

    PartnershipworkingsothatHigherEducationInstitutes(HEIs)andemployerssharethe

    responsibility

    for

    degree

    courses,

    including

    the

    practice

    learning

    in

    which

    studentsspendalmosthalftheirtime.

    Socialworkregulationchanges

    4.8 On1stAugust2012,theHealthProfessionsCouncil(HPC)willbecomethenewregulatorforsocialworkers,includingregistrationofsocialworkersandapprovalof

    socialworkdegreeprogrammes.

    4.9 AspartofmeetingHCPCstandards,educationprovidersmustreflectthephilosophy,corevalues,skillsandknowledgebasearticulatedinanyrelevantcurriculumguidance.

    SocialworkeducationproviderscanusetheProfessionalCapabilitiesFrameworkand

    educationrecommendationsfromtheSocialWorkReformBoardandCollegeofSocial

    WorktoinformthedevelopmentoftheirprogrammetomeetHCPCstandards.In

    additiontoHCPCapproval,theCollegeofSocialWorkisplanningtoofferan

    endorsementschemeforeducationprovision,whichwillprovideakitemarkofquality

    in

    professional

    standards.

    CollegeofSocialWork

    4.10 EstablishingaCollegeofSocialWorkwasarecommendationoftheSocialWorkTaskForce:

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    4.12 ThethreeFacultiesareforChildandFamilySocialWork,Adults,andMentalHealth.Theywillfocusonencouragingsocialworkersthroughoutthecountrytobecome

    involvedintheworkofTheCollege.Theywillbringtogetherthewisdomandexpertise

    ofsocialworkerstodeveloptheirprofessionalspecialisms,discussandresolve

    problems,produceguidance,andinfluencechangesinlaw,policyandpractice.Ihave

    acceptedtheroleofTransitionalChairoftheFacultyforChildandFamiliesSocialWork

    forthefirstyearand,todate,wehavecreatedoneCommunityofPracticearoundthe

    SignsofSafetyapproach,providingamechanismforthemanyauthoritiesworking

    withthisapproachtoformanetworktosharelearning.MoreCommunitiesofPractice

    willbedevelopedasmembersgenerateideas.

    4.13 TheCollegewillmonitortheimplementationofthereformagendasetoutbytheSocialWorkReformBoard.ThiswillactalongsidetheHPCsregulatoryprocesses.

    ChiefSocialWorker

    4.14 MyrecommendationtocreatethepostofChiefSocialWorkerhasbeenacceptedandthepostadvertised.HeorshewillbeanadvisertotheGovernmentonadultandchild

    socialworkissuesandthedevelopmentofrelevantpolicies,andwillprovide

    authoritativeexternal

    leadership

    and

    challenge

    on

    the

    professional

    development

    of

    thesocialworkprofession.ThepostwillreportjointlytotheDirectorGeneralof

    Children,YoungPeopleandFamiliesinDfEandtheDirectorGeneralforSocialCare,

    LocalGovernmentandCarePartnershipsintheDepartmentofHealth.

    4.15Keyresponsibilitieswillinclude: advisingtheSecretariesofStateforEducationandHealthandwiderGovernment

    onsocialworkpracticeandpolicydevelopment;

    promotingvaluesandstandardsofprofessionalpractice; encouragingtheuseofresearchandevidencetoimprovesocialworkpractice; performingachallengeroletothesectoronraisingstandards,andinformingthe

    improvementagenda;

    raisingpublicawarenessandunderstandingofsocialwork; workingwithdisciplinesbeyondsocialworktoencourageeffectiveinteragency

    practice;and

    advisingtheGovernmentonstrengtheningthesocialworkroleinsupportingandsafeguardingthoseinvulnerablecircumstances.PrincipalChildandFamilySocialWorker

    4.16 MyrecommendationonencouraginglocalauthoritiestohavearoleofPrincipalChild( )

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    4.17 Ihavelearnedfromfeedbackthatitisgenerallyagreedthatprofessionalknowledgeaboutsocialworkandchildprotectionneedstobeanintegralpartofthesenior

    managementteam. Effectivedecisions aboutfamiliesthroughtoservicepolicy,to

    structuralchange,toresourcemanagement needtobebasedonseniorprofessional

    socialworkadvicesothatboththepositiveandnegativeconsequencesonpractice

    arefullyunderstood,andproperpublicaccountabilityfordecisionmakingisheld.This

    isgenerallyaddressedatpresentthroughtheappointmentofaseniorofficerwhoisa

    qualifiedsocialworkerandwhohasresponsibilityforcommunicatingtherealitiesof

    frontlinepracticeindecisionmaking.ThisismostoftenanAssistantDirector/Headof

    Service/DeputyDirectorwhoseportfolioincludeschild&familysocialworkservices.

