It’s Everybody’s Business Review of Lewisham’s Children and Young People’s Plan 2012–2015 April 2014 1 Introduction This document is a review of progress against Lewisham’s fourth Children and Young People’s Plan. Compiling information and updates from across the Children and Young People’s Strategic Partnership Board, this review serves as a stock take and reference tool. It allows the Partnership to review collectively progress against targets and actions to ensure that we are able to meet the objectives we have set for completion in 2015. The review shows the strong progress that the partnership has made in improving outcomes for children and families in Lewisham. It shows that in some areas improvements remain to be made. As a partnership we are evidence and performance-based and recognise that there is more to do to deliver the outcomes of our plan. We will continue to work together, engaging children, young people and their families, to ensure that we focus on narrowing the gap so that those most at need benefit the fastest. Summary of the Children and Young People’s Plan 2012 – 2015 Lewisham’s fourth Children and Young People’s Plan (CYPP) sets out the strategic aims and priorities for all agencies working with children and young people across Lewisham from 2012 to 2015. The plan strengthened the foundations established by previous plans for improving outcomes for children and young people in Lewisham. The plan was drafted in the context of the economic downturn and government cuts to funding for local authorities which even now continue to impact upon the partnership’s resources and capacity to provide the same level of services previously available. This led to a commitment in the Plan to make every penny of public money work as hard as it possibly could to provide high quality services for our children and young people, with a continued focus on improving outcomes. The Plan reiterated Lewisham’s long-held vision for children and young people “Together with families, we will improve the lives and life chances of the children and young people in Lewisham” and its three key values: to put children and young people first every time; to have the highest aspirations and ambitions for all our children and young people; and to make a positive difference to the lives of children and young people. The plan also described the robust culture evidenced across the partnership: we all work for children all Lewisham’s children are all of our concern all money is children’s money – we will make every penny count we intervene early and target children and families at risk of poor outcomes – including siblings we all have personal responsibility to integrate and share information there can be no resignation from the Teams Around the Child – we do not just refer on we have no wrong door. 2 Our priorities CYPP Priorities Be Healthy BH1 Reduce health inequalities by: (i) improving the take up of immunisation and (ii) reducing the number of babies born with low birth weight BH2 Improve the health of Looked After Children BH3 Further reduce teenage conceptions and reduce the rate of sexually transmitted infections BH4 Reduce childhood obesity BH5 Reduce substance misuse, including of alcohol and tobacco BH6 Promote mental and emotional well-being Stay Safe SS1 Reduce child abuse and neglect SS2 Reduce harm to children and young people caught up in domestic violence SS3 Provide secure and consistent support for looked after children, particularly placement stability SS4 Support families at risk of being in crisis SS5 Ensure that children and young people feel safe Enjoy and Achieve EA1 Raise achievement at all key stages EA2 Close the achievement gaps between under-achieving groups and their peers EA3 Improve school attendance EA4 Meet the needs of children with complex needs and disability EA5 Ensure there are sufficient school places for every Lewisham child EA6 Ensure children and young people access culture, sport leisure and play activities Make a Positive Contribution MPC1 Strengthen further youth participation and involvement MPC2 Reduce anti-social behaviour and youth crime and support young people who are the victims of crime MPC3 Provide integrated youth support for all young people to ensure they are able to make informed choices about their lives Achieve Economic Well-being EWB1 Reduce further the number of young people who are NEET 16-24 EWB2 Raise participation and achievement at age 19 EWB3 Secure a diverse 14-19 offer which meets the needs and aspirations of learners EWB4 Meet the housing needs of young people and families The way we work in Lewisham Lewisham has well–embedded and mature Children’s Partnership arrangements. All partners have agreed to work within a single framework in which services will deliver the vision for our children and young people. All agencies in Lewisham provide services against our three stage model: universal, targeted and specialist. All Lewisham children and young people must benefit from excellent universal services. Within those services we continue to embed high quality targeted services for those children and young people who may have a problem, so that support can be provided quickly to 3 ensure that problems do not escalate and eventually require specialist services. Our approach to early intervention – including through Children’s Centres and family support services – ensures that children, young people and their families needing targeted services are identified effectively and early and receive the coordinated support they need across all relevant agencies, and that we are therefore improving outcomes by making the best use of our resources. Crucial to this way of working is Lewisham’s joint commissioning approach which is fundamental to successful partnership working, a shared culture across all partners, better joint working and continued integration of services for children. Our joint commissioning delivers integrated support based on the use of robust evidence and needs analysis as well as effective use of our resources ensuring our services demonstrate value for money. This approach ensures that resources are targeted where they are needed; that there is a continued emphasis on integration; and that levels of need are able to be met with fewer resources. We know that Lewisham’s population is growing at an accelerated rate. There is a growth forecast in Lewisham’s population of 27,000 over the next 10 years and we will need to meet the needs of an increasing number of children, with significantly reduced resources and with fewer staff. Over the next five years, the numbers of children aged under 5, and aged 5 to 12 will rise the most. There is a particularly marked increase forecast over the next five years. For 2016, our challenge will be to sustain the partnership’s high performance in delivering effective services within these constraints and to prepare and design services so they are able to cope with the anticipated increase in demand for services. As before, the plan committed the partnership to demonstrate that across all services it would: Collaborate – through approaches such as Team Around the Child/Family, through tools like the Common Assessment Framework and through a shared understanding of our workforce. Be evidence based – with actions and priorities supported by a strong evidence base and a well–established performance management framework which is shared across all agencies. Be outcome focused – able to demonstrate that we are making a difference to outcomes for children not just to processes or services that surround them. Be efficient – a commitment to use all the partnership’s resources efficiently and effectively, providing value for money across all partners - ‘all money is children’s money’. Be inclusive – The partnership is committed to ensuring that every single one of Lewisham’s children and young people is able to access those services that will improve their life chances and choices. Lewisham offers sustained support to those children who are vulnerable, particularly our Looked After Children, children and young people with learning difficulties and/or disabilities, young carers and those in the youth justice system. Listen – The views of children and young people and their parents or carers are vital to improved wellbeing. It is only by listening that services can understand how to meet the needs of the people we serve. Be innovative – building upon the Partnership’s track record of developing innovative solutions to address complex and entrenched issues. 4 Key areas of impact The Plan identified four key areas of impact where the Partnership needed to work together to embed and improve its practice. Make sure early intervention makes a difference. Involve children and young people and their families Close the gap and secure social mobility Ensure our early intervention and targeted support approaches are embedded and have direct impact for children Promote the effective involvement of children and young people in their communities as active citizens; secure the involvement of children, young people and parents and carers in decision making, service development and evaluation of services which affect their lives Promote the highest aspirations and ambition for all our children and young people right across the partnership, particularly to close gaps and secure social mobility Ensure we have the best people working for our children and young people Secure and retain a strong, committed and highly– skilled workforce across the partnership, with outstanding leadership and management Looking forward to 2015 and beyond This version of the Children and Young People’s Plan was written in the context of reduced public expenditure, with all partners expected to provide high-quality services with less resource. This situation has not changed. With each passing year the partnership’s ability to decrease funding without fundamentally changing the shape and scope of services becomes more constrained. This Children and Young People’s Plan runs until April 2015. The Partnership will need to start working on developing its strategic goals and commissioning intentions over the course of 2014/15. The Partnership will also need to consider the format, size and scope of the Plan. 5 Headline achievements and challenges The table below summarises the headline achievements of the Partnership since the plan was launched in 2012. It also identifies the key areas where further improvement is required. Be Healthy Areas of good progress in 2012/2014 Mothers who smoke at time of delivery – down from 8.7% in March 2012 to 2.9% in December 2013. This is the lowest in SE London, and significantly lower than the average for London and England as a whole at 12.8% Looked After Children who have completed annual health assessments is up from 80.9% in March 2012 to 96.8% as at December 2013 against the target of 93%. Annual health checks of Looked after children at age 0-4 achieved its target of 100% Obesity in primary school age children in Reception year is above target Percentage of LAC received intervention for substance misuse is at a 100%, exceeding the target of 80% Challenges Early access to maternity services remains a low (79% compared to 86% access to maternity services nationally. Low birth weight babies has remained stable on average, ranging from 8.3% in 2012 to 8.4% in 2013. This above our target of 7.2%. It is also above our statistical neighbours at 8% and 7.4% national average. Immunisation rates especially MMR2 remain below target. The percentage of looked after children who complete an initial Health Assessments within 28 days of becoming LAC has dropped from a 100% in December 2013 to 67% in February 2014. Early access to maternity services remains a low (79% compared to 86% access to maternity services nationally. Low birth weight babies has remained stable on average, ranging from 8.3% in 2012 to 8.4 in 2013. This is above our target of 7.2%. The levels are also above our statistical neighbours at 8% and 7.4%national average. Immunisation rates especially MMR2 remain below target. Stay Safe Areas of good progress in 2012/2014 Challenges Businesses are signing up to the “Safe Havens” roll out scheme for shops and public buildings to become "safe havens" for young people who are at risk of becoming victims of crime or being chased by other gangs. Issues with cooperation from gun crime victims and witnesses, with 51% of nonfatally shot victims unwilling to work with the police, mainly because they are worried about reprisals from gang members; 6 Enjoy and achieve Areas of good progress in 2012/2014 March 2014 Key Stage 1 results for 7 year old pupils for Lewisham average as compared to 2012 results shows Lewisham continues to improve in Reading, Writing and Maths at both Level 2+, Level 2b+ and Level 3+. All the figures are above target March 2014 Key Stage 2 results (except LAC and FSM) for Lewisham average as compared to 2012 results shows increases in Writing, Maths and the overall combined Reading, Writing and Maths (RWM) at both Level 4 and above and Level 5 and above. The overall combined RWM at Level 4+ was up by 14.6% from 68% in 2012 to 82.6% in 2014. The overall combined RWM at Level 5+ was up by 12.8% from 14% in 2012 to 26.8% in 2014 Challenges At 39%, LAC Key Stage 2 Level 4 attainment in grammar, punctuation and spelling is behind the national average 45% and our statistical neighbours 55.8% At 16.2%, FMS Key Stage 2 Level 5 in Reading, Writing and Maths attainment is below the 18% target. Level 4 is also below target by 2.8% The number of Looked After Children achieving 5 A*-C GCSEs (or equivalent) at Key Stage 4 (with English and Maths) show an increase of 10% from 15% in March 2012 to 25% in March 2014. This is also better when compared to 15.3% nationally Make a positive contribution Areas of good progress in 2012/2014 Challenges Increased participation by young people in decision making, including a large turn-out in election for Young Mayor Achieve economic wellbeing Areas of good progress in 2012/2014 Challenges Continuing reduction in 16-18 year olds Not in Education, Employment or Training (NEET) – down to 3% in March 2013. This is better than the national average 9.6% and our statistical neighbours 5.6% There is a challenge to meet the target on the number of Care Leavers living in suitable accommodation. 87% of care leavers were measured as living in suitable accommodation, compared to 91% in London and 88% nationally. 80% of the Care Leavers in the borough are in Education, Employment or Training. This is better than the national average (66%) and statistical neighbours (70%) 7 BEING HEALTHY Our Priorities BH1: Reduce health inequalities by (i) improving uptake of immunisation and (ii) reducing the number of babies born with low birth weight BH2: Improve the health of Looked After Children BH3: Further reduce teenage conceptions and reduce the rate of sexually transmitted infections BH4: Reduce childhood obesity BH5: Reduce substance misuse, including alcohol and tobacco BH6: Promote mental and emotional well-being Since 2012, the partnership has broadly sustained its upward trend in the proportion of children immunised at all ages. There have been some particular success stories including the uptake of HPV which, from a low base is now nearing the national target. The uptake of MMR 1 is above the national target. Challenges remain specifically around MMR 2 and the Pre-school booster. Performance against the former currently places Lewisham among the worst performers in London. In terms of low birth weight, the partnership has not yet seen as much improvement as was hoped for in 2012. The rates are remaining stable. However, the partnership’s focus on this issue means that messages around early access to maternity services and the importance of stopping smoking during pregnancy are understood and reinforced by all the agencies coming into contact with women. We have improved health outcomes for our most vulnerable children and young people. Over the course of 2013/14, through coordinated action on the part of Lewisham Council and Lewisham and Greenwich NHS Trust, the percentage of Looked After Children who completed an Initial Health Assessment within 28 days has steadily improved to the point where we are regularly reporting 100% success. This means that we can identify any specific health issues for these young people and take action as quickly as possible to meet their needs. This improvement in performance is a prime example of how partnership working can make a real difference to the lives and life chances of our young people. Performance shows that our commissioned services respond quickly to meet the needs of our Looked After Children. Every Looked After Child where a substance misuse issue is identified now receives the appropriate intervention. This is a significant improvement from 2012 when only a quarter of cases were receiving interventions. Challenges remain and more work will be required over the course of 2014/15 to ensure that waiting times for some services, such as CAMHS assessments, remain low, even when they are meeting national targets. 8 Teen pregnancy and sexual health continues to be a priority for this Plan. While improvements have been made there is still more to do. Annual teenage pregnancy rates are available up until 2011. The rate has been falling in Lewisham in line with London and national trends, although the first quarter of 2013 does show an increase (mirrored in London and England). The actual numbers have also dropped significantly over the same time period. The proportion of conceptions leading to abortion has remained relatively stable at 53-55%. Tier 2 emotional well-being provision is now operating in 10 schools through Place2Be. Having such designated workers in schools means that holistic assessments and care plans can be put in place for each individual young person. The partnership continues to embed its multi-agency approach to tackling obesity. In February 2014, Lewisham and Greenwich NHS Trust received their Level 2 accreditation in the UNICEF Baby Friendly standard – demonstrating their commitment to promoting breastfeeding and helping women to sustain breastfeeding for as long as possible. The partnership is responding to the Government’s initiative (this is a legal requirement) to provide Free School Meals to all pupils in Reception, Year 1 and year 2 and is working closely with schools to make sure that the potential benefits of this are maximised. An audit of facilities was undertaken and a system for the necessary procurement of equipment is almost complete. 9 BH1: Reduce health inequalities by (i) improving uptake of immunisation and (ii) reducing the number of babies born with low birth weight 1. Why we need to focus on this outcome Immunisations: Uptake of immunisations in Lewisham has been much lower than that required to provide ‘herd immunity’ for some time. Uptake of vaccines has been below target, and as a result, significant numbers of children in Lewisham are not protected against potentially serious infections. Due to the low uptake of MMR vaccine, there was an outbreak of measles in Lewisham in 2008 with a total of 275 confirmed or suspected cases. Low birth–weight: Low birth weight is a risk factor for infant mortality and babies born with a low birth weight are more likely to suffer from a variety of health and developmental problems. Lewisham has, in the past, had a higher than average rate of low birth weight, and we must continue to work with expectant mothers and families on lifestyle behaviours, and across the partnership to ensure that socio–demographic factors are mitigated. Early access to antenatal care, identification and effective management of pregnancies at risk, particularly in relation to smoking and nutrition of mothers, remain the mainstays 2. Progress against our actions Immunisations: Action Latest position Improved information systems– Maintenance of improvements made over the past four years and working towards a single information system. Development of care pathways – the first of these, was launched in July of 2010 and has resulted in a marked improvement in recorded uptake. A pre-school booster pathway will come on line during 2012. A ‘Health in Lewisham’ webpage was developed on the council website to provide information and advice and also promote services that are available to support families achieve a healthy lifestyle. Further development of immunisation care pathways. The pre-school booster pathway will be redesigned and re-launched in May 2014, and will incorporate systematic enquiry about uptake of vaccine in children entering Lewisham primary schools as part of the school entry process, and involving children’s centres in efforts to ensure vaccination of those not already immunised. Information on this group of children is now updated regularly via the immunisations dashboard, so that the outcome of activity by health visitors is recorded and monitored. Pre-school entry health checklist, including information on immunisation was sent for consultation with head teachers. This has now been agreed. Health Checks are now incorporated into school procedures. This is ensuring that parents of unimmunised children are also supported Action to improve recorded uptake of vaccines amongst children who are not registered with a GP. Engaging with primary schools and early years providers to implement standardised collection of information on the immunisation status of new entrants, exploring options for offering vaccinations to under-vaccinated children, and identify opportunities to promote immunisation (e.g. among childminders). Continued work with schools to increase uptake of HPV vaccine. Survey of parents to better understand barriers to immunisation and incorporation of actions to address these into the action plan. Continued lead on development of immunisation training across London and participation in Uptake of 1st dose of vaccine – 83% in 2011/2012 and 81% in 2012/2013, up almost 10% from 2010/2011 A survey of parents has now been completed. The final report is being prepared. We will know the results once this is published. This is no longer a PH responsibility. Responsibility now lies with Public Health England who published 10 London-wide initiatives to increase the uptake of immunisation. the guidance on training standards. Low birth–weight: Action Latest position Continue to monitor access to maternity services to ensure all women are encouraged to attend maternity services as early in pregnancy as possible and before 10 weeks gestation. A target of 90% of pregnant women in Lewisham accessing antenatal care by 12 weeks and six days of pregnancy had been reached by the end of 2010 and has been sustained for most of the time since then. There have, however, been problems with changing definitions of the indicator (principally about the denominator used) and with information being easily obtainable. The most reliable recent data indicates that Lewisham’s performance on this measure was 79% in 2012/2013. Continued use of new maternity notes to ensure collection of accurate data on those women who have additional social factors putting them at risk of a low birth-weight baby. Use of new methods of paying for maternity care to implement effective use of care pathways to ensure women at risk are offered appropriate support. Review the Stop Smoking support and the current opt-out programme for pregnant women and their families to ensure it is as effective as it can be. 3. There have been continuing problems in attaining this target. It is now a CCG priority to improve performance. The use of the new notes continues, and has a number of benefits, in addition to identifying women at risk of having a low-birth-weight baby. New model of care and care pathways to be piloted by CCG and Lewisham and Greenwich NHS Trust in 2014/15. Inclusion of smoking cessation as part of an agreed programme of service quality improvement all services at Lewisham Hospital in 2012/2013 seems to have had a positive effect - percentage of women smoking at the time of delivery has fallen. The level for the entire year 2012/2013 is 6.6%, with a figure of 5.0% for the final quarter of 2013 – the lowest level ever recorded for this indicator in Lewisham. Our performance against this objective Immunisations CYP Data Export LPZ197 Haemophilus influenzae type B & Meningitis C Immunisation rates 2nd birthday LPZ196b Pneumococcal booster: % age 2 completed their immunisations LPI324 MMR1 Immunisation rates 2nd birthday LPZ194 - Diphtheria, Tetanus, Polio, Pertussis & Hib Immunisation rates 2nd birthday LPZ330 % GP practices achieving MMR1 uptake target LPZ199 HPV Cervical Cancer Vaccine H/L Actual Mar 2012 Actual As at Dec 13 Target Perform. 88.60 82.80 91.00 87.40 84.70 92.00 88.60 87.30 91.00 94.10 89.10 94.00 27.00 50.00 90.00 O/T v Targ H H H H H H 57.00 83.60 (Sep 2013) 84.80 11 (Dose 1) Low birth weight CYP Data Export LPZ170 % Mothers smoke at time of delivery 4. H/L Actual Mar 2013 Actual As at Sep 13 Target 5.00 2.90 5.40 L Perform. O/T v Targ What is impact of our activity? Immunisations: Over the past four to five years, Lewisham has seen a broadly sustained upward trend in the proportion of children immunised at all ages. For many vaccines, this improvement has been much more than in London as a whole. Uptake of the first dose of MMR (MMR1) at two years of age has improved and has recently reached the target of 90%. An MMR pathway was agreed and launched in late 2010, and re-launched in the summer of 2011. Practices are now routinely sent information on their performance and the CCG has made uptake of this vaccine a priority. All these actions contributed to success on this vaccine, though progress is still required to achieve the 95% uptake identified by WHO as necessary to avoid outbreaks of measles. Uptake of HPV vaccine, which protects girls against future risk of cervical cancer, has improved greatly in Lewisham in the past two years and is now nearing national targets for uptake of this vaccine. Uptake of 1st dose of vaccine – 83% in 2011/2012 and 81% in 2012/2013, up almost 10% from 2010/2011 Uptake of the third dose of diphtheria vaccine (D3) at one and two years of age did reach London – wide targets but this has proved difficult to sustain and performance is again below target Uptake of MMR2, and of the Pre-School Booster as measured by uptake of the fourth dose of Diptheria vaccine(D4) by the age of five, is below 75%. Uptake of these vaccines at this age remains the greatest challenge. Lewisham uptake of MMR 2 at five years of age is amongst the lowest in London. Low birth weight Low birth weight is a major determinant of perinatal illness,disability and death and adversely affects babies born into families from a lower socio-economic background. Smoking is the major modifiable risk factor contributing to low birth weight. A number of service changes, such as the provision of direct access to midwifery services by women themselves, and a range of actions aimed at ensuring early access to antenatal care, as well as opt-out referral to stop smoking services of pregnant women, were set in train. New antenatal care notes were also introduced, using validated means of identifying women whose pregnancies might be at risk of outcomes like low birthweight, and adherence to new London-wide care pathways instituted. All of these changes together led to a reduction in the proportion of pregnancies in Lewisham women ending in the delivery of a low birth-weight baby. More recently, however, there has been an increase in this indicator again. 