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Section 1: Improving Children's
Services
PRIORITIES FOR CHILDREN AND YOUNG PEOPLE IN
SCOTLAND
Introduction
Ministers have set out a high-level
vision for children and young people in
Scotland:
"We have ambition for all our young people and
we want them to have ambition for themselves and to
be confident individuals, effective contributors,
successful learners and responsible citizens. All
Scotland's children and young people need to be
nurtured, safe, active, healthy, engaged in
learning, achieving, included, respected and
responsible if we are to achieve our ambition for
them."
(For details see information box Vision for
children)
The vision provides a clear focus on the outcomes we
should all aim to achieve for children and young
people.
The main focus of this consultation paper is to set out
our proposals for improving children's services. These
recommendations have arisen out of Phase 1 of the
Children's Hearings Review. All these proposals contribute
to the Scottish Executive's wider strategic policy and
objectives.
Policy context
Children, young people and families have varied needs
and expectations. No one service or agency can meet all of
their requirements. It is therefore essential that children
and young people get the help they need when they need it,
from services which work together around their needs.
Working with local partners, Ministers have set out an
ambitious agenda to encourage improved integration of
policy and practice at both national and local levels. The
Cabinet Delivery Group on Children and Young People is
driving the agenda forward.
The Group has set out its priorities to encourage public
authorities throughout Scotland to work together to deliver
high quality services and to make our vision a reality:
- Improving delivery by reducing
bureaucracy and ensuring effective arrangements for
planning, sharing information and joint working. Local
authorities,
NHS Boards, police forces and other
local partners are involved in a new system of
integrated children's service plans, which bring
together planning for all services for children and
families at local level. We are also looking at ways to
bring together the many streams of funding which
support services included within the planning framework
to reduce bureaucracy and to support a stronger focus
on delivering the outcomes in the vision.
- Consultation on the next stage of integrated
inspection will be launched within the next few months.
This will include Executive guidance on a
quality improvement framework which
will support the primary purpose of integrated
children's services plans (that is to show that there
is continuous and sustained progress towards achieving
improved outcomes for children and young people). The
framework is intended to support local service planners
and providers to agree common outcomes, improvement
objectives and targets, and to evaluate progress both
within and across services. Further work is under way
to look at rationalising the wide range of performance
measures and indicators currently required by the
Executive.
- Developing an improved system for
assessment and information sharing
which supports co-ordinated action plans for children.
We include in this consultation pack plans for a
framework of integrated assessment, planning and
recording which is child centred and will result in
less repetition and duplication. Children and families
should have to provide information only once about
their needs. Services will then be expected to work
together to meet their needs in a holistic and
co-ordinated way. We are supporting the sharing of
information among service providers, including agencies
providing universal and targeted services for children,
young people and families, to support improved
integration and to reduce the risks to children through
lack of communication.
- Encouraging continuous improvement across
children's services through establishing an integrated
system of inspection of services for children. Pilot
integrated inspections of child protection services
have been completed in Highland and East Dunbartonshire
and will inform the three year programme that will
begin later this summer. Integrated inspections of all
children's services will begin by 2008.
- We are also developing our knowledge and
understanding of
children's services workforce
requirements to make sure that it has the skills,
qualifications, capacity and leadership it needs. We
have modernised the teaching profession through the
reforms which are part of the agreement "
A Teaching Profession for the 21st Century"
and have improved the training of social workers. A
major review of social work is under way to make sure
that it can meet the needs of families in the 21st
century. Other areas being considered are a common core
of skills, knowledge and competencies, entry level
qualifications, common entry level training across
professional groups, continuing professional
development and improved interaction between different
qualifications and different professions.
The Cabinet Delivery Group's priorities set out a
complex and challenging agenda for both the Executive and
its partners. Successful delivery of the integrated
approach will contribute to improvements in the lives of
all children, young people and families across Scotland.
These include people who may need little more than access
to services such as schools and healthcare through to
people with serious and multiple needs, who may need help
and support over long periods of time from a range of
service providers.
In 2003-04 local authorities spent £4.3bn. on children's
services (including pre-school and school education and
children and families social work services). This was a
£1bn increase on the £3.3bn. spent by local authorities in
2000-1. It excludes
NHS spending on services for
children.
Vision for children
Our ambition for the children of Scotland is that they
should be ambitious for themselves and be:
confident individuals
effective contributors
successful learners
responsible citizens
To achieve our vision, children need to be:
- Safe: Children and young people should
be protected from abuse, neglect and harm by others at
home, at school and in the community.
- Nurtured: Children and young people
should live within a supportive family setting, with
additional assistance if required, or, where this is
not possible, within another caring setting, ensuring a
positive and rewarding childhood experience.
- Healthy: Children and young people
should enjoy the highest attainable standards of
physical and mental health, with access to suitable
healthcare and support for safe and healthy lifestyle
choices.
- Achieving: Children and young people
should have access to positive learning environments
and opportunities to develop their skills, confidence
and self esteem to the fullest potential.
