joint area review - surrey scrutiny committee... · jar recommendation partnership group lead...

Children &oung people’s

surrey commissioning partnership

Joint Area ReviewSurrey Childrenʼs ServicesAuthority Area

Post Inspection Action PlanOctober 2008

CONTENTS Page PART 1 Introduction

1.1 Purpose of the Surrey JAR Action Plan 2 1.2 Index of JAR Recommendations, Lead Agencies and Accountable Persons 4 1.3 Monitoring Progress against the Surrey JAR Action Plan 7

PART 2 Surrey CYPCP JAR Action Plan

2.1 Recommendations for immediate action 8 2.2 Recommendations for action over the next six months 61 2.3 Recommendations for action in the longer term 71 2.4 Additional actions arising from JAR report 80

PART 3 Key to Accountable/ Responsible Persons 84 PART 4 Glossary of Terms 86

2

PART 1: INTRODUCTION PART 1.1: PURPOSE OF THE SURREY JAR ACTION PLAN On 22nd July, Ofsted published the outcome of its Joint Area Review (JAR) of services to vulnerable children in Surrey. This action plan addresses the recommendations made by the JAR Inspectors. Delivering these actions will go some way towards improving the quality of provision for vulnerable children and young people across the county. However, they are only part of a wider approach being adopted by a range of partners, individually and collectively, to significantly improve outcomes. The work being undertaken by partners will build upon existing good practice as well as addressing the underlying causes of the weaknesses identified in the JAR report.

3

PART 1.2: INDEX OF JAR RECOMMENDATIONS, LEAD AGENCIES AND ACOUNTABLE PERSONS The Surrey CYPCP has agreed that the Surrey County Council (SCC) and Surrey Primary Care Trust (SPCT) will act as lead agencies for each of the 21 recommendations arising from the Surrey JAR inspection report as shown in the table below: JAR RECOMMENDATION Partnership

Group Lead

agency Accountable

Persons Page

For immediate action: 1. Ensure that an appropriate way is found for the successful dissemination of

the findings of this report to children and young people in the area

Surrey LYP (listening to

young people)

SCC Lead ManagerPerformance &

Service Development, Families

8

2. Ensure effective arrangements are in place, across all agencies, to ensure that Criminal Records Bureau (CRB) and employment checks are in place for all staff working with children and young people

SSCB SCC Acting Head of Safeguarding

11

3. Ensure that all systems for data collection, monitoring, evaluation, information sharing and quality assurance are robust, reliable and fit for purpose and support evidence based practice

Outcomes Board

SCC Lead ManagerPerformance &

Service Development, Families

18

4. Improve the quality and timeliness of initial and core assessments, statements of special educational need and Personal Education Plans

SCC/CYPCP SCC Acting Head of Children’s Service

20

5. Ensure that the learning from serious case reviews is consistently disseminated and used to improve the quality of safeguarding practice

SSCB SCC Acting Head of Safeguarding

25

6. Ensure that all looked after children have a suitable qualified social worker

Corporate Parenting

SCC Acting Head of Children’s Service

30

7. Ensure that robust monitoring arrangements of agency placements are in place

CYPCP SCC Acting Head of Children’s Service

31

8. Ensure that sufficient resources are allocated to deliver comprehensive health services, including school nurses, midwives and Child and

CYPCP, Teenage

SPCT Director of Strategy & Service Delivery

34

4

JAR RECOMMENDATION Partnership Group

Lead agency

Accountable Persons

Page

Adolescent Mental Health Services (CAMHS) which are able to meet demand at all levels of service

Pregnancy & CAMHS

9. Allocate partnership resources to ensure that services are sufficient to identify and meet the needs of children and young people with learning difficulties and/or disabilities promptly, engaging parents, carers and children and young people in any service developments

CYPCP & Transition &

Parent/Carers Forum


41

10. Take steps to rapidly reduce the percentage of fixed-term and permanent exclusions of pupils with learning difficulties and/or disabilities

Learning Programme

SCC Head of Schools & Learning

46

11. Ensure the availability of a well publicised, young people-centred contraceptive and sexual health advice service, with a strong remit to undertake health promotion work

Teenage Pregnancy,

Sexual Health Strategy Group

SPCT Director of Public Health

48

12. Ensure active local, co-ordinated engagement of all the key mainstream delivery partners in order to accelerate the rate of reduction in teenage pregnancy

Teenage Pregnancy

SPCT Director of Public Health

51

13. Ensure that a high priority is given to personal, social and health education (PSHE) in schools, with support from the local authority to develop comprehensive programmes of sex and relationships education (SRE) in all schools

Teenage Pregnancy

SCC Head of Schools & Learning

56

Recommendations requiring action over next six months 14. Improve the quality of supervision and documentation relating to looked

after children

Corporate Parenting


61

15. Ensure that children and young people and their families have equitable access to a comprehensive range of preventative services and implement

CYPCP SCC Acting Head of Safeguarding

63

5

JAR RECOMMENDATION Partnership Group

Lead agency

Accountable Persons

Page

consistent multi-agency working arrangements and consistent thresholds for services

16. Allocate partnership resources to develop specialist respite care provision to reduce the shortfall especially for those with autistic spectrum disorder

CYPCP & Commissioning

Executive Group


65

17. Improve the performance of pathway planning and the percentage of personal advisers for care leavers, including improvement of the quality of guidance for care leavers to enable them to develop good independent living skills

Corporate Parenting


68

Recommendations requiring action in the longer term 18. Provide sufficient support to enable looked after children to make good

progress especially between Key Stages 3 and 4

Learning Programme


71

19. Accelerate the pace and ambition of joint commissioning in order to integrate services that better meet identified need

Commissioning Executive

Group

SCC Strategic Director for Children, Schools &

Families

75

20. Develop the voluntary and community sector’s access, capacity and ability to play a clear and effective role in service commissioning and delivery

Commissioning Executive Group & CYPCP

Executive

SCC Lead Manager Policy & Public Affairs,

Learning & Children’s Development

79

21. Address the balance of strategic and operational capacity in order to ensure the partnership is able to deliver effective and sustainable front line services

CYPCP Executive &

CYPCP

SCC Strategic Director for Children, Schools &

Families

See 75

Additional actions arising from JAR report 22. Insufficient access to appropriate housing CYPCP SCC Acting Head of

Children’s Service 80

6

PART 1.3: MONITORING PROGRESS AGAINST THE SURREY JAR ACTION PLAN Monitoring Reports The Children and Young People’s Commissioning Partnership for Surrey has designated Surrey County Council and Surrey Primary Care Trust as the lead agencies for its JAR Action Plan. The reporting on progress will be lead by both agencies and monitored at a partnership, regional and central government level. The lead agencies, with the support of its partners, will apply standard project management methodology to its progress reporting as follows:

• All ‘Responsible Persons’ will document progress on actions against recommendations, as assigned to them. • All ‘Responsible Persons’ will also be required to maintain a risk register and issues log in relation associated with delivering actions for

each recommendation. • Using the above information, the Lead agencies will produce a highlight report for scrutiny by its internal management and executive

boards, the Children and Young People’s Commissioning Partnership, and to regional and central government representatives.

7

PART 2: SURREY CYPCP JAR ACTION PLAN PART 2.1: RECOMMENDATIONS FOR IMMEDIATE ACTION

JAR RECOMMENDATION NO. 1 Ensure that an appropriate way is found for the successful dissemination of the findings of this report to children and young people in the area

Relevant section in JAR report: Applicable to whole report Relevant weaknesses identified or comments made in JAR Report:

None

Partnership Group: CYPCP Lead agency: SCC Accountable: Lead Manager Performance & Service Development, Families (SCC) RECOMMENDATION NO. 1 - SUMMARY ACTION PLAN

Actions Lead Agency Responsible

Person

Partner Agency Responsible

Person

Timescale/ Review by

Required Outcome

1.1 Under guidance of Lead Inspector, establish specification and timescales for publication by end of October 2008 of a CYP version of the JAR report

Performance & Service Development Manager, Service Development (SCC)

Communications Director (SPCT)

August 2008 Ofsted endorsement of procedure for publication

1.2 Obtain approval from Ofsted Lead Inspector of the draft copy of the publication

Communications Manager (SCC)


5 September 2008 Ofsted endorsement of published copy

1.3 Engage Youth Forum in the development of the text for the final publication

Involving Young People Manager (SCC)


22 September 2008 Ensure copy is accessible to CYP and is distributed according to Ofsted

8

RECOMMENDATION NO. 1 - SUMMARY ACTION PLAN


Person


Person


Required Outcome

recommendations 1.4 Engage LAC and CLDD groups in

preparation of CYP version of the JAR report.



October/ November 2008

Vulnerable children input to publication of CYP version of JAR report

1.5 Publish CYP version of the Surrey JAR Report: a) Printer friendly version and

PowerPoint of report on several websites including County Council, Connexions, Aim Higher Surrey, SPCT and all District’s and Boroughs.

b) Make hard copies and accessible print copies available on demand.

c) Make alternative presentation of the report available



End October 2008

October/ November 2008

Ensure copy is accessible to CYP and is distributed according to Ofsted recommendations and suggestions from the children and young people consulted as part of the JAR

1.6 Publicise publication through: a) Link on SCC s-net b) Link on SPCT s-net c) E-mail to all Members with link d) Direct publicity to Young People

(TBC) e) Internal communications

vehicles at SCC



October 2008 Ensure copy is accessible to CYP and is distributed according to Ofsted recommendations

9



Person


Person


Required Outcome

f) Youth Parliament 1.7 Establish, using existing

mechanisms where feasible, systems to enable children, young people, parents and carers to participate in the review and shaping of service changes arising from the JAR

Performance and Programme Management Officer (SCC)


December 2008 Active participation of children, young people, parents and carers in reviewing current arrangements and shaping future services and standards Progress and success of outcomes measured through the views of young people in Surrey

10

JAR RECOMMENDATION NO. 2: Ensure effective arrangements are in place, across all agencies, to ensure that Criminal Records Bureau (CRB) and employment checks are in place for all staff working with children and young people

Relevant section in JAR report: Safeguarding Relevant weaknesses identified or comments made in JAR Report:

• Lack of robust processes to ensure that all staff working with children across the partnership have a CRB check, and qualification and identity checks

Partnership Group: Surrey Safeguarding Children Board Lead agency: SCC Accountable: Acting Head of Safeguarding (SCC) RECOMMENDATION NO. 2 - SUMMARY ACTION PLAN


Person


Person


Required Outcome

2.1 SCC, as employer, to ensure that all newly recruited staff requiring a CRB do not start in advance of obtaining the CRB, two references including one from the most recent employer and proof of identity

Acting Head of Shared Services (SCC)

Director of Human Resources (SPCT)

August 2008

That no member of staff who requires a CRB check can start work without the required safeguards being in place

2.2 SSC, as employer, to ensure that all newly recruited commercial services staff requiring a CRB do not start in advance of obtaining the CRB, two references including one from the most recent employer and proof of identity

