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Looked after children and young people – actions for local multi-agency partnerships Implementing NICE/SCIE guidance 2010 NICE public health guidance 28.

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Presentation on theme: "Looked after children and young people – actions for local multi-agency partnerships Implementing NICE/SCIE guidance 2010 NICE public health guidance 28."— Presentation transcript:

1 Looked after children and young people – actions for local multi-agency partnerships Implementing NICE/SCIE guidance 2010 NICE public health guidance 28

2 What this presentation covers Background Scope Areas for action by local multi-agency partnerships Costs and savings Discussion Find out more

3 Background More than 60,000 children and young people are looked after in England at any time. The main reasons for becoming looked after are abuse, neglect and family dysfunction About 60% of looked-after children and young people have mental health and emotional problems In adulthood, a high proportion experience poor health, educational and social outcomes

4 Scope The guidance covers children and young people from birth to age 25, wherever they are looked after The recommendations cover strategy and policy, commissioning and delivery of services, and inspection

5 Areas for action Strategic planning of services Care planning, case review and placements Supporting babies and young children, and siblings Assuring the quality of foster and residential care Personal preferences, identity and diversity Health records and information Improving educational outcomes Preparing for independence Training

6 Assess needs during the joint strategic needs assessment and show how these will be met in local plans Provide dedicated multi-agency services for looked- after children and young people on one site Publish a directory of local services and resources Reflect issues raised by the children-in-care council in the yearly pledge to looked-after children and young people Strategic planning of services

7 Care planning and case review The multi-agency team should have access to a consultancy service to support collaboration on complex casework Any concerned professional should be able to request a review of the care plan The looked-after child or young person should also be able to request a review Develop an information-sharing protocol

8 Planning placements Develop a placement strategy Placements with family and friends should be promoted as a positive choice Ensure there are pooled budgets for specialised care placements

9 Placement changes Base decisions on changing placements on an assessment of the current needs of the child or young person, and consider their wishes and feelings Monitor the number of decisions where placement moves are made against the wishes of the child or young person, including the reasons Monitor the number of emergency placements to understand why they happen and how they can be reduced

10 Supporting babies and young children Carry out a comprehensive assessment Specialist services should: – provide support and training to carers and frontline practitioners – work with the child and carer to support secure attachments Put the impact of loss of attachment at the centre of the decision when deciding on placement change Use twin tracking when appropriate

11 Siblings Siblings should have the same social worker if possible Place siblings together unless assessments or the wishes of the child or young person suggest otherwise When decisions are made to separate siblings: – record the reasons and explain them to the children – plan for ongoing contact if appropriate

12 Assuring the quality of foster and residential care – 1 Training should cover: Parenting skills, child development and attachment Transitions, stability and how to manage change Meeting needs for physical affection Educational stability and achievement Good health and healthy relationships Joint working with all agencies Extracurricular activities

13 Assuring the quality of foster and residential care – 2 Support for foster carers should include: emotional support and parenting guidance advice as part of the team around the child child care to help them attend training additional support until training is complete, and when there are additional challenges their own children in all support help with stress and for emergencies health promotion advice information about leisure activities

14 Individual preferences and personal identity Promote continued contact with people important to the child Ensure access to hobbies and interests Offer assertiveness training to promote esteem and safety Promote life-story work

15 Diversity – strategic actions Produce a local diversity profile, and use this to commission services Consider setting up a multi-agency panel Ensure the children-in-care council discuss children and young people with particular needs regularly Consult looked-after children and young people Share good practice with similar areas Appoint a local diversity champion

16 Diversity – actions for service delivery Consider cultural, religious, ethnic and language issues in core assessments and care plan reviews Create links with community and peer support For unaccompanied asylum-seeking children and young people, ensure access to specialist psychological services Provide support and training to professionals and carers about diversity issues

17 Health records and information Collect data on the childs and parents health using forms such as those provided by the British Association of Fostering and Adoption Share health information about the child as appropriate and ensure that the personal health record follows the child up to the age of 18 Obtain appropriate consent for all healthcare interventions Obtain appropriate permission to access healthcare information Put a system in place to monitor, and address failure to obtain, permission or consent for health matters

18 Improving educational outcomes Appoint a virtual school head to work with schools to maximise the educational potential of looked-after children and young people Ensure designated teachers are involved in preparing and monitoring PEPs, IEPs and PSPs Support young people to apply for and attend college and university. In particular provide: – help finding accommodation, including holidays – advice on financial support

19 Preparing for independence Ensure there is an effective and responsive leaving-care service. Consider a one-stop shop Establish protocols with housing, health and adult social care to identify care leavers as a priority group Enable young people to remain in their foster or residential home beyond the age of 18 Ensure young people are not moved from a secure or custodial placement into independence too soon

20 Training for supervisors Ensure social workers and managers who supervise carers have training on: identifying support needs how to support carers recognising stress or secondary trauma when to refer a child for professional assessment or intervention the additional needs of carers of children with vulnerabilities

21 Independent reviewing officers Provide independent reviewing officers with training on: – the education system and the importance of a stable education – evaluating health assessments and education plans – holding professionals accountable – how to motivate other professionals – the importance of creative and leisure activities Monitor the quality of independent reviewing officer service

22 Costs and savings Likely immediate costs to the NHS, arising from: – delivery of and providing earlier access to services to promote emotional wellbeing and mental health Possible cost savings in the short and long term, arising from: – avoiding placement breakdown – reduced risk of mental health problems – reduced rates of offending – increased employment opportunities

23 Discussion How can we ensure access to a consultancy service for complex casework? How comprehensive is our placement strategy? How effective are we at managing placement moves? What support and training do we need to provide for professionals and carers? How can we improve education services for looked after children?

24 Find out more Visit the guidance the quick reference guide costing report self assessment tool guide to resources Visit for Social Care TV films about looked-after children and young

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