3 Getting it right for every child in context Scotland – Best place in the world for children to grow upImproving WellbeingSafe, Healthy, Achieving, Nurtured,Active, Respected, Responsible & IncludedSustained improvement in outcomes through changes in culture, systems and practiceKey LegislationPublic Bodies (Joint Working) ActChildren andYoung People ActSDS ActCommunity Empower and Renewal BillCarers BillReporting /planning on promoting, supporting & safeguarding wellbeing – duties under CYP ActIntegration Plans(PB (JW )Act)Specific Policies /Initiatives to support ImprovementEarly Years –Parenting StrategyPlay StrategyEarly Years CollaborativeChild and Maternal HealthUniversal PathwaysVulnerable Families PathwayReview of HVLooked after C&YPWe can and must do better,Christie Report(2011)… and more!Getting it right for every childValues and PrinciplesCore ComponentsEarly Years FrameworkCurriculum For ExcellenceScrutinyPoliciesOverarching/ EnablersSingle Outcome Agreements/ NPFThe ImprovementModelAnnual Review of NHS Local Delivery PlansImproved OutcomesChildFamilyCommunityPopulation
4 One without the others! Getting it Right for Every Child(Girfec) Children and Young Peoples Act (2014) (CYP Act): 1st legislation in the NHS in 50 years!Christie Report (2011)Early Years Collaborative28 – 30 Month Review
5 For example :Christie Report (2011) Radical new collaborative culture Urgent and sustainable reform Outcomes driven Accountability and transparency Work with communities and individuals Prioritise prevention: 40% of spend on interventions that could have been managed by preventative input. Tackle causes of deprivation and low aspiration
6 In a nutshellThe Act defines wellbeing and the assessment of wellbeing, specifies how a Named Person will be made available for every child from birth to 18 (or older if still in school), and makes provision for a statutory Child’s Plan to coordinate support for those children who require one. The Act also provides a framework for information sharing between professionals to support the functions of the Named Person and the delivery of the Child’s Plan. In taking forward the duties within the Act, public bodies and others must consider and have regard to the views of the child or young person.
7 What’s the difference between Welfare and Wellbeing? ‘Welfare’ - connotations of child protection/safety‘Wellbeing’ more all-encompassing, capturing the full range of factors that affect a child and young person’s life – safe, healthy, achieving, nurtured, active, respected, responsible & included.Prevention and early intervention – proactive rather than reactive ( Action ?)Girfec :the Act will provide the impetus required to ensure consistency of implementation across Scotland.It’s a national approach that can be applied to all children in all circumstances.It is based on research and evidence that tells us that outcomes are improved through involving children and families in decisions, having a single point of contact to address concerns, a coordinator of care across services, sharing information, a single plan,In implementation it tends to require agencies to change systems and practice & professional cultures
9 What if I am asked to provide urgent treatment through a request for help/ assistance? Duties on organisations delivered through individualsStaff to have an understanding of the wellbeing of children in terms of the indicators, share concerns and address the wellbeing of children and young peopleKey role of Named Person : Management of concerns/information sharingRequesting/ responding to requests for help : What might this look like ?Management and supporting the delivery of a Child’s Plan (Role of Lead Professional)Comply with any reasonable request for help/ assistance, there should be policies and procedures to assist you to respond to these. PPrioritising access this may not only mean considering when a patient is placed on the waiting list, their physical condition/ symptoms but also any wider wellbeing impact on the child or young person – safe, healthy, achieving, nurtured, active, respected, responsible & included : A different focus for prioritisation
10 What does it mean for Children Children and families at the centreAssessment, planning and action from identification of needSingle coordinating point of contactShared language across professional groups and organisationsSingle assessment frameworkSingle plan with clear actions, outcomes, responsibilities and timescalesPrioritization and co-ordination of actionsReduced duplication in assessment, meetings & reviewsReduced chance of confusion over responsibilities to address needs
11 Statutory Guidance Consultation 12 weeks to respondLobby from CYP 3rd Sector organisations with call for tightly governed timelines around planning and review of planningPractice guidance will be required for organisations and practitionersLocal Delivery Plans: Issued to all Boards to report on Local Delivery of Act including work force capacity;person centred care and safe care.
12 Complying with Statutory Duties Changes to culture, systems and practice Organisational Capability Ensuring staff have the knowledge, skills and competencies Configuring business processes in terms of policies, procedures, protocols and governance framework Organisational Capacity Sufficient staffing to consistently deliver on duties and provisions
13 What do we need to make it happen? Culture changePrevention and early interventionShifting resourcesChild centred outcomes linked to well beingA move from Welfare to wellbeingPrinciple based practice that requires complex decision makers!Consider and Communicate the Impact for Adult Service Providers
14 Areas for DiscussionUse of secondary legislation, statutory guidance, national policy, practice guidance, local policies procedures, protocol and delivery. Are staff clear on what is expected of them? Do all relevant staff (those working with children and parents/ carers) have an awareness of the 8 wellbeing indicators – SHANARRI and how they should consider impact on them? Do staff have the knowledge, skills and capacity to deliver? If not, what workforce development and planning will be required? What policies, procedures, protocols and systems are required to support changes in practice, governance, information management and information sharing? Is the culture supportive of information sharing where sharing without consent may be required?
15 http://www.scotland.gov.uk/Topics/ People/Young-People Thank you .People/Young-People