building stronger families a joint investment and innovation approach joan beck director – adults...
TRANSCRIPT
Building Stronger FamiliesA Joint Investment and Innovation
Approach
Joan Beck
Director – Adults and Communities Directorate
Doncaster MBC
Building Stronger FamiliesA Joint Investment and Innovation
Approach
Shane Hayward–Giles
Assistant Director for Modernisation and Commissioning
Doncaster MBC
Objectives for this session
• To focus on why strong families matter - at national level and in Doncaster
• To outline the Doncaster approach – system reform to join up investment, innovation and delivery
• To discuss parallels with our Social Care journey – what value can we offer and gain here?
Why Troubled Families matter
“Stable, healthy families are at the heart of strong societies. It is
within the family environment that an individual’s physical,
emotional and psychological development occurs.
It is from our family that we learn unconditional love, we
understand right from wrong, and we gain empathy, respect and
self- regulation. These qualities enable us to engage positively
at school, at work and in society in general.
Centre for Social Justice – Green Paper on the family
‘Troubled Families’ – a Coalition Government priority
‘Troubled Families Unit’ and Payment by Results programme
Prime Minister David Cameron has said he will put "rocket boosters" under efforts to turn round 120,000 troubled families in the wake of recent rioting. Mr Cameron said bureaucracy had "held back" this work, and promised to "clear away the red tape".(bbc.co.uk)
England riots: Cameron to boost troubled-families plansTest a new way of working with
families with complex needs..Test a new way of working with families with complex needs..
System reform: The problem we need to solve
• Multiple assessments, outcomes, outputs, plans, key workers, performance reporting systems, costs, workers...... Bureaucracy overload!
• No overall coordination or ‘trouble - shooting’ role. • Families on the receiving end, disempowered, overwhelmed.
Schools
Health Services
Welfare to Work
Social Landlords
Welfare rights/debt
advice
Anti Social behaviour/Y
OT
Adult Social Care
Drugs and alcohol services
Children’s services
Probation
Jobcentre Plus
Sound familiar?
Our operating model: One Family, One Worker, One Plan
But….
How does commissioning work in this context?
How do services become responsive to this integrated model?
How do you really give the family and worker real power, choice and voice?
Our approach – Joint Investment and Innovation
Joint Investment and Innovation
Group
Commissioners and providers
Creating the conditions for a Joint Investment
approach
Who commissions the big resources to deal with causes and effects? A broad church!
Who has a performance and £ stake?
Who knows and reviews what works?
Who deploys them on the ground?
Development Process
Short term Medium term Long term
• Develop clear ‘as is’ toolkit of services?
• Provider awareness of the programme
• Publish toolkit and access routes
• Quick wins• Innovation Fund
• Develop clear ‘as is’ toolkit of services?
• Provider awareness of the programme
• Publish toolkit and access routes
• Quick wins• Innovation Fund
• Capacity to track demand reduction, outcomes and spend
• Evaluation • Direct ‘real time’ line
of sight to delivery.
• Capacity to track demand reduction, outcomes and spend
• Evaluation • Direct ‘real time’ line
of sight to delivery.
• Investment shifts and agreements
• Focus on prevention • Beyond complex
families?• Consider a permanent
joint investment capacity?
• Investment shifts and agreements
• Focus on prevention • Beyond complex
families?• Consider a permanent
joint investment capacity?
Scaling and sustaining the approach – creating a virtuous cycle
Building Stronger Families £ is catalyst
for testing system change
Whole Family Assessments
Joint performance mgt system
Intensive key worker capacity
Workforce development
Innovation fund quick wins
Effective joint delivery reduces demand for acute interventions. ‘Cashable’
and ‘non cashable’ savings
Enables joint investment
discussions about scaling up and
investing in prevention
Scaled investment in
system reform, prevention & ‘what works’
How can adult social care’s experience help?
• Single worker• Tackling shared public service priorities/challenges• Managing key interfaces between services• Developing provider markets• Integrating the workforce• Developing the role of communities and self help• Changing the way the money works
And more fundamentally…• Developing user empowerment, independence, choice• Empowering the front line & support worker/advocacy role• Could personalised (family) budgets be the end game?
Discussion topics?
•What of public service practice has (inadvertently) supported the development of ‘troubled families’?
•What of the adult social care journey to our present practice would support thinking and response to ‘Troubled Families’?
• Do we think these families could ultimately take control of their own services and budgets?