ITEM NO. REPORT OF THE STRATEGIC DIRECTOR FOR CHILDREN’S SERVICES TO Customer and Support Services Lead Member Briefing on Monday 21 March, 2011 ___________________________________________________________________________ TITLE: Restructure of Early Intervention and Prevention Services NB: This report needs to be considered alongside the Youth Service and Starting Life Well structures as these work areas overlap. RECOMMENDATIONS: That the restructure of the Early Intervention Prevention Services is agreed. EXECUTIVE SUMMARY: 1. BACKGROUND DRIVERS AND CONTEXT The unannounced inspection of our children’s services has placed specialist services centre stage in terms of performance improvement and increased resources. Understandably there has been a push to strengthen the Referral and Initial Assessment Team, Looked after Children and Child Protection Teams. This report seeks to state a case for those services which prevent children from needing to be subject to a plan by intervening early enough to stop problems from worsening and needing statutory intervention. There have been a number of high profile research documents which have highlighted the importance of preventative work in providing positive and lasting improved outcomes for children and families. Work in this area is focused on whole family engagement, assessment, and interventions it works to promote collaboration with families and a range of providers to give support when it can make the most difference. By providing a range of low cost early interventions we can prevent the need for more costly interventions later on. The proposals contained within this report address the following areas: Locality Teams including: i. ii. iii. iv. v. Educational Welfare Services Family Support Brief Intervention Therapy Family Group Conferences Evidence Based Parenting Programmes Children’s centres including: i. Local Authority Nurseries ii. Outreach and Family Support This service also delivers the work around The Better Life Chance Pilots and Think Family agendas. It is responsible for enabling and ensuring the quality of all common assessment framework documents completed in the service. In shaping this service consultation has taken place with: Targeted Youth Team Starting Life Well/Early Years Team Senior Management Team Parents forums Common assessment framework co-ordinators Policy and guidance documents have been considered from: 2. Department of Education C4EO (Centre for Excellent Outcomes) AIMS AND OBJECTIVES OF THE PROPOSED STRUCTURE The aims of the proposed new structure are as follows: The proposed structure details the staff needed to deliver an effective Early Intervention Service. The structure attempts to streamline and de-clutter the staffing structures which had grown in an unorganised, ad hoc way over the past ten years. It reflects the urgent need to make savings now whilst protecting future service for children and families. It provides a case for rebalancing the system away from expensive and largely ineffective practice of late or delayed intervention towards early intervention which offers a real chance of lasting success and savings. Research has shown that for every £1 invested in early intervention we will save £7 which would be spend later on. The aim of the service is to develop a more targeted approach to the delivery of services to those families most in need. Effective early assessment and intervention will reduce the need for more costly and possibly less successful provision later. Preventative themes include: Preventing harm to all children and young people, especially those who are vulnerable or disadvantaged Preventing health related issues that impact adversely on children and young people’s well-being Reducing risk-taking behaviour Reducing the impact of poverty and poor housing Preventing exclusion from school and wider education and training Preventing underachievement Preventing children and young people from becoming involved in antisocial behaviour and offending Preventing isolation from recreational, cultural and social opportunities Preventing barriers to inclusion There are several key outcomes which an effective early intervention service should deliver. Some of those include: A reduction in the number of children subject to a child protection plan A reduction in the number of looked after children A reduction in the number of no further action A reduction in the number of re-referrals A reduction in the number of teenage parents In order to achieve these outcomes there will be a need for strong partnership working and a chance to develop creative commissioning arrangements. ASSESSMENT OF RISK: Failure to provide early intervention services will result in the need for more costly interventions later on. Investment in Children’s centres is crucial to the department’s priority actions and business case within Salford City Councils overall vision. SOURCE OF FUNDING: This is being identified and considered throughout the decision making process on the current budget proposals. COMMENTS OF THE STRATEGIC DIRECTOR OF CUSTOMER AND SUPPORT SERVICES (or his representative): 1. LEGAL IMPLICATIONS Provided by: N/A 2. FINANCIAL IMPLICATIONS Provided by: Debbie Fulton 3. ICT STEERING GROUP IMPLICATIONS Provided by: N/A PROPERTY (if applicable): The portfolio of Children’s Centres (16 buildings) and the locality building at Peel Green House. HUMAN RESOURCES: Alison Cubbins, HR Consultant (686 6269) CONTACT OFFICERS: Nick Page, Strategic Director for Children’s Services (778 0130) WARD(S) TO WHICH REPORT RELATE(S): ALL KEY COUNCIL POLICIES: Health inequalities, child poverty and Better Life Chances. DETAILS: See the attached report and appendices’ 1. Management Structure Management Structure: Head of Service – Early Intervention and Prevention Service Service Manager x 2 Children’s Centre’s Service Manager x 1 2. Team Remit and Function The structure shows a reduction in staff by fourteen managers posts and fourteen other posts, placing frontline services as a priority. This structure sets out a service which is fit for purpose to manage a period of change towards a more collaborative and responsive way of working. The structure shows two principal manager posts who will take responsibility for overseeing this work across the city, each managing the work of two locality areas. This is a reduction of locality managers by 50% from the existing model. The locality teams will manage all aspects of attendance support including any legal requirements and court proceedings. The teams will address children missing from education issues. There will be three to four education welfare officer posts in each locality. Each locality team will manage a comprehensive family support service across all thresholds of need. Child in Need and Child Protection teams will be able to access family support services from locality teams. Twenty four family support workers will be employed in the service: six per team. The Early Intervention Teams will manage all Common Assessment Framework referrals that come into the directorate, they will organise Team Around the Child and Team Around the Family meetings and reviews. There will be one senior coordinator and two assistant co-ordinators across the service. The structure proposes the retention to the post of service manager for children’s centres. This post holder will ensure the future direction and sustainability of our children’s centres as they become an integral part of early intervention services focussing on providing improved life chances for those families most at risk of poor outcomes. This role will take the place of the current model which consists of four sure start locality manager’s. These posts will be deleted. We will move from sixteen children’s centre manager’s to eight children’s centre cluster co-ordinators who will take responsibility for designing and delivering children’s centre services in a neighbourhood area. This includes work with partner agencies. The children’s centres will employ fifty five workers across the city offering support to families between the hours of 7am – 7pm plus some weekends. Salford currently has three posts relating to parenting, a parenting strategy coordinator plus two parenting experts. This new structure proposes that these roles are combined to create one parenting expert practitioner who will be responsible for delivering a range of parenting support appropriate to levels of need across the city. This person will take responsibility for leading a comprehensive service with a team of parenting practitioners. They will ensure that the parenting strategy is regularly updated to reflect the changing needs across Salford. The parenting practitioners and Brief Intervention Team workers are existing staff. The proposed strategy includes a new permanent funded childcare coordinator post. This post is currently being undertaken as additional duties to another post on an informal basis. It is being recommended that the duties of this post need to be made more formal in the new structure. The mainstream budget has £27.5K to fund this post. This post will take responsibility for ensuring that funded childcare is given, monitored and reviewed in a fair and strategic way that takes into account quality, best value, choice and inclusion. This structure includes Early Intervention and Prevention Development manager’s one post for each locality. These workers will develop and take responsibility for a range of work streams that will change over time as the service requires e.g. Linking work with neighbourhood teams Child poverty strategy Family group conferences Working with public health Working with drug and alcohol using parents Group work structure Business planning and quality assurance Improving systems, demonstrating impact Finally, the structure proposes the permanent employment of twenty family support workers. These workers will provide family support to families across the thresholds of need. They will provide individual tailored family support on a case work basis. These workers will be managed and supervised by the locality operational team managers. There are currently four locality practice managers. They manage the locality teams on a day to day basis and offer supervision to family support workers and educational welfare officers. The structure allows for the retention of a family information service manager however it is recommended that this service area is reduced significantly. It may be considered that this service best sits within the corporate call centre. A. CHANGES TO POST TITLES Post Title Change Locality Manager Operational Manager Senior Family Support worker Children’s centre manager Proposed Title Intervention and Prevention Service Manager Practice Manager Family Support Co-ordinator Changes to Grade Evaluation required Evaluation required Evaluation