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Children’s Wellbeing Stakeholder Event 11th April 2014. Introduction and Housekeeping Jo Davidson: Director of Children’s Wellbeing. Access to Information and Advice for Families and Professionals Les Knight: Head of Additional Needs. Family Information Service –

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Children’s Wellbeing

Stakeholder Event

11th April 2014

Introduction and Housekeeping

Jo Davidson:

Director of

Children’s Wellbeing

Access to Information and Advice for Families and Professionals

Les Knight:

Head of Additional Needs

Family Information Service –

a single point of information

Family information directory

Our family information directory helps parents, carers and professionals find useful local services.

It comes in three parts:

To find services for families, visit the family service directory

To find both registered and unregistered local childcare providers, visit the childcare directory

To find information about services for children with special educational and other needs, visit the Herefordshire local offer pages


Positive Activities Bromyard Area - 103kb

Positive Activities in Leominster and Wigmore Area - 192kb

Positive Activities in Ledbury Area - 8kb

Related pages

Schools directory

Family Services Directory and Childcare Directory
  • Alphabetical lists of Providers
  • Searchable Directory
  • Favourites/Basket Function
  • Click on individual entries – Contact details and what they offer
changes to the sen system children and families act 2014

Changes to the SEN system – Children and Families Act 2014

Age range - birth to 25

Provide children, young people and their parents greater control and choice in decisions

Replace Statements of SEN and s139a Learning Difficulty Assessments with a 0 to 25 Education, Health and Care Plan (EHC Plan)-Focus on outcomes

Offering families personal budgets for all key agencies

Closer multi-agency/partnership working in particular requiring LA and health authorities to work together.

Local Offer

the local offer

The Local Offer

Information for families and practitioners – ‘clear, comprehensive and accessible’

‘Responsive to local need’ with families involved in development and review - duty is to consult

Not just a directory

How to access services (‘transparency’) as well as description of provision

Must include education (incl. schools), health and social care – ‘must co-operate’

Working with the web team - Interactive feedback

Keeping it up-to-date!

The Local Offer –Not A Directory

They often receive conflicting advice and simply do not know who to trust to give them the information that will help them… Parents report that they tend to only trust other parents’ advice who have already been through the system and understand which direction to go in.

Prepared for SE7 by Sharon Smith Hampshire Parent/Carer Network

The Local Offer –Not A Directory

The Local Offer has to deliver:

A one-stop shop for parent carers to access all of the information that they will need relating to their child/young person – so that parents know exactly where to go every time that they need help or information.

Prepared for SE7 by Sharon Smith Hampshire Parent/Carer Network

The Local Offer

A local authority must publish information about:

The provision it expects to be available in its area at the time of publication for children and young people who have special educational needs, and…

The provision it expects to be available outside its area at that time for children and young people for whom it is responsible.

The Local Offer

The provision referred to is:

  • education, health and care provision;
  • other educational provision;
  • training provision;
  • arrangements for travel to and from schools and post-16 institutions and places at which relevant early years education is provided;
  • provision to assist in preparing children and young people for adulthood and independent living.
The Local Offer

A local authority must keep its local offer under review and may from time to time revise it.

It must also publish comments received and its responses to the comments

Herefordshire Local Offer for SEN, Disability and other Additional Needs

Welcome to Herefordshire’s Local Offer!

This is intended to be a ‘one-stop shop’ that allows parents, carers, family members and practitioners working with families to find the information they want.

At the present time, the development of the Local Offer web pages are at a relatively early stage of development and the information available will grow over the next few months.

The aim is that it will be quick to find the information that you want and that the information is presented in a clear and understandable fashion. To help us to do this, please use this feedback link to tell us if you have not been able to find what you want or if the information is confusing or out of date. You will find that each of the pages of the local offer also have a feedback facility.

If you want more detail about how the Local Offer should work, please follow this link…local offer. This link also provides information on the Children and Families Act 2014 which requires Local Authorities to create the Local Offer. If you just want to get on with using the information, click on one of the sections below.