    Many

    consider

    that

    this

    arrangement

    is

    adequate

    but

    my

    recommendation

    was

    inspiredbythefindingsinotherfieldsthatoncepeoplehavestoppedengagingin

    frontlinepracticethenthevividrealityofitstartstofadeandprioritiesstarttoshiftto

    themanagementagenda.Ididnotrecommendthattheycarriedacaseloadbutthat

    theycontinuedtodosomedirectworkandIhaveheardofexamplesthatshowsome

    dothisatpresent.OneDirector,forexample,doesahalfdayondutyamonth.

    AssistantDirectorssometimeshelpwiththemorechallengingfamilies. Therefore,

    therecommendationonappointingaPCFSWmaynotbenovelinsomeauthorities.

    4.18 Itisreasonabletoassumethatthefirstissueisalreadyaddressedwherelocalauthoritiesalreadyhaveadesignatedseniorofficerrolewhoseprimaryfocusison

    effectivechild&familysocialworkpractice,whoissignificantlyinvolvedincasework

    aspartoftheirdaytodayrole,andwhohasadesignateddutyandauthoritytoapply

    theirknowledgeabouttheconditionsinwhicheffectivesocialworkcanflourishinall

    significantorganizationaldecisions.

    4.19 TheroleofPCFSWshould,however,alsobeusedtoaddressthesecondissuei.e.theneedtocreateextendedpracticecareerpathways.Thiswillmakemostsensewhere

    thereisacompletereviewofcareerandrolestructures.Insomeofthemore

    fundamentalredesignsofservicethatIshallreportonlaterinthischapter,thisroleis

    morereadilyincluded.

    4.20 Currently,therearerarelypracticebasedopportunitieswhichextendbeyondthesenior/advancedpractitionerroles.Fortalentedpractitionerstoremaininpractice

    throughouttheir

    careers,

    opportunities

    which

    attract

    increasing

    financial

    reward

    need

    tobecreated.Withinthehealthservicetherearealreadyeffectiveworkingmodels

    whereclinical(practicebased)careersarecommonplace.Inseniorclinicalroles,

    significantamountsoftimemaybespentoncasesupervision,researchandteaching,

    servicedevelopmentsetcbut,critically,thepersonalwayscontinuestopractice.

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    advancedpractitionerroleandtogethertheycreateavirtualteamthatworkstothe

    PC&FSW.ThePSWisonthesamegradeasateammanager.Thisispartofan

    organisationwidemovetoenhancetheexpertiseintheworkforce.

    ThePCFSWleadsontheredesignofsocialworkinCornwall,promotesalearning

    culturewithinoperationalservicesandreportstheviewsandexperiencesofthefront

    linetoalllevelsofmanagementandmembers.ThePCFSWisresponsibleformaking

    leadingedgeresearchinpractice,policyandguidancereadilyavailabletoallsocial

    workers,promotingtheuseofawebbasedresourcelibrarytounderpinevidence

    basedpractice.Thepostholderalsoleadsontheformulationanddeliveryofan

    annual

    childrens

    social

    work

    conference.

    TheroleofthePrincipalSocialWorker,undertheleadershipandmanagementofthe

    TeamManager,isto:

    provideastatutorysocialworkservice,particularlyinthemostcomplexofcases; provideakeyroleindeveloping,supportingandmonitoringthecompetencyand

    confidenceoffrontlinesocialworkstaffthroughdeveloping,maintainingand

    championingexpertiseinspecificareasofsocialworkpractice

    driveexcellentpracticebasedonresearchevidenceandprofessionalexperience; supporttheachievementofimprovedoutcomesforvulnerablechildrenand

    youngpeople,includingsafe,stableandpermanentcare;

    providesupervision,mentoringandsupporttolessexperiencedteammembersincludingpracticeteachingforstudentsocialworkers.

    DevelopmentsinChildrensSocialCare4.22 ChildrensSocialCaredepartmentsareimplementinganumberofreforms.Someare

    makingmajorchangestoenhancethequalityofhelpreceivedbyfamilieswhileothers

    aremovingmorecautiously. TheLSCBquestionnaire(Munro&Lushey,2012,p.9)

    reportsonwhatisgoingoninthe57areasthatrespondedandIhaveaddedsome

    examplesforillustration.

