Post on 21-Dec-2015
The Improve
ment
Model
Scotland – Best place in the world for children to grow up
Improving WellbeingSafe, Healthy, Achieving, Nurtured,Active, Respected, Responsible & Included
Sustained improvement in outcomes through changes in culture, systems and practice
Improved Outcomes•Child•Family•Community•Population
Reporting /planning on promoting, supporting & safeguarding wellbeing – duties under CYP Act
Annual Review of NHS Local Delivery Plans
Integration Plans(PB (JW )Act)
Getting it right for every child in context
Key Legislation•Public Bodies (Joint Working) Act•Children and Young People Act•SDS Act•Community Empower and Renewal Bill•Carers Bill
Specific Policies /Initiatives to support Improvement
• Early Years –• Parenting Strategy• Play Strategy• Early Years Collaborative
• Child and Maternal Health• Universal Pathways• Vulnerable Families
Pathway• Review of HV Looked after C&YP
• We can and must do better, Christie Report(2011)… and more!
Getting it right for every child•Values and Principles•Core ComponentsEarly Years FrameworkCurriculum For ExcellenceScrutiny
PoliciesOverarching/ Enablers
Single Outcome Agreements/ NPF
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 Collaborative• 28 – 30 Month Review
For example :Christie Report (2011)
Radical new collaborative cultureUrgent and sustainable reformOutcomes drivenAccountability and transparencyWork with communities and individualsPrioritise prevention: 40% of spend on interventions
that could have been managed by preventative input.
Tackle causes of deprivation and low aspiration
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.
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.
www.scotland.gov.uk/gettingitright
Wellbeing in Practice
Speech
Universal
Targeted
Specialist
Safe
Active
Healthy
Achieving
Nurtured
Respected
Responsible
Included
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 people
Key role of Named Person : Management of concerns/information sharing
Requesting/ 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. P
Prioritising 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
What does it mean for Children
Children and families at the centre
Assessment, planning and action from identification of need
Single coordinating point of contact
Shared language across professional groups and organisations
Single assessment framework
Single plan with clear actions, outcomes, responsibilities and timescales
Prioritization and co-ordination of actions
Reduced duplication in assessment, meetings & reviews
Reduced chance of confusion over responsibilities to address needs
Statutory Guidance Consultation
• 12 weeks to respond• Lobby from CYP 3rd Sector organisations with call for
tightly governed timelines around planning and review of planning
• Practice guidance will be required for organisations and practitioners
• Local Delivery Plans: Issued to all Boards to report on Local Delivery of Act including work force capacity;person centred care and safe care.
Complying with Statutory Duties
Changes to culture, systems and practiceOrganisational CapabilityEnsuring staff have the knowledge, skills and competencies Configuring business processes in terms of policies, procedures, protocols and governance framework Organisational CapacitySufficient staffing to consistently deliver on duties and provisions
www.scotland.gov.uk/gettingitright
What do we need to make it happen?
• Culture change• Prevention and early intervention • Shifting resources• Child centred outcomes linked to well being• A move from Welfare to wellbeing• Principle based practice that requires complex decision
makers!• Consider and Communicate the Impact for Adult Service
Providers
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? www.scotland.gov.uk/gettingitright