Integrated Services for Children Information Booklet - Isle of Man ...

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Integrated Services for Children Information Booklet - Isle of Man ...

Integrated Services for Children

Information Booklet


Integrating Services for Children

Foreword – By the Hon Anne Craine MHK, Minister for Education

The Isle of Man Government is committed to improving the lives of all children and young

people on the Island. This booklet tells you about what we have been doing and what we

plan to do. We want to involve you in helping us to make sure that the planned changes

meet the needs of the Island’s children.

The Government has thoroughly investigated the recommendations of the Commission of

Inquiry into the Care of Young People (May 2006) and has used these to take forward the

improvement of support for children by introducing a number of practice developments

that will support the integration of services.

The Inquiry’s recommendations complement the work of the Government’s Children and

Young People’s Strategy 2005-2010, which sets out five positive outcomes for children;

• Being healthy

• Staying safe

• Enjoying life and achieving

• Making a positive contribution

• Prospering

In order to achieve these outcomes five key steps need to be taken:

1. Jointly delivered, child-centred services with more local delivery

2. Increased early prevention and effective protection services

3. Increased accountability

4. Involving and supporting children, young people, their families and carers

5. Workforce change

In tackling these areas, we are entering a new phase in the way in which children’s

services will be delivered and who will be accountable. My job will change as I move

towards a new role of Minister for Education and Children. I am looking forward to the

challenging work of ensuring that children’s services are working together to improve the

outcomes for children. I know that there is a great deal of commitment and skill in the

children’s workforce and I want to work with you to build on these strengths and embrace

the challenges ahead.

What follows is an introduction to some of the planned changes involved with integrated

working. None of the planned changes has taken place and we are still at a very early

stage. We are taking this opportunity to consult you and gain your views so that you can

help shape the way in which our children’s services develop.

Thank you for taking the time to read this.

Hon Anne Craine MHK

Minister for Education


Introduction

The Government is planning a change of approach to children’s services focusing on

integrated working. We want to make it easy for everyone employed in children’s services

to work together and to adopt common processes to deliver front-line services that are coordinated

and built around the needs of children and young people. This will mean that

there will be stronger lines of leadership and accountability created so that everyone will

know what they and others are expected to do.

This new way of working will shift the focus from dealing with the consequences of

difficulties in children’s lives to a proactive, early intervention. It is a change of approach

to working together at all levels and putting the child or young person at the centre. The

planned improvements will mean changes to everyone’s way of working.

This Booklet is for everyone working with children and young people in the Island. Inside

you will find out more about the developments that are planned for the future well being

of children, young people and their families. The main planned changes and what they

may mean for you are in this booklet. If you want to know more about any of these,

please come to one of the Children’s Services Seminars in June and July (dates and

venues on the back of this booklet).

Background

The Government has carefully considered the collective evidence from the Inquiries,

Commissions and Reviews which concerned children and young people which have taken

place over the last ten years these include:

• In 1997, the Leslie Inquiry into the arrangements for the community care and support

of Susan Joughin summed up the lessons to be learnt as: practice, care planning, and

partnership in community care and child protection.

• The main findings of the Commission of Inquiry into the Care of Young People 2006

were again about practice, skills of workforce, information, care planning and

partnership.

• The Inquiry into the death of Nadine Smith 2006 found that care planning,

information sharing and partnerships were recommended for improvement.

• The Health Commission 2006 found there was a need for strong leadership, clear

communication and effective management.

• Finally, in 2007 the Review of Special Needs and Psychology Service in the

Department of Education found the need to improve on skills of workforce, care

planning and partnerships.

There are common threads to these Inquiries and Reviews such as: failure to intervene

early enough; poor co-ordination; failure to share information; the absence of

accountability; frontline workers trying to cope with poor management and a lack of

effective training. Government has responded to these findings and every Inquiry and

Review has brought forward proposals for change and improvement to the child protection

system.


There have been reforms such as the formation of the Youth Justice Team,

neighbourhood policing, the Island Child Protection Committee, Raising primary and

secondary school standards, drug and alcohol education, the formation of community

partnerships in Jurby, Peel and Ballasalla and Tynwald’s agreement of the Children and

Young People’s Strategy but reviews continue to highlight the need that more can and

needs to be done.

