Service Integration and Redesign

Lynne PorteousChristine Mackay

A multi-agency whole systems approach

Craigroyston High School cluster

Improved life chances and outcomes for children and young people

Getting it right for children, families & communities

Negative outcomes are highly interrelated and mutually reinforcing across the range

of health, safety, learning, income etc.

Positive outcomes are highly interrelated and mutually reinforcing across the range

“Making better places, making places better”

CRITICAL SUCCESS FACTORS

Reducing failure demand

Prevention or early intervention

Localisation and integration of public services

“The targeting of negative outcomes….requires a very localised, integrated and holistic engagement

with these communities”

Community determined objectives and outcomes are crucial: community

engagement is paramount activity

Academic achievement • Less than half the Scottish norm, and 25% of that achieved by

children in the least deprived areas. Low levels of adult educational achievement

Health outcomes • 20%+ of the adult population are prescribed drugs for anxiety and

depression; 3 in every 10 adults will be emergency admitted to hospital, life expectancy and healthy life expectancy are more than ten years less than the Scottish average.

Crime levels • Rate of crime is 4 times the average for Scotland and 8 times the

average for the least deprived areas in Scotland.

Community Issues

• Increased attainment and achievement

• Improved attendance and reduced risk of exclusion

• Less children needing to become looked after

• Fewer children/young people offending

• Better health outcomes

Indicators of success

STEPS TAKEN SO FAR:• High-level Steering Group established

• Change Programme Leader appointed

• Management & implementation capacity scoped

• “Project” approach being countered

• Evaluation processes built in, not bolted on

WHAT NEXT?

• Learn the lessons from GIRFEC and use the agreed processes

• Create the desire for doing things differently

• Listen to staff and local people – What needs to change? What’s working? What’s not?

• Build on strengths and capitalise on assets

• Develop parity of esteem

In summary:

Think outside the box!Build on what works!Stop doing what doesn’t!Change attitudes!Challenge obstacles!Dismantle barriers!Be solution focused!

Be brave!