Top Tasks – What do you want to know?

How do I get a statement for my child?

Can I get an education, health and care plan (EHCP) for my child?

Will I be entitled to transport to school if they have a disability?

What do I need to do if my child is diagnosed with a disability?

Where can I get respite from my caring duties?

How do I get financial support for my child?

Do I need a social worker?

Main Sections
  • Education Services
  • Moving to Independence
  • Health Services
  • Education, Health and Care Plans
  • Social Care Services including Short Break/Respite Service
  • Voluntary Organisations and other sources of help
how do i get financial support for my child
How do I get financial support for my child?
  • Education
  • Social care
  • Health
  • Other sources of financial support
What if my son or daughter needs more support than the school can provide? Additional funding until July 2014

For children with statements, including pupils in special schools, the additional funding is described in the statement which is reviewed at least annually. Parents and carers are invited to every annual review. The funding is at one of two levels described in the next paragraph.

This funding is provided into the budget of mainstream schools at the start of the financial year. If the school feels that a higher level of funding is required, the school can apply for ‘banded funding’. The school brings the evidence to a panel made up of school and local authority representatives experienced in SEN. The panel can agree one of three outcomes: band 3 £1350; band 4 £5,500; or, that the evidence does not support the allocation of additional funding.

Education - local offer

What do our Educational Settings Offer?

  • Early Years Settings
  • Schools
  • Post-16 Education and Training Providers
  • Special Schools and Other Specialist/Alternative Provision

My Child has a difficulty with…? Different Barriers to Learning

  • autism and other complex communication difficulties
  • behavioural, emotional and social difficulties
  • language and communication
  • hearing and visual impairment
  • learning difficulty
  • physical and medical
Voluntary and support services - local offer

Voluntary and support services

Hereford Carer Support

For information visit the HCS website

Marches Family Network

For information visit the MFN website

Parent partnership service

For information visit the parent partnership service page

Link to regional information

Link to national directory of voluntary organisations

SENDirect e-brokerage system– Herefordshire Pilot Site
  • Consortium of 8 leading national charities
  • One of 10 LAs nationally to win bid to pilot
  • Will be part of Local Offer
  • Aims to link Parents and Providers
  • Funded by the DoH and DfE
  • Currently developing software
  • Planned launch in March 2015.
  • Need parents and providers to sign up to test it
  • SENDirect website
herefordshire children s integrated needs assessment

HerefordshireChildren’s Integrated Needs Assessment


Leonie Roberts

Interim Consultant in Public Health

needs assessment
Needs Assessment
  • Demographics
  • Health
  • Education
  • Safeguarding
  • Services
  • Key themes
  • 39,900 children and young people
  • Notable drop at 19 – University
expected population changes
Expected population changes

Migration is the key driver of demographic change

Young adults (18-25 are the most mobile

Net out-migration of young adults (18-25)

Dampened by increased migration from overseas

  • 1800 to 1900 live births per year
  • Number of births to UK women remained constant (1600 per year)
  • Increase in number of births from EU (150 in 2012)

Mental Health and Well-being

health and wellbeing early years 0 4 years
Health and wellbeingEarly years (0-4 years)
  • Infant mortality rate per 1000 live births was 3.9 for the period 2009-2011 (4.4 England average)
  • Low birth weight varies by practice 5.7% to 8.8% (County average 7.4%)
  • Smoking rate at time of delivery 11.2 per 100 maternities (13.2 England average)
  • Breastfeeding initiation rate of 73% (64% national)

