ITEM 15 Annual Chief Social Work Officer Report
North Lanarkshire Council · 27 March 2024
Back to Health and Social Care Integration Joint Board — 27 March 2024 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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1 REPORT Item No: 15 SUBJECT: Annual Chief Social Work Officer Report 2022/23 TO: Integration Joint Board Committee Lead Officer for Report: Alison Gordon, Chief Social Work Officer (Education, Families, Justice and Integrated Practice) Author(s) of Report Alison Gordon Chief Social Work Officer (Education, Families, Justice and Integrated Practice) DATE: 27 March 2024 1. PURPOSE OF REPORT This paper is coming to the IJB for: For approval ☐ For endorsement ☒ To note ☐ 2. ROUTE TO THE BOARD This paper has been: Prepared By: ☐ Reviewed By: ☒ Endorsed By: ☐ In line with guidance this report is approved through the Council and this approval is exercised both through the Adult Care and Social Work Committee and the Education, Children and Families Committee. The Adult Care and Social Work Committee approved the report on 14th November 2023 and the Education, Children on 21st November 2023. More recently the report was also considered and endorsed by North Lanarkshire Partnership’s Strategic Leadership Board on 9th February 2024 and was reviewed by the North Support Care & Clinical governance committee on 22nd February 2024. 3. RECOMMENDATIONS It is recommended that the Integrated Joint Board: (1) Endorse this report (2) Note the approval route through Council committees.
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2 4. VARIATIONS TO DIRECTIONS? 5. BACKGROUND/SUMMARY OF KEY ISSUES Background: 5.1.1 The requirement that each local authority appoints a professionally qualified Chief Social Work Officer is contained in Section 45 of the Local Government (Scotland) Act 1994. Statutory Guidance on the role of the Chief Social Work Officer was updated in 2016, to reflect the impact of Health and Social Care Integration, extending the responsibilities of the role to provide advice to the Integration Joint Board (IJB). In addition to providing advice both to the local authority and IJB in relation to the discharge of statutory social work functions, the role continues to carry key responsibilities for professional leadership, values, and standards both for directly provided and commissioned services. 5.1.2 Social Work Services in North Lanarkshire continue to play a lead role in supporting and safeguarding our communities. Adult Social Work and Social Care Services are delivered through Health and Social Care North Lanarkshire (HSCNL) whilst Children, Family and Justice Services are delivered through the Council’s Education and Families Service. 5.1.3 The CSWO role requires to be undertaken by one designated individual, delegation of responsibilities is permitted where required by the scale of business. In North Lanarkshire this means that the Chief Officer Adult Social Work Services, routinely exercises delegated responsibilities for decision-making and professional standards within adult services as well as providing support and cover with respect to the wider functions of the CSWO role. 5.1.4 The Annual Chief Social Work Officer’s Report is intended to provide a key overview of social work service delivery and performance. The Office of the Chief Social Work Advisor (OCSWA) also produces a national report each year which draws on key themes and messages from CSWO reports across Scotland. Social Work Service Delivery: 5.2.1 Social Work in North Lanarkshire employs around 2,800 staff. In collaboration with commissioned services and 3rd Sector partners, support is provided to around 30,000 individuals and families at any one time. Social work also makes a key contribution to wider partnership and community activity. 5.2.2 As illustrated within the report partnership working is fundamental to social work service delivery at every level and a key aspect of the CSWO role involves developing and sustaining partnership working and relationships across a range of organisations and structures. In addition to the specific responsibilities of the CSWO to the council and HSCNL, the CSWO holds a key leadership role within several local partnerships as well as contributing to the wider national social work community. Our strong partnership ethos supports well balanced social work, with integrated working Yes ☐ No ☐ N/A ☒
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3 arrangements across Health and Social Care, Education and Families, the wider council and partners including the community and voluntary sector. Section 3 of the report describes our statutory partnership working responsibilities in more detail. 5.2.3 Income maximisation and tackling poverty continue to be key strands in the delivery of social work and social care in North Lanarkshire. These have become increasingly integrated into day-to-day practice and service delivery and have a strong fit with the core values of social work – promoting independence, self-help, and self-reliance. Equally important and threaded through the activity reflected within this year’s report, is a commitment to strengthen relationship based and trauma-informed practice. 5.2.4 A range of factors including the legacy impacts of the pandemic; the cost-of-living crisis; the increased demand for social work interventions and support; the increased number of people who have complex needs; and, staffing challenges in health and social care, have all meant that meeting demand within available resources has proved difficult, resulting in some elements of performance, notably with respect to care at home being impacted. As the report evidences, however, the service has continued to innovate to ensure not only that statutory duties are delivered to a high standard, but also to improve outcomes and people’s experiences of services. Throughout this period we have continued both to retain a strong balance of care across all care groups, supporting individuals to remain within their homes and communities wherever possible and to support and empower individuals and families to achieve positive outcomes. 