NHSCT Family Support Hubs Report Card

Annual Report Card 2016/17

July 2017

How much did we do? 1 Performance Measure 1: No of Families, Children & Parents Referred through Family Support Hubs 2016/17

Throughout 2016/17 there were 1148 families referred through family support hubs . This is an increase of 251 from last years total of 897 families.

Q1 Q2 Q3 Q4

Number of FamiliesReferred

320 246 276 306

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Child / Children (C) 320 263 310 402

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No. of Children Referred - 2016/17

Q1 Q2 Q3 Q4

Parent / Parents (P) 259 78 104 81

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No. of Parents Referred - 2016/17

2015/16 2016/17

Families 897 1148

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No. of Families Referred 2015/16 & 2016/17

2015/16 2016/17

Children 995 1295

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No. of Children Referred 2015/16 & 2016/17

2015/16 2016/17

Parents 301 522

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No. of Parents Referred 2015/16 & 2016/17

How much did we do? 2 Performance Measure 2: Children Referred by Age Profile 2016/17

The 5-10 age range has consistently been the highest age group for referral throughout 2016/17. This is the same as the regional report.

0-4 age range 5-10 age range11-15 age

range16-17 age

range

Q1 51 116 112 41

Q2 38 104 96 25

Q3 64 114 100 32

Q4 69 154 138 41

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17%

38%

34%

11%

% Children Referred by Age Profile 2016/17

0-4 age range

5-10 age range

11-15 age range

16-17 age range

222

488 446

139

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0-4 age 5-10 age 11-15 age 16-17 age

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How much did we do cont’d….? 3

Throughout 2016/17, Children with a Sensory Disability had the highest number of referrals throughout NHSCT. This is different from the regional position which is consistently learning disability.

Children Referred with a Disability 2016/17

Performance Measure 3: Children with a Disability Referred - 2016/17

Q1 Q2 Q3 Q4

Sensory 33 8 41 42

Learning 12 27 11 13

Physical 12 8 6 7

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Physical Learning Sensory

Total 33 63 124

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17%

83%

Children with a Disability = 220 (17%) of the Total Children Referred = 1295 had a disability.

How much did we do cont’d….? 4 Performance Measure 4: Household Composition - 2016/17

In the Northern area the household composition Home with both parents (504) and Lone parent families (511) are similar in 2016/17. There is a large decrease in one parent plus partner from 242 to 112 in 2016/17. With Guardian having increased from 7 to 12 and Kinship Carers from 4 to 8.

Home (bothparents)

Home (oneparent)

Home (oneparent +partner)

Guardian Kinship Carer/sNot Disclosed

Q1 134 155 24 0 6 1

Q2 109 108 26 3 0 0

Q3 122 127 25 2 0 0

Q4 139 121 37 7 2 0

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504 511

112 12 8 1

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Home (oneparent)

Home (oneparent +partner)

Guardian Kinship Carer/s Not Disclosed

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How much did we do cont’d….? Performance Measure 5: Main Presenting Reasons for Referral - 2016/17

5

The main reason for referral was Emotional Behaviour Difficulty (EBD) for primary school age children at 296 followed closely by EBD post primary at 254. This is the same as the top reason in the regional report, with Counselling services for children/young people and EBD pre-school children also in the top eight reasons in the Northern area.

EBDsupport for

primaryschool

children

EBDsupport for

postprimaryschool

children

Counselling services

forchildren/y

oungpeople

EBDsupport forpre-school

children

Parentingprogrammes/parenting support

Emotionalsupport for

child(bullying,

separationetc.)

EBDsupport for

parents

AdultMentalhealthIssues

2016/17 296 254 105 102 64 60 42 38

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How well did we do it? 6 Performance Measure 6: Families Referred that were Accepted & Signposted, Above Tier 2 or Other Reasons for Outcome of Referral- 2016/17

Performance Measure 7: Outcome 4 weeks achieved / Not Achieved – 2016/17

Q1 Q2 Q3 Q4

Achieved 320 246 276 306

Not Achieved 0 0 0 0

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All the referrals to Hubs were processed within 4 weeks in the Northern Area. This ensures families receive a timely response to their immediate needs from the Hub Co-ordinator.

