Review of Lewisham's Children and Young

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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.
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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
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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.
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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.
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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;
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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%)
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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.
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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.
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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
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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
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(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
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




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.
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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
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