Positive Family Futures Transformation June 2014

1. Positive Family Futures TransformationJune2014 James Hill Troubled Families Coordinator

2. Agenda • What has happened so far? • Background • The current system • Redesign • A new way of working • Objectives, tracking progress and impact? • Next Steps

3. Background – Change the Mainstream • The troubled family’s agenda isn’t about doing more of the same. As Louise Casey has said, “The initiative will be different because it will focus on individual families and their needs, rather than individual services.” • Opportunity to use a ‘Systems method’ with no preconceived ideas • Scoping Exercise – December 2012

4. Public Service Board Members

5. The Public Services Board have embraced the troubled families opportunity to think about change and sponsored a review in 2013 • A multi-agency team used a ‘systems method’ to look at services from the families perspective • The team were then given the opportunity to work together in a different way and that has shaped a recommendation to develop the work in a locality • The ‘new way of working’ is being introduced in Paulsgrove Doing things better or doing better things?

6. The journey of families

7. A Common Journey of Missed Opportunities Missed Opportunities Eviction / Housing difficulties Multiple Missed Health Appts – DNA and Discharged Specialist Services Close due to DNAs Frequent changes in school or address Children Disclosing parental Drug use, physical harm … Parents decides to home educate Parents taking children to A&E instead of GP / Dentist Parent in Prison A&E treats and discharges. No one coordinates.. Parent problem not child problem Fully entitled. Child Disappears Not enough to charge, info not shared, voice not heard No longer our problem. Need to focus on children at hand Child not mentally ill, parents do not bring, therefore close Patient responsibility. Discharge as I need to worry about the next patient. Parents are the problem.

8. Housing Officer Case 8 – Old System Health Visitor School Nurse Speech & Language Housing benefit Family Group Conference Tenancy Support x3 Police Community Dietician Minimum 50 Professionals involved. Focus on youngest child’s weight only. Consultant Paediatrician Children’s Social Care Cookery Sure Start O .T. MEND Community Paediatrician Family Adults' Social Care Parenting Support FADS CAMH’s Mini Mend Disability Enabability GP Family Champions Advocacy Service Education Provision Hospital Health Development Worker Psychologist Report Home Skills FADS Counselling Bereavement Care Management Assessment x2 Keep Safe Work Priority B service FIP X DWP Priority B service FMF X Learning & Disability Services Stars in the Sky Community Nurse Job Centre CDG Work Plan Training Doing things better or doing better things?

9. Jigsaw of Information Health Housing Missing Piece(s) of Information Police Domestic Abuse Social Care Family Schools Doing things better or doing better things?

10. Current System High dependency Low resilience I need a lot of help I need a lot of help I need some help I need some help Low dependency High resilience I can sort myself out with family / community support Current services tends to move people to high dependency / low resilience

11. Some of the redesign areas • Clear Purpose and Operating Principles to keep the family at the centre of our work. • No assess and refer on, open and close cases. • All pieces of the jigsaw are brought together to create a multi-dimensional view of the family • Team around the worker brings support, knowledge and expertise together • Use of Reflective practice, supervision and the Team Leader working alongside the team Doing things better or doing better things?

12. Housing Officer Case 8 – Old System Health Visitor School Nurse Speech & Language Housing benefit Family Group Conference Tenancy Support x3 Police Community Dietician Minimum 50 Professionals involved. Focus on youngest child’s weight only. Consultant Paediatrician Children’s Social Care Cookery Sure Start O .T. MEND Community Paediatrician Family Adults' Social Care Parenting Support FADS CAMH’s Mini Mend Disability Enabability GP Family Champions Advocacy Service Education Provision Hospital Health Development Worker Psychologist Report Home Skills FADS Counselling Bereavement Care Management Assessment x2 Keep Safe Work Priority B service FIP X DWP Priority B service FMF X Learning & Disability Services Stars in the Sky Community Nurse Job Centre CDG Work Plan Training Doing things better or doing better things?

13. Case 8(Whole Family = Right Problem(s) to Solve) Children’s Social Care (Co-navigator) Navigator Now only 5 Professionals involved. Holistic approach to eating, shopping, exercise, weight management for whole family. Also helped with money management, job seeking and future housing needs. Daughter now has voluntary job (not worked since 2010). DWP Health Trainers Learning & Disability Team Job Centre Work Plan Training CDG Doing things better or doing better things?

14. A New Way of Working • Work with children and their families - including their extended families at the earliest point to achieve positive outcomes e.g. reduce and prevent risks to health, education, accommodation, offending behaviours • Use triggers or ‘wobbles’ from data and information held in current systems to proactively identify families who require support at the earliest opportunity e.g. initial missed health appointments, school exclusions and work • Develop a Navigator role. The purpose of the Navigator will be to support families as a single point of contact to ensure the right service is offered to the family at the right time. The Navigator will be the single case holder of a family and will 'pull' on other services when their expertise is needed. Doing things better or doing better things?

15. Objectives of Positive Family Futures Transformation • Eliminate the refer and assess cycle in the current system in order to increase capacity and avoid duplication • Work with families to prevent escalation into high cost services and de-escalation when families leave high cost services to prevent the 'revolving door‘ • Work in a location in collaboration with e.g. GP Cluster Groups, School Clusters, Community health provision • Develop an innovative approach to information sharing for the benefit of children, young people Doing things better or doing better things?

16. Progress and Impact Doing things better or doing better things?

17. Next Steps • Focus on a location – Paulsgrove & Wymering • Set up the Local Governance • Increase volume of cases with small core team supported by team leader and supervision • Establish suite of measures for the locality • Identify and take demand direct from services working in that location, e.g. housing officers, schools, children centre, community wardens, PCSO’s, G.P. etc. • Work with managers to support new way of working and remove blockages Doing things better or doing better things?

18. Contact Details... Sharon George Email – Sharon.George@portsmouthcc.gov.uk Tel – 023 9268 8295 Do please visit Sharon and the ‘team’