1. Keep children safe - “safeguarding” Good risk assessment Joint policies/ guidelines with LA (79) % children assessed within 7 days (NI 59) Concerns flagged in RiO Use of DofE/LA Assessment Framework Staffing levels and skill mix Suitably trained staff (TCS 16) E-Rostering data, sickness absence CRB checks (80) Effective professional scrutiny Learning from incidents Serious case reviews Serious incidents action plan in place (TCS 40) IMRs Effective multi- agency working Information shared across agencies MDT/LA presence for care planning Evidence of joint commissioning Review of child protection plans Targeted intervention and support % with care plan TCS 09/ Child protection plan Monitor hospital admissions due to injury (PHOF) Health assessed in Looked after children (TCS 15) % Child Protection Plans >1/child (NI 65) Empowered family and child Education, parent programmes (%) Capture voice of the child? Parent child attachment (Action on HV) Children’s services (1) OVERARCHING OUTCOME PREDICTIVE FACTORS MEASURES

2. Prevention and health promotion in children 0-19 yrs Effective Assessment Family Health Assessment Perinatal / antenatal assessment New birth visits Health Reviews Year R health reviews Therapies assessment Enhance Parenting Capacity Families accessing support and education Access to 2 yr developmental reviews Access to care packages Improve Lifestyle factors Smoking – referral and advice given Breast feeding – increased rates Healthy weight (NCMP) Sexual health – advice and referral to services Prevent communicable disease Pre-school immunisations School age immunisations Response to NOIDS Equity of access to care resources Delivery of Healthy Child Programme Timeliness of care Input at Key transitions A&E liaison and response Demography & vulnerability workforce Birth rate % enhanced % universal DPI Children’s services (2) OVERARCHING OUTCOME PREDICTIVE FACTORS MEASURES

3. Support families with children with ill-health, long term conditions, complex & additional needs Effective Assessment % of annual health assessment for looked after children SEN reports for statementing Common assessment framework/ early help Enhance Parenting capacity Families accessing support Access to 2 year develop- ment review Access to care packages / programme s Improve Lifestyle choice Targeted smoking Targeted BF Targeted healthy weight Targeted sexual health % of annual health assessments for looked after children Prevent communicable disease Pre-school immunisation School age immunisation Response to NOIDs Reduce avoidable hospital admissions Special school, supported by Special SN Children with LTCs supported by SN and therapists Training for wider integrated children's workforce Patient information Provide Care pathways Appropriate referrals Evidence of care plan Partnership working Demography & Vulnerability % of low birth weight / premature babies No. children living with LTCs Increased referrals from health visitors due to call to action DPI Children’s services (3) OVERARCHING OUTCOME PREDICTIVE FACTORS MEASURES