required Children's Centre Cluster Co-Coordinator Evaluation required Common Assessment Co - ordinator Common Assessment Co - ordinator Senior Common Assessment Co-ordinator Evaluation required Assistant Common Assessment Co-ordinator Evaluation required NEW POST TITLES Early intervention and prevention development officer, parenting expert and childcare panel co-ordinator grades to be determined through job evaluation. Appendix 1 – Early Intervention and Prevention Structure Chart Management Head of Early Intervention and Prevention Service Intervention and Prevention Service North/Central Central Front Line Services - Delivering to families Early Intervention & Prevention Development Officer. Practice Manager. Education Welfare Officer x 4 Family Support Co-ordinator x 1 Family Support Workers x 6 Brief Intervention Worker Intervention and Prevention Service South/West Children's Centre's Service Manager North South West Early Intervention & Prevention Development Officer. Practice Manager. Education Welfare Officer x 3 Family Support Co-ordinator x 1 Family Support Workers x 6 Brief Intervention Worker Early Intervention & Prevention Development Officer. Practice Manager. Education Welfare Officer x 3 Family Support Co-ordinator x 1 Family Support Workers x 6 Brief Intervention Worker Early Intervention & Prevention Development Officer. Practice Manager. Education Welfare Officer x 3 Family Support Co-ordinator x 1 Family Support Workers x 5 Brief Intervention Worker Children's Centre Cluster Co -ordinator Children's Centre Cluster Co-ordinator Children's Centre Cluster Co-ordinator Children's Centre Cluster Co-ordinator Children's Centre Cluster Co-ordinator Children's Centre Cluster Co-ordinator Children's Centre Cluster Co-ordinator Children's Centre Cluster Co-ordinator Deputy Children's Centre Manager Deputy Children's Centre Manager Deputy Children's Centre Manager Deputy Children's Centre Manager Deputy Children's Centre Manager Deputy Children's Centre Manager Deputy Children's Centre Manager Deputy Children's Centre Manager 55 Children's Centre Workers - working flexibly across the whole service depending on needs of the community Commissioned Services (Currently) In House City Wide posts: Family Intervention Projects Better Life Chances Childcare Panel Co-ordinator x 1 Common Assessment Co-ordinator x 1 Assistant Common Assessment Co-ordinator x 2 Parenting Expert x 1 Parenting Practitioners x 6 Family Group Conference Co-ordinator x 1 Family Information Service Manager x 1 KEY Required Corporate Commissioned Appendix 2 – Children’s Centre mapping Children's Centre's Service Manager North and Central South and West Area 1 Area 2 Area 3 Children's Centre Cluster Co-Ordinator Children's Centre Cluster Co-Ordinator Children's Centre Cluster Co-Ordinator Deputy Children's Centre Manager Deputy Children's Centre Manager Deputy Children's Centre Manager Area 4 Area 7 Area 8 Area 5 Area 6 Children's Centre Cluster Co-Ordinator Children's Centre Cluster Co-Ordinator Children's Centre Cluster Co-Ordinator Children's Centre Cluster Co-Ordinator Children's Centre Cluster Co-Ordinator Deputy Children's Centre Manager Deputy Children's Centre Manager Deputy Children's Centre Manager Deputy Children's Centre Manager Deputy Children's Centre Manager 55 Children's Centre Workers - working flexibly across the whole service depending on needs of the community Central Hubs North Hubs Swinton Moorside Children's Centre Mossfield Children's Centre Belvedere Children's Centre & Local Authority Nursery Higher Broughton Children's Centre & Local Authority Nursery South Hubs Lower Broughton Children's Centre Winton Children's Centre & Local Authority Nursery West Hub Cadishead Children's Centre Little Hulton Children's Centre & Local Authority Nursery Eccles Children's Centre St Paul's Heathside Children's Centre Other children's centres in area contributing to service delivery Charlestown & Lower Kersal Children's Centre Larkhill Children's Centre Primrose Hill Children's Centre Hershal Weiss Children and Family Centre Key Local Authority controlled nursery Commissioned services Summerville Children's Centre Barton Moss Children's Centre & Local Authority Nursery Fiddlers Lane Children's Centre Appendix 3 – Children’s Centre Map Appendix 4 – An example of a typical model for children’s centre cluster service delivery Salford Children's Centre Core Purpose • Adult learning and employment support • Early learning and childcare • Child and family health • Parenting and family support • Outreach and information for families Broughton Children's Centre Hub Irlam and Cadishead Children's Centre Hub Other Early Intervention and Prevention Services Higher Brougton Children's Centre Lower Broughton Children's Centre Hershel Weiss Children and Family Centre • Locality Teams • Targeted Youth Services • Work and Skills Team • Starting Life Well/Early Years • Teenage Pregnancy • Drugs and Alcohol Team • Parenting • Educational Welfare Officer • Family Support • Brief Intervention Therapy • Family Group Conferences • Common Assessment Co-ordinators Hersel Weiss Children and Family Centre Specific Services Broughton Children's Centre Hub Core Purpose Area Specific Area Specific Lower Broughton Community Specific Services Early Learning and Childcare • Soft Play • Book and toy library • Childminders drop in Early Learning and Childcare • Childcare provision • Stay and Play • Support