Acting Head of Shared Services (SCC)


October 2008 That no member of staff who requires a CRB check can start work without the required safeguards being in place

2.3 SCC, as employer, to ensure that Acting Head of Director of Human August 2008 System is in place where

11

RECOMMENDATION NO. 2 - SUMMARY ACTION PLAN Actions Lead Agency

Responsible Person


Person


Required Outcome

all staff that are in posts that require CRBs, have renewed CRBs at three yearly intervals

Shared Services (SCC)

Resources (SPCT) managers ensure that each member of staff requiring a CRB check has had a CRB clearance within the last 3 years

2.4 SCC, as employer, to streamline systems for ensuring safe recruitment and employment by centralising and locating lead responsibility with Human Resources

Acting Head of Safeguarding (SCC)


1 November 2008

Clarity of accountability

2.5 SCC, as employer, to tighten up arrangements for ensuring agency staff have up to date CRBs, identity checks and references which include most recent employers and identify gaps in employment

Head of Procurement & Contract Management (SCC)


Current agencies September 2008

New contract

arrangements April 2009

Appropriate safeguarding in employment checks have been undertaken for all agency staff in posts with contact with children or vulnerable adults

2.6 SCC, as employer, to ensure that confirmation of CRB clearances are fully entered in to Human Resources records together with other required documentation as appropriate for individual posts (e.g. professional registration with GSCC etc) (Exercise with all staff which will include photographing staff and issuing corporate identity

Head of Human Resources & Organisational Development (SCC)


Mid December 2008 Evidence of compliance available on individual Human Resources files

12


Responsible Person


Person


Required Outcome

cards) 2.7 SCC, as employer, to undertake a

top down audit of all SCC staff to decide which posts require CRB clearance



November 2008 Each post that requires a CRB clearance is identified with arrangements to identify any new posts requiring a CRB

2.8 SSCB to ensure safe recruitment across agencies, engaging in cross agency rolling audits, reviewing policy and disseminating best practice



Audits to commence October 2008

All main agencies to be audited for CRB compliance

2.9 SPCT, as employer, to ensure all newly recruited staff in posts requiring CRB clearance have obtained clearance before working unsupervised in post



Evidence in place on Electronic Staff Record System

(ESR) from November 2007

SPCT Policy January

2008

ESR records demonstrate all newly recruited staff requiring CRB clearance have clearance, or if delay due to process are initially supervised (Human Resources/ Manager correspondence)

2.10 SPCT, as employer, to ensure all staff already in posts requiring CRB clearance have been cleared and clearance recorded



Clearance recorded or CRB forms

completed October 2008

Clearance recorded

November 2008

ESR records demonstrate all staff in posts requiring CRB clearance have evidenced, recorded clearance

2.11 SPCT, as employer, to ensure that all staff in posts requiring CRB



Process to be implemented w.e.f.

ESR records demonstrate all staff in posts requiring

13


Responsible Person


Person


Required Outcome

enhanced clearance i.e. have renewed CRB clearance at three yearly intervals

December 2008 using ESR flag

system updated from tracking sheet

CRB clearance have recorded clearance within the previous three years

2.12 SPCT, as employer, to ensure that all agency staff covering roles requiring CRB clearance have confirmed clearance prior to working



PASA agency requirement.

Contracts with non-PASA agencies

specify. All agencies working to NHS

standards. Enhanced standards to be communicated October 2008.

Agency contracts confirm agency responsibility for ensuring CRB clearance when booking staff for roles requiring CRB clearance

2.13 SPCT, as contractor, to ensure that all contractors providing work/ resources that could require CRB clearance have confirmed clearance prior to working



Standard NHS requirement in

contacts. Enhanced standards to be

included in amendment to new contracts October

2008

Contractors confirm responsibility for ensuring enhanced CRB clearance

2.14 SCHS, as contractor, to ensure that all sub contractors providing work resources which could require CRB clearance have confirmed clearance prior to working

Chief Operating Officer (SCHS)


January 2009 Standard requirement in all contracts for SCHS, have CRB check prior to commencing work. Contract issued have CRB as mandatory requirement

14


Responsible Person


Person


Required Outcome

under quality standards Contractors confirm responsibility for ensuring CRB clearance when contract accepted

2.15 SPCT, as employer, to ensure that all staff in posts requiring CRB clearance have ESR record of clearance and audit/assurance process in place



Progress tracking sheet monitored and bi-weekly reporting to PET currently. First audit report to EMT

PET and JAR Review Group November 2008. Quarterly

reports

EMT, PET and JAR Review Group assurance of CRB clearance for all staff in posts requiring this

2.16 SPCT, as commissioner, to specify within contracts/ SLAs requirement for all staff in posts requiring CRB clearance to have evidenced, recorded clearance on basis of enhanced requirements: (a) NHS Trusts required to meet

Health Care Commission (HCC) Standards (c10a) which covers both staff and other engaged via contract to perform work/ providers of other NHS services required to provide assurance

Director of Market Management & Development (SPCT)


(a) Requirement noted at Surrey Chief Executives’ Meeting

25 July 2008. Quality performance

requirement in all NHS commissioned

service contracts/SLAs. Enhanced CRB

requirements to be communicated to

Chief

Assurance that all commissioned service providers meet CRB clearance requirements

15


Responsible Person


Person


Required Outcome

of CRB (Enhanced requirements to be confirmed)

(b) Tendering policy to require assurance of CRB clearance process

Executives/Human Resources Depts October 2008 with

requirement for action plan

confirming completed by December 2008.

Review of and if required amendment to all NHS/non-NHS Trust contracts/SLAs

December 2008

(b) Review of and if required amendment to Tendering policy.

December 2008 2.17 SCC to ensure:

(a) As an employer, ensure that all agency contracts for posts requiring CRB clearance to have evidenced, recorded clearance

(b) As a commissioner that services employing staff working with or with the possibility of coming in contact with children or young people to


Director of Market Management and Development (SPCT)

April 2009 Ensure services for children provided by external contractors undertake good practice on safer recruitment

16


Responsible Person


Person


Required Outcome

have CRB clearances (c) As a contractor, use a tendering

policy to require assurance of CRB clearance process and that all contracts are reviewed with providers to ensure compliance with policy

2.18 SSCB Safer Recruitment Group to review policies on safe employment including recruitment, selection, induction and training practices



Complete by December 2008

Ensure consistent good practice on safer recruitment and employment practices are is in place for Surrey agencies working with children

2.19 SPCT to ensure ongoing audit and assurance in respect of CRB requirements listed under short term actions



Quarterly reporting to EMT and JAR Review Group

Continuous assurance in respect of CRB clearance

2.20 SPCT to raise through the SHA to DCFS and DOH discrepancy between HCC and social care standards on CRB checks



SPCT letter to SHA Oct 2008

Highlighting discrepancy for central discussion/decision on requirements

2.21 Safer recruitment compliance measures to be included in performance reports to relevant governance bodies



November 2008 SCC Executive to receive quarterly report on safer recruitment practice

17

JAR RECOMMENDATION NO. 3: Ensure that all systems for data collection, monitoring, evaluation, information sharing and quality assurance are robust, reliable and fit for purpose and support evidence based practice


None

Partnership Group: CYPCP Outcomes Board Lead agency: SCC Accountable: Lead Manager Performance & Service Development, Families (SCC) RECOMMENDATION NO. 3 - SUMMARY ACTION PLAN


Person


Person


Required Outcome

3.1 Change procedures and systems to ensure that Initial and Core Assessment timescales are recorded in accordance with guidelines

Lead Project Manager, ICS (SCC)

N/A 31 May 2008 Accurate reporting data and compliance with Ofsted guidelines on recording assessments Weekly reporting of initial and core assessment timescales

3.2 Develop SCC performance, monitoring and evaluation framework that integrates: performance data; safeguarding quality assurance; quality and compliance audits; staffing reports; etc.

Performance and Programme Management Officer (SCC)

N/A 31 March 2009 Single and Comprehensive Performance management framework for SCC Children, Schools and Families services

18


Responsible Person


Person


Required Outcome

3.3 SCC to ensure that data quality is built into ICS/SAP implementation


N/A 29 August 2008 Data quality built into ICS blueprints

3.4 Improved accuracy and timeliness of data input to be implemented as part of ICS/SAP changes


N/A 23 February 2009 Systems and procedures that enable the accurate and timely inputting of data

3.5 Develop comprehensive information, monitoring and evaluation reporting as part of ICS/SAP implementation

Senior Manager, Performance & Service Development, Children’s Service (SCC)

N/A 23 February 2009

Business critical reporting is in place from SAP implementation Comprehensive performance analysis systems in place that support governance, service management and service /practice development

3.6 Undertake an audit of all performance indicators and implement an annual auditing schedule in line with SCC’s Data Quality Strategy

Senior Manager, Performance & Service Development, Children’s Service (SCC)

N/A September 2009 Clear evidence and audit trail that performance and activity data is accurate and fit for purpose

3.7 CYPCP Outcomes Board to take oversight and quality assurance role on data and evidence used by CYPCP for planning and evaluation

Lead Manager Performance & Service Development, Families (SCC)

Director of Public Health (SPCT/SCC) Note: Livia Royle is SPCT person on Outcomes Board

Systems in place by January 2009

Clear evidence and audit trail that performance and activity data is accurate and fit for purpose

19

JAR RECOMMENDATION NO. 4: Improve the quality and timeliness of initial and core assessments, statements of special educational need and Personal Education Plans


• Poor quality and timeliness of initial and core assessments. • High numbers of unallocated cases awaiting initial children in need assessments. • Referrals to children’s social care do not uniformly come through the Contact Centre. • Thresholds for access to children’s social care are high and inconsistently applied across the

county. • Too limited multi-agency working to provide support to children in need, leading to some

children and young people with high-level needs not receiving a service • Many initial cores assessments lack analysis of information gathered, and have a poor focus

on the child’s needs with little evidence of multi-agency assessment. Many cases are closed inappropriately if another agency is involved, without rigorous consideration of multi-agency provision of services.

• Completion rates for Personal Education Plans are comparatively low at 79% and their quality is variable

• Thresholds for social care intervention are high, and services to divert children and young people from entering care are under-developed.

• Families, and particularly teenagers, do not always receive timely support. • Family group conferences are yet to have a significant impact on the numbers coming into

care. • Inconsistent and high thresholds for access to CLDD services. • Implementation of the common assessment framework has been slow.