5.2.5 External scrutiny of social work services if undertaken primarily through the Care Inspectorate and its partner agencies. The final report of the Joint Inspection for Adult Support and Protection was published on 22 November 2022. The inspection findings are largely positive and recognise the hard work and determination of staff across the partnership over the last two years. The report indicated strong multi- agency arrangements in North Lanarkshire, keeping adults who are at risk of harm safe and protected. A Joint Inspection of Services for Children and Young People at Risk of Harm in North Lanarkshire was announced in April 2023 and therefore beyond the period covered in this report, however, the positive findings from the Joint Inspection were considered by Education, Children and Families Committee also in November 2023 and by the Strategic Leadership Board at its meeting on 1 December 2023. This will be reflected further in next year’s annual report. 5.2.6 Staff commitment and resilience has continued to be remarkable during these challenging times. A range of initiatives to support staff recruitment and retention against a challenging backdrop is outlined in Section 5 of the attached report. As part of our wider approach to wellbeing, we also continue to have a focus on the wellbeing of staff within day-to-day practice and working arrangements and offer a wide range of staff wellbeing initiatives and supports. 5.2.7 Looking forward, the report reflects on the opportunities to continue our whole system approach, which includes the continued embedding of the Empowering Clusters’ model within Education and Families and the Good Conversations Model and GIRFE (Getting It Right for Everyone) within in Adult Services and the opportunities provided through the Council and HSCP’s programmes of work as well, as reflecting on the continued uncertainties related to elements of nationally driven change in particular the future shape of the National Care Service.
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4 6. CONCLUSIONS As set out above this report is presented to the Integrated Joint Board in order to provide an overview of social work activity and performance for the period 2022/23 in addition to providing context relevant to service delivery with respect to governance, resources, workforce, challenges and opportunities. Many of the areas covered within the report will already have been the subject of more detailed reporting to the Board over this period however in providing this information within a holistic context of all social work services the report is intended to facilitate the Board’s oversight, scrutiny and future planning with respect to social work services. 7. IMPLICATIONS 7.1 NATIONAL OUTCOMES Link(s) to National Health and Wellbeing Outcomes People are able to look after and improve their own health and wellbeing and live in good health for longer ☐ People, including those with disabilities or long-term conditions, or who are frail, are able to live, as far as reasonable practicable, independently and at home or in a homely setting in their community ☐ People who use Health and Social Care Services have positive experiences of those services, and have dignity respected ☐ Health and Social Care Services are centred on helping to maintain or improve the quality of life of people who use those services ☐ Health and Social Care Services contribute to reducing health inequalities ☐ People who use Health and Social Care Services are safe from harm ☐ People who work in Health and Social Care Services feel engaged with the work they do and are supported to continuously improve the information, support, care and treatment they provide ☐ Resources are used effectively and efficiently in the provision of Health and Social Care Services ☐ 7.2 ASSOCIATED MEASURE(S) 7.3 FINANCIAL This paper has been reviewed by Finance: Yes ☐ No ☐ N/A ☒
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5 7.4 RISK ASSESSMENT/RISK MANAGEMENT Relevant Risk Register Details Current Risk Level Risk Owner Choose an item. None specific to the report – risk context and management measures are referenced within the body of the report 7.5 ENGAGEMENT & PARTICPATION Please tick the engagement and participation objectives that link(s) with this piece of work and provide further details regarding the engagement and participation that was undertaken. The report is a public facing document and therefore provides individuals and communities alongside governance groups with key information on social work performance and delivery. Whilst no specific engagement activity is undertaken with respect to the report itself the contents reflect the embedding of a co-production approach and the promotion of voice across a range of service delivery and development activity. Objectives Further Details ☐ Involve stakeholders in the development work aimed at achieving the national outcomes ☐ Provide stakeholders with information on how to get involved ☐ Ensure a diverse range of engagement and participation and opportunities are in place to suit different needs ☐ Measure how well we involve community stakeholders in the planning, design and delivery of our services ☐ Provide regular feedback on how stakeholder engagement and participation is shaping and influencing service development and delivery ☐ Provide support to enable stakeholder representatives to participate meaningfully and confidently at meetings ☐ Develop participation guidelines to ensure a common understanding and set of expectations for both stakeholders and partnership staff ☐ Support engagement planning and participation in localities, taking account of other engagement activity and local plans across the Community Planning Partnership
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6 7.6 INEQUALITIES & FAIRER SCOTLAND DUTY EQIA Completed & Fairer Scotland Impact Assessment Form Completed and attached to report: EQIA added to website: 8. BACKGROUND PAPERS None. 9. APPENDICES Please include a glossary of terms if not already included. Appendix 1- Annual Report of the Chief Social Work Officer 2022/23 CHIEF ACCOUNTABLE OFFICER (or Depute) Members seeking further information about any aspect of this report, please contact the following: Alison Gordon, Chief Social Work Officer (Education, Families, Justice and Integrated Practice) Yes ☐ No ☐ N/A ☒ Yes / Date added ☐ No ☐ N/A ☐
