Growth and development.pdf
Growth and development.pdf Growth and development.pdf
North AyrshireThe Council plans to have a local Transition Planning Officer to work with young people withlearning disabilities at the transition between children’s and adult services. A special needsco-ordinator has been appointed to improve services for children with special educational needs.The joint strategy for mental health services has yet to be fully implemented due to redirectionof resources by health, which has prevented an action plan being completed for investmentand implementation. An all-Ayrshire mental health service is in place for some childrenalthough the service offered is limited. Integrated mental health teams of social workers andcommunity psychiatric nurses are co-located but not under single management. Recent serviceinitiatives include the Health and Mind day service run on a clubhouse model. There is a respiteflat for adults who use mental health services, which can prevent admissions to acutepsychiatric services.Joint training is being carried out on the Adults with Incapacity (Scotland) Act 2000 and a draftprocedural document has been written.Single shared assessment is being developed on an all-Ayrshire basis. A local assessment toolhas been agreed and is being piloted by staff across agencies, with the aim of implementingthe process for older people by spring 2003. First developments will be required to fulfilexpectations to implement SSA for all core groups. Access to resources following assessmentis varied: district nurses pass completed assessments to care managers to access resourcesand make placements, and GPs can access services directly through emergency out of hoursservices. Direct access by assessors in any agency will, in the long term, reduce duplication.Between 1999 and 2000 the number of people receiving a community care service for physicaldisability decreased significantly.Sensory impairment services have been merged into a single team, based in one location witha single Team Leader. Services are also provided by voluntary organisations. Following abortiveefforts to develop an all-Ayrshire multi-agency resource group, a working group of the threeAyrshire councils is reviewing services issue by issue.The development and implementation of joint planning and the Joint Future agenda is led inNorth Ayrshire by a Joint Planning Group. This group is developing the Local PartnershipAgreement for Older People’s Services. Links with the Ayrshire level Joint Development andResource Group are maintained and focus on strategic and Ayrshire-wide issues. The Counciland its health partners have reached agreement on elements of the joint resourcing pot foraligned budgets, although both the NHS Trusts have difficulty disaggregating spending onservices for older people between the council areas.179
3. Performance: Children and FamiliesBalance of care – Looked afterchildren (aged 0-17)At home 295 9.3 1 163 5.1 2With friends/relatives/other community 68 2.1 1 56 1.8 1With foster carers/prospective adopters 48 1.5 4 81 2.5 3In residential accommodation 68 2.1 1 76 2.4 1Total 479 15 1 376 11.8 1Key performance indicators1999-2000actual1998-1999actual1999-2000per 1,0001998-1999per 1,000QuartileQuartile2000-2001actual1999-2000actual2000-2001per 1,0001999-2000per 1,000QuartileQuartileChild protection (CP) referrals 144 5.1 3 97 3.4 4(aged 0-15)Children subject to a CP case 69 2.5 3 65 2.3 3conference (aged 0-15)Children placed on CP register 44 1.5 3 48 1.7 2(aged 0-15)Adoption applications in year 9 0.3 3 10 0.3 3(aged 0-17)Stranger adopter applications 3 0.1 4 6 0.2 2(aged 0-17)Between 1999 and 2001 the number of children looked after reduced significantly (mainly inthose living at home), but the rate remains higher than in most other authorities. The rate ofchildren living with foster carers has increased, but remains relatively low. The rate living inresidential accommodation has remained high and this continues to be addressed. Thesetrends are attributed primarily to the behaviour of drug misusing parents, but the social workand education departments have together made a significant impact on the balance of care forlooked after children in the last year: the numbers of children in residential schools and inresidential units have reduced very significantly. A review of the youth strategy is planned.The rate of child protection referrals is lower than in most other authorities and the rate ofchildren subject to a case conference is also relatively low. The number of children placed onthe child protection register has increased since 1998 and the rate is now relatively high. Thenumber of stranger adoption applications doubled between 1998-1999 and 1999-2000.The Rosemount Project aims to develop positive relationships between young people of 12-16and their families, while maintaining the young people in the family homes and challenginginappropriate behaviour. The project group meets regularly and is intended to helpidentification of personal social developmental needs and the development of confidence, skillsand knowledge to address those needs.In an effort to improve the educational achievements of looked after children, joint support teamshave been formed in every secondary school. The Council has addressed the recommendationsof Learning with Care:• all children have care plans in which learning needs are identified;• audits of educational environments have been completed and actioned; and• plans to link information systems are ongoing.180
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North AyrshireThe Council plans to have a local Transition Planning Officer to work with young people withlearning disabilities at the transition between children’s <strong>and</strong> adult services. A special needsco-ordinator has been appointed to improve services for children with special educational needs.The joint strategy for mental health services has yet to be fully implemented due to redirectionof resources by health, which has prevented an action plan being completed for investment<strong>and</strong> implementation. An all-Ayrshire mental health service is in place for some childrenalthough the service offered is limited. Integrated mental health teams of social workers <strong>and</strong>community psychiatric nurses are co-located but not under single management. Recent serviceinitiatives include the Health <strong>and</strong> Mind day service run on a clubhouse model. There is a respiteflat for adults who use mental health services, which can prevent admissions to acutepsychiatric services.Joint training is being carried out on the Adults with Incapacity (Scotl<strong>and</strong>) Act 2000 <strong>and</strong> a draftprocedural document has been written.Single shared assessment is being developed on an all-Ayrshire basis. A local assessment toolhas been agreed <strong>and</strong> is being piloted by staff across agencies, with the aim of implementingthe process for older people by spring 2003. First <strong>development</strong>s will be required to fulfilexpectations to implement SSA for all core groups. Access to resources following assessmentis varied: district nurses pass completed assessments to care managers to access resources<strong>and</strong> make placements, <strong>and</strong> GPs can access services directly through emergency out of hoursservices. Direct access by assessors in any agency will, in the long term, reduce duplication.Between 1999 <strong>and</strong> 2000 the number of people receiving a community care service for physicaldisability decreased significantly.Sensory impairment services have been merged into a single team, based in one location witha single Team Leader. Services are also provided by voluntary organisations. Following abortiveefforts to develop an all-Ayrshire multi-agency resource group, a working group of the threeAyrshire councils is reviewing services issue by issue.The <strong>development</strong> <strong>and</strong> implementation of joint planning <strong>and</strong> the Joint Future agenda is led inNorth Ayrshire by a Joint Planning Group. This group is developing the Local PartnershipAgreement for Older People’s Services. Links with the Ayrshire level Joint Development <strong>and</strong>Resource Group are maintained <strong>and</strong> focus on strategic <strong>and</strong> Ayrshire-wide issues. The Council<strong>and</strong> its health partners have reached agreement on elements of the joint resourcing pot foraligned budgets, although both the NHS Trusts have difficulty disaggregating spending onservices for older people between the council areas.179