Partnership Group: SCC/ CYPCP Lead agency: SCC & Surrey Children Safeguarding Board Accountable: Acting Head of Children’s Service (SCC)

20



Person


Person


Required Outcome

4.1 Revise and implement procedures to ensure compliance with 7 day and 35 day timescales for initial and core assessments

Integrated Services Manager- SW (SCC)

N/A May 2008 Compliance with timescales, and accurate recording of performance. Review of current Duty Team arrangements for allocation of cases Weekly monitoring of performance

4.2 Conduct case file audit of all Children in Need cases to ensure that children are ‘safe’ and to review current CIN arrangements

Acting Head of Children’s Service (SCC)

N/A May to June 2008 Identification of scale of problems beyond Ofsted analysis Remedial action taken on current poor casework Learning lessons for improving quality and systems Establish baseline from which to improve quality Regular reports on casework quality to managers and Executive

4.3 Provide practitioners with immediate guidance on required standards and practice for assessments (pending review of whole systems)

Programme Manager, Improving Practice Group (SCC)

N/A August 2008 Managers and staff provided with guidance and briefed on immediate actions for improvement Launch of practitioners’ pack including ‘model’

21


Responsible Person


Person


Required Outcome

assessment files and other tools to support understanding and compliance with standards

4.4 Establish dedicated team to lead on improving casework management and quality: Improving Practice Group


N/A August 2008 Expert external support engaged to lead on developing social care case work quality

4.5 Review work-flow systems and structures to reduce unallocated cases, secure the timely completion of social care assessments and support to transfer of cases across teams


N/A December 2008 Significant reduction in unallocated cases leading to no unallocated cases Systems to minimise and or speed up case transfers Timely completion of initial and core assessments

4.6 Review of thresholds and advice given to practitioners and partner agencies for access to support and services



Complete new procedures by January 2009

Train staff by March 2009

Clarity, consistency and quality in threshold management and referral and assessment arrangements

4.7 Ensure compliance with 2 X year PEP requirement through implementing policy and new PEP for each term

Interim Strategic Development Manager, Localities & Assessments (SCC)

N/A Process in place September 2008

100% Looked After Children to have an up to date PEP

4.8 Improve the quality of PEPs through appointment to second

Interim Strategic Development

N/A January 2009 All PEPs reviewed by Virtual School Head teacher

22


Responsible Person


Person


Required Outcome

PEP teacher, review of PEP guidance and processes and training programme for staff

Manager, Localities & Assessments (SCC)

PEPs used as real tool to drive educational attainment demonstrated through improvement in attainment and behaviour results

4.9 Write and introduce new procedures for staff via training programme


N/A March 2009 New procedures that support to implementation of best practice Clarity over service eligibility and business processes for staff Consistency of practice and service offer across the County Compliance with procedures

4.10 Devise and introduce new Supervision Policy and guidelines


N/A Devise systems by December 2008.

Roll-out to managers and staff

as part of Workforce

development Programme from

January 2009

New procedures that support to implementation of best practice Clarity over service eligibility, cases closure and business processes for staff Consistency of practice and service offer across the County Compliance with procedures Managers supported on

23


Responsible Person


Person


Required Outcome

addressing capability issues over care practice

4.11 Develop single quality assurance arrangements to assess and report on the quality of all assessments (IA, CA, PEPs, SEN)


N/A March 2009 Common quality assurance systems across key assessment and core plan arrangements

4.12 Review current arrangements for SEN assessments and implement changes

Head of Schools & Learning (SCC)


Complete review March 2009

Implement

September 2009

Agreement on capacity, systems, management arrangements and procedures required to improve timeliness and quality of assessments

4.13 Develop and implement new programme to roll-out and increase the number of CAF assessments



Implementation commencing from

January 2009

All relevant agencies using CAF process for improved decision making by September 2009

4.14 Make structural proposals to ensure the long-term resolution of quality and timeliness of assessments

Interim Strategic Development Manager, Localities & Assessments (SCC)

N/A January 2009 Structure and workflow arrangements that minimise care transfers and support timely and quality assessments.

24

JAR RECOMMENDATION NO. 5: Ensure that the learning from serious case reviews is consistently disseminated and used to improve the quality of safeguarding practice


• Inappropriate closure of social care cases where another agency is involved, leading to risk to children and young people

• Learning from a significant high number of serious case reviews is inconsistent and yet to make impact on practice

• Poor performance management systems with too limited auditing of case files • Many initial and core assessments lack analysis of information gathered, and have a poor

focus on the child’s • Needs with little evidence of multi-agency assessment. • Many cases are closed inappropriately if another agency is involved, without rigorous

consideration of multi-agency provision of services. Partnership Group: Surrey Safeguarding Children Board Lead agency: SCC Accountable: Acting Head of Safeguarding (SCC) RECOMMENDATION NO. 5 - SUMMARY ACTION PLAN


Person


Person


Required Outcome

5.1 Strengthen Surrey Safeguarding Children Board (SSCB) to ensure that services for vulnerable children and families are systematically improved to address the weaknesses identified in the JAR


Director of Public Health (SPCT/ SCC)

Revised work plan in place to prioritise

safe practice

Strengthened management in

children’s social care

Social care practice with vulnerable children and families delivered by well trained and well managed staff group Progress assessed by

25


Responsible Person


Person


Required Outcome

with appointment of an additional three experienced senior

managers in October 2008

SSCB review of Work

Plan in December 2008

quality measures including case audit, quality of reporting to conferences, feedback from other agencies and outcomes of child protection plans Progress assessed by quantitative measures – timescales for assessment, re-referrals and repeat CP Plans

5.2 SSCB to review work of Serious Case Review Group including composition, Board processes for agreeing decisions to undertake, reporting mechanisms, quality of IMRs and overview reports and dissemination of learning



November 2008 SCRs conducted in line with Ofsted requirements Lessons from SCRs disseminated and embedded in learning

5.3 Put in place comprehensive training programme to disseminate outcomes of SCRs, to include countywide conference to disseminate lessons from SCRs, targeting managers and supervisors



Training programme commenced in

September and is ongoing.

Conference arranged for February 2009

See below

5.4 Make SCR training mandatory for all designated staff identified in

Surrey Safety Children’s Board


November 2008

Well trained workforce with good understanding of

26


Responsible Person


Person


Required Outcome

SCC and all other key agencies

Training & Development Manager (SCC)

child protection and the triggers that may lead to a child being at risk from harm

5.5 To undertake training needs analysis and ensure maintenance of records for everyone who attends CP training


Surrey Safety Children’s Board Training & Development Manager (SCC)

January 2009 Completed training needs and programme of training in place Records of attendance

5.6 Ensure action plans from SCRs over the past two years have been implemented or are being implemented in SCC Children’s Services

Acting Head of Children’s Services (SCC)


December 2008 Lessons from SCRs incorporated into practice and procedures or as work in progress in current change programmes

5.7 SPCT Commissioners to review lessons learnt from previous internal updates and audits in relation to SCRs from the past 3 years



January 2009 SPCT has assurance that lessons learnt have changed practice through audit of implementation of learning against practice as evidenced in quality performance meetings

5.8 From 5.5 and 5.6 above, to develop recommendations and themes for practical improvements to providers and inform a joint training plan



April 2009

SPCT has assurance that lessons learnt have changed practice through audit of implementation of learning against practice as evidenced in quality performance meetings

27


Responsible Person


Person


Required Outcome

5.9 Learning and objectives on SCRs to be fed in to clinical governance and audit plans for the year and reported back in the Trust’s annual clinical/ governance reports

Director Market Management and Development (SPCT)


April 2009 – onset of new use of contract

Inclusion into contract that providers demonstrate learning from SCRs. Joint health and social care audit of records Monitored through quality performance/ governance meetings

5.10 To audit record keeping and supervision in both Surrey CC and Surrey SPCT



SPCT - Complete October 2008

SCC – Complete December 2008

Identifying areas to improve practice and putting actions in to place to do this Audit completed of all band 6 and above specialist practitioners in 0-19 service

5.11 Create a website page to promote learning and provide links to key messages from national and local SCRs

Surrey Safety Children’s Board Training & Development Manager (SCC)


December 2008 Increase access to information and support e-learning

5.12 SSCB to ensure SCC social care staff inform other agencies when planning to close a CIN case

Head of Children’s Services (SCC)


November 2008

No unilateral closure of CIN cases creating risk to children

5.13 Include measure of performance on casework quality in performance reports to Executive



31 October 2008 Executive Members advised on casework quality through inclusion of

28


Responsible Person


Person


Required Outcome

based on results of audit programme

measure in Council Key Performance Indicators set

5.14 SPCT Commissioner and all providers: SCR action plan to be monitored through performance committee



April 2009 Outcomes of quality monitoring meetings ref 5.8 are considered at Risk and Clinical Governance Committee

5.15 SPCT providers to develop clear action plans regarding SCRs

Director of Market Management and Development (SPCT)


Within 60 days of incident

Tight contract quality performance management. Ref 5.8

5.16 SPCT Commissioners to develop an action plan and implement the recommendations from the Safeguarding Review, that are not already included within the JAR action plan

Director of Strategy & Service Delivery (SPCT)


October 2008 Action plan completed and recommendations implemented as per timescale

29

JAR RECOMMENDATION NO. 6 Ensure that all looked after children have a suitable qualified social worker

Relevant section in JAR report: Looked After Children Relevant weaknesses identified or comments made in JAR Report:

• Not all looked after children and young people have an allocated qualified social worker.

Partnership Group: Corporate Parenting Lead agency: SCC Accountable: Acting Head of Children’s Service (SCC) RECOMMENDATION NO. 6- SUMMARY ACTION PLAN


Person


Person


Required Outcome

6.1 SCC to check and ensure that all LAC are allocated to a qualified social worker

Integrated Services Manager- NE (SCC)

N/A July 2008 All LAC have allocated social worker

6.2 System established to ensure the continued allocation of LAC to qualified social workers that is robust to changes in staff and any transfer of cases between teams

Interim Strategic Development Manager, Children’s Provision (SCC)

N/A December 2008 All LAC have allocated social worker at all times

30

JAR RECOMMENDATION NO. 7 Ensure that robust monitoring arrangements of agency placements are in place.


• High proportion of looked after children placed in agency placements and outside county boundaries

• Insufficiently robust quality assurance of ongoing agency placements • Procedures to monitor ongoing quality and regulatory inspection judgements are insufficiently

robust Partnership Group: CYPCP Lead agency: SCC Accountable: Acting Head of Children’s Service (SCC) RECOMMENDATION NO. 7- SUMMARY ACTION PLAN


Person


Person


Required Outcome

7.1 All placements where end dates have over-run to be identified and brought to the attention of the Head of Service to ensure review of care plan


N/A September 2008 All young people placed in social care agency placements to have a clear care plan without drift

7.2 Process established to ensure that all placements with a budgeted end date of 3 months or less to be identified and care plan to be scrutinised by Area Placement Panel


N/A December 2008 Regular reports to the Head of Service from December 2008 onwards

7.3 Review the composition of Acting Head of Director of Public October 2008 All relevant professionals

31

RECOMMENDATION NO. 7- SUMMARY ACTION PLAN Actions Lead Agency

Responsible Person


Person


Required Outcome

Placement Panels to ensure attendance by relevant professionals.