    Promotingreflectivepractice themostfrequentlycitedactivitywaspromotionof,

    andenhanced

    training

    in,

    reflective

    supervision

    practices.

    In

    the

    South

    West

    Region,

    forexample,traininginmindfulpracticehasbeenprovidedforfrontlinemanagers

    andsocialworkerswithanevaluationreportingimprovementsinsoundanalysisand

    decisionmaking(Jones,2011).

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    (particularlyalcoholanddruguse).Itisparticularlyfocussedonunderstandingand

    reducingclientresistanceandhowtochallengeeffectivelyandthereforeseems

    likelytobeusefulinchildprotectionsettings) eightLSCBsindicatedthat

    motivationalinterviewingtechniqueswereusedwithintheirarea.Islington,forexample,aretrainingalltheirChildreninNeedsocialworkersinMIaspartofa

    proposedrandomisedcontrolledtrial(Forrester,2012a).

    Evidencebasedinterventions thirtyfiveLSCBsreportedtheyhadimplemented

    evidencebasedinterventions.ThemostcommonlycitedwastheTriplePPositive

    ParentingProgrammefollowedbymultisystemictherapy.OneLSCBreportedthey

    had

    developed

    a

    resource

    bank

    of

    evidence

    based

    approaches

    to

    promote

    purposefuleffectiveinterventionandinformtrainingneedsanalysis.

    Improvingfeedbacktoprofessionalsmakingreferralstochildrenssocialcare thirty

    threeLSCBssaidtheyhadtakenactiontoimprovefeedbacktoprofessionalsmaking

    referralstochildrenssocialcare.

    Implementingchangestoreducethenumberofchangesofsocialworker

    experiencedby

    children

    and

    families

    thirty

    two

    LSCBs

    reported

    they

    had

    or

    were

    takingmeasureswhichwereintendedtoreducethenumberofchangesofsocial

    workerexperiencedbychildren,youngpeopleandfamilies.Mechanismstodothis

    included:redesigningservicestominimisesystemledchange;andstrategiesto

    maximiserecruitmentandretentionofsocialworkers.

    RedesigningtheCommonAssessmentFramework(CAF)tomeetlocalneeds thirty

    twoLSCBsreportedtheywerereviewingthedesignoftheCAForhadalready

    implementedchanges

    to

    meet

    local

    needs.

    Developments

    included

    introducing

    a

    localformofeCAF,redesigningtheformsand/orsimplifyingprocedures.

    Developingsystemstoobtainbetterfeedbackfromchildren,youngpeopleand

    familiesinrelationtotheirexperiencesofservices thirtynineLSCBsreported

    systemswerebeingdevelopedtoobtainbetterfeedbackfromchildren,young

    peopleandfamiliesinrelationtotheirexperiencesofservices. Thefollowing

    developmentsandfeedbackmechanismswereidentified:

    Redesigningfeedback

    forms.

    Conductingsurveys(forexample,asurveyofparentalexperiencesofchild

    protectionconferencestoinformstrategiestoimproveparentsexperiences

    andengagement).

    Interviewsand/orfocusgroups(forexample,interviewswithchildrenand

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    predominatelyconcernedwithreviewingdatarequirements(andgenerally

    expandingdatasets)orredesigningperformanceframeworks.Asmallnumberof

    LSCBChairsspecificallyacknowledgedtheincreasingsophisticationofreporting

    mechanismsand/ortheimportanceofanalysingbothqualitativeandquantitativedatatomonitorperformance.

    4.23 Intheresponses,mentionwasalsomadeofusingtheSignsofSafetyapproach(Turnell,2012)andtheReclaimingSocialWorkapproachdevelopedinHackney

    (Goodman&Trowler,2011).Thesearebothwholesystemredesignsandbeing

    adoptedbyseveralauthoritiessomeritmoredetail.

    Reclaimingsocialwork

    SubmissiontoMunroProgressReport,fromMorningLaneAssociates.

    Reclaiming Social Work is an operations systems/systemic methodology

    for statutory child and family social work (details of the full model can

    be found at www.morninglane.org). At the time of this report, the model

    has been rolled out in full in one authority and has shown very promising

    results in keeping children and young people safely at home (Cross,

    Hubbard & Munro, 2010 and Forrester, D. 2012b).