The county is not meeting the 95% coverage needed to protect the most vulnerable children

health and wellbeing age 5 to 19
Health and wellbeing Age 5 to 19
  • 58 deaths between 2002 and 2011. Traffic accidents were the most common cause
  • Teenage conceptions 26.0 per 1000 girls aged 15-17. (30.7 per 1000 England)
  • 44.4% of 12 year-olds had evidence of dental decay (33.4% in England)
  • Obesity among year 6 pupils varies from 9.7% to 25.7% (16.5% county average, 19% national)
most common hospital admissions
Most common hospital admissions
  • Age 0-4 Viral and acute respiratory admissions
  • Age 5-14 Respite care (35%)
  • Age 15-19 Respite care(25%) and pregnancy related (15%)
  • 850 respiratory admissions age 0-19. 40% from the most deprived areas.
education population
Education population
  • 21,700 children attending state-maintained schools: 12,700 at primary level and 8,900 at secondary
educational development age 22 months to 10 years
Educational development Age 22 months to 10 years
  • SES – Social economic status
  • Q – Cognitive score
educational attainment
Educational attainment
  • Early years – above the national average
  • Key stage 1 – same as national average
  • Key stage 2 – 71% below national average
  • Early years – Free school meals below the national average
  • Key Stage 1 – FSM slightly below national average
  • Key stage 2 49% FSM, 20% LAC
“The difficulty of doing GCSEs when you’re coping with homelessness and just trying to survive” Young person in Hereford
vulnerable children
Vulnerable Children

Defining vulnerabilities is difficult - Children who are at risk of, or who are already experiencing, social and emotional problems. Vulnerability may be linked to disadvantage and poverty


Mental health issues

Young offenders

Looked after children

Disabled children

  • Young carers
  • Gypsy and travellers
  • Children experiencing domestic violence and abuse
vulnerable children1
Vulnerable children
  • 1400 children claiming disability living allowance
  • 311 children and young people on the carers register. Only 11% of carers are on the register
  • 255 Gypsy and Roma children and young people known to the Council
  • 113 people aged 10-17 entered the youth justice system for the first time. (2012/13)
  • This equates to 671 first time entrants per 100,000 youth population. This is higher than the West Mercia rate of 546 per 100,000
  • Herefordshire has a high rate of homelessness this means that more children compared to the national and statistical neighbours’ average will become homeless
  • Over half of households labelled homeless have dependent children equating to 201 children
children in need
Children in need

Child who is unlikely to have, or have the opportunity to have a reasonable standard of health and development without any support provided by a public authority

  • 1139 children in need (excluding LAC, CPP)
  • Herefordshire’s rate of children at 445.5 per 1000 children is higher than national (325.7)and statistical neighbours (301.5)
children in need 2013
Children in need 2013


looked after children
Looked after children

A looked after child (LAC) is a child who is accommodated by the local authority either as a result of voluntary agreement by their parents or as a result of a Care Order issued by a court of law to safeguard the child

241 LAC in Herefordshire

67 LAC per 10,000 in December 2013

47 per 10,000 statistical neighbours

children with child protection plans
Children with child protection plans
  • 239 children with CPP in June 2013 (an increase of 36% since June 2012)
what are the main issues facing vulnerable children and young people in herefordshire
What are the main issues facing vulnerable children and young people in Herefordshire?

The main issues are:

  • Poor parenting
  • Funding / service & budget cuts
  • Rural isolation & rural service issues
  • Lack of support to address needs
  • Lack of early intervention
what support do children and young people think they need
SUPPORT WORKERS - long-term, consistent and skilled support
  • MENTORING – support from others who have been through similar situations
  • SUPPORT PLANS – help practically and emotionally through adverse life events and transitions
  • POSITIVE INTERVENTIONS – targeted support
What support do children and young people think they need?

“I’ve known people who are struggling, thin and underweight. You can’t bear to look at them. They have no strength left in them. The Herefordshire system is not working for anybody”

what support do organisations think children and young people need
What support do organisations think children and young people need?
  • Early holistic intervention
  • Consistent support from key workers
  • Improve the ability of schools to support issues
  • Greater focus on holistic family support and family assessments
  • Parental support and education

“We need to offer consistent and early intervention to prevent escalation and families having to enter crisis situations before help is provided.”

