Appendix A Hertfordshire Sufficiency Statement For the accommodation of Children & Young People in Care January 2014 1 Contents 1. Executive summary 2. Local & National Context 3. Under 25’s Population 4. Analysis of Children in Care population 5. Current service provision Fostering Adoption Special Guardianship Orders Residential- social care and schools 16+ semi-independent Secure facility 6. Children and Young Person’s Voice 7. Summary and Key Priorities 2014/15 2 Section 1: Executive summary Local authorities are required to take steps to secure so far as reasonably practicable, sufficient accommodation for those children and young people in their care within their local areas. This Statement provides the current position in 2014 and identifies future needs in Hertfordshire according to type of provision, and availability of a particular setting in relation to demand for that type of provision. As of January 2014: There are 1016 children in care in Hertfordshire, of which 573 are male and 443 are female The number of children aged 1 to 9 being received into care are increasing, whereas 10 to 15 year olds in Hertfordshire are becoming less likely to enter the care system. The number of young people in care aged 16+ is 277. This number is predicted to continue to decline over the next three years, based on current trend of children in care continuing. The intention across Children’s services is to co-ordinate the range of support available with a clear focus on supporting families to stay together wherever it is safe to do so, thus minimising the need for children & young people to come into care, and supporting their timely return within their extended families. 1.1 Analysis Methodology We have produced our Sufficiency Statement using a range of information sources: Statistical analysis of current demands on services for LAC Analysis of trends and projected demand Analysis of the current revenue budget Commissioning officers will review the statement data annually, and update based on changes to service provision and indicated support needs. 1.2 Key priorities for 2014-2016 From the data collated the following commissioning objectives have been identified for 2014/16: The reduction in number of out of county placements year on year The increase of specialist fostering availability within HCC foster carer placements in Hertfordshire Targeted commissioning of local service provision for children and young people with complex care needs and behaviour that challenges Further development of the shared care scheme to prevent disabled children coming into care 3 Increase in number of emergency beds and range of supported accommodation for 16+ New medium to long term placements with Independent Fostering Agencies and the private residential sector will only be commissioned when the specific needs of the child or young person require a specialist placement that cannot be achieved from within the authority’s own provision. Young people leaving care will be offered the opportunity to remain in their foster home or children’s home until they reach 18 and, in the case of children in foster care beyond 18, if that is their wish through a ‘Staying Put’ policy. 1.3 Challenges There are significant numbers (nearly 60%) of Hertfordshire children and young people in care currently living outside of the county. Where there is an identified demand for particular types of provision, the Children & Young People’s Commissioning service will therefore work with the local market to ensure that resources are developed to increase capacity within Hertfordshire. The impact of this strategy will be closely monitored over the next 2 years. This sufficiency position statement will be refreshed on an annual basis to measure impact and continued relevance of the priority commissioning activity areas. 4 Section 2: Local Context Hertfordshire is located in the east of England region to the north of London. It has easy access to London through good public transport links and is crossed by the A1 (M), M1 and the M25, as well as being serviced, by three major airports; Heathrow, Luton and Stansted. Hertfordshire has a population of over one million people. The 2011 National Census recorded 343,546 children and young people aged 25 and under as residents of Hertfordshire Projected population growth figures suggest that the overall population will rise by 18.4 per cent from 2006-2031. 2.1 National and local drivers The Children Act 1989 requires local authorities to take steps that secure, so far as reasonably practicable, sufficient accommodation within the authority’s area boundaries which meets the needs of children that the local authority are looking after, and whose circumstances are such that it would be consistent with their welfare for them to be provided with accommodation that is in the local authority’s area (‘the Sufficiency duty’). In 2010, statutory guidance for this duty was issued which required Local authorities to act strategically to address gaps in provision by ensuring that they include in relevant commissioning strategies, plans for meeting the statutory duty. When assessing ‘Sufficiency’, Hertfordshire County Council will take into account: the state of the local