SUPPORT FROM THE START: EVERY CHILD MATTERS

Supporting families and children aged 0 – 5

Being healthy

Being safe

Economic well being

Making a positive contribution

Enjoying and achieving

Source: Feinstein, Economica (2003)

High SES; low early rank

Low SES;low early rank

High SES;high early rank

Low SES; high early rank

0

10

20

30

40

50

60

70

80

90

100

22 28 34 40 46 52 58 64 70 76 82 88 94 100 106 112 118

Age in months

Ave

rage

pos

ition

in th

e di

stri

butio

n

Significance of early circumstances: national evidence

(DfES diagram: showing relationship of social-economic circumstances and achievement)

Key inequalities follow similar geographical patterns, and reflect levels of child poverty

  

  

PREGNANCY SCHOOL

Additional support provided when and where it is needed, ensuring the inclusion of all children/families

Developing systems to ensure an integrated & inclusive journey from

pregnancy to school

0 - 5

Identifying the ‘offer’ available for all children/families

UNIVERSAL ENTITLEMENT - 1A core offer for all children aged 0 - 5

(delivered where feasible through integrated Children’s Centres)

Child and family health services

Parenting and family support

Family learning, and access to training and education

Information, guidance and signposting

Early years education, childcare and play

ENTITLEMENT – 2Wider offer for all families:

Successful neighbourhoods: ensuring a focus on families with young children

Health, social care & decent housing

Safe communities/ environment. Accessible transport

Training and employment. Family friendly policies

Access to services, ensuring connectivity

Education, play, leisure, sports & arts, particularly outdoor activity

Building an integrated and inclusive approach to supporting the

pregnancy/0 – 5 journey/pathway

An integrated and entitlement framework:• Link all care pathways/journeys for -0 to 5: smooth transitions.• Routes to access/ensure inclusion in all services in ‘Sheffield

Sure Start offer’• Empowering and engaging parents/carers• Link to comprehensive information and advice, and signposting

to services/additional support• Integrated universal assessment system, linking into the

Common Assessment Framework• Common language, linked to core workforce skills• Information/data as a basis for continual improvement in service

delivery

Mapping the 0-5 journey• Developing a system to map all the services and ‘high

level actions’ from all plans contributing to the 0 – 5 journey – from pregnancy to transition into full time school. The system identifies the source plan, and maps the services and actions against:

• Every Child Matters outcomes and aims

• The key judgements and evidence in the Joint Area Review (JAR) Joint Inspection Framework and the Annual Performance Assessment (APA) of Council Children's Services.

Mapping the 0 – 5 journey con’t

• The eleven National Service Framework (NSF) Standards for Children, Young People and Maternity Services.

• The 0 - 5 ‘offer’ – city wide universal services and universal services targeted at disadvantaged areas.

• Identification of additional support to ensure inclusion of all children, identifying the focus group.

• Indicators of need and success, against the 250+ national indicators and any additional local indicators.

One example (to be shown electronically at the Board)

Service &/or high level action

Strategic Plan

Development of Maternal Care Pathway, linked to integrated journey. Pathway highlights choices and targets services to individual needs. Provides access to additional support (specialist pathways) where/when needed. Delivers integrated local services through Children's Centres where possible.

links

Links to:

Strategy for Maternal Health 2004-2010

ECM Outcome: Being healthy (All 5 aims)

Joint Inspection Framework:

Key Judgement

Joint Inspection Framework:

Evidence

Parents and carers receive the advice they need to keep their children healthy

Maternity provision is accessible and targeted to individual needs

NSF 11

NSF 11: Women have easy access to supportive, high quality maternity services, designed around their individual needs and

those of their babies

NSF Markers of good practice:

Baseline assessment

Gaps/actions required/ priorities

Lead provider and/or commissioner

Linking to 0 – 5 offer

and additional support Universal offer: City wide

Universal offer: targeted areas

Additional support

Identifies elements of the universal pathway/journey for all mothers/ babies/families

(example to be provided)

Pathway identifies services for all families in targeted disadvantaged areas: e.g: smoking cessation

Universal pathway links to pathway for vulnerable groups – includes e.g. substance misuse maternity service

Links to indicators

Services & high level actions

Identifying appropriate indicator to measure need and changes over time and/or measures of success

Identification of appropriate national indicator or of local indicator

Links to national indicators by ECM outcome area

Midwifery

PREGNANCY SCHOOL

Additional support provided when and where it is needed

Mapped onto an integrated and inclusive journey: mapped by age group

Example:Early visit from midwife

Named midwife. A midwife available 24/7

Health Visiting

Early Years Schools

0 - 5

Identifying Service leads:

Offer available for all children/families

Questions for the Board

• Any comments on the system being developed for mapping the 0 – 5 journey.

• Views on whether it would be a useful system for the 0 – 19+ journey as a whole.