Statutory Sector Representative

how are services addressing the needs
How are services addressing the needs?
  • The responsibilities for preventing vulnerable children and young people from becoming ’in need’ or looked after are shared between a relatively small, and ever decreasing, number of statutory, voluntary and private sector services
  • The size and scale of the voluntary sector working with children and young people generally in Herefordshire appears to be small in comparison with other counties.
  • Expect 150 organisations to be working children and young people. Only identified 30.
The Local Authority LAC team do a good job engaging young people and supporting schools


“It’s warm, interesting people, nice workers. If it wasn’t here crime would go up a bit. Here you make more friends, youth workers communicate with you, they teach you stuff…helpers…if there’s stuff going on at home they are here for us. They teach you life skills.”

Young person attending a youth club

“Would like to see children supported at an earlier opportunity, rather than waiting until the risks become so great”

“ Young people have such a turn-over of workers, rather like the chaos in their lives. “Headteacher

“You have to accept that there is no money, but when you are rock bottom that’s not good enough.”

what are the best things that are happening in herefordshire
What are the best things that are happening in Herefordshire?

“The MAG is very good for sharing information and signposting children for the necessary support, although due to the ever reducing services this can take quite a long time…”

Voluntary Sector Representative

Figure 2: Survey respondents perceptions of best things happening to address risk factors


(4 respondents)


(8 respondents)


(10 respondents)


(11 respondents)


(20 respondents)

Effective work with families & troubled family programme

MASH and multi-agency working / collaboration

Working more effectively with schools

Desire to improve services & provider communication

Co-ordinated interventions - CAF system and collaboration

  • 3 examples of Herefordshire working at it’s best:
  • Using the Solihull approach to support and develop foster carers
  • Building a community based youth service
  • Testimonies from CYP to the importance of good practitioners of social care
how do respondents rate the effectiveness of support
Survey respondents rating of the effectiveness of the support children and young people getHow do respondents rate the effectiveness of support?

Not very good

Quite good


Very good





  • Text analysis of the 50+ survey comments on the effectiveness of support
  • that vulnerable children and young people get when they need it shows:
  • 13 respondents highlighted mainly single services or initiatives that they thought were good and effective
  • 11 respondents highlighted a concern that services focus mainly on crisis-response
  • 10 respondents referred to inconsistency of services
  • 7 respondents were concerned about the high-turnover of staff, affecting the quality of relationships
  • 6 respondents referred to the unresponsiveness of services and indicated that help came too late
  • 4 respondents referred to how difficult vulnerable children and their families found getting the support they needed
what did the research tell us
What did the research tell us?
  • Surveys revealed a greater focus on service-centred issues facing vulnerable children and young people in Herefordshire, rather than a person-centred focus
  • Person-centred issues highlighted correlated with the issues facing young people across the UK. One exception may be that of ‘rural isolation’.
  • Defining what constitutes vulnerability against the Level Needs Structure in Herefordshire, may help clarify the understanding of thresholds of social care.
key themes
“The foundations for virtually every aspect of human development-physical, intellectual, and emotional are laid in early childhood” MARMOTKey themes
  • Inequalities in health, education and safety
  • Data quality
  • Information on service provision
  • Referrals and integration of service provision
  • Early intervention
  • Staff development

“Child abuse casts a shadow the length of a lifetime” Herbert Ward


“Preventingchild maltreatment requires action at the level of the individual, family, community and society– not simply intervening when problems emerge but reducing the circumstances in which they are likely to develop.. Thus it is necessary to reduce poverty ands social isolation, as well as invest in serviceswhich help families foster good relationships, as well as provide the more specialist services when there are

early signs that problems are emerging. What’s more,

relatives, friends and neighbours all play an important

role in keeping children safe by stepping in to help

when families are under pressure”