5. What additional activity is required in 2014/15 Immunisations: The development of a new Lewisham Immunisation Strategy, based on an agreement as to the relative roles of NHS England, the Clinical Commissioning Group, Public Health England and the local Children’s Commissioning team. The existing Lewisham Immunisation Strategy Group, which 12 has representation at a senior level of all of these stakeholders and which reports to the Lewisham Health and Wellbeing Board, would seem to be the best way of overseeing the development of this new strategy. The continuation of a major programme of facilitation of work in primary care aimed at improving uptake of vaccine. The CCG, together with Lewisham Public Health, hopes to support practices in a variety of ways so that they can maximise the uptake of immunisation in their patients. A review of use by parents of the health visiting service as an alternative to the GP practice as a means of immunising their children with a report to the JCG and to the Clinical Directors at the CCG on this issue. Further development of immunisation care pathways. The pre-school booster pathway will be redesigned and re-launched in May 2014, and will incorporate systematic enquiry about uptake of vaccine in children entering Lewisham primary schools as part of the school entry process, and involving children’s centres in efforts to ensure vaccination of those not already immunised Introduction of the new national immunisation programme to ensure that secondary school children and young adults are protected against disease caused by Group C Meningococcus Negotiations to introduce the immunisation by midwives of pregnant women against influenza and pertussis. Negotiations to introduce opportunistic immunisation of children in settings other than primary care. Low birth–weight: Continuing monitoring of data on low birth-weight, access to maternity services and smoking in pregnancy. Given that early access to maternity services is so important, and that there has been a recent fall off in performance on this indicator in more than one of our providers of maternity services, we will work with the CCG to ensure a clear plan of action to improve performance on this indicator. 13 BH2: 1. Improve the health of Looked After Children Why we need to focus on this outcome Looked After Children (LAC) are 40% more likely to have a mental health issue, this rises to 70% for children in residential care. Looked After Children with some form of substance dependency are more likely to decline offers of intervention. Data analysis of a cohort of LAC in Lewisham has revealed that 71% of young people assessed as presenting with substance misuses were not engaging or accessing specialist treatment. At March 2012, 80% of Looked After Children received health assessments but this is still lower than our benchmark performance of 88%. This improvement is gradual and inconsistent. It remains a priority to ensure practices are embedded and our challenging targets to be in the best quartile nationally are reached, 2. Progress against our actions Action Latest position Continue to provide a dedicated LAC nurse to A dedicated nurse continues to provide assistance to assist social workers to support LAC with health social workers. issues. The CRI dedicated Substance Misuse Worker This worker removes as many barriers to located in the Leaving Care Team will continue to engagement as possible and supports vulnerable provide specialist services to Looked After young people to engage in substance misuse Children (LAC) and Care Leavers. treatment. Continue to provide services through the Looked Services continue to be provided through the ‘drop in After Young People ‘drop in’ clinic offering clinic’. support on health issues i.e. immunisations. We have established a more efficient process for Ongoing scrutiny of the process to organise health organising health assessments, with health assessments by the Council and Lewisham and partners gaining access to Social Care I.T. Greenwich NHS Trust has seen a substantial systems in 2012. improvement in the number of Initial Health - We will monitor and track the progress of this Assessments being completed on time. Since new system to ensure it meets its objectives. September 2013 the average percentage of Initial - We will continue to monitor initial and review Health Assessments completed in 12 weeks is over assessments to ensure we are adhering to 90%. timescales. - We will ensure outstanding assessments are followed up and actioned by the partnership. Continue to offer a specialist mental health - Over the period April – December 2013, 24 LAC service, the Symbol Therapy Team, to LAC. This referrals were accepted by CAMHS per quarter, team offers therapy to young people but also consistent with the level of activity in the pervious supports carers and social workers with period. When compared to the same period in consultations and advice. 2012, the numbers accepted were the same. This equates to an average of 9% of all CAMHS accepted referrals. - The average waiting time from referral to assessment from April to December 2013, was 12 weeks. - Since April 2013, the SYMBOL team have picked up adopted children accessing CAMHS, this has improved continuity of care. 14 3. Our performance against this objective Health of Looked After Children CYP Data Export LPZ327 % LAC had their teeth checked last 12m LPZ328 % LAC had routine immunisations last 12m CF/C19 Health of LAC H/L H H H LPZ515 % LAC completed an Initial Health Assessment (IHA) within 28 days of becoming looked after LPZ326 % LAC had an annual health assessment last 12m NI058 Emotional and behavioural health of looked after children LPZ321 LAC age 0-4 Health Checks (OC2 Stat. Return) LPZ145 No. LAC 12m had substance misuse problem during the year LPZ146 % LAC 12m had substance misuse problem during the year LPZ147 Of LAC who had substance misuse problems, % received intervention (Tier 1-2) LPZ148 Of LAC who received intervention (Tier 1-2), % who refused Tier 3 Assessment 4. Actual Mar 2012 Actual As at Mar 14 Target Perform. 88.20 80.10 93.00 86.80 91.20 93.00 84.60 88.60 93.00 - 100.00 95.00 80.90 97.20 93.00 13.50 13.40 13.30 100.00 100.00 12.00 3.30 80.00 40.00 O/T v Targ H H L H L L 80.00 18.00 5.30 25.00 H 50.00 L (Mar 2013) 14.00 (Mar 2013) 4.20 (Mar 2013) 100.00 (Mar 2013) 0.00 (Mar 2013) The impact of our activity LAC/LC now have a designated care worker. This enables the team to have holistic assessments and care plans in place for each individual young person. Information is shared easily between agencies and the best outcomes for the young person are met. It also means that the referral processes are smooth and increases the number of referrals into specialist treatment There were 210 Initial Health Assessments. Of these, 104 were in borough (49.5%); 106 out of borough (50.5%); 102 Female (48.5%) and 108 Male (51.5%) Over the course of 2013/14, through coordinated action on the part of Lewisham Council and Lewisham and Greenwich NHS Trust, the percentage of Looked After Children who completed an Initial Health Assessment within 28 days has steadily improved to the point where we are regularly reporting 100% success. This means that we can identify any specific health issues for these young people and take action as quickly as possible to meet their needs During Q1 13/14, 72% (13/18) of LAC cases started CAMHS treatment within 12 weeks of referral. The current target is 95%. In Q3 (4/11) of the same year this has reduced to 36%. Reasons for the increase include delays in funding agreement for non-Lewisham LAC placed in borough and reduced team capacity. Administrative systems are being developed by SLAM to manage this process. This has been highlighted as an exception through contract monitoring processes, SLAM have been asked to provide an action plan. Over the last 9 months between April 2013 to December 2013, 100% of cases were transitioned to adult mental health services with a CPA review 6 months prior to 18th birthday, in addition in 100% of cases, there was evidence of transition planning prior to the young person’s 18th birthday. 15 Over the same period in 2013, LAC accessing CAMHS saw an average of 64% improvement in CGAS scores. 5. What additional activity is required in 2014/15 Maintain the good performance in Initial Health Assessments for Looked After Children Implement an action plan to increase referrals to the LAC Health clinic from Accident and Emergency, CAMHS and Self, Friends and Family referrals. The YOS referral officer will increase referrals from YOS colleagues. Work collaboratively to provide a wrap around service to those leaving Young Offender Institutes (YOIs). Work with South London and Maudsley NHS Trust to ensure that waiting times for assessments of LAS are improved over and above the 12 week limit. 16 BH3: 1. Further reduce teenage conceptions and reduce the rate of sexually transmitted infections Why we need to focus on this outcome Teenage Pregnancy Targets for the reduction of teenage conceptions for 15–17 year olds in Lewisham remain extremely challenging. The annual rate of 48.6 teenage conceptions per 1,000 remains in the bottom quartile nationally, and the 7th bottom in the capital. The Positive for Youth policy document published in December 2011 set out the Government’s strategy for young people nationwide, aiming to reduce teenage pregnancy and sexually transmitted infections (STIs), supporting young people to make informed decisions and improving outcomes for teenage parents. This is provided by the National Sexual Health Strategy published in 2012. Reducing the rate of Sexually Transmitted Diseases (STIs) Lewisham has high rates of sexually transmitted infections amongst young people. Left untreated STIs can cause long term problems including pelvic inflammatory disease, ectopic pregnancy, low birth weight, sterility and cancer. 2. Progress against our actions Action Provide access to support for all young parents through health, community, family and youth settings e.g. YSS, midwifery, Children’s Centres, Family Support and FNP. Latest position Youth Service and Commissioning teams provide support to young parents. The FNP programme and Young People’s Midwives provide support to pregnant and young mothers. Children’s Centres have started to run specific young parents groups and attract this cohort for mainstream activities. The Youth Service commissions Working With Men to support young fathers. Provide Sex and Relationships Education (SRE) workforce development to professionals working with young people in Lewisham, with bespoke training for foster carers, including sexual bullying, teen relationship violence, STIs, contraception, pregnancy choices and cyber bullying. The new targeted health visiting service will be prioritising this group. Review of capacity for SRE training for Children’s Workforce. Working With Men commissioned to provide training to Youth Service staff. Training on STIs, HIV and contraception was provided to Partnership staff in Lewisham Pilot Speakeasy SRE course in 2012/13 to provide parents with skills to support their children. Youth Service has commissioned the Metro to provide support to young people including providing advice on safe sex practices The Youth Service supports SRE by giving information, advice and guidance to young people and families through one to one specialist youth workers and drop-in sessions SRE training for 150 foster carers was completed based on the FPA Speakeasy model. Continue to support DoH ‘You’re Welcome’ Commissioners based in Lambeth Council will lead Provide SRE support, information and guidance to young people through Youth Support Services. 17 Action Latest position programme by accrediting 3 services a year. Increase uptake of long-acting reversible contraception (LARC) in sexual health clinics. Increase number of pharmacies providing emergency hormonal contraception (EHC) and other oral contraceptive methods. Promote condom use through pan-London distribution scheme in various youth, health and community settings. Target young men for STI screening within risk groups e.g. YOS and LAC. Include follow-up for abortion in under 19s and vulnerable women in abortion pathways delivered by commissioned services. Continued partnership work with schools to pilot a ‘clinic in a box’, improve HIV awareness and increase uptake of HPV vaccine. Develop a communications plan, including online marketing, in partnership with young people to increase awareness and access to services and support. Develop a young people’s health forum targetting 30 young people annually. 3. Staff from a range of providers have been trained to distribute condoms and use the pan-London database since the launch in 2011. 3408 condoms were distributed last year. This is being prioritised as a key action in the new Youth Service. Signposting to STI screening is included in Youth Service contracts. Working with Men were commissioned to provide training to Youth Services staff. This is now part of contracts led by Lambeth Council on behalf of Lewisham. This action has been amended to commissioning a SRE programme in secondary schools. At present, schools are signed up with a lot of young people reached so far. The Youth Service are recruiting to a new Participation and Engagement post, whose responsibility includes marketing and communication This action will be continued in partnership with the DAAT via the Participation lead within the new Youth Service structure. Our performance against this objective CYP Data Export LPI198 Quarterly Conceptions women 15-17 per 1,000 LBL NI112 Under 18 conception rate LPZ140 Under 18 Conceptions (rates per 1,000) LPZ141 Under 16 Conceptions (rate per 1,000) NI113i Percentage of the resident population aged 15-24 accepting a test/screen for Chlamydia LPZ538 Chlamydia diagnosis rate per 100,000 in 15-24 year olds LPZ570 Prevalence of HIV infection LPZ571 15-24 yr old men screened for Chlamydia and gonorrhoea 4. on this for all sexual health provision in Lewisham. This was amended and is promoted within the community health sector and is included within the contract with Lewisham and Greenwich NHS Trust. No progress in 2013/14 but from 2014/15 this will be prioritised. H/L Actual As at Dec11 Actual As at Dec 12 Target Perform. L 39.70 42.20 38.20 L -46.60 -47.70 -52.50 L 39.70 42.20 38.20 8.00 O/T v Targ 9.10 7.40 (2010) (2011) H 50.00 45.30 35.00 H 4448.00 4179.00 4000.00 L 7.76 - - H 30.00 - - L 7.94 27.00 The impact of our activity 18 5. Young parents are supported with their pregnancy journey, with parenthood, accessing benefits and engaging in activities with other parents. Children of young parents are less likely to be adversely affected given, especially in the context of reduced negative outcomes associated with absent fathers. SRE training has enabled staff to have a greater understanding of sexual health and domestic violence. They can therefore better support young people by identifying issues earlier and in accessing services. Staff are also able to discuss condom use, sex and the law and provide appropriate condoms to young people. The SRE Speak Easy course has enabled parents to confidently discuss sex and relationships, puberty and healthy choices with their children. In addition, specific support for Foster carers means that have an increased knowledge of sex and relationships issues and how they relate to looked-after children they are responsible for supporting. Young people are provided with information about growing up, relationships and sexual health and supported to develop skills e.g. resilience, resisting peer pressure and increased self-esteem to reduce the likelihood of unintended pregnancies and STIs. Young women are supported to make healthy decisions, to prevent subsequent unintended pregnancies, to increase confidence in accessing support, to reduce NEET and to strengthen self-esteem. Young men increasingly recognise how sexual health is not gender based. Greater use of LARC will reduce need for EHC, TOPs and unintended pregnancies across all age-groups. Young people are more able to access support around sexual health and condoms to improve their health outcomes, reducing unintended pregnancies and transmission of STIs. What additional activity is required in 2014/15 Establish the Children’s Data Warehouse to assist with targeting the most at risk young people for teenage parenthood Effectively monitor the condom scheme using new, agreed KPIs to ensure consistent and broad access for young people borough-wide Roll out Teenage Pregnancy Pathway to clinical and community agencies working with children and young people Ensure young parents are included as a target group in the expanded Targeted Health Visitors offer Develop borough-wide, comprehensive VAWG Policy to include FGM Ensure staff within the new Youth Service structure are supported to provide appropriate guidance to young people regarding SRE and young parenthood Develop borough-wide, comprehensive Bullying Policy to include cyber, sexual and homophobic bullying Continue investment in SRE offer for schools Begin monitoring young parents use of Care2Learn grant and numbers of young parents who are NEET Develop a young people’s health forum with at least 30 young people participating. Youth Service contracts within the new commissioning process include provision of SRE, condom distribution, STI screening 19 BH4: 1. Reduce childhood obesity Why we need to focus on this outcome Lewisham has a high proportion of children identified as being at risk of obesity. Data collected over the past four years as part of the National Child Measurement Programme (NCMP), reveals that the prevalence of obesity in children in Reception and in Year 6 in Lewisham schools is significantly higher than the England average. This remains a priority in order to reverse the increase in obesity and achieve a sustained downward trend by 2020. 2. Progress against our actions Action Ensure children are as healthy as possible at birth by promoting awareness of the benefits of a healthy weight to women before, during and after pregnancy. Promote breastfeeding and improve breastfeeding support to women through implementation of the UNICEF Baby Friendly standards. Continue building on local capabilities of our workforce by providing training on weaning, healthy eating and childhood weight management so that everyone is aware of their role in promoting healthy weight. Increase uptake of the Healthy Start scheme for eligible families. Promote healthy weight as part of the Healthy Child Programme Work with families in Children’s Centres and schools to promote healthy eating and physical activity. Support schools to continue healthy schools status to promote opportunities for healthy Latest position Training of midwives on raising awareness of maternal obesity and how to communicate benefits of a healthy weight to pregnant women is now part of the mandatory training at LHNT Lewisham (community and hospital) jointly achieved the stage 1 award in October 2011 and stage two in February 2014. The maternity services will have their final Stage 2 assessment before September 2014. One of the requirements of the accreditation is training of staff in breastfeeding management, up to date over 100 health professional have received this training. Seven weekly breastfeeding Baby Café local drop-ins in Lewisham supported by trained volunteer peer supporters. A range of training courses have been offered, these include: Introducing solid foods training - 119 health visiting team members have been trained. Child nutrition (1-11 years old ) training as part of the PH training programme - 3 sessions. 36 early years stakeholders trained and information sharing at training events held for childminders – 90 childminders attended. Eat better Start better National voluntary food and drink guidelines for early years in England training - 40 trained on guidelines and 14 trained on EBSB on setting up and running a healthy eating cookery session relevant to early years audience Training of frontline staff to raise awareness of scheme and healthy start vitamins .Increased uptake of vitamins by eligible families (10% women’s tablets and 6% children’s drops). Funding secured to implement universal Vitamin D scheme. Promoting healthy weight recognised as a core role of healthy child programme A core part of Children’s Centre provision is the promotion of healthy lifestyles. Programmes such as Boost and cookery classes are delivered from Children’s Centres in the borough Schools encouraged to sign up to the new Healthy schools London award that was launched in April 20 Action Latest position lifestyles for children and young people. 2013. 5 schools registered up to date. Increase uptake of school meals whilst delivering to the nationally set nutritional standards. Chartwells (the Council’s school meal provider) manage a number of programmes/initiatives with the objective of increasing uptake of school meals e.g. meet the grower event. Furthermore as a result of the completed BSF capital programme and support from head teachers its hoped that school children will be unable to leave the school site and therefore utilise the school meal service. Primary Paid uptake increased to 63.1% in 2013/14, up 3.1% from last year. This is very close to achieving the target of 64%. Increase uptake of free school meals Work with Transport, school games organisers and other sport and physical activity providers to promote active travel and sport and physical activity to children, young people and their families building on the Olympic and Paralympic legacy . Provide opportunities for families to improve cooking skills Promote national campaigns such as Change4life in Lewisham. In secondary schools pupils are less likely to take school meals with the uptake remaining between 3235% during this period, below the target of 40%. Examples of work in this area include; the school catering contract has achieved the gold Food for Life award. A review of the secondary school menus has been completed. Public Health and LBL catering team are working in partnership to increase school meals including mapping effective interventions and engaging with parents in Children’s Centres and community events to promote school meals to families. A redesign of the free school meal leaflet has been produced. The new leaflet provides information on eligibility and the benefits to the school e.g. pupil premium All primary school year 6 pupils offered Bikeability cycle training, 78 schools actively involved in the School Travel Plan programme of which 74 have been accredited for their travel plans and school activities to promote active travel. 37 schools took part in Walk Once a Week, and a further 40 took part in Walk to School Week. 24 school took part in Bike week activities, 9 schools are now operating a Bike Club. 93 schools joined the get set network which meant that 3201 free Olympic games tickets were allocated. Existing providers (community groups, trained children’s centres staff) delivered cooking sessions to targeted and universal audience. Sessions held in community centres, primary schools and children’s centres Types of cooking courses : simple family meals for families at Family Centre, Meliot Road, Weaning cooking sessions, Easy meals for one cooking sessions, intergenerational cooking sessions Providing Green Man training kitchen Promoted physical activity campaign in the summer and food smart healthy eating campaign in the new year. 21 Action Latest position Continue to achieve a high participation rate in the National Child Measurement programme (NCMP). Provide parents with the results of their child’s measurements with proactive follow up of children identified as being at risk of obesity. Provide a weight management care pathway for children and young people at highest risk. Commission age specific specialist and targeted weight management programmes that support both children and their families to create sustainable lifestyle changes. The 2012/13 programme achieved a participation rate of 92.5% in reception and 93.4% in year 6, similar to the England and London averages. Families provided with the results within 6 weeks of measurement. All very overweight and underweight children proactively followed up. A fully operational tiered weight management pathway in place from April 2012. Targeted and specialist weight management programmes commissioned, Up to date 132 children graduated from the 5-16 years programme. Over 270 referrals to the targeted 0-5 years service and 182 referrals to the specialist service for 0-16 years. The national Change4life campaign has been used to promote healthier lifestyles and families have been encouraged to sign up to the campaign, 6,600 Lewisham families registered during in 2013. A ‘Health in Lewisham’ webpage has been developed on the council website to provide information and advice and also promote services that are available to support families achieve a healthy lifestyle. Building the local capabilities of the workforce has been achieved though training on a variety of topics to promote healthy weight during 2013/14, with over 400 participants from a variety of organizations attending training e.g. school nurses, volunteers and sports coaches who are using the skills in their ongoing work with children. Develop a communications plan to engage young people using a range of approaches including social media to promote services and raise awareness of healthy eating. 3. Our performance against this objective CYP Data Export NI055 Obesity in primary school age children in Reception NI056 Obesity in primary school age children in Year 6 NI053 Prevalence of breastfeeding at 6 - 8 weeks from birth LPZ149 Breastfeeding Initiation Rate H/L L L H H NI052ii Take up of school lunches (secondary) NI052 Take up of school lunches H H NI052i Take up of school lunches (primary) LPI180 % take up of free school meals - Secondary schools LPI329 SM % take up Free School Meals (all) LPI181 Percentage take up of free school meals - Primary schools H H H H Actual Mar 2012 Actual As at Mar 13 Target Perform. 11.10 10.70 12.20 24.40 23.30 24.00 73.30 74.50 77.00 87.30 85.10 89.30 Actual Mar 2012 Actual As at Feb 14 Target Perform. 31.60 33.60 40.00 55.50 53.20 57.00 64.80 61.20 64.00 67.30 83.10 78.00 81.00 84.90 84.00 87.20 85.10 84.00 O/T v Targ O/T v Targ 22 LPI180a % Secondary school pupils eligible for FSM LPI181a % Primary School Pupils eligible for FSM LPZ301 No. young people in Tier 3 Treatment 4. 5. H H H 25.80 26.30 - - 25.90 25.40 - - 197.00 96.00 100.00 What is the impact of our activity Professionals have the knowledge and skills to raise the issue of weight. Parents are provide with increased confidence and skills on sustainable healthy lifestyle choices. More women feel confident about breastfeeding and have improved access to support. Frontline workers have skills to support families. Introducing solid foods training – now mandatory training for health visiting team twice yearly. Pregnant women, new mothers and children under 4 will be able to access free vitamins to prevent vitamin D deficiency. Increase in the uptake in paid and free meals resulting in more children eating a healthy meal. Positive response from schools with 5000 copies ordered of the redesigned free school meals leaflet Its too early to determine the impact of the new leaflet but this will be monitored in the Autumn Term The active travel although aimed at mainly at children, has an indirect impact on parents and their travel choices. More children are scooting to school, meaning parents are also walking with them. New initiatives to encourage more parents and families to cycle included the launch of the Good egg Guide to family cycling (free to anyone requesting it and in libraries etc)and a low cost cycle hire scheme for adults. The more parents that cycle it is hoped will have a direct impact on children being allowed out on their bikes. More children and young people eat a healthier diet More children and young people able to access weight management support What additional activity is required in 2014/15 Introduce a pilot health and wellbeing mentoring project to secondary schools – ‘Project Fuel’ lead by Ben Quilter, Team GB Chartwells to conduct an on-line survey/questionnaire for parents to provide feedback on the meal provision at their child/ren school and how this service could be improved Plan to increase number of premises signed up to the Breastfeeding welcome scheme Deliver a minimum of one breastfeeding peer support training programme each year. Work in partnership to achieve stage 2 UNICEF accreditation Plan to offer in house training to nurseries and childminders on the early years food and drink guidelines Plan to commission a rolling programme of cookery courses across the borough. Plan to develop a more robust evaluation of cookery programmes Increase fitness of school children by rolling out the fitness for life training in primary schools Monitor uptake of vitamin D as part of the universal scheme Support the promotion of the Green Man training kitchen 23 BH5: 1. Reduce substance misuse, including alcohol and tobacco Why we need to focus on this outcome Cannabis and Alcohol remain the drugs of ‘choice’ amongst young people in Lewisham. Young People in the Treatment System are 54% White British, 40% BME and 6% Other. The BME population is under–represented in the Treatment System. The target for young people in treatment (Tier 3) for 2010/11 was 250 with 261 entering treatment. The Partnership target is to achieve 250 young people in treatment in 2011/12 is on track to be met. At the end of quarter 3 2011/12 229 young people had accessed treatment. Greater numbers of young people smoke tobacco in deprived areas of the borough. Tobacco is the only legally available consumer product that kills people when it is used entirely as intended and the tobacco industry targets youth to find 500 new smokers every day in the UK to replace smokers who stop or die. An estimated 710 young people in started smoking in 2011 (more than twice the national rate). Nationally, 12% of 15 year olds smoke (equivalent to 338 in Lewisham). The younger people are when they start to smoke, the greater the damage to health in later life and risk of premature death. CYP are much more likely to smoke if their parents, siblings and friends smoke. 