    Since then many authorities have adapted the model to suit local

    circumstances and are already seeing very positive changes. As part of

    this group an extensive network of authorities have banded together to

    form the National Redesign Network, all focused on embracing a

    different journey for child & family social work and the families theywork with, and through a process of exchange of ideas and expertise,

    challenge and debate with each other, and within their own local areas,

    have developed some progressive and creative programmes of change.

    Derbyshire has been piloting the use of systemic based clinical

    supervision in addition to that provided by the team manager as a way of

    introducing more reflective opportunities to think through child

    protection concerns and how best to positively engage the family and

    progress safety plans. Starting with just 2 social workers, the approach

    is being rolled out across the county to over 80 social workers.

    She is really transparent - she doesn't stab you in the back at case

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    and strengths in families rather than their deficiencies has proved

    inspiring for the practitioners.(District Manager:)

    Cambridgeshire is in the process of implementing Working for Families

    a whole systems change which aims to keep children and young people

    safely with families through enhanced evidence based skills development

    and a structure which supports collaborative working amongst

    professionals and with families (more details are available on the Munro

    Review website, in Progress Submissions).

    I continue to be enthusiastic and energised about this way of workingin a way that I do not remember in all my years as a social worker.

    There are clear differences in our practice already. The responsibility

    is shared between a small group (unit) of staff, who pool their

    respective ideas and skills in a coordinated and much more active way

    than before. Each and every child is discussed every week and plans

    are made about a range of interventions. The work is strengths

    based.much more hands on, with workers helping families to buildskills to enable them to problem solve much more effectively for

    themselves. Developing a shared knowledge base through systems and

    social learning theory, while still using other research such as

    attachment theory, has been invaluable. The inclusion of a specialist

    clinician has been especially exciting, particularly in families where

    there are entrenched drink or drug addictions or mental health issues.

    This is so much better for the families than before..it is such a

    rewarding way to do social work without the heavy burden ofresponsibility on any one set of shoulders. What is fantastic is that we

    are continuing to learn this is only the beginning (Group Manager,

    Cambridgeshire)

    Cornwall Child & Family Social Work Services has created a network of

    new roles across the operational system: Principal Social Workers in

    every team who are advanced practitioners with a small caseload and whohave responsibility for supervision, mentoring and support to other social

    workers; and Consultant Social Workers who have a full caseload but

    crucially, both posts are paid the same as team managers but with no line

    management or budget responsibility. This is significant because it gives

    a very strong message that practice skills have equal status to

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    Harrow is a good example of an authority taking a whole systems

    approach to both early help and targeted services. Their new model

    prioritises parenting skills, family support and responses to young peopleon the cusp of exclusion, crime or care. Critical though is the strong

    strategic approach to changing practice through the introduction of a

    limited set of evidence based methodologies across the childrens

    workforce as well as providing on the job coaching and modelling.

    Islington have a comprehensive redesign programme in place, which

    focuses on the whole system of child & family social work. Within the

    wide range of initiatives, they have introduced a time and motionmethodology which other authorities have now adopted, which shows the

    detail of what social workers spend their time doing, what proportion of

    time is sent on direct work and reveals what needs to shift in order to

    increase that proportion. A much more strategic approach to skills

    development has also been launched where resources are targeted

    towards long term evidence based skills development underpinned by

    rigorous academic evaluation provided through the Tilda GoldbergFoundation under the leadership of Professor Donald Forrester.

    Worcestershire found the timing of the Munro Review exactly right as

    they had identified significant workforce issues following an OFSTED

    inspection and, as a result, received significant additional financial

    investment to improve capacity at the front line. This was in addition to a

    time limited Senior Manager post Programme Manager Social Care

    Workforce Reform which currently incorporates the role of PrincipalSocial Worker. This has supported the development of a comprehensive

    Workforce Strategy with a work plan that specifically evidences the

    Social Work Reform Board and Munro recommendations and which uses,

    as its framework, the Employer Standards. They have embraced the

    ideal More Professional Accountability, Less Bureaucracy which is

    enabling them to look at every aspect of our policy, procedures, systems

    practices and ask Is this the spirit of Munro? As a consequence this isenabling them to challenge some corporate agendas (reduction of admin)

    and to enable their staff to have a clear framework within which to

    challenge the Senior Management Team.