- Active: Children and young people
should be active with opportunities and encouragement
to participate in play and recreation, including
sport.
- Respected and responsible: Children,
young people and their carers should be involved in
decisions that affect them, should have their voices
heard and should be encouraged to play an active and
responsible role in their communities.
- Included: Children, young people and
their carers should have access to high quality
services, when required, and should be assisted to
overcome the social, educational, physical,
environmental and economic barriers that create
inequality.
What Phase 1 of the Children's Hearings system
showed
For many years the Children's Hearings system has
operated in Scotland for children who are thought to be at
risk and who need compulsory measures of supervision. The
Children's Hearing is a tribunal made up of three lay
members, known as Children's Panel members. The Children's
Hearings system looks at all children at risk, whether they
are in need of care and protection or are offending.
Ministers are reviewing the system and last year carried
out an initial consultation.
Phase 1 of the Children's Hearings Review told us that
there was widespread support for the principles of the
Children's Hearings system. It also highlighted some
serious concerns, in particular concern that:
- children did not get the help they needed when they
needed it and were being drawn into the Children's
Hearings system unnecessarily;
- the system was not very good at dealing with more
persistent or serious offenders; and
- the system was under strain as panel members were
often poorly supported and were frustrated when their
decisions were not always acted upon.
The Children's Hearings system was set up in 1971 and
since then the challenges facing children and families have
changed. It has become very clear that changes to the
Children's Hearings system on their own will not achieve
the improvements for children and their families we are
seeking.
It is also clear that just providing more of the same
sort of support in the same way will not lead to a better
system of support for children. So for the Children's
Hearings system to work more effectively, we also need to
change the way support is delivered to children.
What needs to happen
The public should have confidence in the Children's
Hearings system. They should be confident that decisions
made at a Children's Hearing will lead to improved outcomes
for children who are in need of care and protection or who
offend (for example, where offending behaviour is involved,
there will be a reduction in offending). They should also
be confident that decisions will be enforced where
necessary. In order to achieve this, appropriate action
must be taken as quickly as possible. Offending behaviour
must be challenged - it is not in anyone's interest, least
of all the child's, to avoid tackling offending behaviour
and its impact on others. Persistent offending or behaviour
which places a child at risk must be tackled. Panel members
and those working in the Children's Hearings system must be
confident that they are supported consistently in their
activities and decision making.
Often parents, children and young people do not seek
help from services because they think that this would label
them as either bad or neglectful parents or as an offender.
They do not want to face intrusive investigations or
enquiries which do not actually lead to any help for them.
Enquiries may seem to them to be designed to help the
agencies 'screen out' those who do not meet their
criteria.
Professionals want to and need to spend more of their
time on actually helping improve things for a child. It is
this sort of help which is valued by children and their
families. We therefore
need to make changes to allow
professionals to spend less time processing children and
their families through systems such as child protection,
youth justice or Children's Hearings and more time tackling
family and child concerns.
We know that people respond best to services that help
them to succeed. We
need to concentrate more on preventative educative
programmes which help people to tackle their own
problems. We need to involve families through approaches
such as family group conferencing and family mediation.
More priority needs to be given to developing capacity to
support children's needs arising from stresses or
breakdowns in family relationships. We also need to make
sure that, when a child's needs are complex or serious,
those needs are
properly identified along with the
contribution that various agencies should make to address
them.
Mainstream services (for example nurseries, schools,
family centres, primary care services and youth centres)
should be the front line providers of children's services.
They should make sure children and their parents get the
learning and support they need to do well. These front line
providers of children's services are also the front line of
support. Working in partnership with other agencies, they
need to take early preventative measures.
Before referral to another service, agencies should
take responsibility and do all they can, with the help of
others, to support the child. The child should not
automatically be passed to another agency.
We need to use compulsory measures only where they are
absolutely essential to deliver action for a child or place
requirements upon the child that cannot be achieved or
sustained without such intervention.
For some children, a multi-agency response will be very
important. But for many, one agency may well be able to
provide all the support that the child needs. Formal
procedures or assessments will be required to improve the
situation for a child only when the degree of complexity
requires such an approach.
Mainstream front line services all have a role to play
in supporting parents and encouraging children and young
people.
More intensive structured programmes need
to continue to develop and be used for adults who clearly
need help to allow them to do a good job as parents and for
young people with serious behaviour problems .
All of this means we need to find new ways of working
together. We need to concentrate help where there are
serious concerns. Where the assessment of risk to children
is low, help and support need to reflect this. We need to
develop technology and help all children and families to
learn to cope better.
Demand for general child and family support and more
intensive services for children who face particular
difficulties continues to grow. There has been a
considerable rise in the number of children who are living
with drug misusing parents and in the number of children
identified as having extra support needs. Increasingly,
too, communities expect action to control the children and
young people who cause a nuisance in their
neighbourhoods.
What is already happening
There are already several things happening which we can
build on.
- We have already developed a vision for Scotland's
children which shows what life should be like for them.
(For details see information box Vision for
children).