2. Progress against our actions Treatment: Action Latest position We will continue to commission high quality drug and alcohol services that provide targeted support through a diverse range of interventions to meet the changing drug and alcohol related needs of young people in Lewisham The delivery of treatment services will be based on the needs of Lewisham’s younger population and will be flexible to meet new challenges. CRI Young People’s Substance Misuse Service (CRI) continue to do very good work with Lewisham’s YP attaining the majority of their targets as at Quarter 2 2013/14 An abstinence or reduction in cannabis and alcohol use at planned exit for all YP Develop and improve the screening for Drug & Alcohol use/misuse across Lewisham, ensuring that Lewisham’s workforce can easily refer vulnerable young people for treatment Improve harm reduction arrangements by ensuring that young people have access to needle exchange programmes and prescribing services where necessary Those YP successfully completing rehabilitation programmes will be offered ongoing support to prevent them from re-entering the system. CRI has successfully rolled out the Young Women’s and Young Men’s projects to target those with the greatest need and to help address gang related issues. From the YP Treatment Outcome Profiles (TOPs) as at Q2 2013.14 Lewisham has attained 100% abstinence or reduction in use for Alcohol and Cannabis at treatment exit. CRI receive the majority of their referrals from Children & Family Services, Education Services and Youth Justice. They are working to improve referrals from CAMHS, A&E, Self, Family & Friends. CRI works closely with New Directions to ensure that any YP who inject are case managed into an introduction at ND by 3 way meetings and ongoing transitional support. As at Q2 2013.14 all YP are being referred on to appropriate services at the end of their treatment. This has maintained the re-presentation rate at 7% (successfully down from 20% in 2011.12) 24 Target Groups: Action We will work with community and voluntary organisations and partners to target Young People from BME groups Young People presenting with complex needs who are using psychoactive substances will be offered a Mental Health assessment and specialist interventions We will ensure provision of a Hidden Harm (HH) (advice, signposting and referral) service for children and young people of substance misusing parents or carers We will provide a social marketing campaign with the aim of preventing the uptake of alcohol use for young people and to promote safer drinking practices with a focus on young women We will develop, deliver and facilitate peer education programmes in deprived areas of Lewisham, aimed at young people that are not in education, employment or training to support the prevention and recovery agenda Latest position As at Q2 2013.14 CRI is working with 54% Black & Minority Ethnic (BAME) YP An SLA between CRI and CAMHS is in place. The Hidden Harm worker continues to work well, referring YP where necessary to CRI. An ‘app’ is in production. CRI do outreach in Youth Clubs and are in contact with Baseline. All YP who are Not in Education, Employment or Training (NEET) are referred to specialist services. They also have a service user group. Working with Partners & Commissioned Services: Action We will continue to deliver universal, targeted and specialist drug & alcohol awareness programmes to pupils, teachers and support/auxiliary staff. Continue to work with young people to minimise dangerous/’ harmful behaviour resulting from drug/ alcohol intoxication: By working closely with Lewisham’s Youth Offending Service and other criminal justice partners, we will offer those young people with drug and alcohol issues the opportunity to receive treatment in a bid to reduce associated crime Referral pathways between drug & alcohol services and sexually health services will be strengthened to bridge the gap between drug & alcohol use and the transmission of sexually transmitted infections Latest position Lewisham DAAT continue to deliver their training programme which is open, and advertised to, all relevant parties. A substance misuse worker is funded who works within the YOS. CRI works with the sexual health nurses to ensure two way referrals are made Reducing the Impact of Smoking and Tobacco on Children’s Lives: Action Latest position Provide training on smoke-free homes and cars to staff working with children and families, Children’s services will promote the Stop Smoking Service to parents. Training provided to midwives, child minders, Health Visitors, school nurses and Children’s Centres. Training always available on request Stop Smoking Service is open to all smokers including parents of school age children. Information on services is provided to all frontline children services 25 Action Latest position We will continue to proactively offer support to pregnant women and their partners to help them stop smoking and to ensure that their children live in smoke-free homes. Specialist stop smoking advisors see all pregnant women referred by midwives who operate an ‘opt out’ system. All smoking members of the clients household are also offered support to stop Staff working with children and young people will have training on preventing uptake of smoking. Secondary Schools will be provided with support to undertake any of a whole range of actions to help reduce the prevalence of smoking. The young people from Abbey Manor PRU, Lewisham Young Carers, Bellingham Gateway Youth Centre and Lewisham & Southwark College (LeSoCo) made five short films to persuade their friends and community not to smoke. They shared the films on social media and throughout the process learnt transferable skills including the filmmaking process, team work, project management, communication and promotion skills. They entered a national competition, run by Cut Films. All were involved in decision making throughout the project. 54 Year 8 pupils from 5 schools selected and trained as peer educators to deliver presentations on tobacco to their tutor groups and year 8 assembly (1000 pupils) Information on services provided by Stop Smoking is distributed to schools to share with parents and carers, making them aware of the services provided Survey of illicit tobacco completed. Action taken on those breaking the law. Trading Standards to appoint tobacco control enforcement officer; Social marketing campaign on illicit tobacco planned Schools will be offered a tobacco peer education programme for young people to influence their peers not to start smoking. Primary schools will send information on Lewisham Stop Smoking Services to parents/ carers and will invite the service into schools. Trading Standards will commission intelligence work to reduce access to cheap illegal tobacco by young people 3. Our performance against this objective Treatment CYP Data Export LPZ347 HH % of parents entering Substance Misuse treatment LPZ348 HH % of parents completing Sub.M treatment in a planned way H/L H H Actual Mar 2012 Actual As at Sep 13 Target Perform. 97.00 87.00 95.00 100.00 100.00 90.00 Perform. O/T v Targ Target groups CYP Data Export LPZ573 Prevalence of smoking at age 15 LPZ346i HH Number of parents engaged with the Sub.M service (cumulative) LPZ346ii HH Number of children within the families engaged with the Sub.M service (cumulative) LPZ346iv HH % of children from families engaged kept within the family H/L L H Actual Mar 2012 Actual As at Sep 13 Target - - 2.00 - 60.00 39.00 65.00 119.00 62.00 - - 100.00 100.00 90.00 O/T v Targ H H 26 4. What is the impact of our activity? Improved physical health – 50%, up from 20% last year and 15% nationally. Improved psychological heath – 33% up from 0% last year, and nationally 24% Improved quality of life – 33%, up from 10% last year, and 22% nationally. 85% planned exits, up from 59% last year, and 79% nationally. 92% met the goals agreed on their care plans, compared to 88% nationally. Unsafe Drug Use Number of valid pairs No. 45 Yes at start and at exit No. % 0 0 Yes at start, no at exit No. % 2 1 No at start, yes at exit No. % 0 0 Offending Self Harm Sexual Exploitation 43 2 5 13 30 0 0 44 1 2 8 18 0 0 45 0 0 0 0 0 0 Unsafe Sex 44 0 0 2 5 0 0 The ongoing training of staff in the Health visiting services ensures that staff working with families with children under 5 are equipped, competent and confident in giving advice to parents/carers regarding the importance of smoke free homes and cars for children. We also provide up to date information regarding stop smoking services and refer as required. Health visitors actively target all first time pregnant women to complete home assessment visits prior to the birth of their babies. This visit includes the offer of support services to stop smoking and advice regarding smoke free homes and cars for children. The impact for young children is that parent /Carers have up to date information regarding support to help them stop smoking and are made aware of the impact of smoking in the home and car. This enables parent/carers to keep their children safe from smoke until they are ready to give up smoking completely. Raised awareness of the risk of tobacco; 1000, 12-13 year olds learnt how their age group is being targeted as replacement smokers by the tobacco industry. Knowledge gained on the tobacco industry’s exploitation of young people, farmers in the tobacco fields and the environmental impact of smoking; Frontline staff are promoting smoke-free homes and cars as a harm reduction approach; Increased confidence amongst peer educators Prevalence of smoking has reduced from 22% to 21%; 5. What additional activity is required in 2014/15 Reduce substance misuse including tobacco and alcohol Monitoring of the young women’s and into manhood programmes. Working Reduce the Impact of Smoking and Tobacco on Children’s Lives Send flyers towards the PHE and MARAC targets. about Stop Smoking Services to parents of school children; Trading Standards to appoint Tobacco control Enforcement Officer; Social marketing campaign on illicit tobacco planned; Stop Smoking Service & Children’s Centres to work in partnership to promote Stop Smoking Service and Smoke free homes; Cut Films will contact every secondary school and college to integrate the Cut Films anti tobacco film making into the mainstream curriculum to involve many more young people in every school and college in Lewisham and the Pupil Referral Unit and informal youth settings. Peer education project will work in a minimum of 5 schools with a minimum of 50 pupils. 27 28 BH6: 1. Promote mental and emotional well-being Why we need to focus on this outcome With good mental health, children and young people do better in every way. They are happier in their families, are able to learn better, do better at school, and enjoy friendships and new experiences. It is during childhood and teenage years that mental health is developed and patterns are set for the future. So a child with good mental and emotional health is much more likely to have good mental health as an adult, is better able to take on adult responsibilities and fulfil their potential. Some disorders will begin in childhood and are likely to affect people for their whole life, but early intervention can enable them to manage their condition better and ensure they have better long term outcomes. In the UK, one in 10 children is diagnosed with a mental health disorder (1999 ONS survey), three children in every classroom have a diagnosable mental health disorder, one in 12 are deliberately harming themselves and nearly 80,000 children nationally suffer from severe depression. Lewisham has a significant range of risk factors that have a link with poor mental health such as low income, or lone parent families. These risk factors are concentrated in the most deprived areas, further highlighting the need to mitigate the impact of child poverty. Within Lewisham, approximately 1,500 children and young people will be referred to Tier 3 CAMHS in any one year. To reduce escalation of poor mental health, the need for early identification of risk factors is paramount. As a response to this, a range of processes have been developed to ensure that services intervene at the earliest point. 2. Progress against our actions Action Latest position The local authority will work with providers of Targeted Early Years, Targeted Family Support Services and other professionals to develop a set of outcome measures to support the Payment by Results (PbR) programme from April 2013. Delivery of targeted whole family interventions will impact on the improvement of parental attachment, school readiness and prevention of escalation to c.5,000 families a year through the 19 designated Children’s Centres A set of outcome measures covering the outcomes of improved parenting and attachment, school readiness and prevention of escalation have now been developed and implemented from April 2013. The Targeted Family Support Service is commissioned to work with a minimum of 400 families a year, providing 75% direct contact time, with the expectation to secure improvements against the following 3 outcomes: improved child & family resilience; improved school participation & engagement; and prevention of escalation. Development of tier 2 service provision, targeting children and young people with lower level emotional well-being and mental health issues through schools and other community settings by the Spring 2013. The number of families supported by Childrens Centres and targeted family support has been increasing each quarter. To date positive impact on parental attachment, school readiness and prevention of escalation has been evidenced through sources such as Family Outcome Plans, case studies, family and practitioner feedback and LA recorded data such as attendance figures. From July 2012 to end December 2013 Targeted Family Support worked with 629 families. To date positive impact on parental attachment, school readiness and prevention of escalation has been evidenced through sources such as Family Outcome Plans, case studies, family and practitioner feedback. Place2Be (P2B) is established in 9 Lewisham schools. (7 primary schools and 2 secondary schools). Since April 2013 up to March 2014, 770 children and young people between the ages 5-14 have benefitted from P2B support. This includes 1:1 counselling, drop in sessions and group work. The Borough-wide emotional well-being training 29 Action Latest position Ensure that all looked after children referred to CAMHS, are assessed and start treatment within 12 weeks. Ensure that all children and young people with urgent mental health needs, such as placement breakdown or where there is a risk of self harm, are seen by a CAMHS worker within 7 days. continues to be delivered to front line workers, 499 professionals have taken part during the last 12 months. Additional quality measures have been established to monitor % of all LAC being assessed and start treatment within 12 weeks. Previously data collected included average waits only. Q1 data 13/14 = 72% and an average wait of 7.9 weeks New definition: % of CYP referred to CAMHS following an episode of self harm, will be seen by a mental health practitioner within 24 hours and offered an appointment to be seen within 7 days. Improvement of service efficiency by taking measures to reduce do not attend (DNAs) rates across CAMHS from 17% at present to 14% by 2015. DNA rates continued to be monitored quarterly. Q1 data 13/14 = 14% Reduction in spend against CAMHS Tier 4 inpatient budgets by 10% by 2015. All Tier 4 inpatient CAMHS provision transferred to NHS England (NHSE) in April 2013. Financial risk is held by NHSE. 3. Our performance against this objective CYP Data Export LPZ186a % Child need risk screens completed [CAMHS] LPZ188a % All training requirements up to date [CAMHS] LPZ574 Do not attend (DNA) rates across CAMHS LPZ180 % LAC referred to CAMHS are seen within 12 weeks LPZ187a % Vacancy rate no higher than 10% [CAMHS] 4. H/L H H Actual Mar 2012 Actual As at Mar 13 Target 100.00 100.00 95.00 76.00 75.50 90.00 13.00 14.00 95.00 8.00 - L - H L 10.00 (Dec 2013) 36.00 (Dec 2013) 7.00 Perform. O/T v Targ What is the impact of our activity? More children and young people and their families are accessing support earlier through early help targeted interventions in school and other community settings such as Children’s Centres To date positive impact on parental attachment, school readiness and prevention of escalation has been evidenced through sources such as Family Outcome Plans, case studies, family and practitioner feedback and LA recorded data such as attendance figures. 5. What additional activity is required in 2014/15 Through the Big Lottery HeadStart Programme, which aims to build resilience in 10 – 14 year olds to prevent the onset of mental health issues, we intend to expand the P2B model in a further 6 secondary schools, the package will include a parent counsellor element. 30 Through the same funding stream, if successful we will be piloting other elements of universal and targeted support, which include an online counselling service, training of peer mentors and the development of resilience programmes for targeted groups, including those transferring from primary to secondary schools. 20 New Qualified Teachers will attend the ‘Talented Teacher Programme’ during the summer term 2014. Participants will gain a better understanding of the underlying causes of children’s behaviour, the importance of developing children’s emotional wellbeing alongside their academic achievement and will learn practical skills and strategies for supporting a child’s well-being. 31 STAY SAFE Our Priorities SS1: Reduce child abuse and neglect SS2: Reduce harm to children and young people caught up in domestic violence SS3: Provide secure and consistent support for LAC, particularly placement stability SS4: Support families at risk of being in crisis SS5: Ensure that children and young people feel safe Over the course of the last 12 months, the Partnership has seen a substantial increase in the numbers of children subject to a Child Protection Plan - from 232 in February 2013 to 304 in March 2014. A recent audit found that in 26% of cases where child had become subject to a Child Protection Plan, the primary concern was in relation to the high level of domestic violence in the household. The impact of this increase is felt across the partnership and further work is required to understand the causal factors that are leading to these increases. Despite this increase in activity, Children’s Social Care Services, and the effective oversight provided by Lewisham’s Safeguarding Children’s Board, continue to provide high-quality, timely and responsive support to children and families. The Single Assessment process, introduced in 2013 is working well with 100% of cases completed within 35 days – which itself is a more stringent target than the 45 days recommended. All Child Protection reviews are completed on time, (outperforming London and England). Our strong performance in reducing repeat referrals means that the interventions that are put in place are working – avoiding the ‘revolving door’ for our most vulnerable children and young people. Since September 2012, there has been a significant increase in the number of Lewisham foster carers. 87% of Looked After Children are placed for adoption within the specified timescale, comparing favourably to London (72%) and England (74%). We are still below target in terms of placement stability for our Looked After Children and further activity is required to support foster carers so that they are better able to handle and resolve issues of challenging behaviour. The Partnership as a whole is improving its capacity to identify those families most at risk of being in crisis. A wider variety of organisations are now using the Common Assessment Framework (CAF) to identify issues and the appropriate support. In March 2013, 362 CAFs were brought to the attention of the Council’s Early Intervention Service. A challenge remains to help more partners to recognise Children’s Social Care thresholds and to reduce the number of cases sent to Children’s Social Care where more appropriate support could be provided from elsewhere. The Multi Agency Risk Assessment Conference (MARAC) has seen a 29% increase in referrals from Children Social Care when compared to this time last year indicating the higher number of cases where Domestic Violence might feature but also the increased expertise of Children’s 32 Social Care staff in recognising the signs and referring the high risk cases onwards. Partnership attendance at Review Case conferences has improved since 2012, ensuring that the right agencies are involved in each case and that the team around the child works effectively. The work of Children’s Centres in identifying issues and leading an appropriate response has continued to develop. Lewisham’s successful introduction of a Payment by Results mechanism into its Children’s Centre contracts has focussed partnership activity on outcomes and has resulted in the development of a shared outcomes framework for all organisations working in Early Years. Since 2012, Children’s Centres have worked with over 5,000 families and our commissioned Targeted Family Support service has worked with over 400 targeted families. The Metropolitan Police are working successfully with our schools to make sure that all children in the borough feel safe and supported. From June 2013, every school in the borough has had access to a named School Police Officer to support them and their pupils. Fewer young people have entered the Youth Justice System or been given a custodial disposal. This improves the chances of them engaging in sustainable training, education and employment opportunities and improves their overall life chances. 33 SS1: 1. Reduce child abuse and neglect Why we need to focus on this outcome Lewisham has a high rate of intra–familial child abuse offences per 1000 of the under 18 population when compared with statistical neighbours. In common with other local authorities, the biggest factor in children being subject to a child protection order in Lewisham is neglect. Early intervention is the key to ensuring that children’s needs are met at an earlier stage and can contribute to reduce the number of reported abuse and neglect cases. Multi–agency working through the Team Around the Child process and use of the CAF to complete early assessment of need will serve to reduce the level of abuse and neglect. For further information on this please see priority SS4 Support families at risk of crisis. Identification and appropriate escalation of concerns of children’s needs in a timely way leads to early provision of help. It is crucial we continue to take this approach to ensure our children and young people are safeguarded and that harm is minimised. We are working closely with our partners to create clear plans and improve the quality of practice and decision making with such families to ensure good outcomes for the children. 2. Progress against our actions Action Latest position Set up a Children’s Reference Group in Childrens Social Care of children who have been through the child protection process to obtain feed back on their experience of our intervention. These views will be collated in a report which will then be used for practice improvement. Have implemented Viewpoint which is a series of age related (4 to 18 years) web based questionnaires designed to ascertain the view of children and young people who are subject to a child protection plan. The questionnaires look at current circumstances and relationships, the young person’s view about social work intervention , child protection plans and reviews as well as questions about their feelings about safety. Oversee partnership working to increase identification and intervention in cases of young people who are being sexually exploited and develop a coherent strategy. - Establish a task group on Child Sexual Exploitation (CSE) to carry out a mapping exercise across the partnership to identify the sources of referrals, profile of children, multiagency response and outcomes for children known to be at risk of sexual exploitation., - Develop a multi-agency process to identify and protect CYP at risk. - Update LSCB sexual exploitation training. Professionals can electronically view children’s feedback and it is discussed as their review meetings. Six monthly management report is produce which shows trends, gaps and developmental issues. It has been implemented with children on an initial Child Protection Plan and will be rolled out to all social care reviews. Multi-Agency Sexual Exploitation (MASE) Group has been established. The Board members include the Police, CSC and professionals from voluntary sector. The Group analysis information and data received from various organisations, about gangs operating in the area in view to identifying perpetrators, hotspots and any pattern of behaviour and the way they operate. The Group will also review cases particularly where it appears to be linked with group of YP/young women and grooming of YP/women. CSE strategy is currently being developed and will 34 Action - Establish a baseline of numbers of children referred to Children’s Social Care for sexual exploitation and set a target for a higher number of referrals. Reduce the number of children suffering abuse and neglect through the provision of improved early intervention and preventative services including short break services for disabled children. Set a benchmark for agencies so that fewer children in receipt of Early Intervention Services go on to become subject to a CP plan under the category neglect. Continue to provide timely assessment of children in need of services and those services being provided. We will make sure that investigations of allegations made against people who work with children comply with Working Together 2010 or any subsequent guidance . We will audit all cases where allegations have been investigated to check that investigations were thorough and timely and children were safeguarded. A report of the audit will be submitted to the Lewisham Safeguarding Children Board for information and any follow up action on concerns about interagency collaboration. Latest position be ratified by LSCB. LSCB training programme for 2014/15 is being developed and will include multi-agency training on CSE. Our early intervention commissioned services such as Children’s Centres and Targeted Family Support continue to play a pivotal role in supporting vulnerable families. For families with the highest level of needs, we commission specialist interventions, such as the Family Intervention Programme that provides intensive support to families to help them manage in crisis or to support them in ‘stepping down’ from specialist services. The Targeted Short Breaks service was established in April 2013, the new criteria has enabled more families to have access to a short break. Payment by Results measure developed, which audits cases that have escalated to Social Services following Early Intervention Involvement. Early Intervention Service and Commissioning monitor cases on a quarterly basis, which have either been referred to or have interaction with Children’s Social Care. The timescales for assessment is rigorously monitored and the 35 day assessment time has been met until February 2014. This is due to high volume of referral received and shortage of social workers. Children’s Social Care is actively try to recruit more social workers. Childrens Social Care has implemented a Single Assessment Framework across services. The purpose of this is to promote local autonomy and increase the scope for practitioners to exercise their professional judgement. It removes the distinction between initial and core assessments thus removing the associated timescales for their completion. An in depth audit of joint police and Children's Social Care investigations, and a report was presented to the LSCB. There is ongoing auditing of all cases where allegations need to be investigated, by the LADO, who maintains an overview of all cases and escalates where there is unacceptable delay. The LADO also gives advice and guidance to employers about safe recruitment and practice and related safeguarding matters. The annual report regarding the management of allegations was presented to the LSCB in September 2013. 