Children’s Service (SCC)

Health (SPCT/ SCC) attending Placement Panels contributing to care planning for CYP

7.4 Ensure individual placement agreements include clear placement outcomes and consolidate the use of the new National Contract for Residential Providers

Team Manager Childcare Support (SCC),

N/A November 2008 Independent placement agreements to be in place for all CYP with clear placement outcomes

7.5 Establish provider forums to promote an exchange of information, set baseline standards and promote the best outcomes for young people

Team Manager Childcare Support (SCC)

N/A January 2009 Clear communications with providers and provider engagement in developing service quality

7.6 Review existing in-house residential provision based on identified current and anticipated demand, and make recommendations for improvement


N/A February 2009 Fewer children placed outside county boundaries

7.7 Develop a robust quality assurance strategy to monitor ongoing agency placements


N/A March 2009 Agency placements are quality assured taking into account the views of parents/ cares and young people

7.8 Lead Member, Surrey Safeguarding Children Board and Select Committee to receive a report at least once year advising


N/A March 2009 Annual assessment and statement on quality of agency placements

32


Responsible Person


Person


Required Outcome

on the quality of commissioning and provision of agency placements

7.9 To devise a new placements strategy across all social care and schools related placements



January 2009 Agreed strategy with supporting actions. Strategy based on accurate needs analysis and covering procurement, contract management and quality assurance. Plans that seek to develop more appropriate county provision and reducing out of county placements

33

JAR RECOMMENDATION NO. 8 Ensure that sufficient resources are allocated to deliver comprehensive health services, including school nurses, midwives and Child and Adolescent Mental Health Services (CAMHS) which are able to meet demand at all levels of service

Relevant section in JAR report: Safeguarding

Equality and Diversity Children and Young People with Learning difficulties and/or disabilities Looked After Children and Young People

Relevant weaknesses identified or comments made in JAR Report:

• Up to 40% of teenage mothers smoke and the impact of stop smoking services is inadequate • No systems to follow up traveller health • Safeguarding CAMHS needs analysis/ Inconsistent provision of services to children and

young people with mental health needs • No dedicated paediatrician for LAC in residential care • Difficulty in finding NHS dentist for LAC • Key health specialist shortages for CLDD, such as HVs, CAMHS specialists, OTs, S&L

Therapists which delay access to provision – see appendices 1 & 2 • CAMHS provision for looked after children is goof, but there are some difficulties in accessing

this at the point of referral, particularly for those placed out of county. • Insufficient of nurses to provide medication for CLDD at school • Maternity services under resourced with at least 42 midwife posts vacant, teenagers get

standard rather than enhanced service Partnership Group: CYPCP, Teenage Pregnancy Strategic Board, CAMHS Lead agency: SPCT Accountable: Director of Strategy & Service Delivery (SPCT)/ Strategic Director of Childrens, Schools &

Families (SCC)

34

RECOMMENDATION NO. 8- SUMMARY ACTION PLAN


Person


Person


Required Outcome

8.1 SPCT Commissioner & providers to identify teenage mothers who smoke by working directly with the teenage pregnancy stop smoking co-ordinator and midwifery services


N/A Identify by April 2009

Identify target group of patients to inform direct provision of services as described below

8.2 SPCT Commissioner & providers to provide direct stop smoking support to assist the target group in stopping smoking, including staff training


N/A December 2011

Reduced level of smoking prevalence in teenage pregnant mothers to 20% by December 2011

8.3 SPCT Commissioner & providers to routinely collect data on the prevalence of smoking amongst teenage mothers in Surrey


N/A April 2009 Ensure accurate data on prevalence of smoking in target group

8.4 SPCT Commissioner – To commission health services to meet the needs of traveller population. This is to include updating needs assessment, designing service specification and procuring the new service as joint commissioning work

Director Strategy & Service Delivery (SPCT)


September 2009

A needs assessment available to inform a service specification for health services to traveller populations to be let to the market. New service in place by April 2010

8.5 SPCT/SCC CAMHS contract to be jointly reviewed. Refresh of

Director of Strategy & Service Delivery

CAMHS Policy & Development

Refresh needs assessment

New needs assessment available.

35


Responsible Person


Person


Required Outcome

CAMHS needs assessment, specification review, performance monitoring and reporting against current specification

(SPCT) (working through CAMHS Commissioning Group)

Manager (SCC) July 2009

Refreshed service specification based

on new needs assessment.

September 2009.

Evidence of current performance of

contract December 2008

Revised service specification available Tight performance management of CAMHS contract with KPIs reviewed by SPCT Performance Committee

8.6 SPCT and SCC to ensure SABP (CAMHS provider) implement improvements to CAMHS service in line with specification

Director of Strategy & Service Delivery (SPCT) (working through CAMHS Commissioning Group)

CAMHS Policy & Development Manager (SCC)

March 2009 Monitored through

quality contract monitoring.

Evidence of service improvements is monitored through contract quality meetings

8.7 SABP/SCC: Review role and function of CAMHS social workers. Implement CAMHS social workers providing consultation service to locality, assessment and complex needs teams

Community Special CAMHS Social Worker (SCC) & CAMHS Policy & Development Manager (SCC)


November 2008 Robust links between SCS teams and CAMHS. Clear understanding of referral pathways

8.8 CAMHS to provide dedicated Tier 3 service for children in care: a) Agree service model

Director of Strategy & Service Delivery (SPCT) (working

Interim Strategic Development Manager, Specialist

October 2008

Clear and streamlined referral pathway to CAMHS for children in care who have

36


Responsible Person


Person


Required Outcome

b) Identify resources and ring fence to support implementation

c) Agree implementation plan d) Operationalise service in

conjunction with Placement Stability Service

through CAMHS Commissioning Group)

Services (SCC)

January 2009

mental health issues. Mental Health needs of children in care are met

8.9 Primary Mental Health Workers in Placement Stability Service together with planned new dedicated CAMHS Tier 3 service support SCS to achieve appropriate CAMHS support for children in care placed outside of Surrey

Director of Strategy & Service Delivery (SPCT) (working through CAMHS Commissioning Group)

Interim Strategic Development Manager, Specialist Services (SCC)

January 2009 Children in care who are in out of county placements receive appropriate intervention from CAMHS service outside of Surrey local to where they are living

8.10 SPCT to benchmark LAC health service delivery against other similar populations to enable commissioning to national standard and according to need. This is to include both doctor and nurse provision



December 2008

Staffing resources that match levels elsewhere based on needs

8.11 SCHS: Review of Health Visiting establishment against need. Business case developed



April 2008

July 2008

Review completed Establishment levels agreed

8.12 To undertake an independent review of SPCT Children’s


Strategic Director for Children, Schools &

October 2008

Specification agreed

37


Responsible Person


Person


Required Outcome

Services workforce Families (SCC) December 2008

January 2009

Review undertaken Report available

8.13 SCHS Recruitment to new establishment levels in Health Visiting



2 additional HVs by January 2009.

4 additional staff

nurses by January 2009.

Review completed

January 2009.

Health Visitor levels are increased by 6 WTE from the baseline through an incremental programme of staff nurse recruitment and commissioning additional specialist practice training places Equitable levels of Health Visiting across the county

8.14 SPCT commissioners to ensure that all providers complete the following work detailed below to ensure commissioning of Therapy Services according to national standards

SCHS: Audit of therapy service provision across Surrey considering levels of deprivation and need compared to resource

Director of Market Management and Development (SPCT) Chief Operating Officer (SCHS)

N/A 31 March 2009

December 2008

Report to Governing Committee with recommendations for commissioning intentions by December 2008

8.15 SPCT Commissioners to ensure identification of gaps in school

Director of Market Management and

N/A By March 2009

38


Responsible Person


Person


Required Outcome

nursing service against the Choosing Health recommendations and recruitment to fill school nursing posts

SCHS: Review of School Nursing establishment against Choosing Health Baseline. Business case developed.

Development (SPCT) Chief Operating Officer (SCHS)

July 2008

By September

2009 12 additional Band 5 staff nurses

in post.

Recruitment has commenced

September 2008. After recruitment

has commenced it is projected 6 of these 12 to be in post by January

2009

Review completed Establishment increase of 24 School Nurses by September 2011. These will be a combination of band 5 posts supported by a minimum increase of 10 commissioned training places and Band 6 posts. Monthly tracking of vacancy levels against agreed establishment

8.16 In special schools there is a jointly agreed protocol for the administration of medicines


N/A December 2008 Protocol in place and is reflected in the SLA between Health and Children’s Services (SCC)

8.17 SPCT Commissioners: Surrey to undertake an audit and review of midwifery staffing levels using “birth rate” plus to assess providers



January 2009

Gaps in appropriate midwifery staffing levels across Surrey are understood. (Note – the implementation and any issues relating to the implementation of Birth rate

39


Responsible Person


Person


Required Outcome

plus will need to managed through the Maternity Network)

8.18 SPCT Commissioners to commission maternity services from acute providers following outcome of audit. To commission to national standards with clear action plans as to how they are implementing “maternity matters”



Year starting April 2009

Midwifery levels meet NICE guidance. Implementation of “maternity matters” standards for teenage and vulnerable mothers are built in to contracts To meet vital signs target 59% of pregnant women have contact with a maternity health professional within 12 weeks

8.19 SPCT Commissioner to finalise and implement the draft Perinatal Mental Health Strategy which is relevant to Maternity Matters and the Preventative Strategy



March 2009

September 2009

Strategy published Service specification developed and services procured.

40

JAR RECOMMENDATION NO. 9 Allocate partnership resources to ensure that services are sufficient to identify and meet the needs of children and young people with learning difficulties and/or disabilities, engaging parents, carers and children and young people in any service developments.

Relevant section in JAR report: Children and young people with learning difficulties and/ or disabilities Relevant weaknesses identified or comments made in JAR Report:

• Inconsistent and high thresholds for access to services. • Insufficient respite care, particularly for children with autism. • Insufficient access to appropriate housing. • The strategic partnership displays a good awareness of the needs of children with learning

difficulties and/or disabilities. However few explicit targets are set. • There are very good individual multi-agency models of working, such as the Team around the

Child, and the White Lodge assessment centre. These demonstrate effective child-focussed work. However, such models are not consistently provided across the county.

• Arrangements to provide services across the county are inequitable. There are few pooled budgets.

• Implementation of the common assessment framework has been slow. • Parents and teachers are confused about what is available and how to get it. Although the

authority produces many clear information leaflets, these are not always visible in community venues.

• Parents have difficulty understanding how to claim direct payments, although the number of claims is rising.

• Procurement arrangements for the voluntary sector are poorly defined and lack coordinated planning Children and young people with learning difficulties and/or disabilities have difficulty accessing out-of-school activities because travel arrangements do not always meet their needs.