- Children and young people have identified what they
need in order to feel properly supported by the adults
responsible for their care (the Children's
Charter).
- We have developed separate national standards
applying to children who may be at risk of abuse and
neglect, for schools, for care services and for youth
justice. We have also developed some self evaluation
tools.
- We have done some work on identifying what
effective children's services will look like
(For details see information box Vision for
children's services) - We have a highly dedicated workforce, committed to
improving the lives of children.
The above provides the basis for a range of changes
already in place or proposed, which include:
- The Scottish Executive is refocusing the Integrated
Community Schools approach, to enable schools to
develop their role and be integrated if they are to be
regarded as being excellent.
- The 21st Century Review of Social Work will
identify how social workers can be better organised and
supported so that they can deliver improved
services.
- The establishment of Integrated Children's Services
Plans and Community Health Partnerships will help the
development, organisation and integration of services
which are focused on a person's needs and co-ordinated
locally.
- The establishment of integrated inspections by
HMIE and Care Commission of
vulnerable children and young people in residential
special schools and secure care accommodation.
- Many existing developments are aimed at
strengthening services and support for children,
including:
- youth justice - police cautions,
restorative justice, crime prevention and electronic
monitoring;
- child protection - strengthening Child
Protection Committees and A Framework for Standards for
all agencies;
- child health - linking health
provision more to individual families needs and
strengthening support for children and young people's
mental health and wellbeing;
- assessment - the Integrated Assessment
Framework, and additional support for learning (The
Education (Additional Support for Learning) (Scotland)
Act 2004);
- electronic information sharing to help
communication across agencies (eCare) better support
for
child witnesses.
Together these mean positive help and support for
children.
Our vision for children's services
Our vision for children's services is that they:
- are accessible, locally based, address locally
identified needs and risks and are designed along with
parents and children;
- are of high quality and that the public, children,
young people and families have trust and confidence in
them;
- clearly demonstrate through their buildings, décor,
web pages, systems, processes and staff responses that
'we're here to help', with access to a range of skills,
responses, advice and information from any entry
point;
- encourage ambition and provide the environment,
opportunities, support and resources to enable children
to grow and develop into confident, respected and
responsible adults, effective contributors and lifelong
learners;
- provide proportionate, timely and appropriate
responses to each child's needs and provide extra
support or help to those that need it, so that they can
make good use of the opportunities available;
- promote and secure children's safety and the safety
of others and take action to protect them or others as
necessary;
- strengthen the capacity of families and communities
to meet the needs of their children;
- take responsibility for action to improve
children's lives; and
- are accountable to the communities they serve.
Summary of what we are proposing
- A range of new measures which will support services
to work in partnership in order to make sure that a
child receives a co-ordinated support which delivers
help when needed.
- To work with agencies to develop a child friendly
system which makes sure that, where the child needs a
plan, there is one plan of action which is underpinned
by co-ordinated assessment of the child's needs.
- Children and their families should have explained
to them what is expected of them and the professionals
involved with them; how expectation will be met; and
how outcomes and milestones will be reviewed. They will
also know what action will be taken if outcomes and
milestones are not met. Children and their families
will also know who will co-ordinate their action plan,
particularly where multi-agency input is required.
- Building on the Children (Scotland) Act 1995, we
propose new statutory duties on all agencies:
- to identify children who are in need;
- to seek and record the child's views;
- to co-operate so that agreed action happens;
- to act on Children's Hearings decisions;
- to appoint a lead professional to plan and
coordinate activity where a child requires multi-agency
input; and
- to be accountable for their actions.
- We will require early action by agencies, with the
proportionate level of co-ordinated assessment. We want
to reduce report writing and bureaucracy to a minimum.
We will require mechanisms to be in place locally to
make sure that action happens for the child.
- We propose re-writing the grounds for referral to
the Reporter and the Children's Hearings system to be
based on two tests - significant need and the likely
need for compulsion, on which the Principal Reporter
will issue guidance. If a referral does not meet the
criteria for a Hearing, we will give the Principal
Reporter the authority to send the child's case back to
the agencies to fulfil their duties towards the
child.
- To improve consistency in recruitment, training,
monitoring and support for volunteers and the
Children's Hearings system. We seek views on whether
regional bodies or a national system for standards and
administration should be established. We see no need
for Scottish Ministers to appoint Children's Panel
Chairs or Children's Panel Advisory Committees for
local authority areas. In order to introduce more
flexibility into the Children's Hearings system, we
propose that Children's Panel boundaries should no
longer link to local authority boundaries, but should
be determined on a regional or national basis. New
arrangements will be developed to oversee standards and
procedures under either the regional or national
option.
Section 2 sets out in detail how we propose this is
achieved. Section 3 describes proposals for an integrated
assessment, planning and recording framework.
'Children's services': health, education, police and
social work services working with children and their
families. Collectively, these services share a
responsibility for making sure the right sort of help,
services and responses (including help from the voluntary
sector) are in place to support families and to make sure
the outcomes for children are good.
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