Supporting Families Pathway
Toolkit Event
November 22nd 2012
Chris McLoughlin
Service Director, Children’s
Safeguarding & Prevention
What is the Supporting Families
Pathway?
• Transformational process that has changed the
way we identify need and offer support to
children and families.
• A way of working that ensures services are
coordinated as early as possible to support
children and families in Stockport
• Operates from the ‘front door’ of the Contact
Centre
• CAF & Universal Recommendations made when
issues first emerge
How has this work been
developed?
• Intensive research and analysis at the Contact
Centre to understand how we could better
identify issues earlier
• Data collection
• Consultation with range of internal and external
services
• Gap analysis
• The production of a set of recommendations to
transform practice
How do CAF recommendations
work?
1. Practitioner contacting the Contact Centre. If
decision- no role for social care - case screened in
SFP and CAF recommendation made direct to
practitioner and monitored
2. If written notification eg police/ A&E submitted to
contact centre following response to an incident
where concerns about a child or family raised. Case
screened and CAF recommendation made to
appropriate service
3. Parent rings contact centre for support: case
screened and CAF recommendation made to
appropriate service
• All followed up after 20 working days
What has changed?
• All cases presented at the contact centre, are
screened using a multi agency screening tool
• Structured Step up/down processes via CAF
• Full time Social Care managers based at Contact
Centre
• Senior Practitioner- CAF Expert at Contact Centre
• Families are offered tangible support, early in the
development of a problem
• CAF & Universal recommendations made and
monitored after 20 working days
• Chronologies now started as soon as issues
emerge. Enables more effective targeting of
vulnerable families to reduce escalation
Benefits
• Families offered early help support as soon as
issues are identified
• Reduced ‘waste’ and duplication
• Enhanced interface between Tier 2 agencies and
Childrens Social Care
• Enhanced multi agency working with GMP, Health
Visitors & School Nurses, PVI Sector
• 12 month period 1500 families screened for early
help needs that previously wouldn’t have been
‘on the radar’
• Validated nationally as effective emerging
practice by Centre for Excellence & Outcomes
(C4EO)
Toolkit
• Share learning and resources with other areas
• Inform social work and educational degree
programmes to enable students to explore
current, ‘real life’ practice
• Funded by Greater Manchester Health Innovation
and Education Cluster
Next Steps
• Build on strong foundation of the Supporting
Families Pathway to widen ‘front door’ at Contact
Centre
• Use the pathway to underpin our Troubled
Families work (Stockport Supporting Families
Programme)
• Enhance the Universal recommendation aspect of
the pathway
• Ensure child and family voice informs evaluation
Troubled Families- Stockport’s
Supporting Families Programme
Steve Skelton
GM Community Budgets Lead for
Troubled Families
Troubled Families: National & GM Focus
• National TF programme - Three years of additional funding; PbR;
identifies families by looking for symptoms
– Crime / Anti-Social Behaviour - School attendance / Truancy
– Adults not in employment