    The Munro recommendations are changing the culture of the

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    sceptical.TheapproachtoworkinHackneyisexceptional.Thisisperhapsbest

    capturedbyacommentmadebyoneofourresearchers(herselfanexperienced

    socialworker)duringanalysis:ifwewerestartingchildprotectionfromscratchand

    comparingthe

    Hackney

    approach

    and

    traditional

    childrens

    services

    there

    is

    no

    questionthatyouwouldoptfortheHackneymodel.Asoutlinedabove,thereare

    severalreasonsforthisbutattheheartofitisjointallocationofchildrentosmall

    teams.Thisnecessitatesfarmorediscussionandsharedinputforwork,whichwhen

    properlysupportedandinformedbytheory,createsafarhigherqualityand

    consistencyinpractice.

    In

    contrast,

    the

    traditional

    hierarchical

    model

    operates

    in

    a

    linear

    way,

    like

    a

    chain

    of

    commandfromseniormanagementtoworker.Thiscanworkwheneachlinkis

    strongandwellsupported,butitisessentiallyabrittlesystem;anyweaklinks

    causedbypersonalityorcircumstancearelikelytoleadtobreakdownsinassessment

    andwork.Suchasystemmayappeareasiertomanage,butitisparticularly

    vulnerabletosystemicfailureironicallytheverythingwhichchildrensservicesseek

    toavoidasitcanhavesuchdisastrousconsequences.Itispossiblethatsuchan

    approachworkedwhenitwascreatedinthe1960sand1970s,butourstudy

    suggestsserious

    questions

    about

    whether

    it

    is

    appropriate

    for

    the

    very

    high

    levels

    of

    needandriskfoundinalmostallfamiliesworkedwithincontemporarysocialwork.

    SignsofSafetySubmissiontoMunroProgressReportfromVivHoggandAndrewTurnell,Signsof

    Safety.(MoredetailsareavailableontheMunroReviewwebsiteinProgressReport

    Submissions).

    The Signs of Safety is an approach developed in Western Australia by Andrew

    Turnell & Steve Edwards based on practitioner wisdom about what actually works

    with families. The approach expands the investigation of risk to encompass

    strengths and signs of safety that can be built upon to stabilise and strengthen

    the child & familys situation. The approach requires practitioners to develop

    skills around critical thinking and questioning and it provides them with a

    framework for guidance and recording focused around 4 key domains:-

    What are we worried about past harm, current and future danger

    Whats working well strengths, existing and future safety

    Judgment current safety of the child

    What needs to happen required outcome and next steps

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    to planning for a better and safer future for the child. (Independent

    Reviewing Officer from Leics.)

    Many UK boroughs have already received training in the Signs of Safety and

    twenty-four local authorities have expressed a strong interest in using the

    approach as a means of relocating partnership with families at the centre of

    their childrens services. In 2012, 12 boroughs will begin multi-year

    implementations of the Signs of Safety approach with more to follow in 2013.

    These boroughs, along with key partners will be lead by Viv Hogg and Andrew

    Turnell and will collaborate closely to share learning and act as critical friends to

    support and deepen the implementation process.

    Evaluation data of the Signs of Safety approach from implementing jurisdictions

    around the world consistently shows practitioners welcome the approach and

    shows increased practitioner morale and pride in their work, and evidence of

    reductions in statutory intervention such as children and young people taken into

    care and families to court (DCP, 2011; Skrypek et.al., 2010; Skrypek et.al., 2012;

    Turnell, 2012; Wheeler and Hogg, 2011).

    MakingSystemicChange theintroductionofsystemsthinkingintoChildrens

    ServicesinCumbria

    4.25 Cumbriaoffersanother,interestingwayofusingsystemsthinking,drawingonleanmanagementtheory,tostarttoreformtheirresponsetoreferrals,withplanstoroll

    outtheapproachtootheraspectsofwork.Iwassentthefollowingsubmission:

    Changes to the system in Cumbria are being informed directly frompractitioners based on their understanding of what is value work and waste

    work; the former being that activity valued by children and families, the

    latter being everything else i.e. the activity that gets in the way of doing the

    value work.

    This new perspective on activity is more than re-engineering a process it is

    the beginnings of a change in service and organisational culture where

    practitioners are empowered to challenge the status quo to continuously

    redesign the system in which they operate around the value work (i.e.

    Listening, Understanding, Identifying Need/Desired Outcome, Meeting

    d / d )

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    managers can discuss cases as a group to learn and inform change. By their

    own account the presence of a Blockage Board and the response to it by

    managers, has improved morale and staff have said they feel like they havebeen listened