Greater Manchester's Early Years work - David Morris, New Economy Manchester
•
1 like•540 views
Presentation at the Improving Information Sharing & Management dissemination event at the LGA in London on May 24th. Presentation given by David Morris, Evaluation principal at New Economy Manchester.
Recommended
Recommended
More Related Content
What's hot
What's hot (20)
Viewers also liked
Viewers also liked (13)
Similar to Greater Manchester's Early Years work - David Morris, New Economy Manchester
Similar to Greater Manchester's Early Years work - David Morris, New Economy Manchester (20)
Recently uploaded
Recently uploaded (20)
Greater Manchester's Early Years work - David Morris, New Economy Manchester
- 1. The story from Greater Manchester Early Years case study David Morris New Economy
- 2. The Manchester Early Years new delivery model David Morris
- 3. What are we trying to achieve? • Improvement in % of GM children who are school ready – Improved family health and well-being – Improved economic well-being – Improved parenting skills and parent-child attachment
- 4. The 8 stage model
- 5. The importance of data to the 8 stage model • Data will be needed to identify families; • Evidence regarding the impact of interventions will be needed to inform future commissioning decisions; • Frontline officers will need access to data and evidence if they are not to have to duplicate work already undertaken; • Parents can use data and information to ‘take control’ of their child’s development; and • The data and evidence gathering systems that are put in place now will determine the success or failure of our longer-term ambition to track the outcomes of a cohort of GM youngsters.
- 6. The data challenges to be overcome • Families being asked for the same information at multiple points • No GM-wide agreement on what data needs to be tracked • Disconnection between paper and electronic systems • Absence of timely and/or detailed data • Lack of common approaches across agencies
- 7. In groups: • List the pieces of data and information that GM could call upon to track and review the 8 stage model (e.g. Early Years Foundation Score figures) • Think about which agencies collect which pieces of data, how, when etc Activity 1 – designing and planning
- 8. Draft outcomes framework Children Ready to Learn – EYFS scores Improved family health and wellbeing Improved economic wellbeing Improved parenting skills Obesity levels Percentage of children living in relative poverty Children subject to safeguarding plans Tooth decay rates Rate of family homelessness Childcare Sufficiency Vaccination coverage Free School Meals Parenting inventory scores Hospital admissions % Lone parents Post-natal depression - Edinburgh scale Rate of smoking at time of delivery Households on workless benefits Secure attachment at age 2 Breastfeeding stats Childcare element of WTC Self-reported measures of parental wellbeing Low birth weight
- 9. Selecting the final outcomes • Communication power - does the indicator communicate to a broad and diverse audience? Would it hold the attention of the public if read out at a meeting? • Proxy power - the indicator say something of central importance about the new delivery model objective (children are ready to learn)? Can the indicator act as a proxy for another/future outcome? Or does the indicator move in the same way as a herd of other KPIs? • Data power - do we have quality data for the indicator on a timely basis? In a consistent way? To required geographic level? Communication power Proxy power Data power HIGH HIGH HIGH
- 10. Sharing the shared outcomes •Further detail on KPIs •Legal Gateways
- 11. Mapping how KPI data flows
- 12. Sharing the shared outcomes •Further detail on KPIs •Legal Gateways •Local consultation •Piloting solutions •Signing DSAs •Tracking impact •Influencing decisions •Staff training •Procurement •Comms
- 13. In groups: • List the key staff we will need to engage within: –NHS –Local authorities –Other agencies/groups Activity 2 – from theory to mainstream
- 14. Activity 2 – key staff NHS Local Authorities Others Information governance managers Information governance managers Someone with knowledge of both NHS and LA staff structures to gather the cast together and move the process on Lead midwife Children’s services information management staff Midwives / Community Midwives Children’s Centre staff Mums and families Dentists Caldicott Guardian School nurses Health Visitors Senior Management Support Team Head teachers CCGs Admin staff to handle paper system Referral providers Caldicott Guardian Service Delivery staff Budget controllers Senior Management Support Team Child Health Information System staff Admin staff to handle paper system IT System Support staff
- 15. Checklist • Only ask for the (minimum) data and information you need • Secure agreement to shared outcomes • Resourcing - combine service delivery and technical expertise • Seek pragmatic solutions first and pilot • Give yourself enough time
- 16. Questions
- 17. The story from Greater Manchester Early Years case study David Morris New Economy
Editor's Notes
- Want to talk about what GM is doing to redesign how it delivers early years services our 0-5s and their families And explain how IISaM insights and tools are helping with this service redesign