- High cost / high demand
• GM TF programme - 3-5 years to ‘re-wire’ public services; reform
the mainstream to deliver sustainable inter-generational
improvements for families; and focus on the causes!
–
–
–
–
Domestic abuse / violence
Mental wellbeing
Low income
Child safety issues
-
Substance misuse
Chronic limiting illness / disability
Poor educational attainment
Inadequate living arrangements
• Both programmes – limited cohort of high-cost / high-demand
families; impact on whole-public sector; need to address whole
families issues and relationships in a sequenced way
Stockport Data and Evidence
• 38 Stockport families meet 3 government criteria
• 291 Stockport families meet 2 government criteria (+13 out
of area attending Stockport Schools)
• Conservative costings reveal 38 families have cost 1.1 million
• Domestic Violence: 24% of families meeting 3 criteria have
been involved in a domestic abuse (DA) incident within last 6
months and 42% within last 18 mths. Of those families
meeting 2 criteria, 10% have been involved in a DA incident in
last 6 months and 18% within last 18 mths.
• Missing From Home: 24% of families meeting 3 criteria have
had at least one child go missing from home in the past 6
months and 42% within the last 18 mths. Of those families
meeting 2 criteria, 6 % have had at least one child go missing
from home in the past 6 months and 15% within the last 18
mths.
KEY
GMP
CSCare
Cprotection Hvisitor
Housing Probation
Debt
Snurse
Substance
Tier 2
Debt
Debt
Debt
A&E
GP
Child
Psycholo
gy
Legal
Specialist County
Homeless Health
Court
KITE
COT
Jigsaw
PRU
SEN
School Action
+
ASBAT
FIP
Family B
GMP Victim crime
MFH
Mother
CSCare
CSCare
CSCare
CSCare Homeless CSCare
Housing
CSCare
CSCare
Debt
Debt
CSCare
Debt Cprotection CSCare
Substance Housing
Debt
Debt
CSCare
Debt
Debt
Tier 2
Tier 2
Debt
CSCare
CSCare
CSCare
CSCare
CSCare
CSCare
CSCare
CSCare
CSCare
CSCare
GMP
GMP
CSCare
Debt
Substance Substance
Debt Cprotection
CSCare
Tier 2
CSCare
Specialist
Health
Tier 2
Tier 2
Legal
Specialist County
Court
CSCare
CSCare Substance
CSCare
Specialist
Health
CSCare Health
Tier 2
CSCare
Cprotection
Debt
Probation
Specialist
Health
Debt
CSCare
GMP
CSCare Cprotection
GMP
GMP
Housing
GMP
GMP
GMP
GMP
victim
victim
victim
GMP
GMP
GMP
GMP
Year
1990
qtr 1-2
qtr 3-4
1991
qtr 1-2
qtr 3-4
1992
qtr 1-2 qtr 3-4
CSCare
CSCare
CSCare
CSCare Homeless CSCare
1993
qtr 1-2
qtr 3-4
1994
qtr 1-2
qtr 3-4
1995
qtr 1-2
1996
qtr 1-2
qtr 3-4
qtr 3-4
1997
qtr 1-2
qtr 3-4
1998
qtr 1-2
qtr3 3-4
1999
qtr 1-2
qtr 3-4
2000
qtr 1-2
qtr 3-4
2001
qtr 1-2
qtr 3-4
2002
qtr 1-2
qtr 3-4
2003
qtr 1-2
qtr 3-4
2004
qtr 1-2
qtr 3-4
2005
qtr 1-2
qtr 3-4
2006
qtr 1-2
2007
qtr 3-4 qtr 1-2
qtr 3-4
2008
qtr 1-2
qtr 3-4
2009
qtr 1-2
qtr 3-4
2010
qtr 1-2 qtr 3-4
2011
qtr 1-2 qtr 3-4
2012
qtr 1-2 qtr 3-4
qtr 3-4
2001
qtr 1-2
qtr 3-4
2002
qtr 1-2
qtr 3-4
2003
qtr 1-2
qtr 3-4
2004
qtr 1-2
qtr 3-4
2005
qtr 1-2
qtr 3-4
2006
qtr 1-2
2007
qtr 3-4 qtr 1-2
qtr 3-4
2008
qtr 1-2
qtr 3-4
2009
qtr 1-2
qtr 3-4
2010
qtr 1-2 qtr 3-4
2011
qtr 1-2 qtr 3-4
2012
qtr 1-2 qtr 3-4
Child
Psycholo
gy
CSCare
CSCare
CSCare
CSCare
GMP
CSCare
CSCare Court
Partner 1
CSCare Substance
CSCare
Substance Housing Substance
CSCare Substance Relationship ended
CSCare
Died
Cprotection
victim
Year
1990
qtr 1-2
qtr 3-4
1991
qtr 1-2
qtr 3-4
1992
qtr 1-2 qtr 3-4
1993
qtr 1-2