NSPCC 2014

Workshop 1:
  • From the information you have just seen:
  • 1) What data/intelligence do you feel is missing or would you expect to have seen in the needs analysis?
  • 2) We need to do some detailed work on mapping current services in the county but to start this can you provide details of existing Herefordshire services that support children & families?
  • 3) In your view are there gaps in what services should be available for children and families?
Herefordshire’s Approach to Early Intervention

Philippa Granthier:

Head of Children’s Commissioning

A definition of early intervention
  • “intervening early and as soon as possible to tackle problems emerging for children, young people and their families, or with a population most at risk of developing problems. Early intervention may occur at any point in a child or young person’s life.”
Targeting partners resources
  • 40,000 children aged 0-19 in the county
  • 4,500 children living in poverty
  • 4,900 children with educational needs
  • 2,000 children known to social care
  • 600 NEETS and unknowns
  • 200 “troubled families” to support every year
Proposal – Family Strategy
  • Key principles
  • Prevention and early intervention is preferable
  • Parents bring up children and we need to support them to do that well
  • Empower families to have a greater say
  • Focus on the whole family to improve outcomes
  • Use interventions that are proven to work
  • Support access to universal and community services
  • Integrate and co-locate services
  • One key worker that “holds” the family
Workshop 2:
  • Developing a Family Strategy
  • Undertake a SWOT (strengths, weaknesses, opportunities and threats) analysis of current situation in Herefordshire and proposal for developing a Family Strategy
  • If early intervention was working well, what would it look like and what outcomes would it achieve?
Next Steps
  • Collecting feedback from stakeholders
  • Reviewing Levels of Need
  • Draft Family Strategy and action plan over summer
  • Consultation
  • Finalise and implement
tots to teens investing in our future

“Tots to Teens” Investing in our Future

Targeted Intervention for Families


Home-Start Herefordshire

evidence of need
Evidence of need
  • Volunteer Contact forms identified increasing amount of support for the over 5s
  • Organisers increased involvement in CAFTAC meetings at schools relating to over 5s behaviour, attainment, social skills and school attendance
  • Increased number of referrals/ enquiries for befriending support for children 5yrs +
  • Impact Assessment carried out by the LA identifying a need for a volunteer befriending service for the over 5s in Herefordshire – gap in service for vulnerable families / HSH own research project
pilot project working with children 5 16yrs
Pilot Project working with children 5-16yrs
  • 6 month pilot project working with 5 families with older children.

Needs identified included

  • Struggling due to family breakdown
  • Risk of exclusion from school & poor attainment
  • Risky behaviour
  • Isolated due to domestic abuse
  • Disadvantaged due to debt-related issues
how volunteers helped
How volunteers helped….
  • Engaging directly with the children to access service (clubs etc), support with homework (projects etc), encourage positive relationship with parents/carers to avoid family breakdown
  • Supporting children to make healthy choices and manage risk (cooking, exercise, containment, signposting to other agencies)
  • Support children to take part in community activities, school forums, school councils (peer support, CYPP shadow boards)
targeted and specialist family support services
Targeted and Specialist Family Support Services
  • LA invitation to Tender –Targeted Family Support services for Herefordshire which included Outreach Befriending Support for 0-19yrs …

“a befriending service that will provide ‘team around the family’ intervention for families”

Which will

  • Provide an outreach service to families
  • Support families in their homes with issues highlighted in a CAF
outcomes for targeted intervention
Outcomes for targeted intervention
  • Reported increase in children & young people participating & included in activities
  • Child & young people can accept boundaries and instructions that are in place to protect them
  • Families report they have joined community activities
  • Child/young person or family engage in activities to improve confidence
  • Parents supported into employment, training or further education
  • Children & young people report joining a group e.g. guides, youth clubs, cubs
  • Families able to fully utilise benefits and universal services to which they are entitled
  • Families report satisfaction and improved outcomes
  • Children & young people report satisfaction and improved outcomes
referral route levels of need
Referral route/ levels of need
  • Befriending service to work with families identified as level 2 & 3 but may include level 4 if identified as part of a step up or step down process
  • Level 2 - Additional needs identified within universal provision
  • Level 3 - Multiple additional needs requiring integrated support
  • Level 4 – Children with specialist and intensive needs

