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Early Intervention 
Challenges and Opportunities 
A Local Authority Perspective 
Alison O’Sullivan 
Director for Children and Adults 
Vice President ADCS 
(Association of Directors of Children’s Services) 
18th September 2014
Contents 
Backdrop 
Trends 
Strategic Context 
Co-production 
Responses 
New Approaches 
Kirklees Thinking on Early Intervention 
What does this mean for Social Work?
Backdrop 
 Reducing public expenditure 
 Shifting professional expectations 
 Public opinion
Trends 
 Demand management 
 Productivity 
 Targeting 
 Focus on outcomes 
 Co-production
The strategic context 
Service Centric Approach 
• Universal delivery 
• Service located at convenience 
to service provider 
• Management and dispensing 
• Standardised menu options 
• Service based interventions 
• Services bound by geography of 
service provider 
People Centric Approach 
• Targeted delivery 
• Take services to where people 
are 
• Behavioural change – service 
user takes responsibility 
• Personalisation and tailoring 
• Integrated customer journey 
• Services linked to community/ 
neighbourhood
What is co-production 
Professional designed 
Professional 
delivered 
Service user designed 
Service user 
delivered 
User 
self-help group 
Traditional 
services 
Expert Patient 
Programme
Responses 
 Statutory minimum 
 Cuts 
 Consolidation 
 Collaboration 
 Alternative funding
‘New’ Approaches 
 Commissioning 
 Systems thinking and system redesign 
 Alternative providers 
 Partnerships 
 Modelling 
 Behaviour change and culture change
Kirklees Thinking on 
Early Intervention 
 Whole Council approach 
 Changed relationships with 
communities 
 Building individual resilience 
 Community assets and social capital
What Does this mean for 
Social Work? 
 Creating new social work roles 
 Redesigning traditional working 
 Enhancing skills and qualifications 
for support roles

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Early intervention – alison o’sullivan

  • 1. Early Intervention Challenges and Opportunities A Local Authority Perspective Alison O’Sullivan Director for Children and Adults Vice President ADCS (Association of Directors of Children’s Services) 18th September 2014
  • 2. Contents Backdrop Trends Strategic Context Co-production Responses New Approaches Kirklees Thinking on Early Intervention What does this mean for Social Work?
  • 3. Backdrop  Reducing public expenditure  Shifting professional expectations  Public opinion
  • 4. Trends  Demand management  Productivity  Targeting  Focus on outcomes  Co-production
  • 5. The strategic context Service Centric Approach • Universal delivery • Service located at convenience to service provider • Management and dispensing • Standardised menu options • Service based interventions • Services bound by geography of service provider People Centric Approach • Targeted delivery • Take services to where people are • Behavioural change – service user takes responsibility • Personalisation and tailoring • Integrated customer journey • Services linked to community/ neighbourhood
  • 6. What is co-production Professional designed Professional delivered Service user designed Service user delivered User self-help group Traditional services Expert Patient Programme
  • 7. Responses  Statutory minimum  Cuts  Consolidation  Collaboration  Alternative funding
  • 8. ‘New’ Approaches  Commissioning  Systems thinking and system redesign  Alternative providers  Partnerships  Modelling  Behaviour change and culture change
  • 9. Kirklees Thinking on Early Intervention  Whole Council approach  Changed relationships with communities  Building individual resilience  Community assets and social capital
  • 10. What Does this mean for Social Work?  Creating new social work roles  Redesigning traditional working  Enhancing skills and qualifications for support roles

Editor's Notes

  1. Mention Richard Selwyn and ADCS Resources Committee. Plus VCS Think Tank and Anton.
  2. Scale of reductions in Kirklees 40% £152m from £400 m Media publications Munroe, Croisdale and Appleby, Narey reports Real tensions
  3. Closer to Home Personal Community Budgets - Community Ownership Joined Up Services Personal Reliance ) Wellbeing ) both PH Led Linked to Marmot
  4. Trading Social Impact Bonds Shared Funding Troubled Families Integration with Health Cross Council Collaboration
  5. Social Enterprise Private Sector Partnerships as well as Integration of Public Services Nudge and Public Expectations Management
  6. Will this change the relationships between individual and state.