The Social Exclusion Task Force Key areas of work Naomi Eisenstadt

2 Why are we here? To ensure that the opportunities open to the vast majority of the UK become available to those whose lives have been characterised by deprivation and exclusion ‒ Focus on the most disadvantaged; people with multiple, complex, interrelated problems ‒ These need joined-up solutions which cross traditional boundaries ‒ We seek a coherent approach: ‒ working with individuals to address the here and now of exclusion, and ‒ working with families to reduce the inter-generational cycle of disadvantage

3 Inequality gaps widen as policy success for the many leaves a few even further behind For most people, things are significantly better The success of ‘whole population approaches’ The limits of whole population approaches Three strands to our work: ‒ System reform: improving the delivery and quality of services to the most excluded groups ‒ Performance management: reflecting social exclusion in public service delivery framework ‒ Innovation at the front line: building the evidence base All built on rigorous data analysis matched with comprehensive stakeholder engagement and underpinned by…..

4 Five key principles Early identification across the life cycle to prevent the next decline Systematically identifying what works, building the evidence base Promoting multi-agency working Personalisation, rights and responsibilities Supporting achievement, managing under-performance

5 Whole population approaches; some staggering success, with increasing differentiation over time 19 th century clean water, for everyone, and everyone gets the same 20 th century universal NHS: for everyone, but based on clinical need, style of delivery same for everyone 20 th century education: for everyone, but structured around ‘talent’, nature of offer determined by the State 21 st century: universal childcare offer, but flexible availability of hours, and delivery by private, voluntary and public sectors

6 Successes in improving outcomes for most families, have left a smaller and much more complex group behind Bottom 20%, perhaps living in poverty but: working, coping poor resilient families students achieving children Deep and persistent exclusion – poverty plus multiple deprivation which could include: those receiving care from specialist mental health services (1.1m) Problem drug users (280,000) lack functional numeracy (7m), lack functional literacy (5m) young offenders (95,000) NEET yrs (220,000) children in care (60,000) General population (80%)

7 What are we doing? 1. System Reform: improving the delivery and quality of services to the most excluded groups, e.g. ‒ Improved collaboration and coherence across adult services, and between adult and children’s services 2. Performance Management: reflecting social exclusion in public service delivery framework, e.g. ‒ Developing new Adult social exclusion PSA as part of CSR Innovation at the front line: building the evidence base for what works, e.g. ‒ Family Nurse Partnerships ‒ Adults in Chronic Exclusion pilots All part of the Social Exclusion Action Plan, published September 2006, and the bedrock of our work programme

8 System reform: Families at Risk Review, Part 1, Reaching Out: Think Family published June 07 Outcomes for children largely determined by circumstances of parents, e.g. ‒ Drug and alcohol problems ‒ Poor mental health ‒ Poor educational background ‒ Family violence Children’s services can ameliorate the effects, but on their own, cannot address root causes of the most excluded families Requires whole family approach and willingness to work with the most challenging adults and children Requires all services to build models of support around whole picture of family, and characteristics of individuals within it

9 Performance management: Adults PSA in the CSR 07 Designed around evidence on deep exclusion Important to fill gaps rather than overlap with OGD PSAs Simple and clear vision to ensure services deliver for vulnerable groups Policy implications very complex: DWP, CLG, DH, DfES, HO 4 Target groups Adults with learning difficulties Adults in secondary mental health services Ex-offenders Care leavers 2 outcomes a place to live Job or training towards work

10 Innovation at the front line: implementing the Pilots identified in the Action Plan Family Nurse Partnerships: 10 sites, 2 year projects, £7 million investment Adults in Chronic Exclusion: 12 sites, 3 year programme, £6 million investment Multi-Systemic Therapy pilots: up to 6 sites, 3 year programme, £6.5 million investment Targeted support delivered by health visitors to at risk mothers and children from pre-birth to 2 years old Testing a range of models of systems change and service delivery for adults with multiple and complex needs Community based intensive service provision for young people aged with complex needs and their families

11 A coherent approach to the most excluded: Working with adults to address the here and now of exclusion ‒ Stock, ACE pilots ‒ Stemming the flow: PSA Working with families to reduce the inter-generational transmission of deep disadvantage ‒ FNP pilots ‒ FAR Review