35 Action Latest position Develop the multi agency hub model of information sharing and co-location with all partners. Using the ADAM project to identify children who have attachment difficulties and to establish their experience of living with their primary carers. 3. Lewisham Multi agency Safeguarding Hub (MASH) brings together a variety of agencies into an integrated co – located multi agency team; where information is shared appropriately and securely on children, families and adults around the child or young person in order to make timely and appropriate decisions. Review of London MASH, Dec 2013, (which Lewisham was part of) by London Council found a significant reduction in turnaround time of referrals to safeguarding services at all levels of risk. Staff have been trained in ADAM methods and it is now also being used at the Meliot Centre to help inform their parenting assessments. Our performance against this objective CYP Data Export LPZ576b Number of EIS CAFs initiated each month LPZ576a Number of CSC CAFs initiated each month LPZ576 Number of CAFs initiated each month LPZ337 Percentage of Child Protection Plans over 2 years 'as at' NI064 Child protection plans lasting 2 years or more NI065 Children becoming the subject of a Child Protection Plan for a second or subsequent time NI068 Percentage of referrals to children's social care going on to initial assessment (Discontinued Dec 13) NI060 Percentage core assessments for children's social care carried out < 35 working days (Discont. Dec 13) NI200 Percentage of Initial Assessments for CSC carried out < 10 working days (Discontinued Dec 13) NI067 Percentage of child protection cases which were reviewed within required timescales LPI309b % Referrals each month that are repeat referrals LPI139 CH142 % Referrals that were repeat referrals LPI129a % of children for whom contact received in month resulted in new referral LPI182 % of referrals that were due to, or categorised as, 'abuse/neglect'. LPZ505 % ICPC held within 15 work'g days of the start of the s47 enquiries H/L H H H L L Actual Mar 2012 Actual As at Mar 14 Target Perform. - 84.00 - - - 278.00 - - 186.00 362.00 300.00 12.60 4.30 8.00 5.30 6.90 8.00 8.40 10.90 10.00 84.90 93.00 91.50 91.00 O/T v Targ L 86.20 H 86.90 H 90.00 H (Dec 2013) 89.10 (Dec 2013) 89.10 (Dec 2013) 100.00 100.00 100.00 10.40 11.60 15.00 15.60 11.40 15.00 - 13.30 - - 33.70 37.10 34.00 70.00 69.60 85.00 H L L H L H 36 which led to a conference LPI309a Number of Referrals per month LPZ121 No.Core Assessments per 10,000 LBL (Discontinued Dec 13) LPZ120 No.Initial Assessments per 10,000 LBL (Discontinued Dec 13) LPI136 CH141 No.Referral per 10,000 LPI128a Total number of contacts in Month LPI147 CH02 CPIC per 10,000 U18 LBL LPI148 CH145 No. Core Assessments per 10,000 LBL LPZ900 % of single assessments completed within 35 working days LPZ514 % s47 enquiries that went on to ICPC LPZ518 Number of s47 enquiries each month LPZ513 % ICPC with outcome start CPP LPZ519 Number of s47 enquiries per 10,000 U18 LBL (rolling year) LPZ338 SS19 Ratio % CPP who are BME to % U18 who are BME in LBL LPI141 CH01 No.on CPR per 10,000 LBL LPI327b CPC % attended by parents, excl.removed by letter (ind.month) LPI376 % Core Group Meetings within timescale LPI375 % on CPP received a statutory visit within 6 wks L H H L L H H H H L H L H L H H 212.00 291.00 323.00 198.00 250.00 307.00 280.00 380.00 (Dec 2013) 315.00 (Dec 2013) 375.00 370.00 420.00 - 1948.00 - - 50.40 50.80 270.00 45.10 291.00 (2012/13) 293.00 (2012/13) - 90.60 - - 32.50 31.30 36.00 - 93.00 82.00 82.90 100.00 96.00 139.00 164.00 137.00 0.96 1.12 1.10 31.10 47.90 38.70 - 65.90 80.00 90.00 91.00 91.20 97.40 90.10 98.80 100.00 100.00 100.00 198.00 304.00 240.00 43.90 38.20 35.70 89.10 90.00 0.00 - - - - - - - - - - H LPI179 DIS1219 % children on CPR allocated a SW LPI301 No. of children on CPR 'as at' H L LPI142 CH03 No.CPR Registrations during year per 10,000 LPI143 CH10 No.CPR Deregistrations per 10,000 LBL LPI334 CH04 First time Registrations as % of Total LPZ125 A&E number of referrals to youth MARAC [LEW NHS TRUST] LPZ126 A&E number of Domestic Violence referrals to MARAC [LEW NHS TRUST] LPZ127 Number of MARAC cases actioned by LHT [LEW NHS TRUST] LPZ153 % of s47 medicals offered within 48 hrs LPZ318 % Health attendance at Review Case Conferences [LEW NHS TRUST] L H H L 37.40 38.80 91.60 0.00 1.00 L L H 16.00 89.00 100.00 H (2012/13) 38.30 (2012/13) (Mar 2013) 1.00 (Mar 2013) 23.00 (Mar 2013) 100.00 (Mar 2013) 100.00 (Mar 2013) 37 4. What is the impact of our activity? Improved analysis and problem solving – especially on repeat victims of domestic violence contributes to staff confidence with better quality risk assessment and overall completeness Children have been safeguarded from harm by people who work with them. Children and their families can be confident that allegations and concerns raised will be taken seriously and investigated thoroughly, in compliance with Working Together 2013 The Targeted Short Breaks service was established in April 2013, the new criteria has enabled more families to have access to the service. Since April 2013 172 referrals have been made and 111 families were eligible to receive a service. 5. What additional activity is required in 2014/15 Through the MASE group develop a Child Exploitation Strategy. Continue to review cases and act on information to protect children and young people from sexual exploitation Finalise the LSCB multi agency training and ensure it is well attended and meets training needs Continue to monitor early intervention service in the community for example schools and Children’s Centres to ensure they are supporting children and young people to be safe. Ensure Child protection Assessments are timely and within time scales set. Continue the Social worker Recruitment Strategy to ensure sufficient suitable qualified staff are in place Present the annual report on the management of allegations to the LSCB in September 2014 38 SS2: 1. Reduce harm to children and young people caught up in domestic violence Why we need to focus on this outcome According to the Department of Health, at least 750,000 children a year witness domestic violence. In some cases, the children themselves will suffer physical or sexual abuse from the same perpetrator. Through violence in the home, children may suffer emotional and psychological damage. The very young may show physical signs of distress such as bedwetting, stomach aches and disturbed sleep. Older children can become withdrawn or exhibit extreme behaviour, such as misusing alcohol or drugs. Data from Lewisham’s Multi-Agency Risk Assessment Conference (MARAC) shows that a total of 450 cases were discussed by the MARAC during 2013/14, involving 555 children – a 15% increase from the previous year. Across the partnership we are continually raising awareness of domestic violence, its effects and how to access the appropriate support. 2. Progress against our actions Action Continue to hold 4-weekly DV MARAC meetings. Continue to maintain 100% attendance at MARAC meetings by key agencies, in accordance with CAADA guidelines. Embed our multiagency approach to support school aged young people who experience domestic violence from intimate partners. Maintain and evaluate the delivery of the Community Groups Programme – a therapeutic recovery programme for children and their mothers who have experienced domestic violence to establish if this reduces repeated exposure of the child to domestic violence. Maintain specialist domestic violence support provided to women and children through referrals to domestic violence intervention projects such as the Community Groups Programme, Lewisham Victim Support, Refuge Floating Support, Advocacy and Accommodation based services and Women Against Domestic Violence Maintain Art therapy provided to children who have experienced domestic violence through referrals to WADV In cases where there is persistent domestic violence and the non abusing parent fails to engage with services and take protective action, Childrens Social Care will continue to take protective measures in relation to the child. Ensure that appropriate intervention is made by the relevant agency dependent on the level of risk, facilitated by Multi Agency Safeguarding Hub (MASH). Latest position Meetings continue to be 4-weekly, chaired by the Police, with 100% attendance. On going delivery of domestic violence awareness training to schools by the SAFE Project Evaluation of the CGP was unable to be accomplished as the previous coordinating service, Women Against Domestic Violence had lost their funding. The CGP is now maintained and coordinated by the Pre-School Learning Alliance from January 2013 from the Bellingham Children's Centre. At mid April 2014 there are 8 primary school children attending. One additional volunteer has been trained. All services listed continue to operate and provide services to women and children with the exception of Women Against Domestic Violence (WADV). This is no longer a commissioned service. Children's Social care continue to work with families to support them to engage with services. Where appropriate action is taken to protect children through implementing child protection procedures and referral to the MARAC. 39 Action Latest position All partner agencies will continue to raise This is on-going through multi agency domestic domestic violence awareness across the borough violence forums, which has CYP representation. and work with families to encourage reporting and appropriate intervention. 3. Our performance against this objective CYP Data Export NI032 Repeat incidents of domestic violence LPZ119 The number of children affected by domestic violence incidents 4. 5. H/L Actual Mar 2012 Actual As at Dec 13 Target - - 28.00 - - - 1167.00 - L Perform. O/T v Targ L The impact of our activity Referrals from CSC to the MARAC have increased by 29% compared to this period last year, thus indicating that CSC have increased awareness of identifying and referring high risk cases to the MARAC. There has also been a slight increase in the number of children discussed at MARAC. Referrals to the CGP are from a wide range of services across the council. It is expected that referrals to the CGP in 2013/2014 increase by 20% in comparison to the previous year. Specialist support continues to be provided to women and children, including direct the referrals from CYP services. 2.5% of referrals to Refuge and 0.3% of referrals to Victim Support were from CYP services. However, a significant amount of referrals from CYP are made directly to the MARAC where immediate support can be readily identified. Staff have raised awareness of services available to mothers and their children. The consistent awareness raising is on going. What additional activity is required in 2014/15 To develop a Violence Against Women's and Girls Strategy which will replace the Domestic Violence Action plan 2013/14 A minimum of 3 Community Groups Programmes is to be delivered to women and children who have experienced domestic violence. The Pre School Learning Alliance will coordinate this delivery. Improve representation to the Multi-Agency Domestic Violence Forum from Children's Services 40 SS3: 1. Provide secure and consistent support for LAC, particularly placement stability Why we need to focus on this outcome From a low base the partnership has had some success in improving the short term placement stability for Looked after Children, but overall trends are variable. - 10% (March 2012) had three or more placements within the last 12 months, better than our target of 11% and just below our statistical neighbour performance of 9.3%. - 67.5% (March 2012) of children who have been looked after for more than two and a half years and have been in their placement for more than 2 years, below our target of 77%, and below Statistical Neighbour performance at 72.2%. The partnership needs to ensure that the above performance is improved and maintained. Long term placement stability is better but also needs continued improvement. - 66% (March 2012) of children who have been looked after for more than four years have been in the same foster placement for more than two years. This improving performance is better than the target of 60%. 2. Progress against our actions Action Latest position Identify ‘fragile placements’ and engage multiagency support to prevent breakdown, including holding Placement Support Meetings This has become practice on all cases and has been assisted by IRO’s identifying cases at statutory reviews Implement a Multi Treatment Foster Care programme to work with children who have high levels of need and may lead to placement breakdown. Continue to ensure that schools operate a no exclusion policy for Looked After Children and work with other Local Authorities to ensure similar treatment for Out of Borough Looked After Children. This was piloted in Lewisham but the model did not deliver the expected outcomes. Alternative activity has been put in place to work with these children with high levels of need. The LA works closely with all schools both in and out of borough to prevent permanent exclusions of Looked After Children. Where this has not been achieved the LA will ensure the child/young person remains in school by using the Managed Move procedure. This is addressed every six months with young people at their statutory reviews Commence a publicity campaign for complaints for children and young people looked after. Provide training (‘Train the Trainer’) and implement the Secure Base Model of intervention for social workers to support carers in being more therapeutic in their approach. Embed strategies to sustain rehabilitation of Looked After Children with their families. Engage CSV (Community Service Volunteers) to assist families where Looked After Children are returning home. Implementing the Preferred Provider Framework Rationalisation, incorporating ‘Payments By Results’. All LAC will be presented to the Permanency Planning Panel before their second LAC Review to enable confirmation and timeliness in planning for adoption or other suitable placement. We are delivering the KEEP training model to foster carers which aims at increasing parenting capacity and reducing placements breakdowns At April 2014 8 children were being supported by CVS in primary schools. 1 additional volunteer has recently been trained. Formal tendering for Children’s Social Care Rolling Select Preferred Provider Framework incorporating Foster Care, Children’s Residential Care and SemiIndependence. All LAC children are being considered at the permanency panel. Prior to second review this may have to be brought further forward to ensure we meet new expectations for court timescales 41 3. Our performance against this objective CYP Data Export NI062 Stability of placements of looked after children: number of moves NI063 Stability of placements of looked after children: length of placement LPI137 CH39 Number LAC per 10,000 under 18 LBL NI066 Looked after children cases which were reviewed within required timescales LPI132 DIS 1114 % LAC allocated a social worker LPI302 No. of LAC 'as at' H/L Target Perform. 11.40 11.00 9.00 67.50 72.60 72.00 78.70 80.30 73.00 99.60 99.60 99.50 100.00 100.00 100.00 498.00 510.00 481.00 87.00 86.00 O/T v Targ H L H H H H L 74.20 (2012/13) 1.03 1.05 1.18 9.50 11.40 8.50 15.00 16.30 15.40 41.10 41.90 50.00 66.40 62.50 69.00 79.00 80.40 82.00 85.30 85.60 85.00 91.10 90.50 92.00 97.20 98.00 100.00 100.00 99.80 99.30 - - - - 10.60 10.00 11.50 31.00 28.00 25.00 15.00 12.10 14.00 31.00 29.20 32.00 493.00 475.00 L H H H LPI188 % of looked after children aged at least 10 and under 16, in foster placement or p/f adoption LPI151 CH151 % LAC U10 in foster placements LPI311 % LAC 28 days+ age 5-16 who have a completed PEP CF/C63 Participation of LAC in reviews LPZ575 % of social workers trained to implement the Secure Base Model CF/C23 % of children looked after 6m that were adopted or SGO LPZ520 Number of children adopted during the year LPZ521 % of LAC (ceased) adopted during the year LPZ522 % of LAC under 10 (ceased) adopted during the year LPZ524 For adopted children, av.no. of days between entering care and Actual As at Mar 14 L L NI061 Timeliness and stability of adoption of looked after children LPZ339 SS21 Ratio % LAC who are BME to % U18 who are BME in LBL LPI178 CH44 % LAC in residential accommodation LPI110 % of LAC at 31 March placed outside LA boundary and more than 20 miles from home LPI152 CH152 % LAC U10 in foster placements in LBL LPSA19 % of LAC looked after for 4+ years who are in the same foster placements 2+ years LPI131 CH45 CLA % in foster care Actual Mar 2012 H H H H H H H H H L 553.00 (2012/13) 42 moving in with adoptive family LPZ525 Av.No. of days between date of placement order and match to an adoptive family LPZ526 Of children who have moved in with adoptive family, % moved in less than 21 months from BLA LPZ527 % of BME children leaving care who are adopted LPZ528 % of children age 5 or over leaving care who are adopted LPI153 CH154 % LAC U10 placed for adoption LPI194 U16 LAC 2.5 years, same placement 2 years+, EQUALITY PI [Gender]: % VARIANCE compared to ALL LPI183 LAC with 3+ placements EQUALITY PI [Ethnicity]: % VARIANCE compared to ALL LAC 'as at' LPI195 U16 LAC 2.5 years, same placement 2 years+, EQUALITY PI [Age]: % VARIANCE compared to ALL LPI193 U16 LAC 2.5 years, same placement 2 years+, EQUALITY PI [Ethnicity]: % VARIANCE compared to LPI184 LAC with 3+ placements EQUALITY PI [Gender]: % VARIANCE compared to ALL LAC 'as at' LPI185 LAC with 3+ placements EQUALITY PI [Age]: % VARIANCE compared to ALL LAC 'as at' LPZ516 % of Eligible Pathway Plans On-Time (age 16-17) LPZ517 % of Relevant/Former Relevant Pathway Plans On-Time (LCS age 18-20) 4. 155.00 L 66.00 H H H H 10.00 5.00 114.00 (2012/13) 80.00 (2012/13) 10.00 (2012/13) 3.00 (2012/13) 140.00 62.00 10.50 8.00 5.40 14.00 9.50 -4.10 -6.60 -2.30 2.50 -2.90 -3.00 2.10 -3.80 0.00 2.20 1.80 0.50 8.70 10.60 5.00 5.70 22.90 12.00 99.00 100.00 100.00 85.00 99.90 87.00 L L L L L L H H The impact of our activity There has been some improvement in both short and long term placement stability, however more progress needs to be made to ensure looked after children have a stable home. 43 5. What additional activity is required in 2014/15 To review all business and finance processes to ensure the Service remains in line with Statutory requirements and Council Financial Regulations. To introduce revised procedures for undertaking assessments of friends, family and other people connected to a child as alternative carers. To increase number of Lewisham approved foster carers. To improve support offered to foster carers. Monitor and Audit placement breakdowns Analysis of placement breakdown produced on a quarterly basis and used to inform Lewisham carers and PPF of any trends/training issues that could improve placement stability. Support offered to help sustain fragile placements. Monthly analysis of all placements made highlights gaps in provision which can be used for foster carer recruitment strategy. Reflective Practice between P&P and S/W Teams on ’what could have been done differently’ to prevent breakdown. Fully utilise placements approved for Lewisham foster carers Care Planning Panel approves all placement requests and has sight of weekly Vacancies for Lewisham carers. Effective communication between professionals to ensure Lewisham foster carers are utilised to their full potential 44 SS4: 1. Support families at risk of being in crisis Why we need to focus on this outcome All families have access to universal services, such as education, healthcare, parent and carer and toddler groups and leisure facilities. Some families who experience personal or social problems such as relationship breakdown, unemployment, ill health or homelessness, may need access to other services and additional support to help them through a difficult time. Providing such assistance at an early stage can help avoid situations deteriorating and becoming major problems which are more difficult to deal with and can take longer to recover from. It is well recognised that there must be a move towards preventative and early intervention services sooner rather than later. Therefore, the priorities within this plan are all underpinned with the aim of prevention and early intervention in supporting families to parent confidently and responsibly, especially when they are facing difficulties. Our aim is to ensure that all parents can access information and services in their local areas at the time they need to, to support them in carrying out their parental responsibilities. 2. Progress against our actions Action Identify families who need additional support as early as possible, by further embedding the Common Assessment Framework (CAF), Lead Professional, Team Around the Child and Team Around the Family approaches across all agencies. Improving systems for logging and tracking the progression of CAFs. Continue to ensure joint working across the Partnership, breaking down organisational barriers to embed the ‘no wrong door’ and ‘don’t refer on’ culture. Commission Children’s Centre services to a range of school and area providers, which will begin delivery in July 2012. Providers will each work with targeted families, while still offering universal services where appropriate. Examples of targeted children or families include those with poor attachment, experiencing worklessness, with poor linguistic development, substance misuse issues, challenging behaviour or a history of offending. Trial a Payment by Results scheme to measure the success of interventions with families and establish a blueprint for use in other services. Embed Early Intervention Locality Panels, as a means of problem-solving for families where Latest position There is extensive use of the CAF and TAC across the children’s workforce. Between January 2013 – End December 1024 early intervention CAFs were logged with the FST. The Early Intervention Service Family Support Team (FST) also offers a help line for professionals on the CAF and TAC process. A process is under development to measure the impact of the work of the FST. Implementation of the eCAF system is expected by September 2014. There is a multi agency steering group overseeing its development to meet Lewisham’s particular needs. The FST continues to offer CAF and TAC training to support partner agencies. The team works closely across agencies and fora including Children’s Social Care, Adult Social Care, Domestic Abuse and Sexual violence Forum, SLAM, GP Child Protection Gorum and Housing. Commissioned Children’s Centre services are now well established with 7 school providers and 2 area providers. They offer a range of targeted services particularly to those most in need. A total of 4791 families with targeted needs have been worked with from July 2012 to end December 2013. Payment by Results measures were implemented from April 2013. Many of the measures are already now embedded. Further work will continue in 2014 to track outcomes for children and families. Multi-agency panel meetings take place twice each month – one in the north the borough and another in 45 further interventions and resources are needed. the south. Embed our Family Support programme to ensure co-ordinated, multi-agency, whole family needsled support is in place at an early stage including: Commissioning a range of family support and parenting services to work at different levels of need and in different settings. Consistently taking a family approach, coordinating support across different ages within a family and providing additional support for the family and younger siblings to stop trends of poor outcomes within families. Providing additional support to lone parents who need it. Ensure that high quality CAFs lead to appropriate services for vulnerable children. TFS has worked with 629 between April 2012 and December 2013. Childrens centres also offer family support and a range of parenting programmes. A significant proportion of families supported are from lone parent families and have other vulnerabilities. TFS and Childrens Centres work across the 0-19 age range. FST support children’s frontline practitioners across the partnership to ensure the needs of all children in families are identified and assessed using the CAF. This supports a strong action plan being in place from which the relevant support services are sourced. Between 30 and 40 CAFs are quality assured twice yearly. Findings and recommendations are reported to managers across the partnership 2. The impact of our activity 4. Outcomes have included significant improvements in parenting skills, health, hygiene and wellbeing of children, school attendance and participation, challenging behaviour, mental health and employability Cases presented to panel include those which are ‘stepping down’ from Children’s Social Care and support is identified to prevent re-escalation of need. What additional activity is required in 2014/15 Establish the E-CAF system to enable improved information to support quality assurance processes Continue to monitor contracts to ensure providers are targeting and reaching families with most need Carry out the actions in the Improvement Plan identified from the learning from the Early Help Thematic inspection. 46 SS5: 1. Ensure that children and young people feel safe Why we need to focus on this outcome Staying safe impacts on good health, making a positive contribution, being able to achieve and enjoy life, and being economically active. It should therefore be a major part of a coordinated approach to supporting young people in their personal and social development. This priority focuses on ensuring children feel safe in their local communities and in Lewisham. 2. Progress against our actions Action Develop the work to support young people who are involved in group offending through a preventative, targeted and enforcement approach. Implement the Multi Agency Safeguarding Hub (MASH) to further improve data and information sharing between all agencies. Ensure that all schools and colleges have links to Safer Schools Officer and/or their Safer Neighbourhood Team. Provide workforce development training to professionals from housing, youth, education, health, social care and voluntary sector agencies to highlight the issue of inappropriate sexualised behaviour and build self-esteem. Continue to work with those young people in the youth justice system, providing sound interventions to meet their needs. Continue partnership work to tackle anti-social behaviour. Latest position A review of the Serious Youth Violence delivery model has taken place to ensure that the work from the EGYV programme is firmly embedded into the delivery for 2013/14 and that the work with perpetrators and victims is clearly coordinated. The Police, Local Authority and key agencies work in close partnership to deliver the three strand approach. The Youth Support Service are key to a) providing intelligence to identify potential victims and perpetrators and b) to deliver intervention programmes via the key-work service. The MASH was implemented in January 2013 with agencies either co-located or available as a virtual member of the Safeguarding Hub. Police, early Intervention, Social Care and Probation (one day a week) are co-located. Every school in Lewisham has School Police Constable (SPC). This is a named police officer a school can call on, if needed. All nominated police officers made contact with their respective schools to introduce themselves. The YOS are now providing training to professionals to highlight the issue of inappropriate sexualised behaviour and build self-esteem as this has now been commissioned by Children Social Care. We continue to deliver a service in line with the YJB’s National Guidance across early intervention and intervention services. This includes services from point of arrest through to the Court, Intervention and Exit Planning. A robust Quality Assurance process is in place to ensure that the National Guidance is adhered to and this is verified by the YJB at their quarterly monitoring meeting. The YOS continue to work with the Neighbourhood Community Safety Service (NCSS) regarding cases of ASB. The YOS actively contributes to the ASB MARAC and works with officers on particular Problem Solving Processes (PSPs) and cases. As part of the strategy to work with siblings, targeted work will take place with siblings where ASB is occurring. 