market, including the level of demand for specific types of providers in a particular locality and the amount and type of supply that currently exists the development capacity of local providers the resources, capabilities and overall budget priorities of the council. The 2007, White Paper, Care Matters: Time for Change also set out a series of ambitious aims to improve outcomes for all children and young people in the care system. It covered six themes: Corporate parenting Family and parenting support Care Placements First Class Education Promoting health and well being Transition to adulthood The White Paper contained a significant focus on improving the support for children preparing for adulthood including a pilot programme entitled ‘Staying Put’ enabling 5 young people to remain with their foster carers beyond the age of eighteen. To meet the commitments in the White Paper and the new duties towards care leavers in the Children and Young Persons Act 2008, new guidance and regulations relating to care leavers emphasise a more graduated approach to planning transition to adulthood. 2.2 Hertfordshire’s ‘Other Arrangements’ Policy This policy sets out the framework and requirements to be taken into consideration when placing children looked after and care leavers aged 16 and over, where Children’s Services are commissioning and paying for accommodation but which is not registered under the Care Standards Act 2000 and are therefore not inspected by Ofsted. The Care Planning process for the individual child must conclude that the child’s needs are best met by a placement in ‘Other Arrangements’ i.e. they are deemed sufficiently able and competent to benefit from a semi-independent type of placement that meets their assessed support need. 6 Section 3: Population demographics for 0-25 year olds in Hertfordshire Hertfordshire is a large county containing ten district/borough councils. The district councils of Stevenage and Watford are relatively densely populated urban areas. East and North Herts are largely rural and sparsely populated. The remaining district council areas are a mix of urban and rural areas. The 2011 census indicated that 30% of the total county population is aged under 25 years old. From Public Health data the above table indicates a projected sharp increase in the 0-19 population until 2025, reaching a plateau in 2030 at 320,000. The majority of our children and young people thrive and achieve their full potential, with 84.9 per cent of young people in Hertfordshire achieve at least five GCSEs (A*C) compared to 81.8 per cent nationally 3.1 0-25 age population by District (ONS – Census 2011) Area Broxbourne Dacorum East Hertfordshire Hertsmere North Hertfordshire St Albans Stevenage Three Rivers Watford Welwyn Hatfield Hertfordshire Aged <1 1266 2028 1746 1318 1599 2013 1247 1081 1460 1376 15134 Aged 1 to 4 4909 7690 6553 5389 6428 8283 4659 4352 5270 5399 58932 ONS - Census 2011 Aged 5 to 9 Aged 10 to 15 5550 7034 8408 10738 8257 10992 5969 7514 7401 9298 9082 10696 4971 6214 5249 6816 5436 6442 6033 7358 66356 83102 Aged 16 to 20 5713 8181 7760 5771 6812 7192 5465 4904 4997 9942 66737 Aged 21 to 25 5761 8256 6797 6133 6525 6824 5660 4514 6316 10037 66823 7 0-25 age population by District (ONS – Mid Year Estimate 2012) Area Broxbourne Dacorum East Hertfordshire Hertsmere North Hertfordshire St Albans Stevenage Three Rivers Watford Welwyn Hatfield Hertfordshire Aged <1 1304 1900 1673 1366 1652 2029 1234 1073 1505 1419 15155 ONS - Mid-Year Estimates 2012 Aged 1 to Aged 5 to 4 9 Aged 10 to 15 5006 5729 7008 8192 8637 10520 6919 8400 10760 5551 6208 7392 6693 7619 9092 8513 9546 10622 4820 5204 5956 4561 5476 6771 5569 5725 6430 5581 6271 7339 61405 68815 81890 Aged 16 to 20 5493 8185 7907 5680 6701 7036 5336 4802 4958 9861 65959 Aged 21 to 25 5811 8502 6915 6174 6508 6780 5622 4735 6001 10011 67059 The census data by district indicates that the largest under 5 years population is in St Albans, that children of school age 5-16 have relatively similar high numbers in Dacorum, East Herts and St Albans, whereas the largest grouping of 16-25 year olds is in Welwyn Hatfield district. 3.2 Ethnicity School aged children and young people from minority ethnic groups account for 21.1% of the total population, compared with 25.4% in the country a s a whole. 2011 Census information shows that the largest minority ethnic groups in Hertfordshire are Asian (6.5%) , Black African and Black Caribbean (2.8%) and a notable Eastern European population (1.3%).The proportion of pupils with English as an additional language (11.6%) is below the national average of 15.9% with the main languages other than English being Urdu, Polish and Gujerati. The following table illustrates the number Black and Minority Ethnic young people in the age group 0 – 25 years within each district. Watford has the most significant proportion of BME population, followed by Welwyn-Hatfield and Dacorum. Hertfordshire BME Population aged 0-25 Area Broxbourne Dacorum East Hertfordshire Hertsmere North Hertfordshire St Albans Stevenage Three Rivers Watford Welwyn Hatfield Hertfordshire 0-25 Population 0-25 BME 0-25 BME as % of 0-25 Population 29,078 43,622 40,701 30,874 36,593 42,618 27016 26011 28477 38556 343546 3,714 5,542 2,681 5,892 5,366 7,066 4462 4469 10491 9010 58693 12.77% 12.70% 6.59% 19.08% 14.66% 16.58% 16.52% 17.18% 36.84% 23.37% 17.08% 8 3.3 Child Poverty Poverty in Hertfordshire is not immediately apparent. Often there are hidden pockets of deprivation within our communities, where individuals and families live alongside more affluent neighbours. This leads to a perception that many of our communities are seen to be living in relative comfort, masking the real needs of many families living there. Therefore there is often a misconception that poverty does not exist in Hertfordshire. The reality is: 33,880 (13.2%) children are living in low income families in Hertfordshire. 