children’s services: information, strategy and practice ruth rogan - newcastle roger vaughan csbi
Post on 22-Dec-2015
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TRANSCRIPT
Where we were…
• Children Act • Legislative framework for what is
offered to ‘children in need’ • Silo based services• Concentration on acute issues• Lack of multi agency information
sharing • Service based output performance
Where we are going?
• Green paper > new Children Bill• Good outcomes for all children/young
people• Focus on prevention/supporting
‘vulnerability’• “Joined up problems need joined up
solutions” - transformed services• Multi agency working - which entails
information sharing
The new landscape of inclusion
• A rights based approach to desired outcomes for all children and young people in Newcastle:– Healthy– Safe– Fulfilled– Participating– Economically included
Mapping the landscape
• Develop a map of existing provision.• Communicate the landscape.• Understand the resourcing of
provision.• Change the landscape/resourcing
responding to policy, practice, children and young peoples’ agenda.
Universal
EducationEducation
HealthHealth
Targeted
Sure StartSure Start
Children’s FundChildren’s Fund
ConnexionsConnexions
Family SupportFamily Support
‘Hubs’‘Hubs’
Specialist
CWDCWD
Children with Disabilities
CAMHSCAMHS
Child & Adolescent Mental Health Service
LDLD
Learning Disabilities
SENSEN Special Educationa
l needs
YOTYOT Youth Offending
Team
DATDATDrug
Action Team
HSHS
Hosp’tServ’s
Reh
ab
ilitativ
e
Universal Targeted Specialist
EducationEducation
HealthHealth
Sure StartSure Start
Children’s FundChildren’s Fund
ConnexionsConnexions
‘Hubs’‘Hubs’
CWDCWDC&AMHSC&AMHS
LDLD
SENSEN
YOTYOT
DATDAT
HSHS
Looked After ChildrenLooked After Children
Adoption & FosteringAdoption & Fostering
Area Child Protection Committee
Area Child Protection Committee
Child ProtectionChild Protection
ISAFamily SupportFamily Support
Reh
ab
ilitativ
e
Universal Targeted Specialist
EducationEducation
HealthHealth
Sure StartSure Start
Children’s FundChildren’s Fund
ConnexionsConnexions
‘Hubs’‘Hubs’
CWDCWDCAMHSCAMHS
LDLD
SENSEN
YOTYOT
DATDAT
HSHS
Looked After ChildrenLooked After Children
Adoption & FosteringAdoption & Fostering
Area Child Protection Committee
Area Child Protection Committee
Child ProtectionChild Protection
Family SupportFamily Support
Local Preventative Strategy
ISA
Understanding practice
• Ethnographic analysis - – understanding the practitioner’s world
through the eyes of practitioners.– Understanding the parents and carers
world through their eyes to allow practitioners to make sense of it.
– Understanding the world of service managers.
What does this look like to different participants?
We must recognise four ‘world views’ -held by:
• Citizens/service users• Service delivery practitioners/managers• Corporate commissioning• National governance
Citizens/service users
• This view includes – the public, – service users, – their families, – supporting social networks, – self-help and community groups…
• It is where vulnerability is experienced.
• Q - “Who can advise or help us?”
Service delivery
• This includes service delivery practitioners including preventative, targeted, specialist and protection services, GPs, hospitals and schools, voluntary organisations, one-stop-shops..
• This is where vulnerability is observed.• Q - “Who needs help from us?”• Q – “How can we best shape that help?”
Corporate commissioning
• Includes those who frame local political/professional priorities through understanding the demographics, making sense of national policies and who configure services.
• They are accountable for ‘public value’ • Q- “How do we tackle social exclusion in
Newcastle?”
National governance
• This includes government legislation, guidance, league tables.
• Professional bodies/codes of practice.• Representative organisations,
lobbying. • Q- “How do we resolve national
spending priorities?”
Common processes
Each of these ‘worlds’ involves:• Making sense of what is going on in
our own and other ‘worlds.’• Making strategies for what we should
do in the future.• Doing what we do today (operational
practice)
….and information systems?
• People carrying out these processes in different ‘worlds’ need to:– Message– Publish, search and collate– Transact– Co-ordinate
• How are these needs met by current information systems?
Typically…
WebE-pubs
‘research’ ‘surveys’
PAF?NationalGovernance
Finance, HR
GIS?Outcomes?
Web?CorporateComm’ning
Care recordICS, IRT…..
Assessing outcomes?
Web?ServiceDelivery
E-booking??Directories
?Web?Digital tv?
Citizens
Operationalpractice
Strategicthinking
Sensemaking
Confidentiality in a multi agency information
architecturePeople in each ‘world’ need to:• Recognise the role of consent to
information sharing.• Be able to share information with
people who need it to provide or receive care.
• Be confident about the security and legality of information sharing.
• Take part in the governance of information and its use.
…and it’s all changing!
• And it always will…can we keep up?• A move away from service led
provision• Silo-based policies and fixed
information systems applications will hold us back!
• How can practitioners make sure that they get what they want/need from information systems for their multi agency practice?
….multi agency working is hard!
• “Different professional cultures.• Different statutory responsibilities.• Availability of time, people,
resources.• Different agency structures.• Perceptions of professional group
status• Different conditions of professional
work”.
Towards a new information architecture
• We need a ‘Big Picture’ of the role of information in social care.– To reflect the different needs of different
actors in their ‘worlds’.– To be sustainable in the face of
continuous change.– To be achievable incrementally.
Governance
• “Information architecture is more than technology – it’s a powerful form of governance.”
• “Outsourcing architecture is effectively the outsourcing of policy making.”
Do we want to outsource policy?• The governance of this continually
changing landscape is essential.
Governance
• The architecture of services and information architecture must be developed together.
• But if senior managers in the world of corporate commissioning are to take responsibility for policy towards architecture they must understand the capabilities of ICT.
Developing systems with practitioners - VESCR
• How can practitioners be sure they have seen all appropriate case information?
• How can we be sure we are talking about the right/same individual(s)?
• How can we collate records and documents?
• Can we display complete chronologies?
Components of a solution
• Practitioners articulate their ‘workflow’.• (processes maps are a partial answer.)• Rapid prototyping of systems.• Practitioners appropriate the process.• IT suppliers concentrate on providing
the capabilities to be appropriated by practitioners.
• This is an infrastructural approach.
Developing a strategy for children and young people
• Making sense of: – the tidal waves of national policies and
guidance.– local political and professional priorities.– the views of children and young people,
their families and carers.
• Building a strategic process
Participation
• Children and young people have the right to be heard and describe their ‘world’.
• Participation is beyond consultation - it is a means to a ‘political’ end.
• The test is - what change is sought by participation by children and young people – and has it happened?
Governance structure
• The aim of the strategy for Newcastle’s Children and Young People is to improve the lives of all children and young people significantly.
• The Strategic Partnership Board is a multi agency group, independently chaired with representation from a wide range of statutory and voluntary agencies
Governance - Board tasks
• Sustain the strategic partnership• Implement the participation strategy• Improve service configurations• Co-ordinate commissioning• Undertake Information governance• Become a learning organisation• Win fundingAnd collaborate with other partnerships.
Challenges ahead
• Legal basis for partnership working• Involving service users/citizens• Sustaining multi agency working• Governing information sharing• Developing a sustainable architecture
of information systems and services • Linking architectures – people move -
there are other partnerships out there!