Children and Young People’s Strategy

The data contained in the Children and Young People’s Strategy 2005-2010 which was

agreed in Tynwald in July 2005 evidenced the need to change children’s services. The

main focus of the Strategy was to integrate services and processes aimed at securing a

better future for children whatever their background. The Strategy set out positive

outcomes it wanted to achieve for children and young people. These have been further

developed through a task team working on the Commission of Inquiry. They are:

• Being healthy: being physically, sexually and mentally healthy and living healthy

lifestyles

• Staying safe: being safe, secure and cared for; free from maltreatment, accidental

injury or death, bullying, and discrimination and leading lives free from crime and anti

social behaviour.

• Enjoying life and achieving: being ready for, attending and enjoying school,

achieving educational/vocational standards and developing social and personal skills.

• Making a positive contribution: being confident, with positive behaviour and

actively engaged in the community.

• Prospering living in decent homes, free from low income and ready at 16 for

employment, further education or training.

The Strategy clearly demonstrated that improving the outcomes for children requires

integrated working of children’s services which put people, practices and policies in place

to reduce the potential risks.

Integrating Children’s Services

In order to integrate children’s services the Government is planning new ways of working

to bring all those who work with children together to deliver improved services for

children, young people and their families. This will require a new framework to be

constructed around five areas of work. The diagram at the end of this booklet illustrates

those five areas. Information on the five areas and the main changes planned in those

areas follows.

Jointly delivered, integrated working with more local delivery

The Government is planning to move towards multi-agency services at the most local level

centred around children, young people and their families. These would offer needs-led

accessible provision reducing duplication and improving coordination. The services will be


at regional locations linking together family centres, schools, youth clubs, police and

health with access to Island-wide agencies such as Child and Adolescent Mental Health.

The regional centres will provide a full service offering accessible early support, shifting

the balance away from acute services to early intervention and prevention. An important

part of the local services will be Multi-Agency Service Teams.

Multi-Agency Service Teams (MASTs)

The Government is planning to establish regional MASTs which could include practitioners

who are seconded or recruited into a team, making it a formal arrangement. Practitioners

would share a sense of team identity and be managed by a MAST Manager. However,

they retain links with their home department through supervision and training. The MAST

Manager is responsible for bringing together these practitioners from a range of different

backgrounds to achieve results for children and young people that could not have been

achieved by any one department acting alone.

The main components of a MAST might be:

• A dedicated team leader

• A good mix of education, health, social care, youth justice, police and youth work

staff

• People who work in the team think of themselves as team members. They are

recruited or seconded into the team, either full- or part-time

• The team engages in work together with individual children and young people and

also small groups, family or whole schools

• The team may share a base or work from existing bases

• There are regular team meetings to discuss case-working as well as administrative

issues

Five Regional MASTs are proposed around a cluster of schools and communities. For

example a MAST could be located around QEII High School or around a Family centre

such as Bonwick House in Ramsey. A MAST could involve the co-location of staff or can be

virtual in that team members maintain their own offices/clinics/schools but work as a

team.

This new way of working will require an understanding of roles and responsibilities within

the multi-agency team and will be supported by training and supervision.

The Lead Professional

All children and young people who require integrated support from more than one

practitioner should experience a seamless and effective service. This is delivered most

effectively when one practitioner – a lead professional – takes a lead role to ensure that

front-line services have a single point of contact, are co-ordinated, coherent and achieving

the intended outcomes. The lead professional is accountable to their Department - they

are not accountable for the actions of others.


The role can be taken on by any practitioner in the children’s workforce as the skills,

competence and knowledge required to fulfil the role are similar regardless of professional

background. Skills required are the ability to:

• develop a successful and productive relationship with the child and family

• communicate without using jargon

• organise meetings and discussions with different practitioners

• use the Common Assessment Framework and develop plans based on the five

outcomes for children

• co-ordinate delivery of effective early intervention work and ongoing support

• work in partnership with other practitioners to deliver the support plan.