27 wards in Hertfordshire have a level of child poverty equal to or above the UK average of 20 % The highest percentage of child poverty at ward level is 32.6 per cent, compared with the lowest at just 1.2 per cent, showing the huge inequalities within Hertfordshire 9 Section 4: Children in Care population The downward trend in the numbers of Children coming into Care has continued, and there was an overall 2.4% reduction between March 2012 and March 2013. There was a slight increase in numbers between April - June 2013, but the overall population is reducing again, and currently the number of CLA in Hertfordshire is 1016. The number of children becoming looked after (April 2012 – Dec 2013) 60 52 52 51 50 50 50 48 45 43 42 40 37 37 36 34 38 38 34 33 32 31 30 31 28 20 10 0 Apr12 May12 Jun12 Jul12 Aug12 Sep12 Oct12 Nov12 Dec12 Jan13 Feb13 Mar13 Apr13 May13 Jun13 Jul13 Aug13 Sep13 Oct13 Nov13 Dec13 Average Number of new CIC each month by age 2012-2013 and April 2013 – December 2013 8.00 7.00 6.00 5.00 4.00 3.00 2.00 1.00 0.00 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Age 2012/13 2013/14 YTD The overall number of under 5s entering care remain relatively stable although as the graph above shows there has been a noticeable reduction in the under1 age group. 10 This is believed to be as a result that it has been proving more difficult to obtain court orders for very young children. These reductions are against a backdrop of a continued increase nationally of 1.5% in the CLA population, as well as increases in seven of Hertfordshire’s benchmarking group. % change in number of CLA 11/12 to 12/13 -20.0 -10.0 0.0 10.0 20.0 England, 1.5 Bracknell Forest, 5.0 Buckinghamshire, 6.7 Cambridgeshire, 0.0 Central Bedfordshire, 16.7 Cheshire East, -14.8 Hampshire, 2.3 Hertfordshire, -2.4 Oxfordshire, -7.8 Surrey, 3.1 Trafford, 5.5 West Berkshire, 16.0 4.1 Children in Care by District of origin Age and Primary Address when first entered care Area Broxbourne Dacorum East Hertfordshire Hertsmere North Hertfordshire St Albans Stevenage Three Rivers Watford Welwyn Hatfield Unknown Postcode Subtotal Outside Herts Grand Total Aged <1 2 3 5 2 5 3 5 5 3 7 6 46 2 48 Aged 1 to 4 12 20 13 5 17 13 31 8 13 20 5 157 1 158 Aged 5 to 9 15 23 15 9 17 8 34 10 29 21 2 183 2 185 Aged 10 to 15 29 50 23 21 40 32 49 19 31 43 8 345 6 351 Aged 16+ 18 34 13 16 33 35 37 22 31 32 17 288 9 297 11 Total 76 130 69 53 112 91 156 64 107 123 38 1019 20 1039 4.2 Numbers of Children in Care by Placement Type The pie chart below identifies the types of placement in relation to children looked after, and captures where the child was placed as of January 2014. For the 1016 children and young people in care, the highest categories of placement were 66% fostered with other carers, 11% were accommodated in residential placements and almost 10% fostered with a relative or friend 4.3 ‘Looked after Children Stability Measures’ data against comparator authorities NI62: Stability of placements of Children in Care - % who had 3 or more placements in the year Hertfordshire Statistical Neighbour 2011/2012 12.4% 8.9% 2012/2013 13.3% 9.5% NI63: Stability of placements of Children in Care - % who had been looked after for at least 2.5 years and had been in the same placement for at least 2 years Hertfordshire Statistical Neighbour 2011/2012 68.8% 68.5% 2012/2013 67.4% 65.6% NI147: Number and % of Care Leavers in Suitable Accommodation 2012/2013 Hertfordshire Number in suitable accommodation 160 Percentage in suitable accommodation 91% 12 The position at present is that Hertfordshire has a higher % proportion than neighbouring comparator authorities of children having multiple placements in a single year. This therefore may impact on the young person’s education, ability to form social networks, retain contact with family and friends. 4.4 Legal Status on Entering Care Total Other Police Protectio n Emergen cy Protectio n Order Section 20 Accomm odation Interim Care Order Full Care Order Approximately 57% of children coming into local authority care during April-Sept 2013 were accommodated under s20 i.e. through voluntary arrangements with parents/carers. This represents a slight reduction from 2012/13 (62%) which appears to correlate with the increase in the number entering care through police protection. 