All children are equal…..but outcomes are not. Peter Lauener Director, Local Transformation DCSF

1. All children are equal…..but outcomes are not. Peter LauenerDirector, Local TransformationDCSF Health inequalities conference 20 May 2008

2. “children wish for so much but can arrange so little of their own lives which are so often dominated by adults without sympathy for children’s priorities ” Bruno Bettleheim, recollection and reflections (1990)

3. Positive Contribution Economic Wellbeing Enjoy & Achieve Stay Safe Be Healthy National Indicator Set Local Area Agreements CSR07 Performance Framework PSA 10 & 11 Raise educational achievement and narrow achievement gap PSA 9 Halve child Poverty by 2010. Eradicate by 2020 (HMT) PSA 14 Increase the number of CYP on the path to success PSA 12 Improve the health and wellbeing of CYP PSA 13 Improve CYP safety

4. Outcomes for looked after children • 60,000 looked after at any one point in time • two thirds in foster care • 66% looked after as a result of abuse or neglect • half 5-17 yr olds with a mental health disorder • (4 times higher than all children) • 46% of children in prison have been looked after • one in ten children in care attained 5 good GCSEs • in 2005, compared with more than half of all • children • 6% of 19 year olds go into higher education • compared with 40%+ of all young people

5. Many of the major challenges for children’s health in England are particularly problematic for children from more disadvantaged backgrounds And while these conditions may not always be more prevalent in poorer families, poorer families often find them harder to manage

6. Top 20 most commonly proposed national indicators where there is a match between Government and local areas’ priorities in Local Area Agreements

7. Top 10 Indicators for children in LAAS • NI 117 – 16 to 18 year olds who are not in education, employment or training (NEET) = 115 • NI 112 – Under 18 conception rate = 108 • NI 56 – Obesity among primary school age children in Year 6 = 98 • NI 120 – All-age all cause mortality rate = 88 (DH indicator, with a DCSF interest) • NI 110 – Young people's participation in positive activities = 77 • NI 111 – First time entrants to the Youth Justice System aged 10 – 17 = 74 • NI 19 – Rate of proven re-offending by young offenders = 48 (MoJ indicator, with a DCSF interest) • NI 116 – Proportion of children in poverty = 48 • NI 51 – Effectiveness of child and adolescent mental health (CAMHs) services = 43 • NI 79 – Achievement of a Level 2 qualification by the age of 19 = 36

8. Integrated Working • Children’s Trusts “to have in place by 2010 consistent high quality arrangements to provide identification and early intervention for all children who need additional help” • Essential features • targeted early intervention services integrated with universal settings, e.g. through multi-agency teams in and around schools • more specialist services easily available and accessible from universal settings • processes and pathways connecting up services, e.g through embedding the CAF • schools and other universal settings knowing the children they work with and, if necessary, assessing needs though CAF and engaging targeted/specialist services • universal settings and staff in wider services working together to provide joined up support coordinated by a lead professional

9. Children’s Trusts Universal Targeted Specialist 0 19 a continuum of support and opportunity

10. Children’s Trusts Health Early Years and Children’s Centres Schools Youth Services Universal Targeted Specialist Specialist Services 0 19 a continuum of support and opportunity

11. TAC Third sector Workforce Lead Professionals ContactPoint CAF Parents Children’s Trusts Health Early Years and Children’s Centres extendedSchools integrated Youth Services Universal multi-agency locality teams Targeted Specialist Specialist Services 0 19 a continuum of support and opportunity

12. Integrated Working

13. Key Delivery Challenges • Improvement Support – where it’s needed with the right expertise • School of the 21st century • Co-location of services and integrated working • Development of the whole children’s workforce • Children’s Trusts • Better commissioning