Introduction of the lead professional role will be supported by guidance, training and

supervisory support.

Safeguarding Board

Children can only be safeguarded properly if the key agencies work effectively together.

The Government already has an Island Child Protection Committee but this has a narrow

remit focused around child protection and is not set up as a statutory body. The

Government is planning to establish a Safeguarding Board which will be on a statutory

footing and whose remit will be focused around the ‘staying safe’ outcome.

The role of the Safeguarding Board will include coordinating and ensuring the

effectiveness of what their member Divisions and agencies do to safeguard and promote

the welfare of vulnerable children, ensuring that children grow up in circumstances

consistent with the provision of safe and effective care.

The Board’s functions may include:

• Developing policies and procedures for safeguarding and promoting the welfare of

children

• Communicating the need to safeguard children and promote their welfare

• Procedures to ensure a coordinated response to unexpected child deaths

• Collecting and analysing information about child deaths

Increased early prevention processes

The delivery of multi-agency frontline working will be supported by more integrated

processes. These processes will help to identify when children or young people are

starting to have problems and link them together such as missing education or health

problems. Early intervention can then be planned by a number of agencies. The

Government is planning to introduce three processes that will improve the sharing of

information and assist care planning.


Level 1 - the Information Sharing Index (ISI) is the universal services that all children

would be on and would provide base information on date of birth, sex, address school etc

but could be used to raise concerns.

Level 2 - the Common Assessment Framework (CAF) is the process to be used by

education, police, health or the voluntary agencies when there are concerns about the

child. It would form the basis of a multi-agency prevention package so that a plan could

be put in place to support the child.

Level 3 - the Integrated Children’s System (ICS) is for children who are or have been with

Social Services. It provides a framework, a method of practice and a business process to

support practitioners and managers in undertaking the key tasks of assessment, planning,

intervention and review. The ICS is designed to be supported by an electronic case record

system.

Information is provided below on two of these processes.

Information Sharing

Sharing information is vital for early intervention to ensure that children and young people

with additional needs get the services they require. It is also essential to protect children

and young people from suffering harm from abuse or neglect and to prevent them

offending.

It is important practitioners understand when, why and how they should share information

so that they can do so confidently and appropriately as part of their day-to-day practice.

Protocols for sharing information are already in place but there needs to be continued

training and understanding. A simple, basic Information Sharing Index on all children will

be introduced in due course that will enable services to improve their sharing of

information.

The Index will:

• Help early intervention and prevention

• Identify which practitioners are involved with the child so that support can be offered

in a consistent way, minimising the overlapping of services

• Enable `flags` to be placed in the child’s details to raise awareness of other agency

involvement to encourage dialogue between practitioners.

The Common Assessment Framework (CAF)

A national, common process of assessment is planned to identify more accurately and

efficiently the additional needs of those children at risk and for whom adequate

intervention is not already in place. The assessment reduces duplication of contact and

assessment from practitioners, encourages communication between agencies and

facilitates a co-ordinated approach to meeting the holistic needs of children, young people

and families. The CAF will be for completion by front-line services such as teachers, school

nurses, health visitors and youth workers.


What is the CAF?

• It is in two parts, a simple checklist and the full common assessment

• A gathering of information about the needs and strengths of a child in conjunction

with the family and where appropriate with the child

• A standard format using assessment tools already in place so the terminology used is

familiar to focus on the holistic needs of the child and help identify who and how

other services/practitioners involved with the child can support their needs

The audit and evaluation of the CAF will help identify areas of service requiring

development based on a community’s needs. The CAF does not replace child protection

procedures or statutory assessment.

Joint Commissioning Unit

In addition to the new processes, the Government is planning to improve multi-agency

working across services at the centre of Government. It understands that no single

service can deliver any one of the five outcomes for children by working in isolation. The

Departments of Government who deliver children’s services will work more closely

together to plan and commission work sometimes sharing budgets. Departments will

decide together how best to purchase or provide (commission) some services for children

including drawing in alternative providers such as voluntary agencies to widen options and

increase efficiency. The work of a Joint Commissioning Unit of Senior Officers might

include:

• Looking at the current pattern of outcomes for children and young people, and recent

trends, against other jurisdictions

• Looking within the overall picture at outcomes for particular groups of young people.