238 201314 (April Sept) 201213 42 17.6% 87 18.6% 5 2.1% 15 3.2% 45 18.9% 65 12.9% 6 2.5% 7 1.5% 135 56.7% 291 62.2% 5 2.1% 3 0.6% 468 There are considerable differences between age groups; for example around 38% under 1s entered care via s20 compared to almost 86% of 16+. Further analysis evidenced that the number of children subject to Section 20 decreased as the length of time in care progressed from entry, through three months to six months. Legal Status when Entering Care by Age 40 35 30 Other 25 s20 EPO 20 PP FCO 15 ICO 10 5 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Key: Interim Care Order (ICO), Full Care Order (FCO), Police Protection (PP), Emergency Protection Order (EPO), Section 20 Accommodation (s20) 13 4.5 Young people in Youth Offending services An additional factor since 2013 is the requirement to consider those young people on remand as Children in Care. There is a need to further analyse the projected figures for young people within the youth offending system to identify the impact on placement demand, and to feed into monitoring and review of service delivery 4.6 Equalities Profiles of Children in care 4.6.1. Age profile Year Under 1 1 to 4 5 to 9 10 to 15 16 and over Total CIC 2009 40 130 150 455 215 995 2010 55 145 140 460 340 1140 2011 55 175 145 410 315 1095 2012 55 175 180 370 275 1055 2013 60 169 184 359 265 1037 The above table shows the numbers of Children and Young People who were in Care on 31st March each year, broken down by age bands. It indicates that the largest proportion in 2013 (60%) in Hertfordshire were over the age of 10. 4.6.2 Gender Profile Year 2013 2012 2011 2010 Male 197 240 240 295 Female 141 210 195 255 Gender of CLA on Entering Care 100% 90% % of CLA Entering Care 80% 141 195 210 255 70% 60% Female 50% Male 40% 30% 197 240 240 295 2012 2011 2010 20% 10% 0% 2013 Year 14 The tables show a slight variation in the gender composition of children coming into Care. The National percentage of males and females in care has remained stable, with a slight majority of males within the CIC population. This trend is reflected in Hertfordshire, where 53.64% of CLA starters were male in 2010, 53.33% in 2011, 55.17% in 2012, and 58.28% in 2013. In 2013, 197 males entered care compared to 141 females in Hertfordshire 4.6.3 Ethnic Profile Other (not specified or obtained) Other Ethnic Groups Year White Mixed Asian Black Total CLA 2010 890 100 55 50 45 - 1140 2011 855 105 60 50 25 0 1095 2012 810 120 55 50 - - 1055 2013 814 122 38 42 17 4 1037 2014 790 106 39 55 23 3 1016 Table 3 indicates that the ethnic make up of children in care has remained proportionately stable to the size of the CLA population over the past four years. Hertfordshire BME 0-18 years population Hertfordshire 0-18 BME Population BME LookedAfter 0-18 BME Looked-After as % of 0-18 BME Population 43527 226 0.52% However 0.52% (or 5.2 per 1,000) young people aged 0-18 from Black and Minority Ethnic communities are in care in Hertfordshire, compared to 0.38% (or 3.8 per 1,000) of population of white or European young people aged 0-18 being in care in Hertfordshire. 4.6.4 Other Protected Characteristics Data recording does not currently capture profile data on children in care in relation to other equality characteristics such as disability and sexuality. Monitoring procedures will therefore be modified to capture data for future sufficiency analysis and in order to inform commissioning decisions within children’s services. 7. Care Leavers The table below outlines the numbers of Children leaving care within the last financial year, which peaked in July 2013 with 39, but is currently 26 for January 2014. 15 Around 22.8% of children leaving care returned home between April to September 2013 compared to 30.7% in 2012/13. The average duration spent in care increased slightly last year from average of 1121 days in 2012/13,rising to 1140 by Sept 2013 with marked increases in the average time spend in care by the under 1, 8 and 14 year old populations. 16 Section 5: Current Provision A. Fostering A1: Market Capacity HCC foster carers Number of foster carers as of March 2013 Team East North South West Specialist Total (inc short break/respite) March 2011 104 112 95 110 13 434 March 2012 102 94 93 111 16 416 March 2013 105 101 94 114 20 434 Independent provider market (within Hertfordshire ) As at 31st October 2013 there were 790 CYP in foster placements, 206 of these (29%) were in IFA placements. Of those in IFA placements, 75 (35%) had been in IFA for less than one year, while 24 (12%) has been in IFA for 6 years or more. As of 23rd January 2014, there were 159 Hertfordshire Children and young people in IFA (Independent Fostering Agency) Placements A2: Placement Trends Month March 2011 March 2012 March 2013 With Friends and Family 164 132 115 HCC in house Foster Carers 545 527 559 Independent Fostering Provision 138 138 169 Other Provision (other LA) 1 4 1 Total Demand 821 814 810 Movement and duration of placements Year data (between 31/10/2012 and 30/09/2013) indicates there is a higher number of cases going from in-house to IFA (26) than coming back in-house from IFA (20) (Data source: ICS data taken 5th November 2013). Data from ICS indicates that there proportionally more long term in-house placements than IFA. 17 A3: Cost Analysis Average March March March Weekly Cost 2011 2012 2013 foster placements In house £328 £329 £315 Provision* Independent £870 £873 £829 Provision (social care) Independent £1,067 £1,012 £1,093 Provision (disability) *excludes infrastructure and management costs October 2013 Budgeted 2014/15 £350 £315 £831 £829 £1,076 £1,093 As part of the Improvement Programme ‘Good to Great’, there has been a recruitment drive in partnership with iMPOWER to increase the numbers of inhouse foster carers by a further 45 by the end of the financial year 2013/14. Despite the recruitment progamme, the numbers going to IFA have been increasing since January 2012. The main reasons for independent placements being required is: mothers and babies requiring placement together black and ethnic minority children requiring same culture placement those with complex or specialist care needs requiring individual support large sibling groups needing placement together The Fostering Team have set a target for the reduction in number of IFA placements to be reduced to 109 to within 2014. 18 In-house and IFA placements (as at 31st October 2013) 3, 0% 206, 29% In house IFA Other LA 500, 71% B: ADOPTION There are currently 49 children and young people are in adopted placements, which is 4.82% of total placement arrangements in Hertfordshire. B1: Market capacity The table below identifies both the number of applications and the number of approvals to become adopters Financial Year No of Applications during year No of Approvals to become adopters during year 10/11 11/12 12/13 50 38 66 35 54 49 B2: Placement trends The current availability of approved adopters is currently reflective of level of need , given that the recruitment of adoptive families is related to individual needs. Month March 2011 March 2012 March 2013 January 2014 Number of Children Adopted 37 38 68 49 It should be noted that Courts are increasingly using the SGO as a disposal for care proceedings as a way of ending a child’s looked after status, and giving them permanence within their wider family network. Activity levels have increased 19 significantly over the last 3 years with 95 SGOs having been granted over the 5 years to March 2011, to 65 being issued in the first 6 months of 2012/13. B3: Cost Analysis Average Annual March 2011 Cost Adoption £5,928 Allowances/SGO/ Residence Orders March 2012 March 2013 £6,448 £6,812 The above is a calculation based on the average weekly costs of placements x 52 weeks to give full year projected costs per child. Whilst SGOs result in children no longer being looked after, the County Council retains an on-going financial commitment. C: RESIDENTIAL PROVISION C1: Market capacity In-House No of beds 21 3 6 4 Length of Stay Medium – Long Term Emergency MediumLong Term Short Term Need Gender Complex and Challenging Needs Complex and Challenging Needs Children with a Disability Respite Mixed Age Range 12-18 Mixed 11-18 Mixed 11-18 Mixed Up to 11 Independent Provider – spot purchase arrangements No of beds 3 4 Length of Stay Short, Medium and Long Term Medium Long Term Need Gender Emotional and Behavioural Difficulties Male & Female Emotional and Behavioural Difficulties Male & Female Age Range 11-18 11-18 Independent Provider block contract arrangement Hertfordshire have proactively been seeking to develop capacity locally within the independent sector. Hertfordshire are currently part of a block contract arrangement with 5 other Local Authorities to provide 20 residential placements with education, increasing to 30 placements over the lifetime of the contract.The contracts commenced on 1st January 2011 and will end on 1st January 2016. . 20 The contract provides for 3 bed spaces for Hertfordshire placements with the option for an additional 2 bed spaces as and when required. C2: Placement Trends Total Number of Placements (including children with a disability) Month March 2011 March 2012 March 2013 HCC Residential Provision 29 32 30 Independent Placement Provision 34 40 41 Total Demand 64* 73* 72* *Please note that 1 placement was provided by Voluntary/Third Sector Provision and so the total does not match. The above tables indicate stability in the capacity of in-house provision over the past 3 years, which is a trend which is likely to continue in the short term as there is a strategic decision not to grow this section of the market. However the growth in independent provision will need to continue, but with a revised focus on the commissioning of local service provision within Hertfordshire The table below outlines the number of children and young people with complex or specialist support needs by age from March 2011 – March 2013. Key: ASD – Autistic Spectrum Disorder, BESD – Behavioural Emotional Social Difficulties, MLD – Moderate Learning Difficulties, PMLD – Profound and Multiple Learning Difficulties, SLD – Severe Learning Difficulties 21 C3: Cost Analysis Residential Home Placements Average weekly Cost current placements In house Independent Independent (disability) March 2011 March 2012 March 2013 £2,892 £2,823 £3,212 £2,640 £2,729 £2,292 £2,706 £2,872 £2,204 October 2013 £3,148 £3,029 £2,217 Residential School Placements Average Unit Cost per week Independent Provision (social care) Independent Provision (disability) March 2011 £2,614 March 2012 March 2013 £2,400 October 2013 £2,030 Budgeted 13/14 £2,400 £1,941 £2,676 £2,433 £2,395 £2,325 £2,395 D: 16+ SEMI-INDEPENDENT D1: Market capacity Registered Social Landlord Supported Accommodation Hertfordshire currently has 235 registered landlord supported accommodation spaces that can be accessed by young people aged 16 to 24. A further 305 bed spaces can be accessed by people aged 18 to 24 including two YMCA’s Ten places are currently block contracted specifically for Children Looked After and Care Leavers aged 16 & 17. These are within wo block contracts with two registered providers, 8 beds with Aldwyck Housing Association and 2 beds with East Herts YMCA. Both provide supported accommodation with 24 hour support. Where RSL providers accept Children Looked After and Care Leavers aged 16 & 17, the young person can continue to reside in the same provision after their 18th birthday where they have a continued need for support. The majority of 16 & 17 year olds (Children Looked After and Care Leavers) placed in semi-independent accommodation have been placed in private provider accommodation. The tables below outline the supported provision with RSL providers by district. Districts All districts* Dacorum and Watford Welwyn Hatfield East Herts Hertsmere Age Range 16-25 years 16-19 years 16-24 years 16-17 years 16-17 years Number of Bed Spaces 131 42 42 20 18 235 22 Districts Welwyn Hatfield East Herts Watford Hertsmere Age Range 18+ 18+ 18+ 18+ Number of Bed Spaces 116 27 150 12 305 D2: Placement trends Numbers of Children Looked After and Care Leavers aged 16 & 17 2010 357 31 March Actual 2011 2012 339 291 2013 272 2014 239 Estimated Projections 2015 2016 209 178 Based on the SSDA903 return, the number of Children Looked After and Care Leavers aged 16 & 17 has declined from a peak of 357 on the 31 st March 2010 to 339 on the 31st March 2011 to 291 on the 31st March 2012 and has reduced further still to 272 on 31st March 2013. If this trend continues, this number of 272 as of the 31st March 2013 is projected to decline further for 2014 to 239, 209 in April 2015 and 178 in 2016. The projections must be viewed as estimated as it is impossible to predict the future ages of children coming into care. The above projections are based on the assumption that the trend seen in the previous four years (2010-13) will remain constant. However as of the time of this report (January 2014) there are 277 young people in care aged 16+. Private Providers The majority of semi-independent placements made within the private sector have consisted of a bedsit or a one-bedroom flat with visiting/floating support ranging in quantity from one hour of support per week to twenty-four hours of support per day for specific high need young people. Whist an increasing number of semi-independent placements in the private sector have been made into shared accommodation these units vary in terms of their quality and cost. Historically, these provisions have ranged from three bedroom units with visiting support to twelve bedded units with twenty-four hour onsite support; the majority of the units with twenty-four hour support also provide placements to other local authorities besides Hertfordshire. Matching the level of need of young people has proved difficult where units only provide placements for Hertfordshire young people; where units provide placements to a range of local authorities, additional concerns have been raised about provider’s ability to consistently match young people’s needs and not increase individual young people’s vulnerability Private Providers – Asylum Seekers The majority of placements and accommodation for Unaccompanied Asylum Seeking Children who become Looked After at the age of 16 & 17 has historically been sourced through a limited number of small scale landlords. These landlords continue to provide a reduced amount of shared accommodation for both Children Looked After and who are also asylum seekers aged 16 & 17, and failed asylum seekers aged 18 to 21. The quality and cost of the accommodation and support has been very variable and requires particular attention for the following reasons: 23 Whist the landlords have been risk assessed and all comply with health and safety standards they were not recruited through any form of procurement process or service specifications; There is no formal support (on-site or floating support) attached to the accommodation; The number of failed asylum seekers aged 18 to 21 is projected to rise significantly; The recent Barking and Dagenham Judgement has clarified that the responsibility for financial and practical support and accommodation for All Rights Exhausted (ARE) asylum seekers rests with the local authority due to the young people being deemed former relevant children. Supported Lodgings Supported lodgings provide a particularly valuable option for young people who have not managed to sustain independent living and benefit from returning to a supported family type setting. The service is a value for money placement costing less than £250 per week for 16/17 year olds. The supported lodgings scheme which is jointly funded by Children’s Services and Supporting People (Accommodation Solutions team) has been operating within the Council for five years. The service budget for 16 & 