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7 Direction from North Lanarkshire Integration Joint Board (IJB) 1 Reference Number 2 Report Title 3 Date direction issued by IJB 4 Date from which direction takes effect 5 Direction to: 6 Does this direction supersede, revise or revoke a previous direction – if yes, include reference number(s) 7 Functions covered by direction 8 Full text of direction 9 Budget allocated by Integration Joint Board to carry out direction 10 Performance Management / Governance arrangements 11 Date direction will be reviewed
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8 Appendix 1 CSWO Annual Report 2022-2023
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9 Contents 0BANNUAL REPORT BY CHIEF SOCIAL WORK OFFICER: NORTH LANARKSHIRE 2022/23 ....................... 12 THE CHIEF SOCIAL WORK OFFICER FUNCTION ................................................................................ 12 3BANNUAL REPORT .............................................................................................................................. 13 1B1. GOVERNANCE AND ACCOUNTABILITY ARRANGEMENTS ................................................................ 14 1.1 NORTH LANARKSHIRE COUNCIL AND NORTH LANARKSHIRE PARTNERSHIP ........................... 15 1.2 HEALTH AND SOCIAL CARE NORTH LANARKSHIRE .................................................................... 17 1.3 SUPPORT, CARE, PRACTICE AND STAFF GOVERNANACE ARRANGEMENTS .............................. 19 1.4 CARE HOME ASSURANCE ........................................................................................................... 20 1.5 ENGAGEMENT WITH THE PEOPLE WHO USE SUPPORT SERVICES AND THE COMMUNITY AND VOLUNTARY SECTOR ......................................................................................................................... 20 2B2. SERVICE DEVELOPMENT, QUALITY AND PERFORMANCE ................................................................ 23 2.1 PERFORMANCE AND IMPACT MEASUREMENT ......................................................................... 23 2.2 SUPPORT TO UNPAID CARERS .................................................................................................... 24 2.3 JUSTICE SOCIAL WORK SERVICES ............................................................................................... 26 2.3.1 CPO UNPAID WORK ............................................................................................................. 27 2.3.2 OTHER ACTIVITY .................................................................................................................. 29 2.3.3 DIVERSION FROM PROSECUTION ....................................................................................... 30 2.3.4 OFFENCE FOCUSED WORK .................................................................................................. 32 2.3.5 UP2U .................................................................................................................................... 33 2.3.6 MOVING FORWARD: MAKING CHANGES (MF:MC) ............................................................ 34 2.3.7 WOMENS SERVICES ............................................................................................................. 34 2.3.8 THROUGHCARE (BRIDGES AND BEYOND) ........................................................................... 35 2.3.9 CHALLENGES ........................................................................................................................ 35 2.4 CHILDREN AND FAMILIES SOCIAL WORK SERVICES ................................................................... 36 2.4.1 KEEPING THE PROMISE ....................................................................................................... 36 2.4.2 INVOLVING YOUNG PEOPLE ................................................................................................ 38 2.4.3 A GOOD CHILDHOOD: ACHIEVING A LOVING A CARING HOME ........................................ 39 2.4.4 MOVING ON: SUPPORTING CARE EXPERIENCED YOUNG PEOPLE WHO HAVE LEFT CARE 43 2.4.5 A RIGHT TO EDUCATION ...................................................................................................... 44 2.4.6 YOUNG PEOPLE IN CONFLICT WITH THE LAW/DECRIMINALISATION OF CARE EXPERIENCED YOUNG PEOPLE ..................................................................................................... 45 2.4.7 WHOLE FAMILY SUPPORT AND PROTECTING CHILDREN AND YOUNG PEOPLE AT RISK OF HARM ............................................................................................................................................ 47 2.4.8 GENDER BASED VIOLENCE .................................................................................................. 49 2.5 ADULT SOCIAL WORK SERVICES ................................................................................................. 50
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10 2.5.1 GETTING IT RIGHT FOR EVERYONE (GIRFE) ........................................................................ 51 2.5.2 MAKING LIFE EASIER ........................................................................................................... 51 2.5.3 ASSISTIVE TECHNOLOGY ..................................................................................................... 52 2.5.4 COMMUNITY ALARMS ........................................................................................................ 53 2.5.5 EQUIPMENT & ADAPTATION SERVICE (EAS) ....................................................................... 54 2.5.6 LOCALITY SUPPORT SERVICES ............................................................................................. 54 2.5.7 INTEGRATED DAY SERVICES ................................................................................................. 