• The cost of travel is a barrier to participation in education for disabled young people over 18, for whom travel and education are often not subsidised despite their status as benefit claimants. Courses for over-18s are thinly distributed across the county and journeys to access suitable training can be complicated and lengthy

• Young people with learning difficulties and/ or disabilities are particularly at risk through

41

inappropriate housing arrangements. • Poor work-based learning success rates and limited training opportunities at 19. • Key health specialist shortages, such as HVs, CAMHS specialists, OTs, S&L Therapists which

delay access to provision • Insufficient numbers of nurses to provide medication (Please refer to action plan for recommendation 8 above) • Few pooled budgets (Please refer to action plan for recommendation 19 below) • CAMHS thresholds to high/referral procedures are complex (Please refer to CAMHS Partnership/Provider JAR action plan)

Partnership Group: CYPCP, Transitions, Parents/ Carers Forum Lead agency: SCC Accountable: Acting Head of Children’s Service (SCC) RECOMMENDATION NO. 9- SUMMARY ACTION PLAN


Person


Person


Required Outcome

9.1 Develop, adopt and implement CYPCP integrated commissioning strategy for CLDD starting with Children with Complex Needs

Interim Strategic Development Manager Specialist Services (SCC)

Director of Public Health (SPCT/SCC)

Strategy developed March 2009

Consultation by September 2009

Implementation

from January 2010

Comprehensive and integrated strategy for the provision of 0-25 services to children and young people with learning difficulties and or disabilities to cover: • Needs assessment and

early identification • Service mapping • Eligibility and access

review • Clarity of entitlement and

42


Responsible Person


Person


Required Outcome

expected standards for parents and customers

• Alignment and or integration of commissioning budgets

• SEN transport • Consistent cross-county

service offer • Review of therapies and

other support available • Local market shaping

arrangements • Transition to adult services • Carers support and respite • Increased access to direct

payments • Integration of assessment

and provider services • Access to high quality

education, training and employment

• County-wide and area based governance arrangements

• Implementing the Aiming Higher Core Offer

43


Responsible Person


Person


Required Outcome

9.2 Develop Commissioning intensions for children with complex needs


December 2008 Clear set of commissioning intentions for children with complex needs

9.3 Vulnerable Groups: implement LSC Action Plan including development of data sets, workshops, increase E2E provision in NEET “hotspots “, introduction of Foundation Learning Tier and work with JCP

Partnership Director- HO (LSC)

Interim Strategic Director, Specialist Services (SCC)

November 2008 Achievement of LAA target and Increased participation and progression into sustainable employment

9.4 WBL: monitor and rationalise low performing provision where required. To increase capacity of network through adjustment of contracts in-year

Partnership Director- DW (LSC)


Review December 2008

Improved WBL performance and new provision

9.5 Adult Skills: promote accessibility of learning provision and IAG through the Adult Learner Accounts pilot starting January 2009

Partnership Director - VO (LSC)


Review progress December 2008

April 2009

Evaluation of pilot

9.6 Vulnerable Groups: develop LSC/JCP joint plan for geographical hotspots and work with colleges to ensure effective provision for LLDD groups



January 2009 Increased participation and progression into sustainable employment

9.7 Data: review provision of WBL data by 14-19 networks and further develop data on



December 2008 Improved data

44


Responsible Person


Person


Required Outcome

vulnerable groups 9.8 Awareness Raising: range of

activities to raise awareness of LSC funded initiatives including Apprenticeships, E2E and EMA



November 08 Increased awareness of LSC Initiatives and increased take up of WBL routes 16-19 in the longer term

45

JAR RECOMMENDATION NO. 10 Take steps to rapidly reduce the percentage of fixed-term and permanent exclusions of pupils with learning difficulties and/or disabilities

Relevant section in JAR report: Children and young people with learning difficulties and/or disabilities Relevant weaknesses identified or comments made in JAR Report:

• Inappropriate exclusions from schools of pregnant young women • School attendance is above national and local comparators for looked after children. While

overall attendance is above comparators, it masks some variability, with higher levels of absence at Years 10 and 11. Exclusions are also higher at Key Stage 4. Both of these factors contribute to poorer than expected educational outcomes in GCSE examinations.

Partnership Group: Learning Programme Lead agency: SCC Accountable: Head of Schools & Learning (SCC) RECOMMENDATION NO. 10- SUMMARY ACTION PLAN


Person


Person


Required Outcome

10.1 Develop, consult on and implement a preventative strategy for primary exclusions

Inclusion Manager (SCC)

N/A September 2009 Reduce exclusion target for reducing permanent exclusion of primary pupils in 2008/09

10.2 Introduce Surrey Alternative Learning Programme (SALP) in mainstream schools


N/A September 2009 Reduction in permanent exclusions in Key Stage 3 and 4

10.3 Work with schools to develop strategies for reducing permanent and fixed term exclusions for CLDD


N/A September 2009 Reduction in permanent and fixed term exclusions of pupils with CLDD

10.4 Develop alternative education Inclusion Manager N/A September 2009 Reduction in permanent and

46


Responsible Person


Person


Required Outcome

services to support special schools with pupils at risk of permanent exclusion

(SCC) fixed term exclusions from special schools

47

JAR RECOMMENDATION NO. 11 Ensure the availability of a well publicised, young people-centred contraceptive and sexual health advice service, with a strong remit to undertake health promotion work

Relevant section in JAR report: Other Issues - Teenage Pregnancy Relevant weaknesses identified or comments made in JAR Report:

• Insufficient GUM services appropriately targeted at young people • GUM & Contraceptive Services delivered as a separate function • One of the highest rates of Chlamydia in the South East with only 2.2% of target population

screened in 2007 Partnership Group: Teenage Pregnancy Group Lead agency: SPCT Accountable: Director of Public Health (SPCT/ SCC) RECOMMENDATION NO. 11- SUMMARY ACTION PLAN


Person


Person


Required Outcome

11.1 SPCT commissioner and providers to complete the sexual health needs assessment, building on the health equity audit including use of online public surveys, and focus groups with YP. (A stakeholder event on 22 October 2008 will inform this work)


Head of Services for Young People (SCC)

October 2008

April 2009

Complete sexual health needs assessment New Sexual Health Commissioning Strategy

11.2 SPCT commissioner and providers to achieve 100% GUM appointments to be offered within



April 2008

Maintain appointments at 100% within 48 hours and reduce gap between offered

48


Responsible Person


Person


Required Outcome

48 hours April 2009

and seen Gap <20% between offered and seen

11.3 SPCT Commissioners - SPCT to develop its sexual health website through engagement with YP



Re-launch 14 February 2009

User friendly with increased recorded access: clear clinic details and contact numbers

11.4 PCT to commission a mixed hub and spoke model for GUM and Contraceptive services to enable young people to have choice of services



April 2010

New service model in place: Services located in areas of greatest need/ where most access likely

11.5 Evaluate integrated service pilot for Genito-urinary and contraceptive services in East Surrey



December 2008 Review complete for both Caterham and Horley with recommendation on service model for East Surrey

11.6 SPCT commissioner: Chlamydia screening programme to meet target



April 2009

Revised systems in place by December

2008

To provide screening for the proportion of the population as defined by vital signs target

11.7 Schools and Learning, Four S to provide support to educational establishments for improved education about, and access to, sexual health services



July 2009

To address weakness: One of the highest rates of Chlamydia in the South East with only 2.2% of target population screened in 2007 Establishments have

49


Responsible Person


Person


Required Outcome

information regarding screening A greater percentage of the population access Chlamydia screening

11.8 Implement revised reporting of all Chlamydia tests, as announced July 2008. Monitored/reported through laboratories



Adopt by October 2008 with

retrospective use to optimise reporting

To maximise reporting of those accessing screening for Chlamydia

50

JAR RECOMMENDATION NO. 12 Ensure active local, co-ordinated engagement of all the key mainstream delivery partners in order to accelerate the rate of reduction in teenage pregnancy

Relevant section in JAR report: Other Issues - Teenage Pregnancy Relevant weaknesses identified or comments made in JAR Report:

• Absence of Housing Department representation on the Teenage Pregnancy Strategy Board • Inconsistent rate of reduction across Surrey boroughs and districts • High rates of termination with need to travel to access services • Inconsistent and limited sexual health services in rural areas for young people • Reluctance of some schools to engage with sexual health staff and allow sexual health

education, advice, counselling and contraceptive service delivery in the school environment. • Need to focus teenage pregnancy strategic approach to areas of high need as impact

inadequate/LAC vulnerable to teenage pregnancy • Need to relocate GUM clinic from SASH in 2008 • Low uptake of healthy schools programme

Partnership Group: Teenage Pregnancy Group Lead agency: SPCT Accountable: Director of Public Health (SPCT/ SCC) RECOMMENDATION NO. 12- SUMMARY ACTION PLAN


Person


Person


Required Outcome

12.1 Surrey Strategic Partnership Housing group to act a conduit for Teenage Pregnancy related housing issues



September 2009 To ensure Housing Department representation on the Teenage Pregnancy Strategy Board. Consistent engagement of

51


Responsible Person


Person


Required Outcome

Housing with teenage pregnancy issues

12.2 SCC / SPCT Commissioners Teenage Pregnancy Strategy Board information review



May 2008

To locate & understanding geographical issues for teenage parents for targeted action

12.3 SCC/ SCPT Commissioners: NCB evaluation of existing teenage pregnancy strategy and revision of current action plan



October 2008 To triangulate information base to inform revised strategy

12.4 SCC/SPCT Commissioners: Revised focussed teenage pregnancy strategy to be developed 2008-2009



Revised action plan for Board on 22 September 2008

Revise “smart" strategy

12.5 SPCT Commissioners: SPCT to review tender for termination services as part of annual contracting processes



April 2009

Review undertaken and termination services fit for purpose, as locally as clinically safe

12.6 SPCT Commissioners revise contract with TOP providers to include access to long acting reversible contraceptive methods



September 2008 Termination providers delivering contraception services with access to LARC & counselling

12.7 SPCT Commissioners: Needs assessment to consider geographical access to services using Stakeholder Engagement Day 22 October 2008



April 2009 Sensitive to geographical access issues for YP

52


Responsible Person


Person


Required Outcome

12.8 SCC/SPCT Commissioners and providers: to work with education and children’s services to optimise access for schools for training and support by specialist staff sensitively but pragmatically



Start October 2008

April 2009

December 2008

Optimal engagement with targeted schools Re-draft service specification to ensure optimal delivery of support around sexual health/sex and relationships education Re-draft service specification to ensure there is a named link sexual health clinician for each targeted school (in high teenage conception area) via PSHE school leads

12.9 SCC/SPCT Commissioners: to revise commissioning strategy to focus on areas and populations of high need with appropriate performance management thereof



September 2008

Re-draft service specification to ensure focus on areas of high need

12.10 SPCT Provider: Complete option appraisal for new accommodation for GUM clinic move from East Surrey Hospital



April 2010 Need to relocate GUM clinic from SASH in 2008. Favoured site found and estates work undertaken during 2008

12.11 All schools applying for National Healthy Schools Status to be

Consultant for PSHE & Healthy Schools

Director of Public Health (SPCT/

Start Autumn 2008 Review termly

Sexual Health staff confirm increased engagement in

53


Responsible Person


Person


Required Outcome

reminded of the requirement to have arrangements in place to refer children/young people to specialist services who can give professional advice on matters such as contraception and sexual health

(FourS) SCC) schools allowing sexualhealth education, advice, counselling and contraceptive service delivery in the school environment

12.12 Support visits to all secondary schools to confirm that the appropriate sexual health advice and services can be accessed appropriately by young people. Support visits also to confirm that signposting to the relevant services is given to young people via display materials, student diaries or website links on school intranets, etc.

