Families with Multiple Problems Project

April 2012

It’s all about…

• Giving families the tools and support they need to meet their own challenges…

• …and the resilience to conquer future challenges with less intervention

• Less cost to the public purse• Making best use of time and resources

Key messages• Start small and manageable• Design – deliver – challenge – learn –

grow - review cycle• A system that suits East Sussex’s needs,

not simply the Government requirements • Family participation and frontline worker

consultation essential parts of design • Linking with key developments and

projects (Thrive, MASH, Section 75, etc)• Name of project under review!

Keyworking Service

Management

Services (all agencies)Intensive family keywork servicesIntensive keyworkersFamily caseholdersKeywork advisors

•Referral management and case allocation •Screening, audit and interagency brokering •Case management and keyworker supervision •IT, case recording systems, monitoring and managing•Workforce development •Communication and participation •Support and advice network•Small grant fund

MIXED-ECONOMY EMBEDDED KEYWORKER SERVICE MODEL

KEY

Embedded Roles Intensive keyworkers• Dedicated to intensive family work• Fits profile for skills, experience,

aptitude and commitment • Limited caseload, longer-term

involvement (typically 12-18 months) • Practical support and intervention

with families • Committed to a model of working • Consistent case and risk

management support

Family Caseholder• As part of existing role working

directly with families for a sustained period

• Coordinates and reviews the family plan and the team around the family

• Acts as contact person for family • Allowed flexibility to support whole

family as part of normal work• Flexibility about duration of

involvement when their service involvement ends

Keywork Advisors • Provides specialist advice and support to keyworkers and caseholders when

they need support on specific issues• Within a range of services from specialist to day-to-day • Advises on whether / when to refer, and how to best manage issues whilst

waiting for referrals • Monitored and supported by central team – quarterly network meetings

Timeline

Exploring the role of the keyworker and the caseholder

and the skills, knowledge support and resources they will

need

March

Preparing and training the first cohort of

keyworkers, caseholders and

advisors

June April May

Conversations with participating organisations about capacity, potential

and learning

Planning the central management

function

July September

1st phase new service

starts October ‘12

TFT’s Financial Framework • We would be able to take part in the

payment by results scheme when families have the following criteria:– Young people involved in crime and families

involved in anti-social behaviour– Households affected by truancy or exclusion

from school– Locally defined criteria (next slide) And also have an adult on out-of work benefits.

Local discretion filterFor us to define, could include: • Child protection• More than three additional services • Criminal activity • Underlying health problems (including

mental health, substance misuse)• Teenage pregnancy• Domestic abuseAny others?

Financial arrangements, per family:

Average cost of intensive intervention

£10,000Payment by results

£4,000attachment fee

2012/1380%

£3,200 p/family

2013/1460%

£2,400

2014/1540%

£1,600

By 30th April we need to:• Commit to working with 1,015 families

(846 of whom will be eligible for pbr), supporting the programme and finding a coordinator

• Propose the number of families we aim to start working with in 2012/13 (one-third = possible attachments fees of £900,000)

Next steps for East SussexContinue to develop the local scheme• Appoint coordinator and team, identify and

train keyworkers • Complete data analysis to find out who the

families are and who we want to work with• Work out the money – how much, who’s

eligible, how much risk can we take and where should it be invested

Contact

Celia Wilson, Integrated Working ManagerEmail: celia.wilson@eastsussex.gov.ukPhone: 01273 482681 or 07760321744