Q1 Q2 Q3 Q4 Total

Families Referred 320 246 276 306 1148

Accepted and Signposted 234 188 218 220 860

Signposted but family did not engage 17 10 5 2 34

Above Tier 2 (Inappropriate Referral) 22 8 20 34 84

Further Information Requested 47 31 32 50 160

Unable to meet needs of Referred Family 0 9 1 0 10

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How well did we do it cont’d……? Performance Measure 8: Total Percentage of Referrals by Referral Agency - 2016/17)

7

In the Northern Area GPs are the key referrers, followed by Single Point of Entry (Referral Gateway) and referrals from Paediatricians. In the last year the combined total of Single Point of Entry (Referral Gateway) and Locality Gateway has reduced from 43% of referrals to 25%. Referrals from Paediatricians have increased from less than 1% to 12% of the total referrals. Self –referrals in the Northern area have increased from 2% to 4%. Regionally Self-referrals and GPs are the key referrers.

23%

15%

12% 10%

10%

7%

7%

4%

4%

3% 2%

1% 1% 1%

GPs

Single Point of Entry (ReferralGateway)

Paediatrician

Gateway

Health Visitor

School

CAMHS

Education Welfare Service

Self referral

Re-Referral

Adult Mental Health Services

Community organisation

Family SupportInterventions Team

Voluntary organisation

How well did we do it cont’d…….? Performance Measure 9: Number of Parents / Children referred who did and who did not take up the service offer 2016/17

8

The vast majority(97%) of parents and children took up the service.

Q1 Q2 Q3 Q4

Number of children/ parent referred onwho took up the service offer

231 276 347 361

Number of children/ parent referred onwho did not take up the service offer

17 13 6 4

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Performance Measure 10: 10 Standards ?% Fully Implemented ?% Partially Implemented – 2016/17

How well did we do it cont’d……?

Standard 1. Working in PARTNERSHIP is an integral part of Family Support. Partnership includes children, families, professionals and communities

Standard 2. Family Support Interventions are NEEDS LED (and provide the minimum intervention required)

Standard 3. Family Support requires a clear focus on the WISHES, FEELINGS, SAFETY AND WELL-BEING OF CHILDREN

Standard 4. Family Support services reflect a STRENGTHS BASED perspective, which is mindful of resilience as a characteristic of many children and families lives

Standard 5. Family Support is ACCESSIBLE AND FLEXIBLE in respect of location, timing, setting and changing needs, and can incorporate both child protection and out of home care

Standard 6. Family Support promotes the view that effective interventions are those that STRENGTHEN INFORMAL SUPPORT NETWORKS

Standard 7. Families are encouraged to self-refer and MULTI-AGENCY REFERRAL PATHS are facilitated

Standard 8. INVOLVEMENT OF SERVICE USERS AND PROVIDERS IN THE PLANNING, DELIVERY AND EVALUATION of family support services in practised on an on-going basis

Standard 9. Services aim to PROMOTE SOCIAL INCLUSION and address issues around ethnicity, disability and urban/rural communities

Standard 10. MEASURES OF SUCCESS are built into services to demonstrate that interventions result in improved outcomes for service users, and facilitate quality assurance and best practice

9

All 5 Hubs in the Northern Outcomes Group area have implemented the 10 Standards and have action plans in place to further develop the Hubs to ensure access to services for families. This includes awareness raising events and identifying services in the community that can provide timely support for children, young people and families.

Family samples

Is anyone better off? 10

Family A Lone parent of a 10 year old boy with behavioural difficulties. He was referred by the Hub to an appropriate service .His mother welcomed the support identified by the hub and engaged with the service for 11 months. Her son struggled to engage initially, however he eventually engaged with work and has made positive changes to his behaviour. The family no longer require ongoing support. Family B Referral was received by the Hub from Gateway. There had been a breakdown in the Family and mum engaged with a domestic abuse organisation for a period of time and was also offered other supports. She now feels she can cope on her own. Family C Lone parent with 3 children , 1 adult son with a severe disability, a teenager and a 9 year old. They needed help with housing and emotional and behavioural support for the primary school age child. They received help through the hub from a food bank with food parcels and a home visit as well as referral to a housing organisation and the community family support programme.