Lorraine Ronan Head of Health and Wellbeing &

Presentation to Winchester District Health & Wellbeing Board 18th December 2014 Supporting Families in the Winchester DistrictReflections on Phase 1 and Plans for Phase 2 Lorraine Ronan Head of Health and Wellbeing & Senior Responsible Officer (SRO) for Winchester Supporting Families Programme

Aims of the programme Implementation of Phase 1 in Winchester Key learning points Planning for Phase 2 – Jan 2015 Questions I’ll be covering….

Government’s response to civil unrest 2011 Hampshire given target of identifying 1,590 families over 3yrs 2012/15 – Winchester target 83 families. Currently 3 criteria used to identify families: Youth crime/anti social behaviour. Poor school attendance or exclusion from school. Member of the family claiming an out of work benefit. Payment by Results programme Emerging evidence that positive family outcomes are sustainable one year on – 90% for youth crime/ASB and education attendance/exclusions Aims of the Programme

Local Coordination Group (LCG) established: Strategic – quarterly meetings Operational – six weekly meetings Local branding – no mention of ‘troubled’! Programme Coordinator in post since Jan 2014 Clearly understood ‘bottom up’ process to identify families Lead Agency role – confidence & understanding growing Cases held locally or nominated to ‘Transform’ (Intensive Family Support Service) Constant monitoring to track progress Phase 1 implementation in Winchester

Current cohort – 84 families and growing Partner engagement – building relationships & trust New ways of working, whole family approach Funding - intervention & reward Awareness & understanding increasing – but still some gaps Making positive progress Progress to date

67% WCC tenants 26% Housing Association tenants 7% other e.g. private rented, owner occupier, travellers 45% live in Stanmore, Winnall, Highcliffe & Weeke - the majority in Stanmore) 22% southern parishes 19% other Winchester wards 14% northern parishes Family profile

Building understanding, relationships & trust takes time – cannot be done via email! Trying to move away from old ‘silo’ mentality in constantly changing environment – organisational ‘churn’ ‘Whole’ family approach – challenging for some practitioners General recurring themes – domestic abuse (often child on adult), mental health (incl. self-harm), substance/alcohol abuse It’s not just about chasing the money! Coordinator role is crucial Key learning points from phase 1

1st wave of early starters started on 1 September 2014 – several weeks before guidance issued! DCLG have formally invited Hampshire to start in 2nd wave on 1 January 2015 Phase 2

Phase 2 target 5,560 families up to 2020 • 2015/16 target 1,112 families • The £4,000 for each family in Phase 1 will fall to £1,800 per family in Phase 2 with £800 reward instead of the current average of £1,600. • Actual target for Winchester to be confirmed shortly Number of families & money

Three current headings will be expanded to 6 with measurable criteria feeding into them. 29 ‘suggestions’ by Government! • Families will need to meet criteria under at least 2 headings • Detailed criteria have to be agreed locally within a ‘Troubled Families Outcome Plan’ (TFOP) Scope of Phase 2

By the start of Phase 2 we have to agree the criteria we will be using under each of the 6 Headings within a Troubled Families Outcomes Plan (TFOP) • Criteria MUST be measurable – evidence of sustained improvement vital • Agreed locally to aim for no more than 2/3 criteria under each heading – couldn’t cope with 29! Troubled Families Outcome Plan

3 current headings remain largely unchanged, albeit slightly expanded: Crime/ASB School attendance Adults out of work Phase 2 - details

3 new additional headings: 4. Families affected by domestic violence/abuse 5. Parents & children with a range of health problems 6. Children who need help Phase 2 – new headings

A widening of the current youth crime/anti social behaviour criteria to include adult offenders within families on a Community Order and those in the last part of a custodial sentence • Suggested indicators: ASB, youth or adult offending • Suggested outcome measures: reduced offending, compliance with licence, reduced ASB 1. Parents & children involved in crime/ASB

Largely unchanged from current criteria (85% or worse school attendance, 3 or more fixed term exclusions or permanently excluded) • Suggested indicators: school attendance or exclusion • Suggested outcome measures: school attendance above 85%, reduced exclusions 2. Children not attending school regularly

A broadening of the current criteria to include young people at risk of worklessness. • Family members entering and sustaining employment for six months remain a reward which can be claimed in its own right. • Suggested indicators: families at risk of eviction or unmanaged debts, adults out of work, young people at risk of becoming NEET (not in education, employment or training). • Suggested outcome measures: adults in work, young people EET, secured tenancy and/or managed debt. 3. Adults out of work or at risk of financial exclusion & young people at risk of worklessness

Hotly anticipated addition due to the prevalence of this issue both locally and nationally. DA by young people a worrying trend. • Suggested indicators: victims of DV/DA, perpetrators (adults or young people) of DV/DA. • Suggested outcome measures: reduced number of reported domestic incidents, sustained Perpetrator support/engagement, reduced risk to victims. 4. Families affected by domestic violence & abuse

Includes parents with mental health/substance misuse issues – DCLG guidance suggests a focus on new mothers? Can also include families with ‘unhealthy’ behaviours e.g. obesity/malnutrition. • Suggested indicators: adults or children with mental health problems, adults or children with substance or alcohol problems, obesity & malnutrition concerns. • Suggested outcome measures: improved physical & mental health, sustained support/engagement with alcohol/substance misuse treatment programmes. 5. Parents & children with a range of health problems

Very broad heading but can easily be linked to the new Early Help offer. We also want to use this heading to target families with pre-school children who are failing to thrive & young people who go missing. • Suggested indicators: Early Help Hub cases, pre-school children who are failing to thrive, children going missing. • Suggested outcome measures: improved EH outcomes, increased Early Years Foundation Stage (EYFS)/health check score, reduction in MISPER 6. Children who need help

In order to claim, success will need to be shown against each of the headings the family met upon entry to the programme • So, if family meets at least 1 criteria under each of the 6 headings, progress will have to be demonstrated against all 6! Reward claims

Winchester LCG well placed to respond to Phase 2 • No longer a ‘programme’ – need to embed the practices developed in Phase 1 into the mainstream • Considerable challenge which requires the support of all partners – statutory & voluntary sector • Half day Phase 2 Stakeholder Event planned for Jan 15th starting at 9.30 am The way forward

Link to HCC web pages for Supporting Families programme: http://www3.hants.gov.uk/childrens-services/families/supporting-troubled-families.htm Further information

Lorraine Ronan – SRO Winchester District Tel: 01962 848369 Email: lronan@winchester.gov.uk Secure email: lronan@winchester.gcsx.gov.uk Bee Ambrose – Programme Coordinator Tel: 01962 848116 Email: bambrose@winchester.gov.uk Secure email: bambrose@winchester.gcsx.gov.uk Key contact details

Any questions?

Lorraine Ronan Head of Health and Wellbeing &amp;