1. Looked After Children Strategic Implementation Group

2. Current LACSIG Priorities Stability and permanence for looked after children. Accommodation for young people leaving care. Engagement in education. Building a modern foster care system. Looked After Children at Home.

3. Engaging with the NHS LAC Directors – leadership for LAC in NHS Boards Child Health Commissioners – LAC within the wider child health priorities PHN – delivery of range of services at local level – expertise and learning LAAC Nurse Forum – frontline practitioners Office of the Chief Nurse

4. Progress on CEL16 Use of self assessment and evidence from audit/inspection Measurement of service uptake Programmes of professional training/development Local action planning Establishing health needs assessment within agreed timelines Promoting corporate parenting and implementing GIRFEC principles Realignment of local leadership Service restructuring to increase capacity

5. Barriers: Areas for support/development Notification systems with Local Authorities More standardisation of assessment approach/format Data and information on health needs / provision / outcomes for LAC Understanding of mental health needs of LAC and access to services NHS engagement in placement decisions Cross boundary placements Strategic approach to commissioning services that integrate health, social and educational needs Young peoples engagement with health services

6. Recurring themes Local notification procedures between LA and NHS Health involvement in planning and decision making Out of area placements and subsequent access to services Framework for mental health assessment/access to services SW understanding the role of CAMHS

7. LACSIG / CYPHSG The need to work together on common issues of concern and priority To effect continued change and improvement for LAC in the NHS To promote dialogue, concern and understanding about LAC across relevant clinical areas and specialisms

8. Next steps Can the C&YP Health Support Group work with LACSIG to develop a programme of positive change? How can we use our collective expertise to support a common agenda? Where would our focus and priorities lie?