Referrals route - through MAG (Multi- Agency Group meeting) Home- Start support as identified on CAF Action/Delivery plan – Outcome agreed

targeted intervention
Targeted intervention
  • 3 month (12 week) intervention plan which includes
  • 1 or 2 indentified outcomes that the family works towards (highlighted in CAF Action plan)
  • Action plan – how this will be achieved
  • Review action plans at week 4, 8 & 12 & receive feedback from volunteer, parent and child/young people
case studies
Case Studies

* Primary-aged child identified needs – poor attainment at school outcome supported learning at home (8 yrs)

* Secondary-aged child identified needs – isolated due to disability- outcome support in accessing services/extending social networks for child (14yrs)

* Mother of teenage son – struggling with debt and coping with son’s challenging behaviour – outcome maximising income & emotional support – identifying positive risk-free activities for son (15yrs)

* 8 year old girl – challenging behaviour & self harming outcome supporting with boundaries and providing containment for child & parents

monitoring evaluation
Monitoring & Evaluation
  • Additional paperwork to capture child/young people’s feedback (Contractual requirement/ good practice /safeguarding)
  • 12 week Action Plans – regularly reviewed and updated

* Initial Visit

* Review visits

* Ending visit and action plan

  • Chronology
  • Multi-agency reports
  • Volunteer support & supervision
looking to the future
“Looking to the Future”
  • Providing a much-needed support services for vulnerable families in the county
  • Evidence to secure additional funding – Result- securing £30,000 from Children in Need to work with children 5-14yrs
  • HSH respected & recognised within the framework of Family Support services for Herefordshire
  • Securing additional funding from Herefordshire Council to deliver targeted support for more families in 2014/15
key points to working with over 5s
Key Points to working with over 5s
  • Recruitment & Marketing is key! – appropriate volunteers that are willing and experienced to work with the over 5s (availability including after school and school holidays)
  • Planning this isn’t just an add on it’s a whole new way of working and needs to be planned for accordingly – Child focused/ child feedback including initial visits/ reviews and ending – child’s journey from their perspective not just the parents
  • Prep course- sessions that are focusing on the over 5s - this includes safeguarding e.g. disclosures/self harming/ risky behaviour/internet safety etc
  • Training for staff
  • Multi-agency working linking with schools/colleges etc (MAG)
  • Regular evaluation and review
feedback from volunteers
Feedback from Volunteers

Targeted support is ....


“Sometimes challenging but achievable as you are working towards particular outcomes and aims which focuses the mind”

“Families feel empowered as they build resilience within their family rather than becoming reliant on the support of the volunteer”

feedback from service users
Feedback from Service Users

What Families said/told us:

“Home-Start have been the most important support service to our family”

“Thanks to Home-Start our family is much happier, confident and receiving the help that was needed. Everybody has been kind, helpful and positive and honest which is important to us”

“Home-Start has made my life more positive’”

“Fantastic service and I am so lucky to have such a wonderful volunteer”

“Home-Start are a godsend not just to people like my family and myself, but to all people who need help”

“I have made more progress in the few months with Home-Start than I have had with most other organisations in the last 30 years. I feel that people are now listening to me and helping instead of telling me to go away, move away or stop being stupid”

“Since the Home-Start volunteer has been visiting our granddaughter we have seen a marked improvement in her behaviour’


Chris Baird:

Assistant Director, Education & Commissioning

Thank you for coming

Please remember to complete a feedback form before you go

Please join our network!

If you want to be able to engage with community groups, voluntary organisations, businesses or individuals then please join our facebook page:!/pages/Herefordshire-Childrens-Wellbeing-Network/529977913758423?fref=ts