Growth and development.pdf
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Growth and development.pdf

Growth and development.pdf Growth and development.pdf

lx.iriss.org.uk
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12.07.2015 Views

Dumfries & GallowayA multi-agency group oversees the development and implementation of single sharedassessment. Carenap E is being piloted for older people and is to be adapted for other caregroups. Protocols have still to be agreed on IT and information sharing, including issues ofclient consent.Initiatives have been taken to develop services for people with a sensory impairment:• direct input into the future needs assessment process;• improved links with ophthalmologists and low vision clinics;• consultation with service users;• close working with education, health and voluntary organisations to improve the proceduresfor certifying and registering people with a visual impairment; and• training for specialist staff and sensory awareness training for all staff.The local joint management and resourcing agenda is well established. The Local PartnershipAgreement for older peoples services incorporates health, social services, housing and thevoluntary sector. A joint board, jointly chaired by the chief executive in the NHS and the socialservices chief officer, gives a strategic focus.Health and social services teams are being integrated and managed in localities, under integratedmanagement arrangements and with combined budgets.3. Performance: Children and familiesBalance of care – Looked afterchildren (aged 0-17)1999-2000actual1999-2000per 1,000Quartile2000-2001actual2000-2001per 1,000QuartileAt home 124 3.9 2 113 3.6 2With friends/relatives/other community 35 1.1 2 42 1.3 1With foster carers/prospective adopters 114 3.6 1 141 4.5 1In residential accommodation 34 1.1 2 28 0.9 4Total 307 9.8 2 324 10.3 2Key performance indicators1998-1999actual1998-1999per 1,000Quartile1999-2000actual1999-2000per 1,000QuartileChild protection (CP) referrals 226 7.8 2 160 5.7 3(aged 0-15)Children subject to a CP case 127 4.6 1 94 3.4 1conference (aged 0-15)Children placed on CP register 98 3.5 1 63 2.3 2(aged 0-15)Adoption applications in year 11 0.3 3 16 0.5 1(aged 0-17)Stranger adopter applications 5 0.2 3 10 0.3 1(aged 0-17)After a steep increase between 1998 and 1999, the number of children on the child protectionregister has now reduced; but its rate remains relatively high. A high rate of referrals proceedto a case conference. Numbers of adoptions are high.49

The social services department is implementing an action plan which takes forward thelessons learned from the death of a three-year-old child:• retraining staff;• revising child protection procedures;• regular audits of casework practice and recording;• stronger screening, assessment and overview of key decision-making.The rate of looked after children has increased, with high rates living with foster carers orfriends or relatives. An external audit of foster care resulted in recruitment targeted in specificgeographic areas, and among a younger group of carers. Subsequently, placementbreakdowns have been reduced by 55%. There are relatively few children in residential care,including residential schools. This is partly attributable to the Crannog Project (see below)which has halved the number of young people placed in residential schools.The number of referrals to the Reporter has increased partly because of an increase in themisuse of drugs and alcohol. 44% of recent referrals in Stranraer are alleged to relate to themisuse of heroin.Arrangements and expectations for the education of looked after children are detailed in aneducation/social work protocol. Several children in residential homes do not have full-timeeducation, and alternative arrangements do not provide full-time provision. Children in thethree residential homes have study areas and computer hardware and software for educationalpurposes; foster children have similar facilities; all looked after children have an e-mail account.The dispersed rural areas do not allow library access for all children.An assessment and support service working with young people at risk of exclusion from school,Crannog is operated by Aberlour Child Care Trust in partnership with education and socialservices. It achieved national recognition by winning the 2001 Community Care award for interagencyworking. The project forges links between home, school and community, and has wonthe confidence of young people, their families, and the children’s hearing system. It provides aninitial assessment and comprehensive plan to the area review group (which makes decisionsabout young people at risk), and offers support both in and outside school.A care leavers team, involving the Benefits Agency, health, education, housing providers andhomeless advice workers, was established following an audit which revealed that all those wholeft care over a five-year period experienced a period of homelessness. The team trains staffand provides care leavers with information. Supported accommodation is provided by LoreburnHousing Association.The social services and education departments are gradually integrating services e.g.strengthening family support services through multi-disciplinary teams in four localities and infamily centres in Dumfries and Stranraer. A respite unit for children with disabilities has beendeveloped with the health service.50

Dumfries & GallowayA multi-agency group oversees the <strong>development</strong> <strong>and</strong> implementation of single sharedassessment. Carenap E is being piloted for older people <strong>and</strong> is to be adapted for other caregroups. Protocols have still to be agreed on IT <strong>and</strong> information sharing, including issues ofclient consent.Initiatives have been taken to develop services for people with a sensory impairment:• direct input into the future needs assessment process;• improved links with ophthalmologists <strong>and</strong> low vision clinics;• consultation with service users;• close working with education, health <strong>and</strong> voluntary organisations to improve the proceduresfor certifying <strong>and</strong> registering people with a visual impairment; <strong>and</strong>• training for specialist staff <strong>and</strong> sensory awareness training for all staff.The local joint management <strong>and</strong> resourcing agenda is well established. The Local PartnershipAgreement for older peoples services incorporates health, social services, housing <strong>and</strong> thevoluntary sector. A joint board, jointly chaired by the chief executive in the NHS <strong>and</strong> the socialservices chief officer, gives a strategic focus.Health <strong>and</strong> social services teams are being integrated <strong>and</strong> managed in localities, under integratedmanagement arrangements <strong>and</strong> with combined budgets.3. Performance: Children <strong>and</strong> familiesBalance of care – Looked afterchildren (aged 0-17)1999-2000actual1999-2000per 1,000Quartile2000-2001actual2000-2001per 1,000QuartileAt home 124 3.9 2 113 3.6 2With friends/relatives/other community 35 1.1 2 42 1.3 1With foster carers/prospective adopters 114 3.6 1 141 4.5 1In residential accommodation 34 1.1 2 28 0.9 4Total 307 9.8 2 324 10.3 2Key performance indicators1998-1999actual1998-1999per 1,000Quartile1999-2000actual1999-2000per 1,000QuartileChild protection (CP) referrals 226 7.8 2 160 5.7 3(aged 0-15)Children subject to a CP case 127 4.6 1 94 3.4 1conference (aged 0-15)Children placed on CP register 98 3.5 1 63 2.3 2(aged 0-15)Adoption applications in year 11 0.3 3 16 0.5 1(aged 0-17)Stranger adopter applications 5 0.2 3 10 0.3 1(aged 0-17)After a steep increase between 1998 <strong>and</strong> 1999, the number of children on the child protectionregister has now reduced; but its rate remains relatively high. A high rate of referrals proceedto a case conference. Numbers of adoptions are high.49

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