qtr 3-4
Homeless CSCare
CSCare
CSCare
1994
qtr 1-2
victim
qtr 3-4
1995
qtr 1-2
victim
victim
1997
qtr 1-2
qtr 3-4
1998
qtr 1-2
qtr3 3-4
1999
qtr 1-2
qtr 3-4
2000
qtr 1-2
CSCare Cprotection
Cprotection
Cprotection CSCare
CSCare
CSCare
CSCare
CSCare
Tier 2
CSCare
qtr 3-4
1996
qtr 1-2
qtr 3-4
Daughter 1
CSCare
A&E
A&E
A&E
A&E
CSCare
A&E
A&E
A&E
A&E
CSCare
CSCare
CSCare
GMP
GMP
CSCare
GMP
Hvisitor
CSCare
GP
Housing
victim
Year
1990
qtr 1-2
qtr 3-4
1991
qtr 1-2
qtr 3-4
1992
qtr 1-2 qtr 3-4
1993
qtr 1-2
qtr 3-4
1994
qtr 1-2
qtr 3-4
1995
qtr 1-2
Hvisitor
CSCare
CSCare
GMP
CSCare
Legal
County
Court
Legal
County
CSCare
CSCare
Adult
CSCare
CSCare
Specialist
Health
CSCare
victim
Cprotection
victim
1996
qtr 1-2
victim
1997
qtr 1-2
qtr 3-4
1998
qtr 1-2
qtr3 3-4
CSCare Cprotection
Cprotection
Cprotection CSCare
CSCare
CSCare
CSCare
qtr 3-4
Legal
County
CprotectionCourt
qtr 3-4
1999
qtr 1-2
qtr 3-4
2000
qtr 1-2
qtr 3-4
2001
qtr 1-2
qtr 3-4
2002
qtr 1-2
qtr 3-4
2003
qtr 1-2
qtr 3-4
2004
qtr 1-2
qtr 3-4
victim
2005
qtr 1-2
qtr 3-4
2006
qtr 1-2
CSCare
CSCare Court
2007
qtr 3-4 qtr 1-2
qtr 3-4
2008
qtr 1-2
qtr 3-4
2009
qtr 1-2
qtr 3-4
2010
qtr 1-2 qtr 3-4
2011
qtr 1-2 qtr 3-4
2012
qtr 1-2 qtr 3-4
qtr 3-4
2008
qtr 1-2
qtr 3-4
2009
qtr 1-2
qtr 3-4
2010
qtr 1-2 qtr 3-4
2011
qtr 1-2 qtr 3-4
2012
qtr 1-2 qtr 3-4
qtr 3-4
2010
qtr 1-2 qtr 3-4
2011
qtr 1-2 qtr 3-4
2012
qtr 1-2 qtr 3-4
Daughter 2
Born
GMP
Specialist
Health
CSCare
Housing
Child
Child
Child
Child
Legal
Legal
Psycholo
Psycholo Psycholo Psycholo
County County
gy
Tier 2
gy
gy
gy
Hvisitor
GP
CSCare
GMP CprotectionCourt
Court
Child
Child
Child
Child
Psycholo Psycholo
Psycholo
Psycholo Specialist
gy
gy
CSCare
gy
CSCare
gy
Health
GP
CSCare
GMP
CSCare CSCare
Child
Child
Psycholo
Psycholo
Specialist Specialist
gy
Hvisitor
gy
GP
CSCare
Health
Health
CSCare CSCare
CSCare
GP
Cprotection
Legal
County
SEN
CSCare
CSCare
SEN
CSCare
CSCare
School
Action
Plus
victim
Year
1990
qtr 1-2
qtr 3-4
1991
qtr 1-2
qtr 3-4
1992
qtr 1-2 qtr 3-4
1993
qtr 1-2
qtr 3-4
1994
qtr 1-2
qtr 3-4
1995
qtr 1-2
qtr 3-4
1996
qtr 1-2
qtr 3-4
1997
qtr 1-2
qtr 3-4
1998
qtr 1-2
qtr3 3-4
1999
qtr 1-2
qtr 3-4
2000
qtr 1-2
qtr 3-4
2001
qtr 1-2
qtr 3-4
2002
qtr 1-2
qtr 3-4
2003
qtr 1-2
qtr 3-4
GMP
GMP
2004
qtr 1-2
qtr 3-4
2005
qtr 1-2
qtr 3-4
2006
qtr 1-2
2007
qtr 3-4 qtr 1-2
Partner 2
Relationship started
Substance
Tier 2
Victim
Year
1990
qtr 1-2
qtr 3-4
1991
qtr 1-2
qtr 3-4
1992
qtr 1-2 qtr 3-4
1993
qtr 1-2
qtr 3-4
1994
qtr 1-2
qtr 3-4
1995
qtr 1-2
qtr 3-4
1996
qtr 1-2
Tier 2
victim
qtr 3-4
1997
qtr 1-2
victim
qtr 3-4
1998
qtr 1-2
qtr3 3-4
1999
qtr 1-2
qtr 3-4
2000
qtr 1-2
Hvisitor
CSCare
CSCare
CSCare
CSCare
CSCare
2001
qtr 1-2
qtr 3-4
2002
qtr 1-2
qtr 3-4
2003
qtr 1-2
Child
Psycholo
gy
CSCare
CSCare
CSCare
CSCare
GMP
qtr 3-4
qtr 3-4
2004
qtr 1-2
qtr 3-4
2005
qtr 1-2
qtr 3-4
2006
qtr 1-2
CSCare
CSCare Court
victim
2007
qtr 3-4 qtr 1-2
qtr 3-4
2008
qtr 1-2
qtr 3-4
2009
qtr 1-2
Daughter 3
born
CSCare
Hvisitor
Legal
County
CSCare
CprotectionCourt
CSCare
GMP
CSCare
Legal
County
Court
Legal
County
CSCare
KITE
CSCare
Cprotection
A&E
KITE
KITE
CSCare
1x FTE
CSCare
COT
School
TAC level
Action +
3
KITE
COT
CSCare
PRU
PRU
ASBAT
MFH
MFH
MFH
MFH
MFH
1990
qtr 1-2
qtr 3-4
1991
qtr 1-2
qtr 3-4
1992
qtr 1-2 qtr 3-4
1993
qtr 1-2
qtr 3-4
1994
qtr 1-2
qtr 3-4
1995
qtr 1-2
qtr 3-4
1996
qtr 1-2
qtr 3-4
1997
qtr 1-2
qtr 3-4