55 2.5.8 HOME ASSESSMENT TEAM ................................................................................................. 55 2.5.9 HOME SUPPORT SERVICE .................................................................................................... 56 2.5.10 TRANSFORMATIONAL SDS AGENDA ..................................................................................... 57 2.5.11 COMMUNITY LIVING CHANGE FUND/COMING HOME ........................................................ 58 2.5.12 MENTAL HEALTH OFFICERS SERVICE AND ADULTS WITH INCAPACITY ACT (SCOTLAND) 2000 .......................................................................................................................................................... 59 3 PUBLIC PROTECTION...................................................................................................................... 63 3.1 ADULT SUPPORT AND PROTECTION .......................................................................................... 63 3.1.1 ASP REFERRAL TRENDS ....................................................................................................... 63 3.1.2 ASP INVESTIGATIONS .......................................................................................................... 64 3.1.3 CASE CONFERENCES ............................................................................................................ 64 3.1.4 STATUTORY ORDERS ............................................................................................................ 64 3.1.5 APPROPRIATE ADULT SERVICES .......................................................................................... 64 3.1.6 LARGE SCALE INVESTIGATIONS ........................................................................................... 65 3.1.7 JOINT INSPECTION OF ADULT SUPPORT AND PROTECTION IN NORTH LANARKSHIRE ..... 66 3.2 MAPPA (MULTI AGENCY PUBLIC PROTECTION ARRANGEMENTS ......................................... 67 3.3 CHILD PROTECTION .................................................................................................................... 68 3.4 WIDER SAFEGUARDING ACTIVITY .............................................................................................. 69 3.4.1 CONTEXTUAL SAFEGUARDING AND PROTECTING YOUNG PEOPLE FROM HARM OUTSIDE THE HOME..................................................................................................................................... 69 3.4.2 SUICIDE PREVENTION .......................................................................................................... 71 3.4.3 DRUG RELATED DEATHS ...................................................................................................... 72 4. RESOURCES ....................................................................................................................................... 73 4.1 FINANCIAL MODELLING FOR SERVICE DELIVERY ....................................................................... 75 5. WORKFORCE ..................................................................................................................................... 76 5.1 WORKFORCE PLANNING ............................................................................................................ 76 5.2 SOCIAL WORK RECRUITMENT AND RETENTION ....................................................................... 76 5.3 RECRUITMENT AND RETENTION OF MENTAL HEALTH OFFICERS .............................................. 78 5.4 SOCIAL CARE ............................................................................................................................... 79
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11 5.5 ADMINISTATION AND BUSINESS SUPPORT ............................................................................... 80 5.6 CARE ACADAMY.......................................................................................................................... 80 5.7 WORKFORCE DEVELOPMENT AND STAFF SUPPORT ................................................................. 81 5.8 LEARNNL ..................................................................................................................................... 82 5.9 ASSESSMENT CENTRE AND REGISTRATION ................................................................................ 82 5.10 POST GRADUATE OPPORTUNITIES ........................................................................................... 82 5.11 PROFESSIONAL DEVELOPMENT AWARD IN PRACTICE LEARNING (PDA PL) SQA LEVEL 11...... 83 5.12 SOCIAL WORK DEGREE PATHWAY WITH THE OPEN UNIVERSITY ............................................ 83 5.13 STUDENT SOCIAL WORK HUB .................................................................................................. 84 5.14 NEWLY QUALIFIED SOCIAL WORK PROGRAMME .................................................................... 84 5.15 OTHER KEY TRAINING AND DEVELOPMENT ACTIVITIES ......................................................... 85 5.16 TRAUMA INFORMED PRACTICE ............................................................................................... 86 5.17 LIVED EXPERIENCE .................................................................................................................... 87 5.18 REFLECTIVE LEARNING: THE SCOTTISH CHILD ABUSE INQUIRY/HISTORICAL ABUSE .............. 87 5.19 SUPPORT FOR STAFF WELLBEING ............................................................................................. 87 6. LOOKING FORWARD – PRIORITIES FOR 2022-2023 AND BEYOND .................................................. 88