Consultant for PSHE & Healthy Schools (FourS)


Start Autumn 2008 Review termly

School visits, pupil consultation and Healthy Schools support visits show that young people are aware of how to access appropriate sexual health advice and services

12.13 Research and evaluate current support given to young teenage mothers in school settings and review and revise protocols as necessary



Implementation Spring/ Summer

2009

Report completed Autumn 2009

Report to teenage pregnancy board summarises current support offered by schools and makes recommendations on school protocols to support teenage mothers

12.14 Secondary PSHE network meetings and healthy school cluster meetings to include



Autumn 2009 Minutes of meetings show that appropriate information has been shared with

54


Responsible Person


Person


Required Outcome

information on recommended actions by schools to ensure appropriate information and referral services are available to young people in school

teachers

12.15 Include reminders on national and local guidance to avoid inappropriate exclusions of pregnant young women in B&A school briefing



Summer 2009 Records of B&A briefings show that appropriate information has been disseminated No inappropriate exclusions of pregnant young women

12.16 SRE Education Adviser to ensure schools aware of appropriate protocols and guidance for supporting pregnant young women when advising on policy issues during support visits to schools and follow up



Ongoing Notes of visits show that appropriate information has been given. School SRE policies refer to agreed protocols

55

JAR RECOMMENDATION NO. 13 Ensure that a high priority is given to personal, social and health education (PSHE) in schools, with support from the local authority to develop comprehensive programmes of sex and relationships education (SRE) in all schools


• Reluctance of some schools to engage with sexual health services • Low uptake of healthy schools programme • The inconsistent rate of reduction in teenage pregnancy across the whole county. • Surrey has produced a series of detailed action plans that have lacked the resources to

enable full implementation and supporting analysis of overall impact. The current trend means that Surrey will not meet the government target to halve the rate of teenage pregnancy by 2010. The overall impact of the strategy is therefore inadequate.

• There are significant variations in identified localities, with, for example, a 32% reduction in teenage conceptions in Epsom and Ewell over the three years from 2004-06 but a rise in teenage conceptions of 21% in Surrey Heath over the same period.

• However, not all schools have a sex and relationships education policy in place, although the target is 100%.

Partnership Group: Teenage Pregnancy Group Lead agency: SCC Accountable: Head of Schools & Learning (SCC)


Responsible Person


Person


Required Outcome

13.1 Promote PSHE CPD course for teachers and community nurses and hold an extra initial training

Consultant PSHE & Healthy Schools (FourS)


From September 2008

Raised profile of PSHE in schools

56


Responsible Person


Person


Required Outcome

day in September 2008 to join the cohort that started in June 2008. Promote the SRE module as the preferred option

Schools using trained staff to deliver comprehensive programmes of PSHE including SRE and Drug Education Reduction in teenage pregnancies to meet National Target for Surrey of 40% reduction on 1998 baseline by 2011

13.2 Run the PSHE CPD course for participants other than teachers and nurses as a pilot programme from September 2008 to be extended from September 2009 -open to all those delivering a planned programme of PSHE in schools (e.g. community liaison officers, HLTAs, youth workers etc.)



Initiate September 2008

Raised profile of PSHE in Schools External contributors to PSHE (including SRE and Drug Education) have an accredited qualification recognised by the DCSF Standard of teaching and learning in PSHE improved

13.3 Audit all 26 non- Healthy Schools Programme schools to find out the reasons why and see if these can be overcome. To include 1- 1 visits with all non participating schools and follow up support


Autumn 2009 100% school on Healthy Schools Programme by December 2009

57


Responsible Person


Person


Required Outcome

13.4 Arrange a Healthy Schools twilight training session on SRE and Drug Education



Ongoing

Schools attending training sessions developed using comprehensive programmes of PSHE including SRE and Drug Education

13.5 Provide SRE updates on good practice for all PSHE network meetings and Healthy School cluster groups’ autumn 2008 and termly thereafter



Ongoing Good practice in teaching and learning in SRE and PSHE identified and disseminated

13.6 To review and re-focus SPCT/ provider support to healthy schools against need


Head of Schools & Learning (SPCT)

April 2009 Clearly defined service specification in place

13.7 SPCT providers: To support the Personal Social and Health education Course for teachers and community nurses through specialist input for training modules

SCHS Chief Operating Officer (SCHS)

N/A September 2008 More teachers and school nurses trained to deliver PSHE

13.8 Conduct an evaluation of PSHE provision in sample of 15 Secondary schools using National SRE Review to inform the themes to be considered, including: a) Teachers’ skills and

confidence b) Role of external professionals



Summer 2009 Comprehensive and detailed data on PSHE / SRE provision in Surrey schools

58


Responsible Person


Person


Required Outcome

and contributors c) Guidance, support and

resources used d) Pupil consultation e) Subject leadership

13.9 Use the findings from the above and the National SRE Review, to review curriculum guidance for schools and help schools develop comprehensive programmes of PSHE including SRE and Drug Education in line with the new secondary national curriculum guidance for PSHE Education and SEAL (Social and Emotional Aspects of Learning)



Spring - Summer 2010

Raised profile of PSHE in schools Schools using comprehensive programmes of PSHE including SRE and Drug Education

13.10 Ensure information on the recommendations for PSHE / SRE are disseminated to Head teachers, SIPs, Governors, Confederation managers etc.



Summer 2010 Raised profile of the importance of SRE and PSHE in schools

13.11 Organise High profile Surrey SRE conference for teachers and other providers of SRE in schools and other settings. Conference to ensure participants are fully briefed on good practice recommendations and Surrey’s



Autumn 2009 Raised profile of PSHE in schools Schools using comprehensive programmes of PSHE including SRE and Drug Education

59


Responsible Person


Person


Required Outcome

expectations of effective SRE delivery in schools

13.12 All Healthy Schools Quality Assurance Moderation visits for 2008 – 2010 to have a PSHE focus



Include PSHE in Healthy Schools

quality assurance visits from

September 2008 to July 2010

Moderation reports show schools using comprehensive programmes of PSHE including SRE and Drug Education

13.13 Promote Surrey Healthy Schools Enhanced Status to encourage schools that are providing the minimum provision for PSHE/SRE to take on projects that will ensure a much more effective programme addressing local needs



Launch July 2008 to commence Sept

2008

Raised profile of PSHE/SRE in schools

13.14 Ensure good practice case studies are promoted via the Surrey Healthy Schools website and termly newsletters



Raised profile of PSHE/SRE in schools

60

PART 2.2: RECOMMENDATIONS FOR ACTION OVER THE NEXT SIX MONTHS

JAR RECOMMENDATION NO. 14 Improve the quality of supervision and documentation relating to looked after children


• Variable quality and consistency of LAC care planning, management decision making and statutory documentation

Partnership Group: Corporate Parenting Lead agency: SCC Accountable: Acting Head of Children’s Service (SCC)


Responsible Person


Person


Required Outcome

14.1 Implement Supervision Policy and guidelines


N/A Devise systems by December 2008.

Roll-out to managers and staff

as part of Workforce

Development Programme from

January 2009

New procedures that support the implementation of best practice. Clarity over service eligibility, cases closure and business processes for staff Consistency of practice and service offer across the County. Compliance with procedures Managers supported on addressing capability issues

61


Responsible Person


Person


Required Outcome

over care practice 14.2 Supervision decisions to be

recorded on files Interim Strategic Development Manager, Children’s Provision (SCC)

N/A Guidelines sent to all social workers September 2008

All supervision decisions where there is a change of care plan to be recorded on file and monitored through audits by Area Childcare Coordinators

14.3 Review LAC procedures Interim Strategic Development Manager, Children’s Provision (SCC)


February 2009 Common standards across East and West for all LAC procedures–in line with statutory requirements and ICS

14.4 Supervision training for all Assistant Team Managers with responsibility for LAC


N/A Summer 2009 Consistent standards for social care supervision for all teams dealing with LAC

14.5 Exemplars of a good practice with LAC care plans distributed to teams



December 2008 Improved quality of LAC care planning

14.6 To make proposals on structural change


N/A April 2009 Ensure long-term sustainability of quality of LAC care planning

14.7 Continuous professional development of LAC care managers to be incorporated into Workforce Development arrangements


N/A April 2009 Ensure long-term sustainability of quality of LAC care planning

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JAR RECOMMENDATION NO. 15 Ensure that children and young people and their families have equitable access to a comprehensive range of preventative services and implement consistent multi-agency working arrangements and consistent thresholds for access to services


• Inconsistent provision of preventative services across the county

Partnership Group: CYPCP Lead agency: SCC Accountable: Acting Head of Safeguarding (SCC)


Responsible Person


Person


Required Outcome

15.1 Review balance of Family Support Workers to Social Workers at locality level

Interim Strategic Development Manager, Assessment and Localities (SCC)


December 2008 As an interim measure increase local preventative capacity

15.2 Review Children’s Fund commissioning priorities for allocating funding in 2009/10

Children in Need Commissioning Manager (SCC)


November 2008 Local area preventative services commissioned against set of agreed CYPCP local priorities

15.3 Information gathered about the location of services; information processed and entered into GIS

Senior Manager, Performance & Service Development Manager, Service Development (SCC)


October 2008 Audit of currently available services

15.4 Service map compared with Senior Manager, N/A November 2008 Identification and

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Responsible Person


Person


Required Outcome

information about known needs to identify likely gaps and/or inconsistencies in service provision


prioritisation of service gaps and further information mapping equipment

15.5 Run 4 CYPCP area conferences on Targeted Youth Support (0-19 years) – process mapping CYP delivery arrangements


N/A August 2008 Local practitioner s participating in identifying need and contributing to developing strategy

15.6 Develop Preventative Strategy for CYPCP agreement and implementation

Lead Manager Performance & Service Development, Families (SCC)


December 2008

Medium term strategy for consultation on developing and putting into place new preventative arrangements across universal and targeted services

15.7 Update Family Service Directory for use by practitioners with service mapping information


N/A Database availableJanuary 2009

(subject to procurement

approval)

Up to date directory of local services that can be used by practitioners as well as by parents/ carers, children and young people

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JAR RECOMMENDATION NO. 16 Allocate partnership resources to develop specialist respite care provision to reduce the shortfall especially for those with autistic spectrum disorder

Relevant section in JAR report: Children and Young People with Learning difficulties and/or disabilities Relevant weaknesses identified or comments made in JAR Report:

• Insufficient respite care, particularly for children with autism

Partnership Group: CYPCP & Joint Commissioning Lead agency: SCC Accountable: Acting Head of Children’s Service (SCC)