1998
qtr 1-2
qtr3 3-4
1999
qtr 1-2
qtr 3-4
2000
qtr 1-2
CSCare
CSCare
CSCare
2001
qtr 1-2
Child
Psycholo
gy
CSCare
qtr 3-4
qtr 3-4
2002
qtr 1-2
qtr 3-4
2003
qtr 1-2
CSCare
CSCare
CSCare
GMP
qtr 3-4
2004
qtr 1-2
qtr 3-4
2005
qtr 1-2
qtr 3-4
2006
qtr 1-2
2007
qtr 3-4 qtr 1-2
qtr 3-4
2008
qtr 1-2
qtr 3-4
2009
qtr 1-2
qtr 3-4
MFH
MFH
ASBAT
ABC
NACRO FIP
MFH
Year
MFH
2010
qtr 1-2 qtr 3-4
PRU
TAC level TAC level
3 x FTE
3
3
TAC level
3
MFH
MFH
2nd ABC ASBAT
MFH
MFH
MFH
MFH
MFH
MFH
MFH
MFH
MFH
2011
qtr 1-2 qtr 3-4
2012
qtr 1-2 qtr 3-4
2011
qtr 1-2 qtr 3-4
2012
qtr 1-2 qtr 3-4
Son 1
born
CSCare
Legal
County
CSCare
CprotectionCourt
CSCare
GMP
CSCare
Legal
County
Court
CSCare
Legal
Specialist County
Court
CSCare Health
School
Action +
CSCare
Cprotection
CSCare
CSCare
School
Action +
KITE
TAC level
3
KITE
KITE
School
Action +
CSCare
KITE
COT
COT
TAC level
CSCare 3
victim
Jigsaw
victim
Year
1990
qtr 1-2
qtr 3-4
1991
qtr 1-2
qtr 3-4
1992
qtr 1-2 qtr 3-4
1993
qtr 1-2
qtr 3-4
1994
qtr 1-2
qtr 3-4
1995
qtr 1-2
qtr 3-4
1996
qtr 1-2
qtr 3-4
1997
qtr 1-2
qtr 3-4
1998
qtr 1-2
qtr3 3-4
1999
qtr 1-2
qtr 3-4
2000
qtr 1-2
qtr 3-4
2001
qtr 1-2
qtr 3-4
2002
qtr 1-2
qtr 3-4
2003
qtr 1-2
qtr 3-4
2004
qtr 1-2
qtr 3-4
2005
qtr 1-2
qtr 3-4
2006
qtr 1-2
2007
qtr 3-4 qtr 1-2
qtr 3-4
2008
qtr 1-2
qtr 3-4
2009
qtr 1-2
qtr 3-4
2010
qtr 1-2 qtr 3-4
Partnership Working
Children’s
Probation
RSL /
ALMO
NHS Commissioners
Colleges
Mental
Health
Police
Social
Care
Schools
JCP
MoJ /
CJS
Foundation
Trust
Government expectationsevaluation of health outcomes
• GP/Dentist registration
• Number of adults/children experiencing mental
health difficulties
• Number of children diagnosed with ADHD
• Number of adults with long standing illness
• Hospital and A&E attendances across families
• Prevalence of self harm
• Under 18 conceptions
• Substance misuse prevalence adults/children
Health agencies are crucial to success – but
it’s not easy!
• High level buy-in from GM HWB, CCGs and providers
• But NHS reform - opportunities & challenges:
– New players and (extremely!) complex commissioning
arrangements
– But we have some influence, through GM, on DH, and
new ideas / space to reform
• Crucial is a shared view of the value of deep, detailed,
practical, operational integration between partners
• The next presentation will provide more context, and the
following exercise will give delegates the chance to
discuss a more integrated future way of working
Gillian McLauchlan
Greater Manchester Public Health workforce Lead
gillian.mclauchlan@nhs.net






Implications of the Health and Social Care Act
Structure
Accountabilities
The pivotal role of workforce
Who they are?
Develop and support

Better Care

Better Treatment

No decision about me without me

Clinicians at the heart

Currently state of flux

Data

Health and Wellbeing Board

Health - part of Local Authority functions




70% recurrent NHS costs relate to staffing
80% of workforce still be working for NHS in
10 years time
Service changes – need workforce on board
Professional grouping /silo recruitment &
workforce planning






Understand the workforce’s context
Understand rational behind change & their
enhanced role can assist and improve lives
Existing and New workforces
Health and social care curriculum
Integrated workforce planning
The multi professional approach to training
and development