• Using all this data and drawing on the views of children, young people and their

families, local communities and frontline staff, to develop an overall, integrated needs

assessment.

• Agreeing on the nature and scale of the challenges, identifying the resources

available and setting priorities for action.

• Planning the pattern of service most likely to secure priority outcomes and carefully

considering the ways in which resources can be increasingly focused on prevention

and early intervention.

• Deciding together how best to provide those services, including drawing in alternative

providers to widen options and increase efficiency.

• Developing and extend joint commissioning from pooled budgets and pooled

resources.

• Planning for the workforce development and other changes and ways of working

necessary to support delivery.

• Monitor and review to ensure services are working to deliver the ambitions set out for

them.


Increased Accountability

The Government considers that it is very important that there is accountability for

children’s services. There are already Ministers for Education, Health and Social Security

and Home Affairs but there is no political lead for making sure that services are working

together. In addition there is no external person or body regularly looking at how

Government is doing. The Government is planning to improve its accountability by creating

a Minister for Education and Children and a Commissioner for Children and by having

regular external inspections of children’s services.

Minister for Education and Children

The creation of a Minister for Education and Children will help to bring political

accountability for joining up Government services. The Minister will be responsible for

ensuring that Government Services are working together and contributing towards

improving the five outcomes for children. The actions of these Departments in delivering

services will be examined to ensure that they are making a positive difference to children’s

lives such as making them healthier or supporting their training so that they can flourish.

The Government will be making legislation so that a Minister for Education and Children

can be created.

Commissioner for Children

The Island is signed up to the United Nations Convention on the Rights of the Child. This

is a set of promises to make life better for children and young people. The appointment of

an Isle of Man Commissioner for Children will make sure that those promises are kept.

The Commissioner will work on behalf of children to promote and protect their rights. It

will be part-time post as it is anticipated that there will not be a huge volume of cases on

which to act. The Commissioner will be able to give children and young people a voice in

Government and in public life. The Commissioner will pay particular attention to gathering

and putting forward the views of the most vulnerable children and young people in

society, and will promote their involvement in the work of organisations whose decisions

and actions affect them. The Government will be making legislation so that a

Commissioner for Children can be appointed and their role clearly defined.

External Inspections

The external inspection of services will be a very important part of ensuring that services

are integrating. It will have a key part to play in monitoring planning, accountability and

performance management. Children’s services will be inspected in the short term by an

External Expert looking at the Government’s responses and actions to the

recommendations of the Commission of Inquiry. The external expert will report to the

Council of Ministers. In the long term there will be a programme of external inspections

through Joint Area Reviews (JARs) which will involve greater depth and range across all

children’s services. Both the External Expert and the JARs will look at how services are

working together.


Involving and supporting children young people,

their families and carers

The Government is planning to increase the opportunity for children to become involved in

shaping services and for support to parents and carers. This would include:

• Access to a helpline offering advice and help and signposting parents towards local

help and advice.

• The development of an online service directory to enable practitioners to access upto-date

details of the services available to meet the needs of children and young

people. The basic content will include:

o

o

o

o

Contact details of agencies

Eligibility criteria

Geographical location

Referral procedures

• Building on family support programmes, and working with the voluntary agencies to

extend their programme of support to parents. Parents, carers and families are the

most important influence on outcomes for children and young people. The integration

of children’s services aims to ensure that support for parents becomes routine,

particularly at key points in a child or young person's life. The Government, in

partnership with service providers and the voluntary sector will be working to make

sure parents and families have access to the support that they need, when they need

it, so that all children can benefit from confident, positive and resilient parenting,

from birth right through to the teenage years. The steps being taken will support the

development of:

o

o

o

An Early Years Strategy

More targeted support being available to meet the needs of families and

communities facing additional difficulties. Types of support offered could include

structured parenting education groups, couple support, home visiting and

employment or training advice.