17 year olds provides approximately 17 full time placements. However, it has rarely reached capacity for this age range. In addition the service was funded to provide a further 20 placements for 18-21 year olds. During 2012/13, the service provided only 9,499 bed nights which equates to 26 full time. places. The service therefore has capacity to increase by a further 11 places per year. Floating Support Floating support is currently provided in two main ways: Private sector accommodation and support providers allocate a floating support worker based on a number of contracted hours Whilst the majority of floating support is allocated to children looked after and care leavers aged 16 & 17 living in independent flats, those living in shared supported accommodation may also receive a variable amount of floating/visiting support. Private provider floating support ranges from £23.00 to £33.00 per hour and is extremely variable in quality. Registered social landlord floating support is charged at £25.00 per hour. 24 D3: Cost Analysis Table of Comparative Costs of Private Providers and Registered Providers Example of Comparative Costs Private Provider - Shared Accommodation 24 Support (Sleeping Nights) Private Provider - Shared Accommodation 24 Support (Sleeping Nights) Registered Provider - Shared Accommodation 24 Support (Sleeping Nights, with Waking Security Staff) Registered Provider - Shared Accommodation 24 Support (Sleeping Nights) Registered Provider - Shared Accommodation 24 Support (Waking Nights) Example Unit Cost £760.00 per week Average Unit Cost £778.00 £795.00 per week £270.00 per week £314.00 £411.00 per Week £262.00 per Week Based on an analysis of the current arrangements the commissioning objectives need to focus on: Ensure a continuum of placement/accommodation and support options that are able to meet the range of housing and support needs of young people and are flexible and responsive to the changing and emerging needs of young people. This will include family based options such as supported lodgings and staying-put with foster carers as well as hostel based shared living. Increase access to the Registered Social Landlord Sector; a) Increase the percentage of general access RSL bed spaces from existing capacity allocated to Children Looked After and Care Leavers aged 16 & 17; b) Increase the quantity of block purchased bed spaces dedicated to Children Looked After and Care Leavers aged 16 and 17 Develop Emergency Accommodation Provision for Looked After Children and Care Leavers aged 16/17 with 24 hour support E: Secure Accommodation The definition of secure accommodation is either Criminal Secure or Welfare Secure. HCC pay for Criminal Secure where young people are on remand. Once sentenced the young person becomes the financial responsibility of the Youth Justice Service. HCC therefore does not source these placements as they are decided by the courts, and the local authority receives a devolved budget for these young people remanded to secure establishments. Current costs are £680 per night. . 17 year olds who are not deemed vulnerable are placed in a Youth Offender Institution with unit costs £169 currently per bed night. 25 For Welfare Secure, HCC will source placements in order to safeguard the young people. Typically this is set-up through high cost residential placement There is currently no secure provision within Hertfordshire, and given the low level of demand it is not economically viable to develop such. F: Shared Care and Short Breaks Shared Care Shared care is a scheme which provides family based care for children and young people under 18 years, who have a learning and/or physical disability. The scheme recruits, trains and supports people who are willing to become shared carers to support families of children with disabilities. Visits can be anything from a few hours a week after school, to a day at the weekends or in the school holidays, to even a regular weekend stay, depending upon the needs of the child. F1: Market capacity In total there are 79 registered shared carers, and 13 carers who offer a sitting service, bringing the total to 92 carers. F2: Placement trends As of December 2013, there was a waiting list of 12 young people for shared care, and 1 for the sitting service. F3:Cost analysis Category Per hour Overnight Waking overnight Shared Care XTRA Number of hours Variable 12 hrs Total Price 4.05 22.87 12 hrs 35.74 7.59 Short Breaks Short breaks form part of a continuum of services which support disabled children and their families in universal and specialist services. For the purpose of this sufficiency document, the placement information relates to residential rather than community short break provision in Hertfordshire. 26 Providers District East Herts Three Rivers Welwyn Hatfield Dacorum Contract Price (12-13) £526,034 £567,283 £518,000 £61,000 Total Hours delivered 12-13 26,424 32762 31674 3819 Unit Price (hour) 2012-13 £19.91 £17.32 £16.35 £15.97 North Herts (HCC) £690,000 36686 £2,362,317 131,365 £18.81 Average unit price (hour) = £17.67 Unit Price bednight) 2012-13 £467.98 £406.91 £384.23 £375.36 £441.99 Average unit price (bednight) = £415 The only HCC residential short breaks service in Hertfordshire, closed in September 2013. 