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Growth and development.pdf

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Perth & KinrossDespite joint working in the provision of mental health services, joint service <strong>development</strong>shave been restricted by NHS financial problems, <strong>and</strong> service cuts have been made to realisesavings in the NHS mental health budget. There is now, however, an agreed strategy for<strong>development</strong> which includes residual in-patient provision.Community services are provided by four community mental health teams, which do nothowever fit into the overall Care Together structure. Features of the present service are:• an ongoing re-settlement programme at the Murray Royal Hospital;• a series of day care <strong>development</strong>s; <strong>and</strong>• an intensive care at home service.Sensory impairment services are provided largely by Perth <strong>and</strong> Kinross Society for the Blind<strong>and</strong> Tayside Association for the Deaf. Strategic planning falls to a sub-group of the health <strong>and</strong>physical disabilities task group, comprising Care Together staff <strong>and</strong> the voluntary organisations.The lack of health or education representation inhibits its capacity to address a comprehensivesensory impairment service. A transition group – with links to the sensory impairment subgroup– manages continuity during <strong>and</strong> following future needs assessments.Care Together, the product of a partnership agreement between the Council <strong>and</strong> NHS Tayside,became operational early in 2002. It provides social work services for adults, including learningdisability <strong>and</strong> mental health, elderly acute services <strong>and</strong> old age psychiatry services. It has ageneral manager, with single managers for five localities. Its budget includes £26m. from theCouncil, equivalent to the GAE for community care services in 2001-2002.3. Performance: Children <strong>and</strong> FamiliesBalance of care – Looked afterchildren (aged 0-17)1999-2000actual1999-2000per 1,000Quartile2000-2001actual2000-2001per 1,000QuartileAt home 65 2.2 4 50 1.7 4With friends/relatives/other community 38 1.3 1 35 1.2 2With foster carers/prospective adopters 48 1.7 3 56 1.9 4In residential accommodation 27 0.9 3 30 1.0 3Total 178 6.1 4 171 5.9 4Key performance indicators1998-1999actual1998-1999per 1,000Quartile1999-2000actual1999-2000per 1,000QuartileChild protection (CP) referrals 296 11.5 1 236 9.3 1(aged 0-15)Children subject to a CP case 93 3.7 1 62 2.4 3conference (aged 0-15)Children placed on CP register 56 2.2 2 42 1.7 3(aged 0-15)Adoption applications in year 14 0.5 2 20 0.7 1(aged 0-17)Stranger adopter applications 5 0.2 2 8 0.3 1(aged 0-17)203

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