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12 0BANNUAL REPORT BY CHIEF SOCIAL WORK OFFICER: NORTH LANARKSHIRE 2022/23 THE CHIEF SOCIAL WORK OFFICER FUNCTION Every local authority is required to appoint a professionally qualified Chief Social Work Officer (CSWO) as contained in Section 46 of the Local Government (Scotland) Act 1994. The CSWO provides professional leadership, accountability, and governance, for the delivery of social work and social care services, including commissioned services. The CWSO also provides advice on social work service delivery and on cross-cutting issues to the local authority Chief Executive, Elected Members and the Integrated Joint Board (IJB) to promote understanding of the range of social work and social care services and the complexities involved in delivering statutory responsibilities which require consideration of need and the management of risk and liberties. The then Scottish Office specifically recognised that the need for the CSWO role was driven by “the particular responsibilities which fall on social services in that they affect personal lives, individual rights and liberties to an extent that other local authority services do not.” (Circular: SWSG2/1995 May 1995). The CSWO also has a direct lead remit for decisions on specific statutory matters including in relation to secure accommodation, adoption and welfare guardianship as illustrated below. A further aspect of the CSWO role is to inform the delivery of wider services which support or impact on social welfare. The CSWO role within North Lanarkshire is held by the Chief Officer, Children, Families, Justice and Integrated Practice. The CSWO is supported by the Chief Officer, Adult Social Work Services who holds delegated responsibilities with respect to adult social work and social care, deputises in other areas as required and works alongside the CSWO in relation to the other
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13 functions of the role. 3BANNUAL REPORT In line with Scottish Government guidance the CSWO is required to provide an annual report. This report provides an overview of social work service delivery in North Lanarkshire for the period April 2022 to March 2023 and covers the following areas: Governance and accountability arrangements, including partnership working. Service Quality and Performance, including service developments. Resources Workforce Future Priorities The legacy impact of Covid, the continuing cost-of-living crisis, increased demand and challenges around recruitment and retention of staff within the social care and social work sectors have all been significant factors during the past year. These are reflected within the report as are the positive innovations and continuous improvement activity across the service as staff have worked with resilience and commitment to achieve the best possible outcomes for those we support. I would like to record my thanks and pay tribute to all staff involved in the delivery of social work services in North Lanarkshire for their work over the past year I would also like to thank all internal and external partners, carers, families and communities who have supported us in our work. Alison Gordon Chief Social Work Officer
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14 1B1. GOVERNANCE AND ACCOUNTABILITY ARRANGEMENTS Social Work Services in North Lanarkshire continue to play a lead role in supporting and safeguarding our communities. Adult Social Work and Social Care Services are delivered through Health and Social Care North Lanarkshire (HSCNL) whilst Children, Family and Justice Services are delivered through the Council’s Education and Families Service, with local arrangements continuing to support close working across these areas in both service delivery and planning, particularly in relation to workforce issues and professional development. Social Work in North Lanarkshire employs around 2,800 staff. In collaboration with commissioned services and 3rd Sector partners, we are involved in providing support to around 30, 000 individuals and families at any one time in addition to contributing to wider partnership and community activity. Progress towards a National Care Service (NCS) is continuing and as reported last year, is likely to involve significant change in the future governance of social work services. A NCS Member Officer Group was stood up by the Council both to inform our response to national engagement on the NCS and to support local planning but was paused in line with the pause on the Bill process. Partnership working at local level remains fundamental to social work. A key aspect of the CSWO role involves developing and sustaining partnership working and relationships across a range of organisations and structures. In addition to the specific responsibilities of the CSWO to the Council and HSCNL the CSWO holds a key leadership role within several local partnerships as well as contributing to the wider national social work community, as illustrated below:
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15 1.1 NORTH LANARKSHIRE COUNCIL AND NORTH LANARKSHIRE PARTNERSHIP The direction for the council and partners is set out in the Plan for North Lanarkshire. This highlights shared priorities and a long-term vision and aspires to inclusive growth and prosperity. The plan aims to ensure that the benefits that this brings reach all our communities, and that there is a much fairer distribution of wealth - The Plan for North Lanarkshire | North Lanarkshire Council The plan focuses on: improving economic opportunities and outcomes supporting all children and young people to realise their full potential. improving the health and wellbeing of communities enhancing participation, capacity and empowerment across our communities and improving North Lanarkshire’s resource base During the reporting period an analysis of the area profile highlighted that North Lanarkshire has seen several successes in its first period, notably a rise average wage to above the Scottish average and a small reduction in child poverty, but there are also challenges. This analysis provided the evidence that informed the direction for The Plan for North Lanarkshire from the period 2023 – 2028. A five-year Programme of Work which was approved in March 2023, supports the plan and this comprises seven priorities for delivery: Transforming Places - To better plan and co-ordinate public and private sector investment to deliver transformational change across town centres and local communities at pace. Invest in North Lanarkshire - Accelerated outcome delivery and investment via a more streamlined advisory service and aligned operating model and infrastructure plan. Sustainable Futures - Focus