47 Action Latest position The Youth Service key work team will also provide 1:1 support to young people with additional needs, which will include advice, guidance and signposting on personal safety as appropriate. To support all missing children on their return to help increase their feelings of security and prevent repeated episodes. Views of children and young people will be included in all assessments, conferences and reviews when they are of an appropriate age within Children’s Social Care. This will be measured through Quality Audits of all CSC teams and through CPC and IRO monitoring reports of case conferences and looked after children reviews. We will work with partners to ensure that accident hot spots are identified and measures are taken by continuing to assess and provide road safety engineering measures in response to identified need and by continuing to provide School Crossing Patrols where there is an identified need. 3. The restructure has maintained a 1:1 youth work capacity to continue offering targeted IAG and holistic intensive youth work support. Young people who going missing from home and care are given the opportunity to have a return interview upon their return so that they can raise and discuss any issues. If it is deemed that support is required, then this will be put in place. More young people and families are coming forward wanting to talk and looking for support to prevent family breakdown. Through discussion some disclosures of sexual exploitation are also coming to light and therefore we are able to act quickly and put the necessary support in place. Social workers visit and talks to children and young people (if they are of appropriate age) separately to their parents/carers to ascertain their views during assessment. Social workers also obtain children and young people’s views before a conference and review. Children and young people are also encouraged and given support to complete the web based consultation – Viewpoint before each review. IROs now see and talk to children before the review meetings. Their views and feedback are discussed at conference and review meetings Child casualties have reduced dramatically over the last 10 year period. All school crossing patrol sites are currently staffed. Our performance against this objective CYP Data Export LPZ578 Number of repeat missing children (unauthorised absence) during the last 12 months LPI197 No.Hospital Admissions Injuries to Children LPI390 No Children killed or injured in RTAs NI048 Children killed or seriously injured in road traffic accidents NI070 Hospital admissions caused by unintentional and deliberate injuries to CYP LPZ577 Number of Police Merlin forms sent to CSC each month LPI381ii No. bullying incidents, inc racist, homophobic, disability incidents H/L Actual Mar 2012 Actual As at Mar 14 Target Perform. - 18.00 25.00 - - - - - - - - - - 7.00 - - - 95.00 - - - - - 21.00 - - O/T v Targ L L L L L L L - (Aut Term 2013) 48 - SECONDARY (term) LPI380i No. bullying incidents, inc racist, homophobic, disability incidents - PRIMARY (term) LPZ138 % of Primary school pupils who were afraid to go to school because of bullying LPZ139 % of Secondary school pupils who were afraid to go to school because of bullying 4. L 30.00 (Aut Term 2013) - - - - - - - - - - L L The impact of our activity Fewer young people have entered the Youth Justice System and fewer young people have been given a custodial disposal. This improves the chances of them successfully engaging in sustainable education, training and employment and improves overall life chances Increased holistic and practical support for parents where their children are involved in ASB, at an earlier point. Safer streets and a confidence for parents to allow their children to become more independent travellers. Prompt information sharing and hence in decision making. There are identifiable cases which have been through the MASH process and where early intervention has safeguarded children. 5. What additional activity is required in 2014/15 Review the Quality Assurance process for the YSS to ensure that interventions are consistently of high quality. Continue to complete an update report on child road casualties to the Safeguarding Board. Implement the Workforce Development Strategy for the YSS to ensure that all staff are able to deliver to a generic agenda Implement the Programmes Strategy and Review for the YSS to deliver programmes that meet the needs of the service users. Continue to work with schools who have not joined, to encourage them to join the school Travel Plan Programme. Continue to offer bikeability courses at all schools for year 6 pupils. 49 ENJOY AND ACHIEVE Our Priorities EA1: Raise achievement at all key stages EA2: Close the achievement gaps between underachieving groups and their peers EA3: Improve secondary school attendance EA4: Meet the needs of children with complex needs and disabilities EA5: Ensure there are sufficient school places for every Lewisham child EA6: Ensure children and young people access culture, sport, leisure and play activities Improvements have continued in Early Years and at Key Stage 2 where outcomes benchmark favourably against national and statistical neighbours. 68% of children across Lewisham gained a ‘Good Level of Development’. Additional analysis of this data shows that 68.8% of Pupil Premium students who have had 6+ contacts with Children’s Centres without having accessed school or nursery provision achieved this Good Level of Development against the borough average of 60.2% for all children. This demonstrates the real difference that early intervention can make young people’s educational prospects. 92.6% of our primary schools are rated outstanding or good by Ofsted. There has been a focus on Level 5+ at Key Stage 2, particularly for those pupils eligible for Pupil Premium. The gap here has remained above 10%. Key Stage 4 remains a challenge. Results in the key indicator of 5+ A-C grades, including English and Maths, is still only rising incrementally and so the gap is not being closed with our statistical neighbours. The gap for those pupils eligible for Pupil Premium has increased to over 20% in 2013. Outcomes were almost at the national benchmark this year, but this result was below the predicted outcome for too many schools. In post-16, the number of students progressing to top universities has increased as has the number of young people who no longer not in education, employment or training (NEET). Attendance The development of the SEND pathfinder in Lewisham means that more young people with complex needs and disabilities will benefit form holistic assessment and support. New Education, Health and Care Plans (EHCP) are being coproduced with families. By March 2014, over 75 families have had an EHCP plan replacing their Statement of Educational Need. From September 2014 all new applicants for a Statement will be offered an EHCP. Work is underway 50 to introduce personal budgets to accompany these plans, providing greater choice and control to parents and families. To improve provision for ASD pupils, Drumbeat School opened in September 2013. An outreach resource base located in the school means that all schools in the borough as well as other providers of services to children can benefit from training, advice and guidance. Lewisham’s growing population means that the demand for primary places continues to exceed Lewisham’s supply or permanent places – the borough has responded by putting in additional accommodation each year to meet demand. In 2014/15 Lewisham will have 3,574 permanent places with a predicted demand of 3,995. The balance of demand will be met through a programme of temporary enlargements, adjusted as applications are received. With the larger primary pupil cohorts approaching the age of secondary transfer, the existing capacity within secondary schools will be placed under stress. Applications, census returns and in-year admissions will continue to be carefully monitored to ensure the early identification of any trends. 51 EA1: 1. Raise achievement at all key stages Why we need to focus on this outcome Educational standards have been improving over the past three years. However, we need to increase the pace of improvement to improve the life chances of all our children and young people. Our aim is to work together with all settings, schools and institutions to ensure the best possible outcome for all our children and young people. We expect that all outcomes will compare favourably against local and national benchmarks. 2. Progress against our actions Action Latest position Continue with a differentiated core offer of monitoring, challenge and support to all schools to ensure we intervene early where necessary. -Differentiated core offer is reviewed to ensure it meets the needs of schools -A bespoke offer is agreed through SLA visits and monitored during the term Continue to use outstanding leadership at all levels effectively to ensure that all schools are good and better Build on the success of current partnerships to increase the leadership capacity across the borough Develop the leadership capacity of Governing Bodies, using models of best practice Use Federations and other approaches to improve schools in challenging circumstances or in need of intervention With RI schools support is given to work alongside the leaders to provide quick intervention and development to establish raising attainment and improved delivery . -Outstanding leadership is recognised and used to support schools across the borough -Exceptional leaders provide support to model and build capacity at middle leadership level -Lead practitioners provide the support across schools to ensure good and better teaching. The training that is given to leaders in what they are required to do for excellent early years is of good quality in most cases Headteacher and their EYFS leaders attend the head teacher briefings together. The use of the getting a good or better judgement from Ofsted for the early years tool has been successful and well received .This is based on a developmental model from leaders to take and implement in their schools . -Partnerships are continuing to grow and strengthen leadership capacity -The partnership model will eventually increase capacity across the borough Links are made through outstanding practitioners to support others across the sector .We also provide dissemination of good practice through our training and head teacher briefing sessions . The good to outstanding work with school promotes head teacher working towards Outstanding and good provision. -High quality and regular training planned and delivered by the LA and also by individual schools enables Governors to keep up to date with current issues with outcomes of data, particularly the focus on pupil premium, Ofsted and DfE performance measures The EYIT continue to provide briefings for governors in the first tern outlining data outcomes .We deliver specific governor training on looking at the EYFS and how to judge its effectiveness. -The Federations in the secondary phase have provided support for all schools in their group. -Cross Federation CPD and teachers working across 52 Action Latest position schools is providing strength to the more vulnerable school in the group Continue to focus on the quality of teaching and learning through a rolling programme of audits, peer audits and CPD programmes, including working in partnership with the Teaching schools, including NQTs. -LA provides a package of high quality bespoke subject and whole school reviews with a robust report of next steps -School leaders have been part of joint reviews for PD purposes and to support their own schools in the process -LA provides high quality consultancy to support individual teachers improve their classroom practice -LA provides tailored CPD to support specific pedagogy and school focus areas to improve the quality of teaching -LA provides CPD and support for NQT’s Where the EYIT are working with a school in a focused way we support the leadership to develop the practice and provision. Continue to work in partnership with all -LA works effectively in close collaboration with The data schools to raise aspirations and outcomes analysis provided to all schools for all pupils -LA provides challenge and support and works in partnership with schools to support their through the outcomes of the EYFSP are accompanied by additional analytical visits from School improvement agenda. This is through a rigorous SIA link programme and tailored packages of support advisors were leaders are challenged on what the outcome are saying about the provision in the EYFS and how this could be improved and how the information will be shared with the Year 1 teachers to ensure that is monitored and evaluated the correct improvements and support are provided for impact that cohort as it moves in to KS 1 Continue to support Y2, Y6 and Y11 -LA provides links to organisations that provide one to one intervention strategies. or small group tuition -LA provides subject consultants who are teachers and offer additional intervention strategies and classes for vulnerable students -Intervention strategies are discussed and reviewed through SIA visits 3. Our performance against this objective CYP Data Export LPI392 LAC Average Point Score end of EY Foundation Profile LPZ320 FSM Average Point Score end of EY Foundation Profile LPZ325 Overall Average Point Score end of EY Foundation Profile LPZ314 % LAC ach'g good level of Devel't end of EY Foundation Profile LPZ334 % FSM ach'g good level of Devel't end of EY Foundation Profile LPZ333 % ach'g good level of Devel't end of EY Foundation Profile LPI106 Increase the % of pupils who achieve at least level 2 in KS1 Writing 3+ H/L H H H H H H Actual Mar 2012 Actual As at Dec 13 Target Perform. - 29.80 - - - 32.20 - - - 33.00 - - - 50.00 - - - 60.20 - - - 68.20 - - 13.00 20.40 - H 53 LPI109 Increase the % of pupils who achieve at least level 2 in KS1 Math 3+ LPI103 Increase the % of pupils who achieve at least level 2 in KS1 Reading 3+ LPI105 Increase the % of pupils who achieve at least level 2 in KS1 Writing 2b+ LPI108 Increase the % of pupils who achieve at least level 2 in KS1 Math 2b+ LPI102 Increase the % of pupils who achieve at least level 2 in KS1 Reading 2b+ LPI104 Increase the % of pupils who achieve at least level 2 in KS1 Writing 2+ LPI101 Increase the % of pupils who achieve at least level 2 in KS1 Reading 2+ LPI107 Increase the % of pupils who achieve at least level 2 in KS1 Math 2+ LPI386 % of pupils achieving KS2 level 5 in Reading/Writing/Maths LPI399 % Pupils achieving KS2 Writing level 5+ LPI358 Progression by 3 levels in Reading between KS1 and KS2 LPI357 Progression by 3 levels in Maths between KS1 and KS2 LPI359 Progression by 3 levels in Writing between KS1 and KS2 LPI158 KS2 Maths Level 5+ H 26.20 - 24.00 31.10 - 57.00 69.40 - 69.00 78.30 - 70.00 80.60 - 78.00 85.40 - 84.00 88.70 - 88.00 92.20 - 14.00 26.80 30.00 20.00 37.30 - - 40.20 45.00 - 41.70 40.00 - 44.10 40.00 35.00 45.70 - - - 49.60 - - 43.00 49.70 - - - 76.30 - - 68.00 82.60 85.00 77.00 87.60 - - 84.00 90.20 - - 80.00 90.30 - - - 92.10 87.00 - 86.00 92.70 94.00 - 95.20 87.00 12.50 19.20 18.00 28.60 33.00 - - H H H H H H H H H H H H H LPZ144 % Pupils achieving KS2 Grammar, Punctuation, Spelling level 5+ LPI389 % Pupils achieving KS2 Reading level 5+ LPZ143 % Pupils achieving KS2 Grammar, Punctuation, Spelling 4+ LPI385 % of pupils achieving KS2 level 4 in Reading/Writing/Maths LPI388 % Pupils achieving KS2 Writing level 4+ LPI387 % Pupils achieving KS2 Reading level 4+ BV040 Level 4 at KS2 Maths LPI338 Progression by 2 levels in Reading between KS1 and KS2 NI094 Progression by 2 levels in Maths between Key Stage 1 and Key Stage 2 LPI339 Progression by 2 levels in Writing between KS1 and KS2 LPZ359 % of Pupils achieving the English Baccalaureate LPZ361 % of Pupils achieving 1+ A* to C GCSE grades in Modern Foreign 21.00 H H H H H H H H H H H H 54 Languages NI075 Achievement of 5 or more A*-C grades at GCSE or equivalent including English and Maths LPZ360 % of Pupils achieving A* to C GCSE grades in both English & Maths LPZ364 progress in Maths between KS2 and KS4 LPZ363 Progress in English between KS2 and KS4 BV038 5 or more A*-C GCSE H H H H NI078 Reduce number of schools where under 30% of pupils achieve 5 A*-C GCSE with English and Maths 4. 56.10 57.30 65.00 57.50 59.00 65.00 68.40 70.40 75.00 73.20 71.50 80.00 69.00 79.40 80.00 0.00 0.00 0.00 H H The impact of our activity 2% increase from the previous year at A*-C including English and Maths national results had slightly declined. Levels of progress for English and maths that are above national benchmarks with an improving profile for this year. The highest quality consultancy has impacted on the quality of teaching with improved classroom practice and student progress. The carefully crafted bespoke packages of support for schools, including the core offer enables LA officers to weave in the appropriate support and monitor this through regular SIA visits. 5. What additional activity is required in 2014/15 LA to support school leadership via school governors to strengthen and grow by indentifying and offering high quality training LA to continue to offer robust challenge and support to leadership in schools LA to continue to support schools to identify strategies to raise achievement at specific key stages for example Key stage 4. LA to continue to work closely with schools to support CPD 55 EA2: 1. Close the achievement gaps between underachieving groups and their peers Why we need to focus on this outcome Closing the gap and raising achievement for underachieving groups is key to improving life chances for all young people. We have worked successfully in partnership with schools to anticipate and close some achievement gaps. An increasing number of schools have demonstrated the capacity to accelerate the progress of pupils facing particular barriers and challenges. Further work is needed for this to be secure across all under achieving groups in all schools. 2. Progress against our actions Action Latest position Continue to work with schools and other agencies to maximise positive parental engagement with their children’s aspirations and achievements. - we continue to have dialogue with schools in relation to maintaining high quality communication with parents to maximise engagement and strong working relationships The schools that the EYIT work with have been identified from their results in the Early Years Foundation Stage Profile out comes. Those schools have had a program of work designed to enable the leadership team to impact on the quality of EYFS provision and all its aspects including engagement with parents in the assessment of children and their abilities. -Termly SIA visits to Headteachers to monitor progress and scrutinise data to identify gaps in progress and achievement of different groups. -LA officers provide a range of robust data and support school leadership to analyse data and track progress of underperforming groups at individual, group and cohort level. -SIA support with school self review and planning to ensure robust monitoring and evaluation of teaching for accelerated progress of all students -Specialist subject consultants provide rigorous support to add capacity to leadership and management so that core departments provide quality first teaching over time -LA officers have regular requests for data to quality assure progress at key milestones and provide additional challenge and support to schools as appropriate to ensure the acceleration is rapid and sustained for all groups The training that is on offer to all schools provides robust systems of how to track the outcomes of children in the EYFS. The EYFSP manager also provides moderation meetings for all schools to ensure that the judgements that are being made are accurate, and in line with national understanding of what a particular judgement looks like -Best Good practice is shared across schools via regular Headteachers meetings and other network groups. -At a Headteachers network training sessions where there is a focus on what the best practice strategies for accelerating progress of the most able was shared with a resulting toolkit to provide schools with tried, tested and sustainable strategies transferable to other groups and cohorts of students to enable above national outcomes. looks like. -Middle leadership training delivered by the LA provides a forum for learning, sharing and cascading best practice. -School led and LA led network groups allow for cross Work in partnership with all schools to accelerate the progress of pupils in underachieving groups. Share best practice where schools and pupils are bucking the trend and making accelerated progress to achieve higher than national outcomes. 56 Action Further develop strategies to close achievement gaps as part of Lewisham Challenge 2015. Ensure effective transitions of vulnerable children across all phases. Work with all Early Years providers to develop school readiness for targeted children to enable successful learning. Identify young carers and provide the support they need to aspire and achieve at school Further develop the impact pupil voice can have on outcomes, to include Pupil Ambassador Programme. 3. Latest position fertilisation of ideas that strengthen practice in individual institutions. -SIA’s provide training for all Headteachers and tailored for individual schools on the Ofsted framework. This has provided a springboard for sharing best practice that transforms learning and accelerates progress for all students. Also in the good and outstanding head teacher groups good practice is shared by observations and evaluations. The training on how to get a good Ofsted has also had an impact on the spreading of good practice and accelerating pupils progress as schools are encouraged to look at good practice to inform their own practice. -The Lewisham University Challenge project began this academic year and aims to increase the number of young people in Lewisham that gain places with HE institutions and to ensure that a greater proportion of these places are at more competitive HE providers (i.e. the top 1/3 of universities), which include Oxbridge and the Russell Group. -Although the intention is to maximise opportunities for all young people in Lewisham who have the potential for HE, particular attention will be given to what can be done to increase the numbers from specific groups of students e.g. PP, BME and LAC who are under-represented in HE. -We continue to work with partners from the primary phase, educational psychologists, social care service to ensure the a smooth transition from primary to secondary. -Collaborative work strategically to prepare for transition activities -Transition agenda is high profile for Secondary nursery providers and Primary Headteachers work with the LA to ensure transition consultants to create and implement documentation is robust across all EYFS providers which will go with a child from setting to school to ensure that the schools are ready for pupils who may be vulnerable We continue to work with the Educational Psychologist team to ensure that vulnerable children’s needs are met through this partnership it has ensured that settings have had access to development work in their provision for vulnerable children. We liaise with schools to check that they have signed up to the Young Carers’ protocol. [MORE] The Lewisham Pupil Ambassadors' Programme continues to have high profile in the borough. There are now an established team of 65 Ambassadors aged 15 to 21 and they have become a key resource for schools in the borough offering practical, accessible support through peer mentoring and support with transition. Raising aspirations and achievement is the central theme of this programme. It is about pupils being proud of their academic success and demonstrating a commitment to ‘give back’ to their schools and communities which in turn makes success visible and achievable for all. Our performance against this objective 57 CYP Data Export LPI368 % of FSM pupils achieving KS2 level 5 in Reading/Writ/Maths LPI367 % of FSM pupils achieving KS2 level 4 in Reading/Writ/Maths LPZ910 % of Looked After Children attaining Level 4 in Key Stage 2 Reading (test) LPZ911 % of Looked After Children attaining Level 4 in Key Stage 2 Writing (Asses) LPZ912 % of Looked After Children attaining Level 4 in Key Stage 2 Maths (test) LPZ913 % of Looked After Children attaining Level 4 in Key Stage 2 GPS LPI393 LAC Progress. by 2 levels in Maths between KS1 and KS2 LPI394 LAC Progress. by 2 levels in Reading between KS1 and KS2 LPI395 LAC Progress. by 2 levels in Writing between KS1 and KS2 LPI396 LAC Progress. by 3 levels in Maths between KS1 and KS2 LPI397 LAC Progress. by 3 levels in Reading between KS1 and KS2 LPI398 LAC Progress. by 3 levels in Writing between KS1 and KS2 NI102ii Achievement gap between pupils eligible for free school meals and their peers (KS4) LPZ357 % of SEN Pupils achieving 5+ A* to C GCSE grades inc. Eng & Maths NI101 Looked after children achieving 5 A*-C GCSEs (or equivalent) at KS 4 (with English and Maths) LPZ355 % of FSM Pupils achieving 5+ A* to C GCSE grades inc. Eng & Maths LPZ350 % of Black Caribbean - (All Pupils) achieving 5+ A* to C GCSE inc. Eng & Maths LPZ354 % of Non-EAL Pupils achieving 5+ A* to C GCSE grades inc. Eng & Maths H/L Actual Mar 2012 Actual As at Dec 13 Target Perform. - 16.20 18.00 - 75.20 78.00 71.00 61.00 - 71.00 56.00 - 79.00 61.00 - - 39.00 - - - - - - - - - - - - - - - - - - - - - - - - - - 19.00 23.90 - 23.70 24.70 26.00 15.00 25.00 24.00 41.00 44.50 50.00 50.00 49.50 60.00 56.00 56.30 - - H H H H H H H H H H H H L H H H H H 58 LPZ352 % of White British (All Pupils) achieving 5+ A* to C GCSE grades inc. Eng & Maths LPZ351 % of Black African (All Pupils) achieving 5+ A* to C GCSE grades inc. Eng & Maths LPZ353 % of EAL Pupils achieving 5+ A* to C GCSE grades inc. Eng & Maths LPZ358 % of Non-SEN Pupils achieving 5+ A* to C GCSE grades inc. Eng & Maths LPZ356 % of Non-FSM Pupils achieving 5+ A* to C GCSE grades inc. Eng & Maths LPZ502 % LAC achieved 5 GCSEs grade A*-C or equivalent LPZ377 Number of schools below 60% in KS2 L4 English and Maths 4. 53.00 56.60 64.00 64.20 60.40 70.00 56.00 60.70 62.00 70.00 66.70 - - 60.00 69.00 - - 42.40 44.40 - - 11.00 0.00 - - H H H H H H L The impact of our activity 2013 Key Stage 1 results for 7 year old pupils for Lewisham average as compared to 2012 results shows Lewisham continues to improve in Reading, Writing and Maths at both Level 2+, Level 2b+ and Level 3+. 2013 Key Stage 2 results for Lewisham average as compared to 2012 results shows increases in Writing, Maths and the overall combined Reading, Writing and Maths (RWM) at both Level 4 and above and Level 5 and above. The overall combined RWM at Level 4+ was up by 1.6% from 81 % in 2012 to 82.6% in 2013. The overall combined RWM at Level 5+ was up by 2.8% from 24% in 2012 to 26.8% in 2013 5. What additional activity is required in 2014/15 LA to continue to support schools to close the gap for under achieving groups such as Children and young people with SEN and Looked After Children Continue to work closely with schools to increase the number of vulnerable young people attending further education including university. 59 EA3: 1. Improve school attendance Why we need to focus on this outcome Evidence shows that achievement directly correlates to attendance. When younger children get into a pattern of non-attendance, this becomes more extreme as they get older and research indicates that low attendance in early years frequently leads to poor school attendance later on. Non-attendance can lead to young people failing to achieve and in some cases, not completing their education. It also places them ‘at risk’ both in terms of being vulnerable and becoming involved in anti-social behaviour and criminal activity. Although our performance with regard to secondary attendance has improved in recent years, challenges remain. Further action is required to embed strong attendance practices in every secondary school and to ensure swift and efficient responses to persistent absence. This may include the use of Fixed Penalty Notices alongside prosecution through the courts. Attendance is a safeguarding issue. Schools need strong systems to ensure all pupils are attending, and through good information sharing, to ensure that every child attending poorly or not at all, is targeted for action and support. 