27 Section 6: Children and Young People’s Voice Amplify, the Children’s Commissioner’s advisory group of children and young people, released research defined what is important to children and young people, and what support will help them realise their ambitions. The key recommendations of the report are that national and local strategies should include: The value children and young people place on family and other positive relationships with friends, carers and professionals; Ensure access to good quality and relevant education; The prioritisation of good health, including mental health provision; The value of support and advice services. The Joint Children and Young People’s Commissioning Service will be working with the Hertfordshire Children in Care Council to ensure that the views of children and young people are fully considered in all aspects of the development and monitoring of accommodation related services for 2014 onwards. 28 Section 7: Summary and Key Priorities This data alongside the JSNA will assist in informing commissioning priorities across health and social care to: support and maintain the diversity of local services to better meet the needs of looked after children including the provision of preventive and early intervention services such as short breaks to reduce the need for care proceedings; maintain children and young people within their local area where reasonably practicable and where this is consistent with a child’s needs and welfare; support the provider market to develop to meet demand locally; ensure accessible housing stock to increase family accommodation for children with disabilities have consistent mechanisms for commissioning appropriate, high quality placements and services outside of their local area as a last resort, or where it is not consistent with a child’s welfare or reasonably practicable for him/her to be placed within the local area; and have in place a strategic commissioning strategy for addressing future supply issues and reducing constraints over the next 3 years i.e. building local capacity and expertise create a range of provision to meet the needs of care leavers including arrangements for young people to remain with their foster carers or move to other supported accommodation when not ready for full independence Accommodation should be sufficient, not only in relation to the numbers of beds provided, but also in respect of the diversity and quality of provision available. 7.1 Projected demand 2014 A. Fostering The number of fostering placements with friends and family or with in house foster carers has declined over the last three years, whilst the number of fostering placements with independent fostering agencies has increased. Action: During 2014, work will be undertaken to consider the need for non HCC fostering, and consider how in-house provision can be developed to ensure that local provision is a better fit with need. B. Adoption/Special Guardianship Orders An increasing number of CYP are exiting the care system as a result of adoption or SGOs. Capacity will be continue to be developed based on individual demand. 29 C. Residential a) Children’s Homes The in house and independent market provision within Hertfordshire has current capacity for 42% of projected placement demand. The increasing percentage of placements (currently 58%)being made outside of Hertfordshire results in Children and young people becoming disengaged with family ,education and social networks Majority of out of authority placements are for CYP with complex needs or behaviour that challenges Action: Development of more capacity and range of provision within Hertfordshire needs to be a priority for 2014, to reverse the trend of CYP in care living outside Hertfordshire b) SPECIAL SCHOOLS Limited residential special school provision exists within Hertfordshire. The current provision is: Capacity (beds) 12 20 25 25 84 (26 residential) Length of Stay Need Gender Weekdays Term Time Weekdays Term Time Weekdays and Term Time Normally Monday to Thursday but can be flexible. 2 groups Monday to Tuesday and Wednesday to Thursday EBD Male Age Range 11-16 EBD with SEN Deaf Male 11-16 Mixed 2-16 EBD Mixed Primary physical and neurological impairments Mixed 11-18 Action HCC is currently reviewing all HCC residential special school provision. D. 16+ SEMI INDEPENDENT PROVISION There are 253 local Registered Social Landlords within Hertfordshire who can provide accommodation for 16+. This market is currently under utilised and the 16+ accommodation Strategy aims to increase bed spaces with the RSL market reducing the dependency on the private provider market. Action: Providing a choice of accommodation to support young people in their transition from foster care or residential care to greater independence is a challenge. Additional local capacity for emergency bed/crash pad provision 30 and for accommodating asylum seeking young people is also required. These areas of development need will be prioritised. To ensure that there is adequate supervised accommodation for care leavers who need 24/7 transitional support. To provide time limited floating support for young people settling into their own accommodation 31