commitments to Net Zero Carbon and climate resilience and the associated energy solutions and investments required to make it a reality. Resilient People - Deliver whole family support locally, when families need it, in a way that addresses the impacts of poverty and reduces inequality. Brighter Futures - Support and improve educational attainment, employment opportunities, entrepreneurship, and volunteering. Digital North Lanarkshire - Develop a skilled digital workforce, promote an innovative, sustainable culture and be the Digital Leader for a transformed North Lanarkshire. One Service - Ensure services are delivered, regardless of owner, in a streamlined, efficient, and supportive model, with the overall vision of inclusive growth and prosperity for all. The CSWO, Chief Officer Adult Social Work, Chief Officer Planning, Performance and Quality Assurance and other senior social work managers are actively involved in key areas of this programme, with the CSWO undertaking the role of SRO (Senior Responsible Officer) for the Resilient People Programme. This ensures connections are made across the range of corporate work programmes, in particular those which impact on areas that are important to those who use social work services, for example, employability services, homelessness
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16 prevention and community wealth and capacity building. As previously reported, from early 2022, the CSWO (Education, Family Justice and Integrated Practice) has also held operational responsibility for Tackling Poverty; Community Learning and Development and Resettlement functions, creating increased opportunities for integrated working in areas closely linked to social work. The Programme of Work continues to be shaped and overseen by the Corporate Management Team and through the council committee structure with the Adult Health and Social Care Committee and Education, Children and Families Committee having oversight of the delivery of social work. North Lanarkshire Partnership (NLP) brings together the major public sector agencies in the area along with Voluntary Action North Lanarkshire (VANL) the third sector interface in the area. NLP operates as the overarching framework for partnership working and the priorities for delivery across the partnership are included in The Plan for North Lanarkshire. The Children’s Services Partnership (CSP) continues to provide multi-agency governance, strategic planning and direction for children’s services in North Lanarkshire. Children’s Service Partnership Board membership includes Elected Members and HSCP/NHS Board representation to enhance the coherence of planning across key governance structures. There is also representation of young people through links with NL Youth Council, the Promise Development Team and Champion’s Board. Every three years the North Lanarkshire Children’s Services Plan is refreshed bringing together improvement priorities for the CSP. The North Lanarkshire Children’s Services plan for this period was published in 2021 and is framed around the foundations of the Promise and UNCRC. During this period representatives from the CSP reviewed the achievements and priorities of the partnership and undertook work in preparation for the CS Plan for 2023-26. This included a Joint Strategic Needs Assessment and engagement with children, young people, and parents/carers to refresh priorities based on evidence, stakeholder views and experience. The task groups supporting the delivery of the plan have reported on their achievements for this year. These include: Launch of MakeitRight Campaign, a peer education programme to raise awareness of UNCRC. Agreement on a revised youth participation and engagement infrastructure. Continued development and implementation of the Community Mental Health and Wellbeing Support and Services Framework. Planning to enhance our holistic approach to whole family support across the partnership supported by the new Whole Family Wellbeing Fund. The established Promise Development Team, young people with lived experience of care, continuing to support the redesign of our care system. The maintenance of effective GIRFEC practice for children, young people and families
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17 with improvements to our learning and development offer and our website for families. Continued embedding of a contextual safeguarding approach to improve our response to young people at risk of extra familial harm. Commitment to creating the conditions for trauma-informed practice as the underpinning approach to support children, young people, and their families. Full details are in the CS Annual Report 2022/23 Social Work places a key role in all the CSP priorities with Senior Social Work Managers co- chairing 3 of the 4 task groups and the Partnership’s Continuous Improvement Group. The CSWO is lead officer for the CSP and chairs the Improving Children’s Services Group which has oversight of the work of task groups together with the ‘Scaffolding’ and ‘People’ elements of the Children’s Services Plan. The Community Justice Partnership, currently also chaired by the CSWO has responsibility for the multi-agency oversight of Community Justice in North Lanarkshire. Due to both the pandemic and the timing of national work on a revised Outcome Performance and Improvement Framework our local NL Community Justice Outcome and Improvement Plan (NL CJOP) was extended to March 2023 and supplemented by annual action plans. https://www.northlanarkshire.gov.uk/CHttpHandler.ashx?id=20573&p=0. The partnership has over this period benefited from strong collaboration with a wide range of partners and, in particular, has enhanced links with employability services and the NL Alcohol and Drug Partnership, strengthening throughcare and holistic support both for those exiting custody and formal orders and through our pilot Arrest Referral Service. Significant work was also undertaken to update our Strategic Needs Assessment and to engage with communities and those with lived experience to support preparation for our new CJOIP: North Lanarkshire Community Justice Partnership | North Lanarkshire Council . As previously reported nine Community Boards support community leadership, involvement and capacity building. Local outcome and improvement plans (LOIP) guide this work. Social work services play a part in supporting local partnership structures. The CSWO has the role of Community Co-Ordinator for one of the local boards and the Chief Officer Adult Social Work and Senior Managers for Quality Assurance and Strategy & Performance provide links to the Health and Social Care Partnership and its strategic commissioning activity across all Community Boards. Senior Social Work Managers also participate in area-based teams and the sub-groups which support the delivery of the LOIPs. 