2. Progress against our actions Action Latest position Review how secondary attendance resources are deployed and evaluated, implementing a new system to include and significantly increase the use of Fixed Penalty Notices starting in January 2012. Fixed Penalty Notices have been introduced successfully. The numbers of FPNs continue to increase and have resulted in a steady improvement in attendance. Ensure that schools treat every case of a child who attends poorly or not at all, as a safeguarding issue, holding TAC meetings to ensure re-engagement, leading to the completion of the CAF in cases where there is no improvement. Attendance and Welfare Officers continue to work closely with schools to ensure that CAFs are completed and TAC meetings held as part of the process of supporting attendance. Attendance and Welfare Service tocontinue to be informed of all pupils not attending through effective joined up monitoring systems with schools. Monitoring systems are in place between the service and schools to ensure that pupils are attending and appropriate action is taken to ensure that they are in school, or receiving alternative education. Continue to provide strategic support to schools in their management of attendance and provide targeted support to both primary and secondary schools with significant numbers of persistent absentees (Fast Track and pre-referral meetings). This is integral to the work of the Service. Fast Track and pre-referral meetings are held as a matter of course in primary schools. The local authority works in close partnership with the secondary school attendance leads. Continue to target LAC attendance via a case by case approach to removing barriers to going to school. Complex Case Forums were introduced in 2011 involving a multi-agency approach to working to resolve attendance issues where court action may not be appropriate. The effectiveness of these will be reviewed. We continue to target LAC on a case by case basis and work closely with carers and schools to put in place appropriate support The Complex Case Forum has been renamed the Serious Attendance Concerns Forum. The purpose of this Forum is specifically decide on whether or not to prosecute. These have been reviewed and the Forum is valued as an effective multi agency approach, however the AWS is looking at the possibility of referring these 60 Action Latest position cases to the Early Intervention Panel in future. Attendance Reviews have also been conducted and these will continue as detailed feedback is provided to schools which can be used to improve school systems and strategies. No Attendance Reviews have been carried out this school year. Continue regular truancy sweeps with the police. Local authorities are obliged by a national agreement to continue to carry out Truancy Sweeps with the police, but there are doubts about their effectiveness and a need for better data to support their use. This is work in progress. The AWS is strengthening links with Young Carers and raising awareness across networks Continue to offer positive incentives to those pupils who attend well. 3. Our performance against this objective CYP Data Export NI114 Rate of permanent exclusions from school BV046.12 % Half days missed Primary BV045.12 % Half days missed Secondary LPZ507 Secondary school persistent absence rate (>15%) LPZ509 Primary school persistent absence rate (>15%) LPZ579 % schools signing up to the agreed yearly protocol and embedding practice (esp.young carers) LPZ362 % LAC sessions lost due to authorised absence LPZ365 % LAC sessions lost due to unauthorised absence LPZ366 LAC Sessions lost due to overall absence LPZ368 % LAC classed as persistent absentees (>15%) LPI312 % of Looked After Children 12m with at least one fixed exclusion LPI313 % of Looked After Children 12m who are permanently excluded H/L L L L L L H L L L L L L Actual Mar 2012 Actual As at Dec 13 Target Perform ance 0.16 0.07 0.05 - 3.64 4.40 - 4.73 5.85 9.00 6.30 - - 3.70 2.50 - - - - 80.00 - 3.10 2.9 4.00 1.20 1.7 4.00 4.30 4.6 5.50 3.70 5.1 6.00 12.30 - 13.00 0.00 - 0.00 61 4. 5. The impact of our activity Evidence to show that this has had a positive impact on attendance Overall primary attendance 95.7% in 2012, up from 95.11% in 2011 Overall secondary attendance 94.5% in 2012, up from 93.38% in 2011 Primary persistent absence 3.6% in 2012, down from 5.2% in 2011 Secondary persistent absence 6.8% in 2012, down from 9.9% in 2011 All four rankings are in the top quartile nationally 47.5% of FPN cases showed improved attendance after the first warning 18% of primary prosecution cases resulted in improved attendance of between 95% and 100% 59% of cases being prosecuted showed improved attendance after the first court warning Overall attendance levels have improved year on year and there have been a steady reduction in persistent absence. Lewisham primary school overall attendance for 2012/13 is 95.9% improving from 2011/12 95.70%. Primary persistent absence is 2.5% compared with statistical neighbours, inner London average and national average which is 3%. What additional activity is required in 2014/15 Join up tracking systems for different groups of pupils at risk of missing education Evidence the impact of Truancy Sweeps Develop mechanisms for costing different activities 62 EA4: 1. Meet the needs of children with complex needs and disabilities Why we need to focus on this outcome All children, wherever they are educated need to be able to learn, play and develop alongside each other within their local community of schools. Over the life of the previous CYPP, Lewisham have carried out a review of provision for children with SEN and made significant progress against the initial plan (2007). The SEN Green Paper Consultation (March 2011) highlighted and reported on the concerns of families, children and young people with identified disability and complex additional need, and posed questions on how to review processes, approach and provision in order to: Better support life outcomes for children and young people Increase parental confidence and enable more control Strip away unnecessary bureaucracy, enabling professional innovation 2. Progress against our actions Action Develop and test a new model of support for children, young people and their families/carers, in order to strengthen family influence over, and confidence in outcomes, by 2014; Develop improved transition pathways and provision for young people ( 16 – 25) to access education, employment and/or independent living, by 2014; Develop, implement, review and embed a single, integrated assessment process across health, education and social care for children 0-25 years in order to produce by a Single Family Plan, for the most complex and vulnerable children and young people, by 2015; Pilot and introduce personal budgets across health, education and social care to support and underpin delivery of Single Family Plan by 2015; Continued development of specialist educational provision, within the mainstream and special school sector, through development of the new special school and continued resource base development; Latest position Contact A Family post has been supporting families through the Education Health and Social Care Plan (EHCP) process. The post will continue until March 2015. The impact has been to strengthen relationships with families to support developing new ways of working The new EHCP process has begun to impact on developing supporting transition pathways for young people with SEN and disability aged 16-25 years. Work is also taking place with providers such as Lewisham and Southwark College to support young people into adulthood. The EHCP has been co produced with families and has now be used to replace a Statement of Educational Need in 75+ families by March 2014. From 1st September 2014 all new applicants for a Statement will be offered to apply for an EHCP which will replace the Statement process. The Children with Complex needs Service restructured on 1st April to support teams across SEN and social care to work closer together to deliver the EHCP process. Developing a process to offer personal Budgets to support the EHCP is still at an early stage of development, during the coming months further work will be done to offer personal budgets across health, education, and social care. Drumbeat ASD specialist school opened September 2013. An Outreach resource base is located in the school to offer guidance and advice for all schools in Lewisham supporting pupils with ASD. A review of resource base provision in schools is under way and will be completed by September 2014 63 3. Our performance against this objective CYP Data Export NI103an Final statements issued within 26 wks NI103bn Final statements issued within 26 wks NI103ad All final statements issued excluding exceptions NI103bd All final statements NI103b Special Educational Needs statements issued within 26 weeks NI103a Special Educational Needs statements issued within 26 weeks excluding exceptions LPZ567g Number of 19-25 year olds with EHC Plan LPZ567j Number of reviews unplanned LPZ567 No. of EHC Plans completed within 20 weeks (ind.month) LPZ567n Number of EHC Plans completed (Ind.Month) LPZ567h Number of SSEN or EHC not currently in Education LPZ567b Number of new EHC plans with statutory education component LPZ567a Number of EHC plans with statutory education component LPZ567c Number of conversions of SSEN to EHC Plan LPZ567i Number of reviews planned LPZ567f Number of 0-19 year olds with EHC Plan LPZ569 % SEN statements and EHCPs completed on time LPZ569a % statements excl. exceptions + EHPs completed on time LPZ567d Number of requests for SSEN/EHC LPZ568 % of EHC Plans completed within 20 weeks LPZ567e Number of SENDIST (Tribunals) LPZ567k % Reviews child on target to meet outcomes of EHC Plan LPZ102 % of LAC with a statement of SEN LPZ343 Number of maintained SEN statements LPZ344 Number of new SEN statement issued LPZ345 Percentage of SEN pupils in Special Schools LPZ345a Percentage of SEN pupils in mainstream schools and academies H/L H H H H H Actual Mar 2012 Actual As at Dec 13 Target Perform ance - 0.00 - - - 0.00 - - - 1.00 - - - 1.00 - - 97.00 45.80 100.00 97.10 71.10 100.00 - 1.00 - - - 2.00 - - - 4.00 - - - 4.00 - - - 6.00 - - - 15.00 - - - 23.00 - - - 28.00 - - - 50.00 - - - 51.00 - - - 61.80 100.00 - 83.90 100.00 - 85.00 - - - 100.00 100.00 - - - - - - - - 29.60 27.20 25.00 1355.00 - 1480.00 - 167.00 - 140.00 - 39.80 - 40.00 - 43.70 - 45.00 H H L H H L H H H H H H H H H L H L L L L H 64 LPZ345b Percentage of SEN pupils in SEN units in mainstream schools 4. H 8.60 - 8.50 The impact of our activity Partnership with Contact A Family has supported families to understand and be involved with the changes increasing confidence New Plan has led to Improved communication with families enabling a better understanding of needs leading to developing better outcomes. Beginning discussions with a small group of families to take a personal budget Increased provision for children and young people with ASD outreach service well used and developing 5. What additional activity is required in 2014/15 To embed the service restructure To continue to develop a published Local Offer which will ensure families know how to access information and services To continue to escalate offering an EHCP to families requesting a Statement of Educational Need To continue to develop a process to offer personal budgets To continue to improve transition arrangements for young people aged 16 to 25 years 65 EA5: 1. Ensure there are sufficient school places for every Lewisham child Why we need to focus on this outcome The Council has a statutory duty to provide a school place for every child whose parent or carer requests one. The birth rate in Lewisham has increased by 34% over the last decade, and the proportion of families requesting a place in a maintained school (mainstream and special) has also increased. Demand is projected to remain high for the next decade. This includes demand for places for children with special educational needs (SEN). 2. Progress against our actions Action In order to meet the demand for Reception places, by 2015 Lewisham will aim to add approximately 540 permanent places in primary schools supplemented by temporary additional classes to meet local fluctuations in demand. The immediate requirement is to deliver up to an additional 21 for September 2012. Latest position The following table summarises the places which have been added each year to ensure that all children whose families request a place can be admitted to a primary school. Year 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 Permanent Places opened 180 (6FE) 90 (3FE) Temporary Places opened 60 255 555 564 564 375 (2FE) (8.5FE) (18.5FE) (19FE) (19FE) (12.5FE) * * as at August 23rd 2013 Recent announcements of capital funding have underpinned proposals for permanent expansions, either on existing sites or though recommissioning Council buildings in partnership with schools, within an operational plan that extends to 2015. These projects will be progressed in 2012 and 2013. The borough will continue to maintain a diversity of places working with Community and Faith schools, and promoting all-through provision. Working closely with Governing Bodies, we will also continue to expand popular and successful schools where necessary and possible through the opening of temporary additional classes. The borough’s strategy is to aim to meet demand locally, so that families who apply on time are not required to travel unreasonable distances across the borough. There will be continued close liaison with the School Improvement Team so that where schools in more challenging circumstances need to be enlarged they receive appropriate support. Places in Secondary schools are expected to come under pressure from 2016 and planning will be further developed now to ensure that sufficient Despite continued pressure for Key Stage 1 places, an offer has been made to all families. Sufficient full and partial (bulge) expansions of schools have been created to meet the demand for Reception places across the borough to September 2014 Governing Bodies have recognised the need for places in their area and have responded willingly. As a result of prudent expansion during the Building Schools for the Future programme there are currently sufficient secondary school places. Figures 66 Action Latest position places are available. Work will proceed to develop a sub-regional strategy for Secondary provision so that the existing range of provision is maintained. In order to meet the concurrent demand for places for children with SEN, the Local Authority will continue to establish new resource bases in mainstream primary and secondary schools, as well as increasing the number of special school places available, in particular, for post-16 learners with learning difficulties and disabilities (LLDDs) where there is a recognised pressure. In addition to the 10 existing resource bases in Lewisham, there are 3 new 16-place Autistic Spectrum Disorder (ASD) resource bases set to come on stream by 2013, with a further 2 planned by 2015. The focus will continue to be on developing new provision for children with ASD as this currently represents the greatest area of SEN need in the borough (36.4 percent of 0-19 year olds with a statement). Local specialist provision will be further strengthened by the opening of a new all-age ASD school, Drumbeat, in September 2013, which will include a greater number of sixth form places than originally planned in response to increasing demand. Drumbeat will offer an ASD outreach service to mainstream schools, including those with resource bases, further enhancing the capacity of mainstream provision in Lewisham to meet needs of children with SEN. The rebuilding of Brent Knoll Special School by September 2014 will provide greatly improved and updated facilities for 164 children aged 4-16 years. 3. are kept under close scrutiny and work is in hand to meet the need as demand starts to increase, which is now expected to be for entry in 2017. During 2014 The Children with Complex Needs service will carry out a review of the Specialist Resource Provision This action is being reviewed as part of the new Specialist Resource Provision strategy. The Drumbeat school and ASD service opened in September 2013. Drumbeat’s wide-ranging extended schools programme is reaching out to the wider community, improving access to services for all Lewisham residents, this will include mainstream schools. The school’s outreach function will transform the services available to all children and young people with ASD in Lewisham, inspiring them to be ambitious and supporting them to achieve their full potential. The completion date for the rebuild of Brent Knoll Special School has been moved back until January 2015. This change is due to a delay in the design development and the procurement process. Our performance against this objective CYP Data Export LPZ340 Percentage of Secondary School Admissions that have met first (1) parental preference LPZ341 Percentage of Secondary School Admissions that have met first to third (1-3) parental pref. LPZ342a Percentage of Secondary School Admissions that have met one of the parental preferences LPZ542 Number of permanent Reception places in Primary schools H/L Actual Mar 2012 Actual As at Dec 13 Target 2012 Perform ance 63.40 - 70.00 88.80 - 89.00 96.60 - 95.50 3156.00 3512.00 3989.00 H H H H 67 4. The impact of our activity 76.7% Parents and Carers making an on-time application for a primary school place to start in September 2013 received a place at their first preference school. Expansions have been proposed in the areas of highest demand so that where possible families can be offered a school place close to their home. The school expansion programme has included 2 new Resource Bases for children with a special educational need. 5. What additional activity is required in 2014/15 The current programme of work with Primary schools and sub regionally to plan secondary provision will need to continue for the foreseeable future as Lewisham’s population is forecast to continue to increase Drumbeat to continue to ensure its extended schools programme supports children and young people with ASD Complete the review of resource bases in schools Begin the rebuild of Brent Knoll school in January 2015 68 EA6: 1. Ensure children and young people access culture, sport, leisure and play activities Why we need to focus on this outcome All children and young people deserve an enjoyable childhood – no matter what constraints they face. Research shows that play and access to the arts has many benefits for children and young people in terms of social, cognitive and behavioural development. It promotes increasing levels of flexibility for children and young people. Advantages associated include the development of problem-solving skills, supporting their language development and literacy, developing their social skills, expressing emotions, developing imagination and creative interests and abilities. Cultural Arts in Education leads to respect of other ethnicities and traditions at an early age. Students of music learn to stretch their inner resources in order to achieve a new level of excellence. Through music study, students learn the value of effort and dedication to achieve excellence and the concrete rewards of hard work. Music provides children with a means of self-expression. Self-esteem is a by-product of this self-expression. Music performance teaches young people to conquer fear and to take risks. It teaches children how to deal with anxiety at an early age which makes it less of a problem later on in life. We need to ensure that we build on the success of the London 2012 Olympic and Paralympic Games so that all our children have the opportunity to engage in a diverse range of sports. 2. Progress against our actions Action Latest position Ensure that every child aged 5-18 has the opportunity to learn a musical instrument (other than voice) through whole-class ensemble teaching programmes for ideally a year (but for a minimum of a term) of weekly tuition on the same instrument Provide opportunities for children and young people to play in ensembles and to perform from an early stage The Music Hub delivers and supports whole class teaching for 2917 children in KS1, KS2 and KS3 in 51 schools for at least one term. Ensure that clear progression routes are available and affordable to all young people Ensure that every pupil sings regularly and that choirs and vocal ensembles are available in and outside schools. Ensure that every pupil has the opportunity to experience high quality music-making. Continue to produce the Summer’s Alive Directory, ‘Summer’s Alive’ aims to help all children, young Lewisham Music Hub runs 25 ensembles for children age 5 to 18. Most schools also have instrumental groups of their own. Projects and live events such as Lewisham Live and People’s Day have provided a platform for performances 3687 children with audiences of 11,800. 2294 children have music lessons beyond first access in group and individual lessons. Costs of lessons and ensembles are low compared with some other London boroughs. Charges for FSM and LAC children are less than one third of the charges paid by other children and have remained unchanged for over 2 years. Most schools have choirs and vocal groups of their own. 82 choirs and vocal groups from 50 schools have performed in Music Hub events in 2013. CPD has been made available to 50 teachers and tutors. 2954 children from 45 schools attended professional orchestral concerts at South Bank and Barbican. 360 children watched a live performance of ‘Don Pasquale’ performed by a professional opera company. 487 children have experienced working alongside professional musicians in projects and live events. This was published and this year includes a new ‘SMS alert system’ allowing young people and 69 Action Latest position people and their families find activities taking place over the summer holidays in Lewisham. Ensure every Lewisham child aged 5-16 is aware and has the opportunity to undertake 2 hours per week of Physical Education (PE) and school sport. parents to sign up to be text additional/new information throughout the summer. Funding was withdrawn from this scheme and therefore not running anymore Build on the Olympic and Paralympics Games legacy by ensuring that all children and young people access Lewisham’s diverse range of sports clubs and facilities. The youth service continues to provide multiple sporting opportunities and this will remain a focus in the new service. This includes options now available in the sporting facilities at the new TNG youth centre in Sydenham. The new youth service will have a much stronger focus on means to promote youth provision, including sports, to young people. Funding was withdrawn from this scheme and therefore it has not continued. To work with schools to ensure all children by the age of 11 are able to swim confidently. Where children are identified as not being able to swim by age 11, work will be undertaken with secondary schools to encourage pupils to participate in intensive swimming courses. Ensure children in Lewisham aged 5-12 have a Library card. Work with schools in establishing and maintaining their own library provision on-site to meet their pupils’ needs. Promote the love of reading and works of creative imagination through initiatives such as the Summer Reading Challenge. Where possible introduce equipment specifically for children with a mobility disability in Lewisham’s parks and open spaces. We will work with the community and the local assemblies to make improvements to children’s play facilities Increase the range and scope of the early years arts offer by facilitating the Cultural Early Years Group and securing funding to support 2-4 year olds to access music and movement. This project was tested in Haseltine primary school where every child was issued with a library card as part of their developed school library offer. This pilot concluded successfully and now the programme is being rolled out to all schools in the borough. This was piloted in three schools in 2013, Gordonbrock, Haseltine and Tidemill Academy. The Library and Information Service is now in discussion with other schools in the borough to expand the project and develop more on-site book provision. This is a nationally funded project with a chosen theme to promote the programme. This year’s theme is ‘Mythical Creatures’. To promote SRC in Lewisham, 41 schools were visited by library staff in 2013. All schools in Lewisham have now been assigned a staff to promote the project. Whilst new playground equipment is accessible for people with a disability we have not introduced any bespoke items to date. New splash pad at Northbrook Park is accessible for wheelchair users Funding was withdrawn from this scheme and therefore it has not continued. Funding was withdrawn from this scheme and therefore it has not continued. 70 3. Our performance against this objective CYP Data Export LPZ543 Number of Primary schools involved in improving their own book provision LPZ544 Number of schools visited to present certificates for completing the summer reading challenge LPZ545 Percentage of Primary schools with whole class instrumental programme LPZ546 Percentage of schools with at least one musical ensemble LPZ547 Percentage of schools with at least one choir or vocal ensemble LPZ580 Number of disabled children who access mainstream activities LPZ582 % of children age 5-12 who have an active library card 4. Actual Mar 2012 Actual As at Mar 13 Target Perform ance - - - - - - - - - - - - - - - - - - - - - - - - 40.90 54.60 65.00 H H H H H H H The impact of our activity Children have improved access to books and information through library services across the borough and their own school library. Children have improved access to a wide range of books in school. Books were purchased at discounted prices, providing value for money. Book collections were tailored to meet the needs of schools. Children have read more broadly and widely over the summer holidays. To date, over 3,500 children in Lewisham aged 4-11 have joined up. 5. H/L What additional activity is required in 2014/15 Parks: Subject to budgetary constraints we are looking to improve children’s play at Mountsfield Park and Folkestone Gardens. Where practicable we will look to introduce specific items of equipment for children with a mobility disability particularly where it can also be used by non disabled users Libraries Lewisham Library has received Radio-Frequency Identification (RFID) enabled library cards. The cards a re being rolled out in 12 pilot schools, with the aim of providing them eventually to all schools in the borough. The Library and Information Service will continue to work with schools to develop their school book collections and provide on-site library provision and will ensure that all children aged 512 have a library card. 71 MAKING A POSITIVE CONTRIBUTION Our Priorities MPC1: Strengthen further youth participation and involvement MPC2: Reduce anti-social behaviour and youth crime and support young people who are the victim of crime MPC3: Provide integrated youth support for all young people to ensure they are able to make informed choices about their lives The work of the partnership ensures that all our children and young people have the opportunity to contribute to the communities and to the services and interventions that affect them. The Young Mayor’s scheme goes from strength to strength. 