Early Intervention

Challenges and Opportunities

A Local Authority Perspective

Alison O’Sullivan

Director for Children and Adults

Vice President ADCS

(Association of Directors of Children’s Services)

18th September 2014

Contents

Backdrop

Trends

Strategic Context

Co-production

Responses

New Approaches

Kirklees Thinking on Early Intervention

What does this mean for Social Work?

Backdrop

Reducing public expenditure

Shifting professional expectations

Public opinion

Trends

Demand management

Productivity

Targeting

Focus on outcomes

Co-production

The strategic context

Service Centric Approach

• Universal delivery• Service located at convenience

to service provider• Management and dispensing• Standardised menu options• Service based interventions• Services bound by geography of

service provider

People Centric Approach

• Targeted delivery• Take services to where people

are• Behavioural change – service

user takes responsibility• Personalisation and tailoring• Integrated customer journey• Services linked to community/

neighbourhood

What is co-production

Professional designed

Professional

delivered

Service user designed

Service user

delivered

User

self-help group

Traditional

services

Expert Patient Programme

Responses

Statutory minimum

Cuts

Consolidation

Collaboration

Alternative funding

‘New’ Approaches

Commissioning

Systems thinking and system redesign

Alternative providers

Partnerships

Modelling

Behaviour change and culture change

Kirklees Thinking on

Early Intervention

Whole Council approach

Changed relationships with

communities

Building individual resilience

Community assets and social capital

What Does this mean for

Social Work?

Creating new social work roles

Redesigning traditional working

Enhancing skills and qualifications

for support roles