1.2 HEALTH AND SOCIAL CARE NORTH LANARKSHIRE The governance structure for the partnership is provided by the Integrated Joint Board (IJB) and its Performance, Audit and Finance Sub Committee. The CSWO (Education, Families, Justice and Integrated Practice) and the Chief Officer Adult Social Work Services provide professional social work advice to the IJB. The Mental Health, Learning Disability and
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18 Addictions Partnership Board (chaired by the Chief Officer Adult Social Work Services) and the Frailty and Long-Term Conditions Partnership Board (chaired by the Head of Health) have the role of informing and implementing strategic direction on behalf of HSCNL across their respective areas to promote best practice and guide the access for people to the right support at the right time, and right place. The Partnership Boards have been in place for several years and as reported previously, are under review as part of the refresh of the Integration Joint Board’s new Strategic Commissioning Plan (SCP) 2023-26. The SCP sets out how the Health & Social Care Partnership plans and delivers services for North Lanarkshire over the medium term and how these arrangements are intended to achieve and contribute towards achieving the national health and wellbeing outcomes. It was approved and published in March 2023, and it will cover the final period of our long-term Strategic Plan 2016-2026 and builds on the work established in our previous Strategic Commissioning Plan 2020-23. Despite the many challenges faced since March 2020, significant achievement and progress has been made in the last three years. The SCP plan gives an overview of some of these achievements and how they have helped to shape our priorities for the next three years. In developing the Strategic Commissioning Plan 2023 – 2026 an engagement and consultation process has been undertaken to ensure a wide range of staff, people who use services, carers and partner organisations have had an opportunity to participate in shaping the next three- year’s priorities. Several events took place to facilitate discussion in localities as well as targeted groups, Community Board members, elected members, Integration Joint Board members, and the Strategic Planning Group. The Board approved the draft version of the SCP at its meeting on 30th November 2022, subject to final consultation and the draft plan was published online in early December, alongside a survey questionnaire which allowed members of the public and any other interested parties to give their feedback. The feedback from the survey is published as an appendix to the final Strategic Commissioning Plan. A programme of work is set out within the plan outlining the key work programmes that will be undertaken over the three-year period to meet the key priorities within the Strategic Commissioning Plan. The Strategic Commissioning Plan 2023-26 sets out 5 key priorities: Increased focus on prevention, early intervention and tackling inequalities by working with people and communities Do the right thing first time. Develop and support a workforce for the future. Improve mental health and wellbeing. Support people through a whole family approach
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19 The plan is supported by a programme of work which interfaces with the wider Plan for North Lanarkshire and the wider council programme of work. North Lanarkshire Alcohol and Drug Partnership is hosted within HSCNL and has been considerably strengthened over the last two years, co-developing its 2021-2024 strategy around the themes of rights/respect/recovery through engagement with a broad range of stakeholders. Five ADP sub-groups have been established to develop actions covering: Prevention, Early Intervention and Education; Treatment Care and Recovery; Whole Family Approach; Public Health Approach in Justice and Reducing Alcohol Harms. In line with the cross-cutting elements within these key areas the interface between the ADP, CSP and CJP has also been strengthened and whilst the lead senior officer for the ADP is the Chief Officer Planning, Performance and Quality Assurance both the CSWO and Head of Adult Social Work Services have a role in the wider ADP structure. NLADP has increased investment across statutory and community sector services to reduce harms from substances for individuals and whole families. The investment is linked to local needs and a commitment to deliver the national drug mission priorities across North Lanarkshire. This includes contextual safeguarding, youth justice, standalone family support provision and justice throughcare support including DTTO and arrest referral which were all established or extended in 2022/23. All the projects and initiatives supported by the ADP can be found on their website service directory. 1.3 SUPPORT, CARE, PRACTICE AND STAFF GOVERNANACE ARRANGEMENTS The Health and Social Care Partnership’s Support Care and Clinical Governance Committee (SCCGC) continues to meet on a quarterly basis and is chaired on a rotational basis by the CSWO, Medical Director, AHP Director and Nursing Director. To maintain coherence in practice and staff governance across all social work functions and care groups, regular Social Work Leadership meetings and quarterly Social Work Workforce meetings are in place. Our Social Work Solutions forum also meets regularly to discuss and address cross-cutting business issues with social work Chief Officers, Senior Managers and HR Business Partners. There are a range of processes to support assurance around practice and service delivery across social work services. The Quality Assurance Team, hosted in Adult Social Work, operates across all social work functions. During 2022/23 capacity within the team was enhanced to support the CSWO with Care Home assurance and to develop and implement an In-House Monitoring Framework to ensure robust, quality service provision. Service responsibilities for the monitoring of the delivery of commissioned services continues. The team reports to the Chief Officer (Planning, Performance and Quality Assurance) and leads on a wide range of other functions critical to