Responsible Person


Person


Required Outcome

16.1 SPCT Commissioner service: Develop joint commissioning intentions for children with complex needs



March 2009

Joint Commissioning intentions agreed

16.2 SPCT Commissioner: Joint commissioning intentions for children with complex needs to be signed off by CYPCP



March 2009

Framework signed off by partnership

16.3 In partnership ensuring the “core offer” of services is in place and a short breaks programme is developed. This work is to be jointly commissioned across SPCT and SCC according to

Director Market Management & Development (SPCT)


April 2009 Implementation of Aiming High standards resourced as appropriate to meet local needs

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Responsible Person


Person


Required Outcome

national guidance Note – this relates to recommendation

19 re integrated services 16.4 Provider services to work with

partner organisations to agree principles of consistent service delivery across the county. For example, the most complex children have access to a co-ordinator of care



March 2009 Principles agreed to ensure consistency of care, including respite care

16.5 Partnership to develop a short-break transformation delivery plan to secure significant funding for 2009-11 as set out in Aiming High for Disabled Children

Partnership to develop a specification to go out to tender for a range of specified short breaks for children and young people with complex needs to commence in 2009-10



December 2008

Initiate March 2009

Short breaks delivery plan developed Providers for short breaks programme identified and commissioned to deliver service

16.6 Ruth House – second unit to be operational to support Freemantles Schools (Mon-Thurs night)

Head of Residential Services (SCC)

N/A 8 September 2008 Increase provision of respite care particularly for children with Autism

16.7 Ruth House - Fully operational for Social Care respite at weekends


N/A October 2008 (half-term)

Increase in provision of respite care particularly for

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Responsible Person


Person


Required Outcome

and holidays children with Autism 16.8 Ruth House – opening of third

and fourth units. Head of Residential Services (SCC)

N/A December 2008and April 2009

respectively

Increase in provision of respite care particularly for children with Autism

16.9 Replacement for Wells House – a 6 bed purpose built children’s home for children and young people with learning and/or physical disabilities



Summer 2009 Increase in provision of respite care particularly for children with Autism

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JAR RECOMMENDATION NO. 17 Improve the performance of pathway planning and the percentage of personal advisers for care leavers, including improvement of the quality of guidance for care leavers to enable them to develop good independent living skills.


• Insufficient preparation of care leavers for independence • Not all care leavers have Pathway Plans and the proportion of young people with a personal

adviser is below the national average • Pathway planning is variable and some young people indicate that they receive insufficient

guidance in developing independent living skills • Most care leavers live in suitable accommodation, although the percentage has dipped to

86%, slightly below the national average

Partnership Group: Corporate Parenting Lead agency: SCC Accountable: Acting Head of Children’s Service (SCC)


Responsible Person


Person


Required Outcome

17.1 Complete transfer of care leaver support services from Rainer contract to in-house social care services

Integrated Services Manager– SW (SCC)

N/A 1 April 2008 Duties of underperforming contract transferred to in-house service

17.2 Implement performance reporting system

Senior Manager, Performance & Service Development,

N/A 23 February 2009 Regular reporting and actions against progress

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Responsible Person


Person


Required Outcome

Children’s Service (SCC)

17.3 Review and update/improve written guidance to care leavers on developing independence skills


N/A March 2009 Written guidance to care leavers on developing independence skills

17.4 Implement training and development programme as part of Workforce Development Strategy for Children’s Teams to ensure sufficient workers with relevant knowledge and skills to deliver high quality leaving care


N/A March 2009 Training needs audit identifies needs and staff are assigned to appropriate training

17.5 Implement regular audit of a sample of care leavers files against agreed standards


N/A March 2009 Files demonstrate compliance with standards

17.6 Recruitment of an additional PA to increase complement to 4 FTE PAs


N/A December 2008 PAs to work with other professionals to assist in ensuring that identified needs are reflected in the PEP\Care Plans, with emphasis on education and career guidance

17.7 Arrangements in place for monitoring and reviewing Care Plans\PEP on a multi-disciplinary

Independent Reviewing Officer

N/A Ongoing (reviewingcycle every 6

months)

Improved quality of care planning leading to improved quality of PEPs/

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Responsible Person


Person


Required Outcome

basis Care Plans 17.8 Review existing services for LAC

to develop flexible and integrated services for Care Leavers


N/A April 2009 Integrated service for children leaving care

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PART 2.3: RECOMMENDATIONS REQUIRING ACTION IN THE LONGER TERM

JAR RECOMMENDATION NO. 18 Provide sufficient support to enable looked after children to make good progress especially between Key Stages 3 and 4


• Too many looked after young people who do well at Key Stage 3 do not progress to realise their potential at Key Stage 4

• There is regular reporting to elected members and senior managers of educational outcomes with sharp analysis of attainment trends. However, there is less precision with regard to value added measures, for example, regarding those who are looked after whose attainment is below national curriculum levels.

• School attendance is above national and local comparators for looked after children. While overall attendance is above comparators, it masks some variability, with higher levels of absence at Years 10 and 11. Exclusions are also higher at Key Stage 4. Both of these factors contribute to poorer than expected educational outcomes in GCSE examinations.

• The proportion of care leavers with higher grade GCSEs has improved from 6.2% to 8.7% and is above available statistical comparators but below the national average

• The proportion of those who achieved at least one GCSE or equivalent has also improved to 47%, but remains below average.

• Whilst there is a policy that computers are provided for all looked after young people, some young people interviewed waited too long for laptops for college courses.

Partnership Group: Learning Programme Lead agency: SCC Accountable: Acting Head of Children’s Service (SCC)

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Person


Person


Required Outcome

18.1 Develop, adopt and implement a LAC Education Strategy

Interim Strategic Development Manager, Resources (SCC)


Develop Strategy for March 2009 and consultation and

implementation from April 2009

Comprehensive and integrated strategy to improve educational outcomes for SCC’s LAC to cover: • Admissions to Surrey

Early Years services and maintained schools

• Access to independent schooling where this can give the best outcomes

• Move towards zero exclusions policy

• Virtual School for LAC arrangements

• Targeted additional tuition • Tailored support through

Improving PEP management and quality

• Training needs and support of social care staff, foster carers and other staff working to support LAC in education

• Schools supported/challenged on

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Responsible Person


Person


Required Outcome

education of LAC • Effective deployment of

targeted SEN, EP, S&L, etc, services to support LAC in education and their carers

• Ensuring LAC are entered and prepared for exams

• Provision of Personal Computers and other tools for learning

• Post 16 education support to provide for ‘catch-up’ and access to vocational qualifications

• Celebrating and rewarding achievement

18.2 Strengthen Corporate Parenting arrangements

Interim Strategic Development Manager, Resources (SCC)

N/A March 2009 Greater support, scrutiny and oversight of educational outcomes

18.3 Appoint to Head teacher for

Virtual School Interim Strategic Development Manager, Resources (SCC)

N/A In post on 1 December 2008

Dedicated specialist resource to coordinate actions to improve LAC attainment

18.4 Review schooling and education support arrangements for all LAC placed out of county and or

Virtual Head teacher (SCC)

N/A March 2009 Ensure that all out of county LAC have good support

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Responsible Person


Person


Required Outcome

attending an out of county school Access to Surrey school and support systems where appropriate

18.5 Put into place targeted support arrangement for those LAC sitting GCSEs in 2009


N/A January 2009 LAC supported in achieving and or exceeding GCSE targets in 2009 Realising and or exceeding individual potential at Key Stage 3

18.6 Use an analysis of 2008 Key Stage attainment results to develop an attainment plan for each cohort for the 2009/10 academic year


N/A March 2009 LAC supported in achieving and or exceeding Key Stage targets in 2010

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JAR RECOMMENDATION NO. 19 Accelerate the pace and ambition of joint commissioning in order to integrate services that better meet identified need JAR RECOMMENDATION NO. 21 Address the balance of strategic and operational capacity in order to ensure the partnership is able to deliver effective and sustainable front line services

Relevant section in JAR report: Children and Young People with Learning difficulties and/or disabilities

Service Management Relevant weaknesses identified or comments made in JAR Report:

• Lack of pooled budgets • Inconsistent provision of services to children and young people with mental health needs • Failure to narrow the gap between children in universal services and those in targeted

services • Slow in developing key national and local requirements • (See section on CAMHS under recommendation 8)

Partnership Group: Joint Commissioning Development Board, CYPCP, CYPCP Executive Lead agency: SCC Accountable: Strategic Director for Children, Schools & Families (SCC)

RECOMMENDATION NOs. 19 & 21 - SUMMARY ACTION PLAN Actions Lead Agency

Responsible Person


Person


Required Outcome

19/21.1 To develop jointly agreed specification for external facilitation to support the

Strategic Director for Children, Schools & Families (SCC)

Chief Executive (SPCT)

October 2008 Specification issued

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RECOMMENDATION NOs. 19 & 21 - SUMMARY ACTION PLAN Actions Lead Agency

Responsible Person


Person


Required Outcome

development of a process for partnership working

19/21.2 To secure external facilitation to support the development of partnership working



November 2008

Facilitator appointed

19/21.3 Joint agreement on a process and timetable for taking forward agreement on the best model for partnership working and joint commissioning e.g. Children’s Trust, area partnerships, pooled budgets, joint posts



January 2009 Clear process agreed and in place

19/21.4 To establish a set of proposals for the best model to deliver partnership working and joint commissioning



April 2009 Proposals and best model of partnership working and joint commissioning agreed for implementation

19/21.5 To develop joint commissioning arrangements for children with complex needs



April 2009 Agreed commissioning intentions Agreed joint arrangements across CYPCP for the commissioning and provision of services to children with complex needs

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JAR RECOMMENDATION NO. 20 Develop the voluntary and community sector’s access, capacity and ability to play a clear and effective role in service commissioning and delivery

Relevant section in JAR report: Children and Young People with Learning difficulties and/or disabilities Relevant weaknesses identified or comments made in JAR Report:

• However procurement arrangements for the voluntary sector are poorly defined and lack coordinated planning.

• Voluntary and community sector agencies in Surrey report an increase in the complexity of cases they are being asked to support and voice a high level of dissatisfaction with the commissioning and contracting processes and a lack of consultation by the partnership with community groups regarding the range and type of provision required.

• Voluntary and community sector organisations report frustration that they are under pressure to provide increased services to children and young people with high-level need, without being sufficiently involved in service planning.

