CYP Act: Key issues and possible actions

Pauline BeirneAHP CYP National Lead

Time!

The Improve

ment

Model

Scotland – Best place in the world for children to grow up

Improving WellbeingSafe, Healthy, Achieving, Nurtured,Active, Respected, Responsible & Included

Sustained improvement in outcomes through changes in culture, systems and practice

Improved Outcomes•Child•Family•Community•Population

Reporting /planning on promoting, supporting & safeguarding wellbeing – duties under CYP Act

Annual Review of NHS Local Delivery Plans

Integration Plans(PB (JW )Act)

Getting it right for every child in context

Key Legislation•Public Bodies (Joint Working) Act•Children and Young People Act•SDS Act•Community Empower and Renewal Bill•Carers Bill

Specific Policies /Initiatives to support Improvement

• Early Years –• Parenting Strategy• Play Strategy• Early Years Collaborative

• Child and Maternal Health• Universal Pathways• Vulnerable Families

Pathway• Review of HV Looked after C&YP

• We can and must do better, Christie Report(2011)… and more!

Getting it right for every child•Values and Principles•Core ComponentsEarly Years FrameworkCurriculum For ExcellenceScrutiny

PoliciesOverarching/ Enablers

Single Outcome Agreements/ NPF

One without the others!

• Getting it Right for Every Child(Girfec)• Children and Young Peoples Act (2014) (CYP

Act): 1st legislation in the NHS in 50 years!• Christie Report (2011)• Early Years Collaborative• 28 – 30 Month Review

For example :Christie Report (2011)

Radical new collaborative cultureUrgent and sustainable reformOutcomes drivenAccountability and transparencyWork with communities and individualsPrioritise prevention: 40% of spend on interventions

that could have been managed by preventative input.

Tackle causes of deprivation and low aspiration

In a nutshellThe Act defines wellbeing and the assessment of wellbeing,

specifies how a Named Person will be made available for every child from birth to 18 (or older if still in school), and makes provision for a statutory Child’s Plan to coordinate support for those children who require one. The Act also provides a framework for information sharing between professionals to support the functions of the Named Person and the delivery of the Child’s Plan. In taking forward the duties within the Act, public bodies and others must consider and have regard to the views of the child or young person.

What’s the difference between Welfare and Wellbeing?

‘Welfare’ - connotations of child protection/safety ‘Wellbeing’ more all-encompassing, capturing the

full range of factors that affect a child and young person’s life – safe, healthy, achieving, nurtured, active, respected, responsible & included.

Prevention and early intervention – proactive rather than reactive ( Action ?)

Girfec :the Act will provide the impetus required to ensure consistency of implementation across Scotland.

www.scotland.gov.uk/gettingitright

Wellbeing in Practice

Speech

Universal

Targeted

Specialist

Safe

Active

Healthy

Achieving

Nurtured

Respected

Responsible

Included

What if I am asked to provide urgent treatment through a request for help/ assistance?

Duties on organisations delivered through individualsStaff to have an understanding of the wellbeing of children in terms of the indicators, share

concerns and address the wellbeing of children and young people

Key role of Named Person : Management of concerns/information sharing

Requesting/ responding to requests for help : What might this look like ?

Management and supporting the delivery of a Child’s Plan (Role of Lead Professional)

Comply with any reasonable request for help/ assistance, there should be policies and procedures to assist you to respond to these. P

Prioritising access this may not only mean considering when a patient is placed on the waiting list, their physical condition/ symptoms but also any wider wellbeing impact on the child or young person – safe, healthy, achieving, nurtured, active, respected, responsible & included : A different focus for prioritisation

What does it mean for Children

Children and families at the centre

Assessment, planning and action from identification of need

Single coordinating point of contact

Shared language across professional groups and organisations

Single assessment framework

Single plan with clear actions, outcomes, responsibilities and timescales

Prioritization and co-ordination of actions

Reduced duplication in assessment, meetings & reviews

Reduced chance of confusion over responsibilities to address needs

Statutory Guidance Consultation

• 12 weeks to respond• Lobby from CYP 3rd Sector organisations with call for

tightly governed timelines around planning and review of planning

• Practice guidance will be required for organisations and practitioners

• Local Delivery Plans: Issued to all Boards to report on Local Delivery of Act including work force capacity;person centred care and safe care.

Complying with Statutory Duties

Changes to culture, systems and practiceOrganisational CapabilityEnsuring staff have the knowledge, skills and competencies Configuring business processes in terms of policies, procedures, protocols and governance framework Organisational CapacitySufficient staffing to consistently deliver on duties and provisions

www.scotland.gov.uk/gettingitright

What do we need to make it happen?

• Culture change• Prevention and early intervention • Shifting resources• Child centred outcomes linked to well being• A move from Welfare to wellbeing• Principle based practice that requires complex decision

makers!• Consider and Communicate the Impact for Adult Service

Providers

Areas for DiscussionUse of secondary legislation, statutory guidance, national policy, practice guidance,

local policies procedures, protocol and delivery.

Are staff clear on what is expected of them?

Do all relevant staff (those working with children and parents/ carers) have an awareness of the 8 wellbeing indicators – SHANARRI and how they should consider impact on them?

Do staff have the knowledge, skills and capacity to deliver?

If not, what workforce development and planning will be required?

What policies, procedures, protocols and systems are required to support changes in practice, governance, information management and information sharing?

Is the culture supportive of information sharing where sharing without consent may be required? www.scotland.gov.uk/gettingitright

Thank you .

Pauline.Beirne@nes.scot.nhs.ukhttp://www.scotland.gov.uk/Topics/People/Young-People

www.wellbeingforyoungscots.org