48.7% of eligible young people voted in the most recent Young Mayor elections. Lewisham’s Young Citizen’s Panel now has 560 members able to contributing to the local decision making. The Children in Care Council, which gives a voice to some of the most vulnerable children in the borough, continues to develop its capacity and skills. Looked After Children now meet regularly with the Young Mayor and advisers helping to shape priorities. In addition the Children in Care Council’s participation in the SESLA international volunteer programme won an award from the Who Cares Trust. In 2013, 51 Looked After Children took part in the Big Wide World international volunteering project. Children and Young People are engaged in how we design and shape services locally. The transformation of Lewisham’s Youth Services drew heavily on the ideas and creativity of young people. Over 600 young people responded to a survey exploring how they wanted to spend their free time, their perception of their local area and the barriers that they felt prevented them from participating in activities. Young people were also involved in the Youth Services commissioning process, helping to score potential providers of youth activities. The Youth Service has developed a new volunteering curriculum which was piloted with 15 young people in Summer 2013. While volunteering in the service, participants developed other transferable skills. This will be developed further over the course of 2014/15. For those committing anti-social behaviour or who are at risk of more serious offending behaviour, both the Youth Offending Service, the Youth Service and the Police have adopted a more holistic family approach. This looks to identify and help tackle some of the wider issues within a family setting, while still focusing on preventing offending or reoffending. The partnership continues to embed Restorative Justice approaches. All Secondary Schools now have a restorative policy in place. As a result of this activity, parents and young people have had their cases managed in the local community rather than through the court system. This has reduced the likelihood of them reoffending and increased their engagement on other activities. The Youth Violence MARAC has continued to improve its scope and reach so that local partners recognise when they could refer cases to it. 72 MPC1: 1. Strengthen further youth participation and involvement Why we need to focus on this outcome Young people have dynamic and valuable ideas which can greatly benefit the borough, yet they often get poorly presented by the media. Young people are often concerned about their future and it is both important and their right that they are honestly involved and have a voice in the decisions being made about the society in which they live and are empowered to speak out against any unfair negative perceptions of youth presented by the media. Our continued facilitation of youth participation and involvement will allow young people to develop a sense of ownership and belonging and embed a culture of responsibility to the community which is key to both children and young people’s own development and to that of the borough. Participation schemes also allow young people to develop transferable life skills increasing employability. Lewisham values young people as volunteers and we seek to increase the number of young people taking up volunteering opportunities. Volunteering benefits everyone by developing a greater sense of pride and participation within the community, breaking down barriers and preconceptions, increasing knowledge, skills and confidence, supporting studies developing employment skills, in addition to the benefits gained by the public receiving services. 2. Progress against our actions Action Latest position Continued promotion and support of the Young Mayor and Advisors scheme (YMA) including continued allocation of their own £30,000 budget and further expansion of the scheme into all schools and youth settings. The Scheme has Enabled young people to engage in Civic society and therefore impacted on improving community cohesion. Intergenerational activities continue to widen horizons and aspirations. Improve the participation of Looked after children supporting them to access youth voice opportunities Looked after children and young people now meet regularly with the young mayors project. Children in Care Council members and care leavers deliver training on the Induction programme for all new staff, the ‘skills to foster’ programme delivered to all new foster carers and sit on interview panels for social workers and managers. Young people were fully consulted around options for reshaping the youth service including a series of public meetings, online and paper based feedback and involvement through key targeted participation groups such as the YMA and the CICC. Through School Councils, Young Citizens Panel and LYSS the Youth Action Group has revamped Binvolved youth portal and enabled young people to take part in communications, consultations and youth led events. This has enabled them to be active and creative citizens, it is a work in progress which needs to be revisited to take into account changing and developing priorities in the provision of young people’s services. Young people are encouraged to take part through advertising and publicity. Continued involvement of young people in strategic decision making specifically ensuring participation in the CYPSPB and ensuring that this includes vulnerable groups Create a Youth Action group to support the YMA and the CYPSP with practical tasks including development of the newly revamped B-involved youth portal, a Youth Audit, other communications and consultations and youth led events. Ensure Lewisham young people are aware and access to the new National Citizenship Scheme (NCS) starting with a pilot in 2012. Continuation and expansion of the Duke of Edinburgh scheme The scheme is continuing and has retained numbers of completed awards including c.20 gold awards. 73 Action Latest position Establish a process for the Children In Care Council and the corporate parenting group to be consulted by the council prior to any significant decisions being made or considered which relate to looked after young people and care leavers. Raise awareness of existing schemes and volunteering opportunities to young people (14+) through the use of schools and to also reach harder to engage young people i.e. young carers, NEETs, LAC, excluded pupils. Work with organisations from the voluntary, community and not for profit sector, for example through capacity building, so that they are able to engage young people in volunteering, and deliver training programmes for young people. Maintain and increase the number of children and young people volunteering with Lewisham You. Whilst statistics seem to show a fall in starters this is due to a move from counting issued ‘books’ to only counting online registrations. The latter is a truer account of young people starting with the former method often based on schools stockpiling books or distribution to young people who never actually begin the scheme. Moving forward, as the youth service reshaping continues, delivery of the scheme will shift to a commissioned provider, expected to be the DOE themselves. This should further increase numbers on the scheme in 2014-15 in line with youth task force recommendations There is a very active CICC both junior and senior groups, they meet regularly with the corporate parenting committee, the All Parliamentary groups, senior officers, politicians, and foster carers. The Youth Service is developing a new volunteering curriculum due to begin with the first cohort of 15 young people during summer holidays 2013. This will ensure participants develop transferable skills whilst volunteering as well as bolstering the available workforce for the delivery of young provision. Post restructure a full time youth and participation officer will be tasked with furthering development and promotion of opportunities and will be expected to work in partnership with the Lewisham Volunteer Centre as well as targeting opportunities to vulnerable groups who will benefit the most from participation. As above Increase the number of young people who gain accredited qualifications through their participation in Lewisham You. Increase the number of vulnerable children (at risk of poor outcomes ) who are referred to Lewisham YOU. 3. Our performance against this objective CYP Data Export BV221a.05 Youth Work: Recorded Outcomes BV221b.05 Youth Work: Accr'd Outcomes H/L H H Actual Mar 2012 Actual As at Mar 13 Target Perform. 36.00 63.40 65.00 39.00 32.30 35.00 O/T v Targ 74 LPZ590 % young people age 13 to 19 regularly participating in youth activities (services) LPZ593 Percentage of young people aged 13-19 have contact with youth services CYP Data Export BV221a.05 Youth Work: Recorded Outcomes BV221b.05 Youth Work: Accr'd Outcomes LPZ590 % young people age 13 to 19 regularly participating in youth activities (services) LPZ593 Percentage of young people aged 13-19 have contact with youth services 4. - - - - - 38.70 27.00 Actual Mar 2012 Actual As at Mar 13 Target Perform. 36.00 63.40 65.00 39.00 32.30 35.00 - - - - - 38.70 27.00 H H H/L H H O/T v Targ H H The impact of our activity [MORE] 5. What additional activity is required in 2014/15 The Youth service reshaping will see a continued focus on CYPP strategic objectives through a new youth service outcomes framework and structure. The latter will have an increased focus on the use of commissioned providers through a doubled commissioning fund of c.£1million. It is expected that youth service reach will be retained through the better promotion of all youth provision in the borough regardless of provider or funding. It is also expected that the service will be able to report back against measurable outcomes against the 3 strategic overarching outcomes of: 1. Improved life skills 2. Improved participation and engagement in education, employment or training Staying safe and well, and preventing needs from escalating 75 MPC2: 1. Reduce anti-social behaviour and youth crime and support young people who are the victim of crime Why we need to focus on this outcome Lewisham has witnessed a number of positive outcomes over the period April 2011 to March 2012. There has been a reduction in the number of violent offences that have occurred on the borough and an overall reduction in the levels of serious youth violence. Closely linked to this is the decline in personal robbery and theft from the person. However Lewisham continues to face a number of challenges in regards to tackling young people’s involvement in crime and offending. Priorities for 2012/13 will remain the four Safer Lewisham Partnership priorities as directed through the strategic assessment: Knife Crime Domestic violence and Violence Against Girls Tackling Anti Social Behaviour Managing Offenders in the Community. 2. Progress against our actions Action Further develop interventions for those at risk and those within the YJS with a focus on Triage. Latest position In April 2013, the LASPO Act made amendments to the Out of Court Disposals that were available to young people. As a result a wider range of interventions have since been put in place. This has included Reparation programmes and Offender Behaviour Programmes for young people who have not yet entered the YJS. In addition to this, the range of core YOS programmes has diversified with young people now accessing programmes including Identity and Diversity, Girls Programme, Knife Crime Programme and Gang Awareness. Realign services to ensure that resources are Cases are now deployed across the service based directed and tailored to young people with the on the needs of the clients and the capacity of the highest risk of reoffending and risk of causing staff. Staff will become more generic in their harm to others. approach and will hold a more balanced caseload. This will allow staff to develop specialism where appropriate. Continue to deliver the youth MARAC to support The Young Persons Project Manager – Victim victims of crime and further embed this into the Support Lewisham run a project to promote the work with perpetrators of Serious Youth Violence. service to the young people through outreach work . This consist of discussion of the service with young people, and the use of existing Young Victims’ MARAC leaflets at weekly drop-ins, Victim Support’s Street Crime Awareness Day and through Junior Citizenship in Lewisham. Improve early identification of young people at We have realigned the focus of our Parenting risk through increased emphasis on work siblings Officers from a previous focus on the parent and the of known offenders. offender, to a focus on the wider family. This has helped to identify siblings within the household and has allowed appropriate support to be implemented. Expanding the use of Restorative Justice and The use of Restorative Justice is very much early support models and expand the embedded throughout services and is used to ‘Restorative Neighbourhood’ project to prevent reduce the escalation of ASB where possible. A escalation of low level anti-social behaviour and member of staff has been seconded to ensure that 76 Action Latest position to support those who are victims of harmful behaviour. all Secondary Schools have a restorative policy in place and that they are confident in using the techniques. The Restorative Neighbourhood model has been expanded through the Neighbourhood Community Safety Officers and the delivery of their work. Restorative Approaches are a requirement of the Out Of Court disposals and so are used routinely to prevent escalation of OOC cases. There has been a reduction of cases progressing to court and therefore a reduction in court costs. 3. Our performance against this objective CYP Data Export H/L LPI242 Use of custody L LPI240 First time entrants L LPI241 Reoffending L LPZ142 % LAC aged 10+ final warning/rep/conv during year LPZ591 Number of young offenders who are NEET LPZ592 Number of young people who are victims of serious youth crime 4. L L L Actual Mar 2012 Actual As at Dec 13 Target 0.86 0.29 - - 386.66 632.10 - - 1.68 - - - 8.90 9.00 13.20 (2012/13) Perform. O/T v Targ - - 6.00 - - - - - The impact of our activity Young people are receiving interventions that are tailored to their needs and feedback from young people and parents is that they feel they are getting the support they need to prevent offending Young people and parents are able to access the interventions they require at the point at which they require them Young people and parents are provided with appointments that are based on need and are able to have appointments at short notice, when incidents have occurred or issues have arisen. Parents can receive a more holistic family approach with support for all aspects of the family but still with a focus on preventing offending and reoffending. Parents have confirmed that they have found it easier to navigate the systems with one single professional supporting them. Through the use of Restorative Approaches, parents and young people have had their cases managed within the local community rather than through the court system. This has reduced the likelihood of them reoffending, has increased engagement and has increased voluntary engagement in non statutory service. Outreach work reached an estimated 800 young BME people. Whilst there were anecdotal reports from Victim Support staff that this has resulted in self-referrals to the service,. The Youth Violence MARAC publicised the project to organisations working in Lewisham, including Lewisham Children’s Services, Lewisham Mediation and Lewisham College. The MARAC set up referral agreements/networks with local organisations (including BME organisations) including the Malachi Mentoring Project, Abbey Manor Pupil Referral Unit and Belmont Park Youth Hostel. All of these organisations specifically caters for young people in need and have started to refer to the Youth Advocate and MARAC. The Youth Violence MARAC has built a strong relationship with Lewisham Hospital. 77 5. What additional activity is required in 2014/15 OOC interventions will be reviewed as the patterns of offending change and alternative provision will be developed to meet the changing needs of the cohorts. Programme development will be one of three key themes of the YSS during 2013/14. Other areas of focus will be Workforce Development and Quality Assurance. The three areas will aim to improve the service delivered to young people. The revised strategy on Victim engagement will aim to increase the number of victims who participate in Restorative Approaches 78 MPC3: 1. Provide integrated youth support for all young people to ensure they are able to make informed choices about their lives Why we need to focus on this outcome As young people enter their teenage years, transition into adulthood and develop both personally and socially they are naturally faced with significant life choices, begin to move to independence and alter their relationships with parents or carers, society and their peers. It is crucial that during this time all young people are empowered to make well-informed decisions that will put them on a path to achieving positive life outcomes. Whilst, for most, support comes from a combination of families, schools and colleges the youth support service also has a vital role to play, especially for more vulnerable young people. By offering or commissioning support from a holistic perspective and providing opportunities for personal and social development outside of a classroom, services can help young people successfully transition to adulthood. By offering support which reflects the complexity of issues that young people face and doing so early and in places and forms that are easily accessible Lewisham, we can raise young people’s aspirations, support attainment and help young people to enter and remain in education, employment and training and ensure that those at risk of negative outcomes, such as teenage pregnancy, substance misuse, crime, truancy and unemployment and poor educational attainment are better able to avoid these and instead achieve positive outcomes. 2. Progress against our actions Action Increase of youth workers’ direct contact time to 70% and ensure a broad range of positive activities are available 5 nights a week, one day at the weekend and during holidays. Many activities will also be part of the borough wide short break offer Latest position The reshaping of the youth service will ensure a wide range of youth provision available both within and out of the borough targeted at young people. This will be delivered from 7 Lewisham youth clubs and 5 adventure playgrounds as well as sites of commissioned providers. Youth provision will be delivered mainly through commissioning with a fund of c.£1million available. It is hoped that this can be increased through further fund raising and partnering, with a role in the new service dedicated to this task. The service is maintaining a targeted 1:1 youth work team as well as NEET provision through the Mayors NEET programme. Provide a targeted, intensive, holistic key work service for YP 13 to 19 (25 with SEN/LDD) Provide a one stop ‘front door’ in central Lewisham (Baseline) for this and other targeted support services Improve virtual support offered to young people through a new youth portal to include better use of social media and active involvement of YP in content creation and design. Current short breaks provision in the youth service is continuing. The restructure maintains a 1:1 youth work capacity. This will be a highly qualified and well supported team who can continue offering targeted IAG and holistic intensive youth work support. The team will function as an outreach team however will maintain Baseline as drop in centre for young people to self refer for support. The current youth portal ‘b-involved’ will continue to be supported. This has embedded YouTube, Facebook and twitter functionality and works alongside information on the Lewisham website. Within the new service a dedicated participation 79 Action Latest position Ensure close links across partners including the police, youth service and health providers, VCS and faith sector to ensure a joined up youth offer Provide intelligence led mobile youth support through street based youth work and other commissioned mobile services. 3. The current street based capacity will continue throughout the summer and will be replaced by a more flexible capacity within the new service. Our performance against this objective CYP Data Export LPZ594 Number of young people with disabilities and SEN receiving short breaks LPZ594b No.parents/carers receiving Specialist short breaks 4. officer will be tasked to maintain and develop the portal and use of social media in order to expand our ability to promote youth provision and better target those who would most benefit accessing it. This will be achieved through working with young people. On going through multi-agency work and partnership meetings H/L Actual Mar 2012 - H H - Actual As at Sep 13 Target Current Perform ance 76.00 200.00 - 350.00 - (cumul. to date) 334.00 (cumul. to date) The impact of our activity [MORE] 5. What additional activity is required in 2014/15 Continue work on all agreed target 80 ACHIEVE ECONOMIC WELLBEING Our Priorities EWB1: Reduce further the number of young people who are NEET 16-24 EWB2: Raise participation and achievement at age 19 EWB3: Secure a diverse 14-19 offer which meets the needs and aspirations of learners EWB4: Meet the housing needs of young people and families Lewisham has been successful in reducing the number of young people who are not in Employment, Education or Training. By March 2013 the percentage had been reduced 3%, outperforming the national average (9.6%) and Lewisham’s statistical neighbours (5.6%). The Partnership is able to target those most at need and has been successful in targeting NEET siblings. 80% of care leavers in the borough are in Employment, Education and Training – again outperforming the national average (66%) and our statistical neighbours (70%). The Raising of the Participation Age Strategy is on track and will ensure that the local offer for 16-19 year olds is well developed and embedded by 2015. Analysis to date indicates that the mix of levels of provision post-16 in Lewisham does not match with the ‘demand’ suggested by key Stage 4 results. There is a need for appropriate pathways for all learners, including more Level 1 and Level 2 provision. This will mean that Lewisham’s young people have an appropriate range of choices when considering their post-16 options. 81 EWB1: 1. Reduce further the number of young people who are NEET 16-24 Why we need to focus on this outcome Lewisham has been successful in reducing the number of young people who are not in employment, education or training (NEET), and it is important to sustain these low numbers particularly during the economic downturn, particularly as we gear up to the raising of the participation age in 2013 and 2015. Work will focus on those groups who are most vulnerable to being NEET, including teenage mothers, young people who have learning disabilities and/or physical disabilities, young offenders, those with substance misuse, and our Looked after Children and young carers. 2. Progress against our actions Action Continue to target youth support to those groups at greatest risk of becoming NEET. Provide earlier targeted provision for the most vulnerable during transition, including those least likely to make positive post-16 transitions. Continue to improve the quality of information, advice and guidance to ensure they meet the needs of all our young people. Latest position Delivery of the Youth Contract in Lewisham and working through Baseline and Lewisham Schools. Development and dissemination of the Raising Participation Directory that includes key activities and programme of support for at risk and NEET young people. Baseline advice, information and support service is available to any young person aged from 8+ (accessible only outside of school hours if they are of school age). Keyworkers have also made extensive links with educational institutions to advertise both the Baseline and key work services e.g. attending careers fairs, and to provide support to young people at key transitions e.g. school GCSE results days Lewisham has an active IAG Forum that comprise Careers Coordinators and those responsible for IAG in Lewisham schools and Colleges. The 14-19 Team support and monitor the delivery of Careers Guidance in Schools based on the DfE statutory Guidance. Work with more young people in primary schools and the early secondary years to identify early those with additional needs which might lead them to become NEET. Work with Youth Support Services through the Baseline Central Hub and Youth Hubs to support targeted groups more effectively to become EET. Key work and Baseline services continue to provide information, advice and guidance, via 1:1 intensive support, and the drop-in service respectively. As part of the Raising Participation Strategy and working group the NEET Tracking Team produces lists of NEET siblings and shares this with Primary and Secondary schools in order to ensure that at risk young people are supported at an early age. This also applies to year 10 and 11 learners by using the at risk of NEET indicators to identify those at risk. Development and dissemination of the Raising Participation Directory that includes key activities and programme of support for at risk and NEET young people e.g. European Social Funded programmes for pre NEET and NEET young people and the Youth Contract. 82 Action Latest position Youth Service currently employs an Early Intervention process including use of CAFs for assessment and referrals to other services. The Service structure in supports this Improve access to specialist training for NEET The Mayor’s NEET programme continues to run 5 vulnerable groups. times a year with an average success rate of 70%. In addition, a number of programmes have been commissioned to target this cohort via ESF funding. Ensure effective delivery of the new The commissioning of the NEET reduction commissioning cycle for the NEET reduction specification is regularly reviewed through the NEET service specification. Reduction Strategy Group. As a result of the reviews the NEET Tracking Service is being modified to deliver a more effective service. Improve the tracking of young people who are The unknown figures in Lewisham have improved EET and NEET. over the last year and have met the target of 10%. However the NEET Reduction Strategy Group has produced an action plan to improve the tracking of young people and bring down the figure unknowns to under 5%. Continue to support schools in their new statutory Lewisham has an active IAG Forum that comprise function from September 2012 to provide careers Careers Coordinators and those responsible for IAG guidance. in Lewisham schools and Colleges. The 14-19 Team support and monitor the delivery of Careers Guidance in Schools based on the DfE statutory Guidance. To commission additional support to meet the The 14-19 and Work Experience team are delivering recommendations from the Youth Taskforce a two year programme for Employability which action plan enabling young people 16-24 to gain includes an Employability passport for young people employment through a range of schemes to share with employers. including volunteering, social enterprise and apprenticeships. The 14-19 Team are working with the Mayors Strategy Team and Remploy to deliver an Employability Programme for LDD young people aged 16-24. The Youth Service is increasing the delivery of the Duke of Edinburgh scheme and volunteering opportunities, including with funding from the Youth Task Force Fund. 3. Our performance against this objective CYP Data Export LPZ136g % 16-18 year olds who are NEET (mths 2013-14) NI117 16 to 18 year olds who are not in education, employment or training (NEET) NI148 Care leavers in education, employment or training LPZ137 Youth Unemployment rate 16-24 yr olds (12m rolling) LPZ596 September Offer: School Year 11 LPZ597 September Offer - School Year H/L L Actual Mar 2012 Actual As at Feb 14 Target Perform. - 3.90 5.00 5.10 3.00 5.00 80.00 75.00 - - - 99.70 99.75 99.75 O/T v Targ L H L H H 66.00 36.30 - (2012/13) (2012/13) 99.70 83 12 LPZ531 Proportion of RAS cohort who are UNKNOWN destination LPZ535 Proportion of Teenage Mothers cohort who are UNKNOWN destination LPZ533 Proportion of Substance Misuse cohort who are UNKNOWN destination LPZ530 Proportion of LAC cohort who are UNKNOWN destination LPZ532 Proportion of Carers cohort who are UNKNOWN destination LPZ536 Proportion of 16-18 year olds cohort who are UNKNOWN destination (ind.months) LPZ534 Proportion of YOT cohort who are UNKNOWN destination 4. (2012/13) L L L L L 9.10 0.00 10.00 50.00 0.00 10.00 50.00 11.10 10.00 29.10 0.00 10.00 36.40 0.00 10.00 14.80 8.10 10.00 36.00 16.40 10.00 L L The impact of our activity Better engagement with young people and parents / carers through activities related to the NEET Reductions Strategy e.g. events and Baseline. 