Integrated systems conception to five
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Integrated Systems, conception to five. eif.org.uk. @TheEIFoundation. The Early Intervention Foundation. Integrated Systems for EI -conception to five. What makes an effective integrated system? OBR review, effective systems Initial review on programmes Outcomes

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Integrated systems conception to five

Integrated Systems, conception to five

eif.org.uk

@TheEIFoundation

The Early Intervention Foundation


Integrated systems for ei conception to five

Integrated Systems for EI -conception to five

  • What makes an effective integrated system?

  • OBR review, effective systems

  • Initial review on programmes

  • Outcomes

  • Data collected by completion of template, follow up calls, three deep dives

  • 18 Places identified this as a priority

  • 14 returned completed templates/accepted offer of a phone interview

Account-ability

Commissioning planning

Programmes

Delivery

Support

Systems

Workforce

User


Integrated models

Integrated Models

Range of models

  • Children Centre based, a number are reviewing commissioning of CC

  • Locality teams

  • Virtual/co-located

    Workforce / Management Structures

  • VCS, EI, family support, HV,MH support, Job centre plus in CC

  • Most of HV now based in community, Worcestershire currently based in GPs surgeries

  • Swindon - Single management structure, HV, FNP, SALT, SN, education welfare, Ed Psych, TAMHS, families first. Locality teams


Delivery

Delivery

Identification & Assessment

  • All Places had the basis of a CAF process to assesses need across partner agencies

  • Birth data

  • Essex, Herts, Solihull - 2 year entitlement

  • Essex – developed CAF to Family Facilitated Meeting

  • Hertfordshire – Team Matters Meeting to discuss CAFs

  • Westminster review families of concern at a monthly meeting between health and CC, including 2 year development review

  • 2 Places referred to the quality assessment of CAF process

    Access to Interventions

  • TAF approach to integrated interventions

  • Single point of access

  • Essex - Early Help Hub


Support systems

Support Systems

Current position

  • Integrated information IT sharing systems very limited

  • 9 Places had local information sharing agreements and processes in place to share live birth data

  • Individual info shared through CAF process was more common

    Examples of promising practice

  • Herts - use of NHS number by CCs for 2,3, and 4yr olds free place

  • Swindon - access to IT systems

  • Dorset - locally developed eCAF

  • Islington - additional info shared with CC on housing and benefits


Lessons learnt what places have told us

Lessons learnt – What Places have told us

CommunicationCulture

Leadership

Time

Cultural change takes time

Common vision and outcomes

Data sharing is crucial

“Hearts and Minds” careful consistent communication across teams

Leadership, commissioning, operational

Effective partnership

persistently revisit and define basic principles of integration e.g. shared outcomes, governance, tools, protocols and user pathways.

Build professional trust, team building, acknowledge expertise

Manage independencies when with whole system change


Barriers

Barriers

  • Data sharing

  • Present accountability and governance arrangements predominantly drive organisations and reduces focus on integration

  • Capacity of workforce

  • limited joint training opportunities

  • Capacity for development and evaluation

  • Fragmentation of commissioning, Range of employers

  • Financial remodelling required

  • ICT

  • Difficulties arising from co-location in some areas such as H&S issues for infection control

  • Lack of GP involvement in 0-5 integration

  • During health transition 2012 a number of previous agreements lost, info sharing, commissioning and some co-location


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