- Work started in 2009/10 – 10 GM local authorities recognising that child outcomes are not as good as they could be – with many children turning up at school aged 5 not ready to learn The challenges – lack of regular, structured contact between agencies and families from pre-birth to age 5 Range of different approaches and services on offer across the conurbation – not all evidence based Some evidence of duplicate activity The financial case for change – In short term having more school ready children will save money from school, health and special educational needs budgets In long-term, GM children will obtain better qualifications and make a bigger contribution to our economy – low skills is the key thing that holds the GM economy back Obviously, there are also good non-financial reasons for change: Happier children More confident, independent parents Stronger families and communities
- Building on some small scale pilot work, in 2012 a multi-agency GM team worked with a range of central government secondees from DfE, DCLG, DOH etc to produce a business case for a new way of delivering Early Years services in GM. Came up with 8 stage model – also termed the new delivery model - which: Brings together many existing statutory contact points across health, children’s services and schools Agrees which assessment tools will be used at each contact point to identify a child’s needs Backed up by a list of evidence based interventions that children can be referred to Underpinned by a single pot investment approach The new delivery model is due to go live in April 2015. Before then a number of things need to happen: Staffing levels/profiles and procurement decisions need to be reconsidered A catalogue of evidence-based interventions needs to be developed Agreement is needed on joint investment mechanisms Frontline staff need to be briefed and trained And data and information solutions need to be put in place
- Why and how is data and information sharing crucial to the Early Years new delivery model? Run through slide
- We know that considerable challenges exist – run through slide A group, chaired by me, has been established to overcome these challenges: Varied membership – all 10 localities, different NHS agencies, mixture of service delivery and IT staff Long-term piece of work – at least 12 months, probably longer Regular meetings – aiming to bring pace and energy to the process – practical activities etc Links to other EY groups who are focusing on issues such as the catalogue of evidence based interventions and staff training The IISaM concept of an information sharing journey has been a useful tool in terms of designing the group's work plan – will use the rest of my presentation to illustrate how and the lessons we have drawn
- Before any information sharing activity can begin you need common agreement on why information sharing is needed and you need to plan what is to be shared – boxes 1 & 2 in the IISaM journey – this is what the group has been focusing on for the last 3 months. Ask groups to spend 10 minutes listing the KPIs they think GM will need to be recording in order to understand the impact of its Early Years new delivery model – no right or wrong answers! If they have time, for each KPIs note who collects the data, when, in what format etc
- A total of 30 draft outcomes identified – the key KPIs listed in the table by the sub-outcome they refer to Compare table with what the groups have suggested Issues with these: Many relate to service provision rather than a child or family’s needs Mainly focus on the 0-2 period, less on the 3-5 age range Cause and effect issues – will new delivery model activities respond to or lead to these KPIs changing? They are what we have always collected! Group have come up with a method for boiling down the draft indicator list into a final set of shared outcomes
- Our approach is essentially based upon that proposed by Friedman in his 2005 book, Trying hard is not good enough Individually and as a group we have looked at each KPI in turn, asking three questions of that KPI – run through slide We are looking for those KPIs which score HIGH on all 3 criteria – at present we have X KPIs in this category The Early Years Shared Outcomes Framework will be signed off in the summer – all agencies will agree that these are the KPIs by which we will judge the success of the new delivery model – but group will still have 4 stages in the information sharing journey to complete...
- 4 stages to be undertaken from summer onwards: Theory into practice – key activities Implementing – key activities Realising benefit – key activities Mainstreaming – key activities
- When it comes to understanding more about the KPIs we have selected for our EY Shared Outcomes Framework, a key task will be to map how the data relating to that KPI flows between agencies and between systems Diagram shows how we will do this, using example from Greater Manchester’s work on live birth data sharing between NHS and local authorities
- 4 stages to be undertaken from summer onwards: Theory into practice – key activities Implementing – key activities Realising benefit – key activities Mainstreaming – key activities
- Consultation and communication will be key in much of the group’s upcoming work. Ask groups to spend 10 minutes on activity 2
- Compare our list to the suggestions from the floor – any additions to make?
- Still early days in terms of developing a GM Early Years data and information sharing system but we have learnt several things already and IISaM concept of an information sharing journey has been useful. Key lessons and insights for other localities...