Growth and development.pdf

AngusAcross Angus, there are multi-disciplinary community mental health teams with service managers,team leaders, care managers, community psychiatric nurses, occupational therapists andsupport workers. They have very strong links to GPs and local health care co-operatives. SocialWork leads for older people and health on adult services. An external reference group enablespeople with mental health problems and their carers to make their views known. The Counciland NHS partners run joint training and have developed a joint protocol for the protection ofvulnerable adults.A single shared assessment tool covering all care groups has been developed. This is currentlybeing piloted within older peoples services and will be implemented across all care groups byApril 2003. It covers referral/screening, initial assessment, comprehensive assessment andaccess to specialist assessments.A strategy group reviews sensory impairment services, with representation from social workand voluntary sector organisations. The Council purchases assessment, rehabilitation, mobility,and communication services from local voluntary sector providers. Arrangements for futureneeds assessment have been reviewed but the views have still to be taken of children andtheir parents about new arrangements.The Council and its health partners have agreed to adopt joint management and aligned budgetsincrementally. A member/officer partnership will sign off joint action plans. There are alreadysingle managers in learning disability and mental health, but there will be no overall singlemanager for older people’s services.The joint resourcing pot begins with mental health and learning disability services, and is to beextended to residential and home care budgets in time. Progress has been made on an agreedstatement of intent, a joint development and training plan, and a joint staff forum.3. Performance: Children and familiesBalance of care – Looked afterchildren (aged 0-17)1999-2000actual1999-2000per 1,000Quartile2000-2001actual2000-2001per 1,000QuartileAt home 48 2.0 4 59 2.5 4With friends/relatives/other community 8 0.3 4 6 0.3 4With foster carers/prospective adopters 90 3.7 1 75 3.1 2In residential accommodation 18 0.8 4 16 0.7 4Total 164 6.8 3 156 6.5 3Key performance indicators1998-1999actual1998-1999per 1,000Quartile1999-2000actual1999-2000per 1,000QuartileChild protection (CP) referrals 237 10.9 2 177 8.3 2(aged 0-15)Children subject to a CP case 125 5.8 1 78 3.6 1conference (aged 0-15)Children placed on CP register 77 3.5 1 53 2.5 1(aged 0-15)Adoption applications in year 6 0.2 4 3 0.1 4(aged 0-17)Stranger adopter applications 1 0.04 4 1 0.04 4(aged 0-17)27