Family centres and schools offering a coherent set of services both to support

parents and to involve them properly at all stages of a child's learning and

development.

• A Residential and Accommodation strategy detailing support for foster parents, carers

and agencies working with young people and a transitional and aftercare Strategy to

help looked after children as they leave care.

• Further development of Youth Forums to increase the opportunity for children, young

people and their families to become more involved in shaping their services.


Workforce Changes

The children’s workforce has a wealth and diversity of skills and expertise. The new

structures planned will help integrated working to be effective and to join up across

professional boundaries. However, these will not be enough in themselves to tackle some

issues. Reforming the children's workforce so that it supports the five outcomes more

effectively, with a stronger focus on early identification and prevention, requires action at

all levels from senior officers and middle managers to front-line staff. A clear, supportive

national framework needs to be put in place to underpin this vision. To this end,

Government will be developing training to support a common core of team-working skills

providing a consistent approach to the delivery of care.

Workforce changes may include:

• Develop and train more people within the children’s workforce

• Strengthen inter-agency and multi-disciplinary working and workforce re-modelling

• Promote stronger leadership, management and supervision

• Ensure the children’s workforce is equipped with the skills required to adequately

provide services for the children and young people it cares for

• Ensure a suitable framework is in place to enable professional development of skills

that enable transition across services


The diagram below shows how the planned integrated services would work together to

meet the needs of the child, young person or their family.

c

c

c

c

c


Questionnaire

Thank you for taking the time to read this booklet. We hope it has been informative and

would now ask you to take the time to respond to the following questions to help us shape

the next phase, implementation of an integrated service for children.

The booklet and questions are also at www.childrensservices.gov.im, you can save the

booklet to your PC, complete the questionnaire and email to childrensservices@gov.im or

post to: Integrating Children’s Services, Chief Secretary’s Office, Bucks Road, Douglas, Isle

of Man IM1 3PN

Which organisation do you work for?............................................................................

Are you based in the: North South West East

(please circle appropriate answer)

Other, please specify ..................................

1. Do you feel that what is proposed will be of benefit to children and young people?

(please circle your response)

Yes

No

2. Do you feel the integration of children’s services will support the work you do?

(please circle your response)

Yes

No

3. Of the following what order do you consider to be most important?

(please number from 1-4, with 1 – important, 4 – less important)

a) Training

b) Resources

c) Support from line managers

d) Policies and procedures

4. Would you prefer training to be multi-agency? (please circle your response)

Yes

No

5. Of the following barriers, what do you consider to be the most significant in moving

this phase forward? (please number 1-4, 1 – most significant, 4 – less significant)

a. Lack of professional understanding of one another’s role

b. Poor communication

c. Uncertainty of when to share information

d. Lack of understanding around vulnerability and safeguarding


Further comments

Thank you for your time.


Integrating Children’s Services - Seminars

We are entering a new phase in the way in which our children’s services will be delivered.

A number of seminars are planned for all those who work with children to hear the plans

for the way forward and contribute to the implementation plan for the introduction of

integrating children’s service on the island. As such Minister Craine, John Cain, Will

Greenhow and David Killip would like to invite you to attend on one of the following dates:

When:

Where:

Time:

When:

Where:

Time:

When:

Where:

Time:

When:

Where:

Time:

When:

Where:

Time:

27 th June

Ballakermeen High School, Douglas

17:00 - 20:00 hours

13 th July

Keyll Daree, Douglas

09:30 - 12:30 hours

17 th July

Sulby Primary School, Sulby

17:00 - 20:00 hours

20 th July

Baptist Church, Port St Mary

13:00 - 16:30 hours

25 th July

Phillip Christian Centre, Peel

18:00 - 21:00 hours

This is your opportunity to contribute to the way in which services for children on the

Island will be shaped.

If you would like further information or to book a place, please contact:

Caroline Halls

Telephone: 819311

Email: carolinehalls@msn.com


This document can be provided in large print or audio tape on request

Integrated Children’s Services

Chief Secretary’s Office

Government Office, Bucks Road, Douglas

Isle of Man IM1 3PN

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