Partnership Group: Joint Commissioning Development Board & CYPCP Executive Lead agency: SCC Accountable: Lead Manager Policy & Public Affairs, Learning & Children’s Development, (SCC)


Responsible Person


Person


Required Outcome

20.1 Monthly meeting regarding joint VCFS funding and commissioning with joint partners, including SPCT

Senior Manager Policy & Public Affairs, Corporate & Communities (SCC)


August 2008 onwards

Coordinated approach to funding and commissioning

20.2 Assessment of corporate Voluntary/Community strategy

Senior Manager Policy & Public Affairs,


November 2008 Analysis of strategy completed

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Responsible Person


Person


Required Outcome

application to CYP services with leads from the sector to contribute to Partnership Strategy

Corporate & Communities (SCC)

(SPCT)

20.3 NAVCA (National Association for Voluntary & Community Action) pilot project to improve engagement with VCFS to increase influence in the work of the SSP

Senior Manager Policy & Public Affairs, Corporate & Communities (SCC)


March 2009 Improved engagement of sector in service planning and commissioning

20.4 New approaches to voluntary and community sector role in governance developed with sector and agreed at SSP

Lead Manager Policy & Public Affairs, Learning & Children’s Development (SCC)

Associate Director Strategic Partnerships (SPCT)

New approaches agreed and

incorporated in governance

arrangements 2008

Improved understanding and engagement of voluntary, Community & Faith sector

20.5 Clarify & communicate joint approach to Commissioning, Procurement, & Contract Monitoring for Children’s Services for Voluntary, Community & Faith sector, linked to development of wider joint commissioning strategy

Commissioning & Development Manager, Children’s Service (SCC)

N/A April 2009 Improved understanding and engagement of voluntary, Community & Faith sector

20.6 Review current contracted services and ensure all have clear, current contracts and service specifications in place that are in line with new approach and meet required standards

Commissioning & Development Manager, Children’s Service (SCC)

N/A April 2009 Improved standards and consistency in contracts and service specifications

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JAR RECOMMENDATION NO. 21 Address the balance of strategic and operational capacity in order to ensure the partnership is able to deliver effective and sustainable front line services

Relevant section in JAR report: Service Management Relevant weaknesses identified or comments made in JAR Report:

See recommendation no. 19 above

Partnership Group: CYPCP, CYPCP Executive Lead agency: SCC & SPCT Accountable: Strategic Director for Children, Schools & Families (SCC) RECOMMENDATION NO. 21- SUMMARY ACTION PLAN ACTIONS COMBINED WITH THOSE OF RECOMMENDATION NO. 19 ABOVE.

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PART 2.4: ADDITIONAL ACTIONS ARISING FROM JAR REPORT ADDITIONAL JAR ACTIONS: (not a formal JAR Recommendation see ‘Relevant weaknesses identified or comments made in JAR Report’ below) Relevant section in JAR report: Children and young people with learning difficulties and/ or disabilities

Looked After Children Teenage Pregnancy

Relevant weaknesses identified or comments made in JAR Report:

• Insufficient access to appropriate housing

Partnership Group: CYPCP Lead agency: SCC Accountable: Acting Head of Children’s Service (SCC) RECOMMENDATION NO. 22- SUMMARY ACTION PLAN


Person


Person


Required Outcome

22.1 Creation of a Housing Strategy Forum to review and monitor joint working arrangements re housing and young people and ensure effective links with cross agency strategies and plans (to incl. representation from district and borough Housing Need Managers, Supporting People, Teenage Pregnancy Service, Children’s Service, Rainer Leaving Care, Transition) with clear terms of reference and agreed membership

Development Manager, Behavioural & Social Inclusion (SCC)


Proposal finalised and CSMT

agreement October 2008

1 P

stP meeting held by

December 2008

Vulnerable young people effectively prioritised in housing strategies and nomination schemes Housing needs of vulnerable groups identified to enable future planning of options to address identified housing needs (See also 22.9 and 22.10.)

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Responsible Person


Person


Required Outcome

22.2 Review and secure agreement on revised joint protocols on housing for 16/17 year olds

Development Manager, Behavioural & Social Inclusion (SCC),

Surrey Housing Needs Managers (Surrey District & Borough Councils)

December 2008 April 2009

Draft by December 2008 Agreement and action plan finalised by March 2009 Action Plan jointly developed with Districts and Boroughs Implemented April 2009 onwards

22.3 Reviewing the leaving care protocol to ensure it is being implemented consistently


N/A December 2008 Leaving Care Protocol is reviewed with Rainer and updated where necessary to ensure consistency

22.4 Confirm Housing representation on Teenage Pregnancy Strategy Board

Development Manager, Teenage Pregnancy (SCC)


September 2009 Housing representation on Teenage Pregnancy Strategy Board

22.5 Joint training event to launch new protocols and annual update workshop(s) to review operation and effectiveness of protocol


N/A July 2009 Coordinate training with the two assessment teams and the local Housing Authority Officers

22.6 Review of existing young person’s emergency bed scheme a) Identifying type of support

available to young people in emergency bed spaces for LAC, CLDD

b) Increase support available

Integrated Services Manager- SW (SCC)


July 2008 Emergency Bed project reviewed Vulnerable young people provided with appropriate support in emergency housing placements

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Responsible Person


Person


Required Outcome

to those using beds (Supporting People funding)

c) Review access arrangements and funding arrangements

Reduced use of Bed & Breakfast

22.7 Review housing provision and associated support available for teenage parents. DCSF bid with Epsom and Ewell and Mole Valley for provision in the East. Audit done with Supporting People and supported living providers



December 2008

EoI by 1 September 2008 to start January 2009.

Up to date list of all available accommodation and support especially for teenage parents DCSF bid by Children’s Services and two Local Housing Authorities for ‘Supported Housing for Teenage Parents’

22.8 Develop system to identify Housing needs prior to transition for young people with LDD



March 2009 Protocol in place with Complex Needs teams to identify housing need and its management

22.9 Update the County’s Accommodation Strategy for Vulnerable People to address the needs of young people with learning difficulties and/or disabilities who are particularly at risk through inappropriate housing arrangements

Surrey Supporting People Manager


March 2009 Revised Accommodation Strategy

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Responsible Person


Person


Required Outcome

22.10 Joint training for staff working with LDD


N/A May 2009 Coordinate training with Complex Needs Team

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PART 3: KEY TO ACCOUNTABLE/ RESPONSIBLE PERSONS Title used in document Name Organisation Acting Head of Children’s Service Jim Leivers SCC Acting Head of Safeguarding Kathy Bundred SCC Acting Head of Shared Services Sergio Sgambellone SCC Integrated Services Manager – NE (North East) Janet Forster SCC Integrated Services Manager – SW (South West) Simon Slater SCC CAMHS Policy & Development Manager Angela Sargeant SCC Chief Operating Officer Jacqui Smart SCHS Children in Need Commissioning Manager Anna Lubelska SCC Commissioning & Development Manager, Children’s Service Sandy Thomas SCC Communications Director Helena Reeves SPCT Communications Manager Matt Burrows SCC Community Special CAMHS Social Worker Brenda De Lord SCC Consultant PSHE & Healthy Schools Liz Griffiths Four S Development Manager, Behavioural & Social Inclusion John Hopkins SCC Development Manager, Teenage Pregnancy Emmanuel Edet SCC Director of Human Resources Vanessa Birchall Scott SPCT Director of Market Management & Development John Blakesley SPCT Director of Public Health Ruth Milton SPCT/ SCC Director of Strategy & Service Delivery Kay MacKay SPCT Head of Human Resources & Organisational Development Carmel Millar SCC Head of Procurement & Contract Management Julie Fisher SCC Head of Residential Services Lance Miles SCC Head of Schools & Learning Nick Wilson SCC Head of Services for Young People TBC SCC Inclusion Manager Jane Clarke SCC Interim Strategic Development Manager, Children’s Provision Yolanda Corden SCC Interim Strategic Development Manager, Localities & Assessment Margaret Dennison SCC Interim Strategy Development Manager, Resources TBC SCC

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Interim Strategic Development Manager Specialist Services (SCC) Ade Adetosoye SCC Involving Young People Manager Chris Bussicott SCC Lead Manager Performance & Service Development, Families Sean Rafferty SCC Lead Manager Policy & Public Affairs, Learning & Children’s Development

Frank Offer SCC

Lead Project Manager, ICS Mark Wheeler SCC Partnership Director- DW David Wales LSC Partnership Director- HO Hillary Omissi LSC Partnership Director - VO Viv Ottaway LSC Performance & Service Development Manager, Service Development

Morag Dowds SCC

Programme Manager, Improving Practice Group Pam Rowe SCC Senior Manager, Performance & Service Development, Children’s Service

Joanna Simms SCC

Senior Manager, Performance & Service Development Manager, Service Development

Alan Sparks

SCC

Senior Manager Policy & Public Affairs, Corporate & Communities Monica Wambu SCC Strategic Director for Children, Schools & Families Andy Roberts SCC Surrey Housing Needs Managers All Surrey District & Borough Councils Surrey Safety Children’s Board Training & Development Manager Angie Tregoning SCC Team Manager Childcare Support Julia Slater SCC Virtual Head teacher TBC SCC

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PART 4: GLOSSARY OF TERMS CA

Core AssessmentCAF Common Assessment Framework CAMHS Child and Adolescent Mental Health Service CIN Children in NeedCLDD Children with learning difficulties and/or disabilities

CP Child ProtectionCPD Continuing Professional DevelopmentCRB Criminal records Bureau CSMT Surrey County Council’s Children’s Services Management Team CYP Children and young people CYPCP Children and Young People’s Commissioning Partnership in Surrey DCSF Department for Children, Schools and Families

DoH Department of HealthE2E Education to Employment programmes EMA Educational Maintenance AllowanceEMT Executive Management Team (SPCT) EP Educational PsychologistESR Electronic Staff Record FTE Full Time Equivalent GCSE General Certificate of Secondary Education GIS Geographic Information System GUM Genito-Urinary Medicine HCC Health Care Commission HLTA High Level Teaching Assistant

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HV

Health VisitorIA Initial AssessmentIAG Information, Advice and Guidance ICS Integrated Children’s System IMR Internal Management Review JAR Joint Area Review JCP Job Centre Plus KPI Key Performance Indicator LAA Local Area AgreementLAC Looked After Children LARC Long acting reversible contraceptive LDD Learning Difficulties and/or Disabilities LLDD Learners with learning difficulties and/ or disabilities LSC Learning and Skills Council LYP Listening to Young People NAVCA National Association for Voluntary & Community Action NEET Not in Education, Employment or Training NHS National Health Service NICE National Institute of Health and Clinical Excellence

OT Occupational Therapist PA Personal Adviser

PASA SPCT’s Purchasing and Supplies Agency PCT Primary Care TrustPEP Personal Education Plan PET Professional Executive Team (SPCT)

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PSHE Personal, Social and Health Education SABP Surrey and Borders Partnership SALP Surrey Alternative Learning Programme SAP This is the councils principle IMT system for finance, Human Resources and procurement SASH Surrey and Sussex Healthcare NHS Trust SCC Surrey County Council SCHS Surrey Community Health Services SCR Serious Case Review SCS Social Care Services SEAL Social and Emotional Aspects of Learning SEN Special Educational Need SHA Strategic Health Authority SIP School Improvement Partner S&L Speech and Language SLA Service Level Agreement

SPCT Surrey SPCTSRE Sex and Relationship Education SSCB Surrey Safeguarding Children Board TOP Termination of Pregnancy VCFS Voluntary, Community & Faith sector WBL Work based learning WTE Working time equivalent

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