greater manchester public service reform early years new delivery model update june 2014
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Greater Manchester Public Service Reform Early Years New Delivery Model Update June 2014. Pat McKelvey Early Years Lead. What are we doing in Greater Manchester?. 10 Local Authorities 175 Children’s Centres 12 CCG’s 855 primary schools 7 Maternity Providers 1214 Daycare providers - PowerPoint PPT PresentationTRANSCRIPT
Greater Manchester Public Service Reform
Early YearsNew Delivery Model Update
June 2014
Pat McKelveyEarly Years Lead
What are we doing in Greater Manchester?
10 Local Authorities
175 Children’s Centres
12 CCG’s
855 primary schools
7 Maternity Providers
1214 Daycare providers
6 HV Provider Trusts
777.5 Health Visitors (in 2015) 37500 babies per annum
3
GM Consistent principles of reform
1. Interventions chosen on strength of evidence base2. Integrated, co-ordinated and sequenced – bespoke packages of support at
the right time, in the right order3. Family based approach to changing behaviour, not just focus on individual4. Methodology:- Define the cohort, and how they are identified- Co-design new delivery models with partners based on these three principles- Cost-benefit analysis based on modelled assumptions vs business as usual- Test examples of reform, obtain evidence- Replace modelled assumptions with actuals- Use as basis for securing investment from partners into scaling up- Decommission reactive services no longer required as we reduce demand,
reinvest some of the savings
To increase the number of children who are ready for school by making the best use of resources to improve
outcomes for all children in their early years and close the gap in performance for the Early Years
Foundation Stage Profile (EYFSP) between all children and the bottom 20%.
Early Years New Delivery Model Business Case Oct 2012
Early Years Overall Objective
• No silver bullet, most families will need a sequenced package of support, some over two years and others even longer
• Holistic approach taking the whole child within the whole family
• Integrated across sectors - health, local govt, daycare providers, voluntary providers
• Early identification of need and risk factors through timely assessments points
• Evidence-based approach to assessment and intervention
• Ensuring maximum VFM for the taxpayer
• Emphasis throughout on work and skills for both children and parents (linking with Universal Credit)
• Evaluation to inform planning and policy making
New Delivery Model Principles
New Delivery Model Components
1. A shared outcomes framework,
2. A common assessment pathway across GM
3. Evidence-based assessment tools
4. A suite of evidence-based interventions
5. Ensuring better use of daycare
6. A new workforce approach, to drive a shift in culture
7. Better data systems
8. Long-term evaluation
Outcomes - Population
Children ready to learn
Improved familyHealth & well-being
Improved economicand well being
Improved parentingskills
Children achieving a good level of development- at age 2 to 2 ½ (ASQ3/SE)
- Early Years Foundation Stage Profile
Breastfeeding rate6 to 8 weeks
Hospital emergency admissions caused by unintentional and deliberate
injuries to children
Referrals to Children’s Social Care
Secure attachment/Social and
Emotional Development KPI
Children accessing high quality
ChildcareHome Learning
Environment Index
Children living in poverty KPI
Disclosures of Domestic Abuse
Outcomes - impact
School Readiness
(incl. cognitive dev)
Behavioural/emotional
dev.
Population earnings
Population unemployment
Truancy
Exclusion
ASB
Crime
Maternal supportiveness
Early cognitive stimulation
Early development
Short term direct parental
impacts: e.g. employment,
smoking
Short term direct child
impacts: e.g. use of health services
Intervention
Mental health
Outcomes - Child
The 8 Stage Assessment
Stage 2 New Birth Visit10 – 14 days
Health VisitorNewborn Behavioural Observation
Stage 3 2 monthsHealth Visitor
(EPDS, ASQ3)
Stage 4 9 monthsHealth Visitor
(ASQ3 & ASQSE if in use)
Stage 4b Targeted 18 monthsChildren’s Centre or HV team
To identify need and promote uptake of 2 year old Early Learning Offer
(ASQ3 & ASQ SE if in use)
Stage 5 24 monthsHV & EY provider
Integrated Review/Information to be shared(ASQ3 and EYFS, ASQSE if in use)
Stage 6 On entry to Nursery (universal 3/4 year old provision)
EY Provider/School(ASQ3 and EYFS, ASQSE if in use)
Stage 7 On entry to Reception in schoolEY Provider and receiving school (ASQ3 and EYFS, ASQSE if in use)
Stage 8Early Years Foundation Stage Profile
Optional ASQ3 &/ SE (up to 5 ½ yrs of age)Undertaken by school within the last term
before the child's 5th birthday (by30/6)
Stage 1 Pre Birth
Under Review
•All points are already part of Healthy Child Programme or Early Years Foundation Stage apart from Stage 4b, which is a targeted assessment for children identified with needs at stages 2 to 4
•Assessments at Stages 2, 3 and 4 to be undertaken within the family home wherever possible
•The engagement points will be expected to be undertaken in line with the appropriate ASQ3 tool
•ASQ3 is parent led, standardised, retest reliable, and has been selected as the National measure of childhood development at 2/2 ½. EYSF is used throughout within early learning settings to measure progress.
Assessment and Outcomes tools
The Child
The Child
InContextThe Family
The Community
The Child in the Family
Assessments to cover:-
Learning and development
Evidence based tools
incl. ASQ3
Core Pathways
EIF evidence standard: criteria and ratings
Suite of Evidence Based Interventions
1. Project Team and worksgroups continue to develop details to support implementation, notably re sustainable effective workforce
2. Localities are establishing Early Adopters aiming to test the model in a ward/s
3. Exploring funding options for staged implementation of the full model , including conversations with Public Health, Schools and CCG’s re joint investment
4. High Needs Family Pathway; Pre-conception to Reception integrated pathway for families in the social care system
5. ESRC funded Baby Express Randomised Control Trial
Current Priorities
High Needs Family Pathway – Integrated Early Years, Complex Dependency, Children’s Social Care from pregnancy to school – amalgamation of best current practice140827
Lead worker in place – responsible for ensuring coordinated provision, child and family meetings and plan or Child In Need or Child protection plan
Named Health Visitor at Universal Plus level – using Solihull or Family Partnership Model
Family Nurse Partnership – assertive engagement to promote uptake for all first time young mothers with high needs
Social Care at 20wks – Pre-
Birth Assessment
Midwifery Health and Social Care/ Booking Assessment identifiedhighly Complex Social
Factors e.g. ACE- Early referral to
Children’s Social Care and Health Visiting
As Required – working together as multi-agency team around the familySpecialist Mental Health Primary Care MH & IAPT Parent Infant MH Service VIG CAMHS GP Domestic Abuse intervention
Drug & Alcohol Services Debt advice Voluntary sector services Probation Housing Police
Pregnancy Pregnancy Birth 1 year old 2 years 3 years School12 weeks to 20 weeks old old old 19 weeks onwards
School Nursing
Intensive midwifery – specialist or named midwife1:1 antenatal education as Preparing for Pregnancy, Birth and Beyond
2,3 and 4 years early learning
School transition
plan
M/A referral
hub
Work and skills within whole family
Sequence of evidence based parenting programmes promotingattunement, attachment, social,emotional, behavioural development
Perinatal parent education eg PEEP 1:1/Group
Incredible Years Baby
Incredible Years Preschool Basic
NBAS
Evidence based intensive family support model (TF)
Statutory Child in Need/Child Protection Plan
Children’s Centre targeted groups and community connections
Attachment focussed parent education eg Perinatal PEEP
or Solihull baby 1:1/Group