8. r r Universal Screening Framework Family Common Assessment Framework Specialist Assessment Frameworks Families with Complex Needs Families with additional needs Families whose needs can be met in universal settings FNP Incredible Years PATHS Evidence Based Early Intervention Programmes FIP IFSTS CBB Whole System Model For Shard End Pathfinder WISH - DWP Co-Design Intensive Family Advocacy Services
9. Family CAF Business Process Pre Assessment Checklist Integrated Support Plan Integrated Support Plan Review Summative Evaluation May include early screening tools & risk assessments eg SDQ, DAS, CAT etc Section 1 Core demographic details& existing service involvement Section 2 exactly the same as existing CAF. All children on the 1 form Section 3 general assessment of needs & existing service assessment Section 4 Consent obtained (if not already) Analysis of needs & which services to involve ‘ Contract’ with family & agencies – who will do what by when. Evaluation of actions put in place, next steps required & new needs identified & planned KPI Target Summative evaluation of over-all satisfaction KPI Target 15 Working Days 15 Working Days 15 Working Days Maximum 6 months Episode End Section 1 Family Details Section 2 Children’s Assessment Section 3 Adult Assessment Section 4 Analysis & conclusion
10. 0 to 18 Years – Early Intervention & Prevention Evidence Based Programmes FNP Family Nurse Partnership Pre birth up to 2yrs for first time Teenage mum Incredible Years Parenting Programme Targeting all 3 – 4 year olds with behaviour problems Triple P Parenting Programme Targeting 4 – 6 year olds With behaviour Problems PATHS Promoting Alternative Thinking Strategies All primary aged children commencing In Reception & Yr1 Public Health Approach to Early Intervention & Prevention For All Families in the Shard End CBB Area Birmingham Community Health Trust Integrated Family Support Team Integrated Family Support Team 11 CBB Primary Schools Evidence Based Programmes
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12. CBB Exemplar Project: Cost/Benefit Realisation through fCAF Unit cost for each partner intervention gives cost of each fCAF (in aggregate gives ‘ community budget’) + Projected savings for each intervention/fCAF (in aggregate is community efficiency targets) = Beneficiaries tracked across all partners gives actual savings realised CBB Budget Adjustments
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Notas do Editor
ELEANOR TO DO FIRST HALF INTRODUCTION
Birmingham’s pathfinder initially focused on Shard End ward – area of high deprivation in East Birmingham Data from 24 deprivation indicators - Shard End highest, Kingstanding second Shard End treatment area – Kingstanding control (business as usual)
12 primary schools, 1 secondary schools 1 children’s centres 26,000 resident 4019 families (households with dependent children) - Experian Household Data for May 2010 11,853 households
Governance Steering Group – provides strategic steer, interface with Whitehall, planning for scale up Operational Group – local managers – making it happen on the ground – front line with families
fCAF – Family Common Assessment Framework – children’s and adult agencies working together with the family to develop Integrated Support Plan IFSTs - Integrated Family Support Teams – advocacy support for families with additional/complex needs FIP - Family Intervention Programme – intensive family advocacy for families with the most complex needs WISH – Worklessness Co-Design – advocacy support to address barriers to employment (JCP staff fully involved) Evidence Based Early Intervention and Prevention Programmes – a portfolio of evidence universal and targeted evidence based programmes Cost/benefit Analysis and Benefits Realisation - National Exemplar Project – developing robust systems for costing interventions and projecting and evidencing financial savings Robust Evaluation Framework and Roll Out City Wide from 2012-13
Procedure for family CAF Comment that it should be familiar as is the same as normal CAF Sections are colour coded to correlate to Family CAF documents HANDOVER TO JASON
fCAF process Above line – describes processes follows Below represents measures i.e. evaluation data
Cost / benefit realisation: Cost up each agencies intervention in the family (cost of fCAF) (aggregated = community budget!) Project savings for each intervention in the family (savings of fCAF) (CBB efficiency target) Tracking beneficiaries to measure outcomes – gives actual savings realised.
Good to get working with some families early on - that practical, on the ground experience has helped accelerate and inform our future planning 2. Get partners engaged early – at least 140 practitioners trained in fCAF already 3. Have not got the issue of community involvement sorted yet – every time we visit/listen we learn useful things! (This refers to community engagement in service design - we already have high level of family engagement in fCAF) 4. The definition of FCNs is contentious and needs to be negotiated between the PM's commitment, practitioner views, and local priorities 5. Capturing and tracking outcomes and costs data challenging - including arrangements for data sharing with partners. 6. Local and cabinet political engagement is very helpful - as is buy in from LSP and BCC Chief Executive 7. Some FCNs don;t want to engage - we need to decide whether that's ok or whether we need tougher love! 8. Governance - the steering / operational split works well 9. Small steps can make a difference - eg making the training course childcare happen, addressing dangerous dogs, etc .