and leadership for local childcare providers • Childminder networks Early Learning and Childcare • Childminder support • Stay and Play / Speak easy • Father’s family fun Parenting and Family Support • Outreach • Family support advice drop in • Citizen Advice Bureau sessions Adult Learning and Employment Support • Family learning first aid • Computers for men Child and Family Health • Perinatal counselling • Nurse clinic • Baby clinic • Men's heath and safety awareness Parenting and Family Support • Outreach • Evidence based parenting courses • Support for individual families • Citizen Advice Bureau sessions • Parents forums Adult Learning and Employment Support • Job Centre Plus • Skills and work • Adult learning classes/groups Child and Family Health • Oral health advice • Health visitor well baby clinic • Information for expectant and new mothers • Midwifery services • Baby massage Parenting and Family Support • Outreach • Parent survival course • Evidence based parenting courses • Support for individual families • Citizen Advice Bureau sessions Adult Learning and Employment Support • Numeracy course Child and Family Health Midwifery: • Bundles of joy course • Clinic • Breastfeeding support Well baby clinic Cadishead Children's Centre Irlam and Cadishead Children's Centre Hub Core Purpose - Area Specific Area Specific Early Learning and Childcare • Stay and Play • Support and leadership for local childcare providers • Childminder networks Parenting and Family Support • Outreach • Evidence based parenting courses • Support for individual families Adult Learning and Employment Support • Job Centre Plus • Skills and work • Adult learning classes Child and Family Health • Midwifery services • Health visitor clinic/drop in/assessments • Forum sessions • Movers and shakers • MEND 2-4 (shared with Cadishead) • Breastfriends advice and support • Baby weaning Key Lead Centre Linked Centre Satellite Venue Fiddler's Lane Children's Centre Cadishead Community Specific Services Early Learning and Childcare • Mojo's breakfast club • Childminder's Stay and Play • Story sessions Parenting and Family Support • Outreach • Evidence based parenting courses • Support for individual families • Citizen Advice Bureau sessions Adult Learning and Employment Support • Skills and work • Job Centre Plus appointments • Computers don't byte Child and Family Health • Midwife clinic • Healthy babies and parents • Dad's and kids sure swim • MEND 2-4 (shared with Fiddlers Lane) Appendix 5 – Budget Information Budgets Available 2010/2011 £ Early Intervention Grant Allocation Sure Start Children's Centres allocation 2011/2012 £ 6,963,226 EY Sustainability ( Sufficiency & Access ) allocation £ £ 6,064,970 588,312 512,420 7,551,538 Locality Team Budgets E2111 North S2111 North E2112 South S2112 South E2113 West S2113 West E2114 Central S2114 Central S2102 Breif Intervention Total budgets for all four Locality Teams Less: Savings / efficiency proposals Revised Total budgets for all four Locality Teams 289,766 193,452 249,932 132,440 236,169 225,348 298,980 44,700 46,484 1,717,271 0 1,717,271 Total Budget Available 1,717,271 6,577,390 289,766 194,998 249,932 133,985 236,169 227,412 310,487 46,425 46,484 1,735,658 -234,000 1,501,658 9,268,809 1,501,658 8,079,048 Less: Additional Team structure saving based on the original proposed strucutre -495,299 Less: Additional £1million budget saving required across all the service -1,000,000 Revised Total Budget Available 6,583,749 Less: Saving on the reduction of the Education Lead Teacher posts -405,589 6,178,160 The total service saving from 2010-11 to 2011-12 is £3,112,214 - a 34% saving The changes made to produce additional staffing savings of £516,864 are: Combining the parenting & funded childcare admin post CC admin/reception posts reduced from 20 to 8 posts Removal for 4 x Family Intervention Service/Locality Information Coordinator posts Removal of the Missing from Education ( IT ) post Deletion of the Crisis Team Move Early Intervention and Prevention Business Support Officer post from support services to operational structure ( no saving ) Addition of 1 x CAF Co-ordinator Total -21,565 -276,156 -96,784 -31,091 -104,724 0 35,021 -495,299 Appendix 6 - Impact Assessment Change Combining parenting support and childcare administration post. Impact As part of the administration review plans, we have reduced our administration support. By working in a more flexible way we should be able to continue to cover this service area. Each of these activities will now be done over 2.5 days. Reduction of children’s centre reception workers. This is also a consequence of the administration review. The impact will be less staff available to welcome/let people into centres, answer telephones etc. We are moving towards a cluster model of delivery and this should enable us to continue a high quality service. We hope to use volunteers and parents more to meet and greet other parents. Removal of Family Information Posts The duty to provide information to families will now be met in a range of different ways some by children’s centre workers, others through a more corporate approach. Deletion of the crisis team from the structure This team are now moving into the child protection/child in need structure. Addition of an Assistant Common Assessment Framework coordinator This additional capacity will allow for the planned developmental work around common assessment processes.