5. What additional activity is required in 2014/15 Continue to work through the NEET Tracking Action Plan 2013-14. Continue to work through the NEET Reduction Strategy 201314 Continue to work through the Raising of the Participation Strategy 2013-14 84 EWB2: 1. Raise participation and achievement at age 19 Why we need to focus on this outcome Young people who remain in education and training until at least 18 are more likely to improve their qualifications and skills with resulting enhanced employment prospects along with social and economic rewards. Level 3 is a significant learner “premium” in predicting future employment prospects, and it is important that quality progression routes are available to its achievement. For Level 2 and Level 3 attainment, Lewisham has overall improving trends for 19 year-olds, including FSM and not FSM attainment. Although Lewisham is generally keeping pace with national averages, it is not keeping pace with statistical neighbours (SN) and inner London averages. Lewisham FSM attainment for both L2 and L3 has increased the gaps with national, nearly doubling the positive differential between 2005 and 2011. Non FSM has a strongly increasing trend, and now equalling national and eliminating the negative gaps with national over the same period. Analysis for year on year improvement and ranking show that Level 3 at age 19 for FSM pupils has the highest national ranking out of all the data: national rank 10/150 for 2-year (+11%) and 3-year improvement (+14%). Generally Lewisham ranks close to the median against statistical neighbours and inner London boroughs for non-FSM attainment at level 2 and 3 in 2011, with a variable trend over recent years with these local benchmarking London boroughs. 2. Progress against our actions Action Latest position Ensure an appropriate curriculum 11-16 provision which meets the needs and aspirations of all Lewisham learners and provides high quality progression routes. Through the 14-19 Strategic Forum the LA ensures sufficient suitable education and training provision for all young people aged 16-18. Analysing the diversity of provision available and highlighting potential gaps. The Local Authority works with all post-16 providers and Alternative Provision to ensure quality provision and decommission where appropriate. Ofsted also inspects post-16 providers. Through the 14-19 Strategic Forum the LA ensures sufficient suitable education and training provision for all young people aged 16-18. Finding common trends or factors linked to participation which affects young people’s engagement. Working with interventions and programmes that have the greatest impact on participation. Establishing the cost effectiveness of interventions and programmes. Ensuring the quality and effectiveness of actions or programmes. Eliminating the interventions and programmes that have limited impact on participation. Data analysis shows the percentage of young people educated in Lewisham post-16 institutions, who achieve Level 3 by 19 at 59% in 2013. The Local Authority will continue to support and monitor Lewisham schools and colleges to focus on the transitions throughout secondary education and into Deliver a revised 16-19 commissioning plan to ensure access to a diverse choice of provision for our 16-19 year olds and which is in line with the Lewisham priorities and the needs of young people. Work with schools and post-16 providers to improve the breadth and quality of provision for vulnerable groups – including teenage parents, LDD, young offenders and young carers. Continue to support and challenge providers to increase the number and proportion of learners achieving Level 2 at age 19. 85 Action Latest position Through the 14-19 Forum, further develop and implement the strategy for the Raising of the Participation age to 17 by 2013. Work with our providers to ensure appropriate provision to enable full participation for up to 17 by 2013 and up to 18 by 2015. Work with schools, colleges and HE providers to ensure they provide information, advice, guidance and experience of Higher Education to all students, particularly those who are from vulnerable groups and/or are from low income families/families with no previous HE history. Working closely with other partners, including Aspire, provide opportunities for gifted and talented students to be successful in applications to the ‘top’ universities, with a particular focus on those students from low income families. 3. The Lewisham Raising of the Participation Strategy is in place and on track for September 2013 and will be working to targets for 2015 Lewisham University Challenge strategy is being developed to encourage more Lewisham young people from disadvantaged background to progress onto top universities including Oxbridge. Lewisham University Challenge strategy is being developed to encourage more Lewisham young people from disadvantaged background to progress onto top universities including Oxbridge. Our performance against this objective CYP Data Export NI079 Achievement of a Level 2 qualification by the age of 19 NI080 Achievement of a Level 3 qualification by the age of 19 NI081 Inequality gap in the achievement of a Level 3 qualification by the age of 19 NI082 Inequality gap in the achievement of a Level 2 qualification by the age of 19 LPZ566 % FSM pupils achieved a level 3 qualification by the age of 19 LPZ598 Inequality gap in the achievement of a level 2 qualification by the age of 19 4. post-16 education to ensure informed choices for Lewisham young people and prevent the risk of becoming NEET or dropping out. The Lewisham Raising of the Participation Strategy is in place and on track for September 2013. H/L H H L H H Actual Mar 2012 Actual As at Mar 13 Target Perform. 81.00 84.00 84.00 54.00 57.00 56.00 13.00 12.00 15.00 74.00 76.00 72.00 44.00 47.00 41.00 10.00 10.00 12.00 O/T v Targ L The impact of our activity The data analysis indicates that the mix of levels of provision at post-16 in Lewisham institutions does not match with the “demand” suggested by Key Stage 4 results. In light of the Raising the Participation Age statutory duty, thee is a need for appropriate pathways for all learners, including more Level 1 and 2 provision. This will mean that Lewisham young people have choices when considering their post-16 options. Working cross-borough on the Lewisham RPA Strategy with the aim to ensure that more 16 -19 year old are on the right course at post-16 and achieve a level 3 by 19. For those who present barriers to this the cross-borough work will ensure that no young person drops through the net and drops out of education, employment or training. 5. What additional activity is required in 2014/15 Continue to implement the Raising of the Participation Age Strategy 2013 Develop and implement the Lewisham University Challenge strategy Continue to produce curriculum planning tool and present the data analysis to 14-19 Forum. 86 EWB3: 1. Secure a diverse 14-19 offer which meets the needs and aspirations of learners Why we need to focus on this outcome To ensure that all Lewisham’s young people access the courses and progression routes that meet their needs, particularly as we gear up to the raising of the participation age (RPA) in 2013 and 2015. 2. Progress against our actions Action Latest position Through our 14-19 Strategic Forum, and negotiating with other Boroughs, review and further develop the 16-19 commissioning plan to ensure access to a diverse choice of provision for our 1619 year olds and which is in line with the Lewisham priorities. Working with the 14-19 Forum to ensure that post16 providers offer a balanced and diverse curriculum offer to meet learners needs – annual cycle and review. Also incorporated into the Lewisham Raising of the Participation Strategy. Ensure joint working and consensus post-19 to secure and quality assure progression routes for our young people, taking into account the Raising of Participation Age to 17 in 2013 and to 18 in 2015. Develop clear intelligence, analysis and understanding of current provision, managing the balance of that provision and accommodating an anticipated increase in Apprenticeship and Level 1 provision. Incorporated into the Lewisham Raising of the Participation Strategy and ensuring that gaps are filled e.g. traineeships and NEET reduction programmes. Significantly increase the breadth and number of Apprenticeships and Level 1 provision in the borough. Lewisham Curriculum mapping exercise for Level 1 provision. Action Plan to raise the awareness of Apprenticeships for Lewisham Young People. Ensure inclusion of KS4 off-site provision within the Strategic Framework. Embedded into the work of the 14-19 Strategy Team. Framework includes Ofsted type visits and Quality Assurance Directory. Increase the quantity and quality of work related and work based training through a co-ordinated approach to employer engagement. Continuation of the deliver of the Work Experience programme. Introduction of the pilot for the Lewisham Employability Framework and Passport. 3. Working with the 14-19 Forum to ensure that post16 providers offer a balanced and diverse curriculum offer to meet learners needs. Lewisham Curriculum mapping exercise and RPA Tracking exercise to ensure that there is sufficient provision to meet student demand. Our performance against this objective CYP Data Export LPZ555 % A2 entries (completing 2 years of study) attained A* - B grades LPZ556 % A2 entries (completing 2 years of study) attained A* - E grades (pass rate) LPZ564 % Success rates A2 after 1 year of study LPZ565 % Success rates A2 after 2 years of study H / L H H H H Actual Mar 2012 Actual As at Dec 13 Target Current Perfor mance - - 45.00 - - - 98.50 - - - - 87 4. 5. The impact of our activity Future improvement will be seen through the increase of attainment during KS5. This will also include few young people dropping out of education at 17, higher attainment at Level 2 and Level 3 by 19. GCSE and A-level results in August 2013 is the indicator for improvement / impact. Reduced NEET figures. Better progression to the right level of programme. Reduced NEET figures, Suitable and appropriate level 1 provision being offer across Lewisham to meet student needs. Qualification results in August 2013. Providers are all quality assured and included within the Directory. Schools / parents and carers are assured that students can attend off-site provision. Expansion of the WEX programme to more Lewisham students at KS4 and KS5 and at all Lewisham Secondary and post-16 special schools. What additional activity is required in 2014/15 Lewisham Raising of the Participation Age Strategy delivery Post-16 Tracking Actions Plan Apprenticeship Action Plan Curriculum mapping exercise RPA tracking exercise 88 EWB4: 1. Meet the housing needs of young people and families Why we need to focus on this outcome Likely increasing pressure on homelessness generally, and youth homelessness, in particular as a result of the economic downturn and welfare benefits changes. Increasing levels of overcrowding and serious overcrowding across all housing tenures. 2. Progress against our actions Action Supporting people will remodel and retender the young persons assessment bed services and mother and baby unit provision as part of the overall supported housing provision for young people in the borough. Latest position The assessment service went live on May 1st 2012. It’s a Payment by Results contract and runs until April 30th 2015 with an option to extend for an additional year. The service is managed by Centrepoint and consists of 30 beds across 3 sites. The mother and baby service consists of 17 accommodation based units with additional floating support capacity. The contract is held by Look Ahead. The contract expires on April 30th 2015 with an option for an additional year. Ensure a comprehensive service for preventing and responding to youth homelessness which: - includes effective mediation with parents and hosts; - increases range of accommodation provisions to meet diverse types of need; - ensures early assessment of homeless prevention and housing options; - meets the authorities duties to young people who may be children in need; - appropriately assesses housing support required and offers timely accommodation placement; - ensures effective accommodation sustainment and planned move on; and - joins up service provision between Housing, CYP and other services including youth offending, drug and alcohol and mental health providers. Social Worker from leaving care team based at SHIP two days a week. They carry out joint assessments with youth homeless officers, including mediation and negotiation with excluders. They carry out child in need assessments where applicable. SHIP have access to a new service commissioned by the South East London Housing Partnership that provides emergency accommodation for young people presenting as homeless. Clients can stay for 21 days while a accommodation pathway is decided. All clients approaching the service are offered an initial assessment to ensure that appropriate early interventions are made to prevent homelessness where possible. Full assessment of support needs matches client to the most suitable accommodation. Working protocols between CYP, YOS, SLaM, Penrose Fusion and Probation are reviewed quarterly. Make best use of the housing stock by containing any increase in under-occupation, to free up larger homes for severely overcrowded households, through delivery against the outcomes in the overcrowding and under occupation action plan. All new developments are considered with a view to the provision of accommodation suitable for under occupiers or larger overcrowded families. The New Homes, Better Places programme will include 4 bed properties and 1-2 bedroom flats aimed at Under occupation. The recent development at Bell Green by has been successfully marketed to under occupiers. The Cash Incentive Scheme has been increased in value and although not exclusively aimed at UOs, is 89 Action Latest position intended to encourage them to move. A recent mutual exchange event was organised by the council and was very successful. The impact will be monitored. Participate in research on responding to the multiple needs of families and young people in temporary accommodation through research and customer insight work with ThinkPublic and Shaftesbury Partnership. Review evaluation and consider recommendations. Front line staff from Housing Needs worked closely with the Transformation & Development team and ThinkPublic to deliver a customer insight project whose aim was to develop a detailed picture of clients accessing homelessness and TA services, particularly those with complex needs. Ethnographic insights gathered from participants during the project were refined into five short films, accompanied by detailed case studies, which have been presented to a range of staff, managers and stakeholders to generate different perspectives about the service. They have also informed the development of a number of projects, including the TA Rapid Improvement Event, B&B project and Welfare Reform. Similarly, the Shaftesbury Partnership undertook a research and design project based in Lewisham, which aimed to identify ways of improving outcomes across all agencies for adults with multiple and complex needs. Key activities involved consultation with individual clients, structured interviews with Council services/external agencies and a detailed mapping exercise. A final report was produced which outlined proposals for alternative models of service delivery, alongside case studies and a cost benefit analysis. Ensure comprehensive advice and information for households affected by welfare benefit changes. The Council has been working corporately to ensure that those affected by the changes are fully informed of the changes and their options. LBL is a pilot authority for the Universal Credit which involves direct contact with tenants. The Housing Benefit team have contact all concerned. Lewisham Homes have provided information and guidance via newsletters and their website and the Credit Union have moved into the Pepys Housing Office. Maximise the number of families with disabled children in appropriate accommodation. The 10% wheelchair target on all planning applications, across all housing tenures, remains. Housing and planning officers work closely with the housing needs team and occupational therapists to ensure that the properties are provided to the required standard and marketed to the maximum number of households. Outside of this requirement, all new homes are built to a lifetime homes standard and are therefore capable of adaptation. Strategic Housing and Community services are working together to provide a list of properties known to the council as built to a wc standard or fully adapted. 90 Action Latest position Develop and implement a mechanism for monitoring the re-housing housing outcomes and waiting times for households with disabled children on the housing register. Both Capita (Housing Register) & Novalet (CBL system) captures information where a household’s member has a physical disability. It is only in the notes page where it will indicate which household member has the disability including whether it is an adult or child. We are also part of a wider group looking at the IT systems that we currently use across the service including their reporting capabilities. Conduct a review of the medical assessment process for assessing medical priority on the housing register and re-housing requirements 3. In May 2013 we introduced a revised medical form. It is far more comprehensive capturing information to assist the Medical Advisor. We are already seeing the difference – clients feel we have a fuller understanding of their medical needs and what services they currently have use of. Our performance against this objective CYP Data Export NI147 Care leavers in suitable accommodation LPZ549 Number of households living in temporary accommodation LPZ599 Percentage of 16-17 year olds accommodated in bed and breakfast by the housing service H/L H L Actual Mar 2012 Actual As at Mar 13 Target Performance 96.00 87.00 94.50 - - - - - - - - L 4. The impact of our activity 5. What additional activity is required in 2014/15 Continue work on all agreed target 91 EFFECTIVE USE OF RESOURCES TO DELIVER OUR PRIORITIES Commissioning Lewisham’s joint commissioning approach is based on the shared commitment of partner agencies to treat all money as Lewisham children’s money. As part of this approach, a joint commissioning team lead on making best use of the Partnership’s commissioning funds in achieving its priorities. The team reports regularly to the Partnership’s Joint Commissioning Group (JCG) on progress in achieving this. The 2012-15 Plan included a set of commissioning intentions for the three years to 2015. The period has seen a need for Lewisham’s partnership to reconsider these and approaches to delivering services in the context of significantly reduced resources, led through the process of joint commissioning. This supported the identification of areas appropriate for cost reduction, and ensured that available resources have been targeted towards those children, young people and families with greatest needs. A framework for early intervention services is now in use. This, with the commissioning intentions for 2014-15 are identified and set out below: Service areas CAMHS Family Nurse Partnership Health Visiting service Early Intervention and Targeted Support Commissioning intentions Outcome anticipated To commission early intervention Ensuring emotional and mental services to support children and health needs are identified and young people with emotional and met early, preventing mental health needs in the escalation and ensuring that community (Targeted T2 Mental support is targeted to children Health services). and young people and their families in schools and community settings. To mainstream FNP services To meet needs of a wider beyond pilot programme in 2012, cohort of teenage parents. including expansion to meet needs of more young parents. To evaluate national Health Ensure early health visiting visiting strategy – expand health intervention and targeted Progress Place2Be commissioned and operating in 10 Lewisham schools. Successful application to be a CYP IAPT site. FNP mainstreamed and working with a wider cohort of families. Lewisham is participating in the pilot for Group FNP. Health Visiting expansion on track for October 2015. Increased 92 Children Centre and Targeted Family Support visitor numbers and identify delivery options including increased activity though children centres and GP practices; to ensure activity at universal, community, partnership and partnership plus levels. To embed new outcome based contracts and implement PbR framework. support is available and contributing to improved outcomes for children and young people and their families. numbers of health visitors employed and a revised service delivery model that will see the new service deliver against a shared outcomes framework for the Under 5s. Improved outcomes and their families. PbR framework successfully implemented and providing the partnership with leverage to make real improvements. School nursing To consider the implications of the national School Nursing strategy and agree strategic direction for local service developments. Strategic plan to inform service priorities and development. CAF/TAC process To embed TAC/TAF and panel processes. Ensure early intervention systems including no wrong door, remain embedded and support is wrapped around the family. 68.8% of Pupil Premium students who have had 6+ contacts with Children’s Centres without having accessed school or nursery provision achieved this Good Level of Development against the borough average of 60.2% for all children. School Aged Nursing Service strategy produced and additional funding secured. New service model, including a named nurse for each secondary school and collaborative goes live in September 2014. The number of CAFs continues to increased and more providers are now better skilled to identify need. The e-CAF is being developed and even greater emphasis is being given to the quality of outcomes set for families. 93 Service areas MTFC service Short breaks Autistic Spectrum Disorder (ASD) SEND Support development and Targeted, intensive support to commissioning of diversion from children, young people and care services including specialist families to prevent the need for parenting assessments and becoming looked after and to intensive family support, as well build resilience and parenting as aligning to community capacity. budgets/troubled families approaches. Children with Complex needs Commissioning intentions Outcome anticipated Commission services to provide To ensure support is available additional support for children in to young people and carers to care. maintain placement stability. To recommission short break Ensure full range of short services and meet the full service breaks services that meet offer of Every Disabled Child children, young people and Matters. their families’ needs. Monitor impact of Payment By To monitor performance of core Results initiative to support the service to ensure waiting lists reduction of the waiting list for are not created in the future. assessment within Community Paediatrics Services and ensure reduction is sustained. Develop integrated care pathways and preparation for a new ASD school and associated services including post diagnosis support. Implement single assessment and planning process for disabled children and those with special educational needs. Family Intervention Programme and Targeted Family Support commissioned to provide specialist and targeted support to families and to divert young people from care. Progress Model discontinued in Lewisham. Short break successfully recommissioned ASD pathway remains under development – incorporating the Drumbeat offer. Integrated assessments being progressed through the SEND pathfinder, and development of services at Drumbeat. To lead DFE/DOH Pathfinder to implement new single assessment and planning process for disabled children New Education, Health and Care Plans (EHCP) are being coproduced with families. By March 2014, over 75 families have had an EHCP plan 94 Pilot direct payments and personalised budgets across health, education and social care services. and those with Special Educational Needs. Align resource allocation processes for children with complex needs. Children with disabilities and continuing care needs Commission Children’s Community Medical Equipment and input though AQP initiative. Re-commission nursing and domiciliary care services at end of PPF contracts Paediatric Audiology Service Support progression of service development for alternative models of provision for Newborn Hearing Screening Services and Paediatric Audiology Services Vision Health Screening To develop a business case and options assessment to strengthen vision screening arrangements and meet national guidance Provide support for commissioning of Children’s Community Medical Equipment. To lead Lewisham’s children’s agenda and input for Any Qualified Provider initiative to support NHS SE London and Lewisham BSU (Children’s Wheelchairs). Reissued framework achieving VfM and engaging PVI sector. To lead on pilot of Direct Payments and Personalised Budgets for Health services (within the context of SEND Pathfinder Agreed commissioning arrangements of new care pathway. replacing their Statement of Educational Need. From September 2014 all new applicants for a Statement will be offered an EHCP. Work is underway to introduce personal budgets to accompany these plans, providing greater choice and control to parents and families. Successful development of a Preferred Provider Framework across Lewisham, Greenwich, Lambeth and Bromley, standardising costs and ensuring that services can be provided more quickly. Work is underway to introduce personal budgets to accompany EHC plans, providing greater choice and control to parents and families. Vision screening still to be commissioned. 95 Service areas Targeted youth activity Service areas Targeted NEET work Youth Services Commissioning intentions Outcome anticipated To further strengthen links with the Youth Offending Service (YOS); detached youth work; intervention to reduce substance misuse and teenage pregnancy. Commissioning intentions Intensive keywork support for people who have been NEET for a long period of time. NEETS Outcome anticipated Progress The Youth Service has undergone a successful redesign aligned with its new strategy and supported through a wider variety of providers through the Commissioned Youth Provision process. Progress Lewisham has been successful in reducing the number of young people who are not in Employment, Education or Training. By March 2013 the percentage had been reduced 3%, outperforming the national average (9.6%) and Lewisham’s statistical neighbours (5.6%). The Partnership is able to target those most at need and has been successful in targeting NEET siblings. 80% of care leavers in the borough are in Employment, Education and Training – again outperforming the national average (66%) and our statistical neighbours (70%). 96 Resources Current partnership spend Children and Young People's Plan - Spending CYPP Draft financial figures 2014/15 estimate £ Schools Block Specialist Universal 201,464 High Needs Block 42,379 Early Years Block 16,984 2 year olds Targeted 201,464 42,379 16,984 6,780 6,780 Pupil Premium Post 16 17,300 6,900 17,300 6,900 BSF / PFI 24,200 24,200 Standards & Achievement 4,507 4,507 Education Infrastructure 1,546 1,546 Targeted Services and Joint Commissioning Resources and Performance Schools Business support, placements & procurement 13,250 13,250 7,590 7,590 0 3,786 Looked after children 16,234 Children's management & other Children with complex needs Family social work service Referral and assessment Quality & assurance YOS Maternity Services Child health health visiting police school nursing Hospital NHS continuing care Public Health CAMHS 588 9,802 10,011 2,807 1,377 2,400 19,438 5,522 4,500 578 1,264 12,085 1,369 2,562 4,361 3,786 16,234 588 9,802 10,011 2,807 1,377 2,400 19,438 5,522 4,500 578 1,264 12,085 1,369 906 2,181 1,656 2,181 441,584 51,682 11.70% 77,602 17.57% 312,301 70.72% 428,252 53,860 12.58% 75,409 17.61% 298,984 69.81% Re-stated base 2012/13 figures (re-aligned) 97