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20 the duties of the CSWO. These include regulatory activity, complaints management and overview, risk management, commissioning and procurement, information governance as well as provider sustainability. Activity is reflected within the Quality Assurance annual report for 2022/23. Additional arrangements for multi-professional oversight of Care Homes and Care at Home established during the pandemic were reviewed and adapted as the recovery from COVID continued as the year progressed but continue as part of our wider assurance arrangements as outlined below. A Home Care Board continues to oversee the wider redesign of the service, with new Terms of Reference developed. All Senior Managers within social work undertake regular performance reviews with their teams and support additional audit, development, and review activity to support practice standards, agreeing priorities with the CSWO and Chief Officer Adult Social Work Services. The CSWO and Chief Officer Adult Social Work also maintain an overview of referrals to, and investigations by, Scottish Social Services Council supported by HR Business Partners. Senior Social Work Leaders were conscious that their visibility as leaders and the opportunity for less formal but direct face-to-face dialogue with staff had been impacted by pandemic. This was addressed through visits by the CSWO and other key managers to teams over the summer of 2022 and beyond and this continues to be a priority looking ahead. 1.4 CARE HOME ASSURANCE Enhanced clinical and care oversight arrangements for care homes were put in place early in the pandemic to support care home staff to keep residents safe. There has been considerable learning and excellent examples of local partnership working during this time. A review is currently underway of the arrangements in place to ensure continuing enhanced support to adults and older people’s care homes. Engagement with stakeholders was scheduled to conclude May 2023 with key areas already identified including the need to: Recognise and build on the expertise within the sector. Continue collaborative improvement work with providers and home managers. Focus on residents having a meaningful quality of life. Ensure access to healthcare support when required. Support workforce development. 1.5 ENGAGEMENT WITH THE PEOPLE WHO USE SUPPORT SERVICES AND THE COMMUNITY AND VOLUNTARY SECTOR The CSWO plays a key role in ensuring that people who use and have experience of social work services inform the design and delivery of these services as well as in individual planning. The ultimate accountability for social work services is to the people who use them, their families, and the communities of North Lanarkshire. Examples of co-production in the design of service
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21 are reflected throughout this report and ensuring individuals and families, including children and young people are heard and empowered within individual support planning remains a key area of focus in both out delivery and assurance arrangements. Our approach is also informed by the wider Council vision as set out in Delivering for Communities and the importance placed on the role of Community Boards as outlined in section 1.1 above. The HSCC NL Engagement and Participation Strategy 2021-2024 was designed to ensure that HSC NL has the right systems and supports in place for effective engagement with, and the participation of stakeholders. The strategy facilitates the involvement and engagement of people who use services, carers, the community, and voluntary sector, as well as the independent sector and a “strategy into practice” approach has been supported by a Stakeholder Engagement and Participation Strategy, Framework and Working Group. Complaints Overall, complaint activity rose by 81% from 2021-2022. A significant increase: however, complaints are still slightly less than they were pre-pandemic. Overall complaints received for the reporting period totalled 221. Education and Families: - 81 complaints were received in relation to Education & Families services this year, 49 received last year, an increase of 32 [65%]. Adult Social Work Services: - 140 complaints for adult services this year, 73 received last year, an increase of 67 [92%]. It is likely that complaints numbers were supressed over the pandemic period in part as public expectations were moderated due to the recognition of pressure on services. Similarly it is likely that demand pressures as we emerge from the pandemic have contributed to the rise this year however, the principal reason for complaints continues to include poor staff communication, staff attitudes and quality of service with learning from all social work complaints this year highlighting: The importance of good communication. The need to ensure that those who use our services, and their carers are informed from the outset where they may need to contribute towards the cost of their care. The need to improve information and advice for those who need to contact and seek support from social work services. That people have the right to use their Self-directed Support (SDS) individual budgets as creatively as necessary to reach their agreed outcomes if the use of public funds are legal and do not bring the council into disrepute. As a partnership we are committed to improving learning from complaints which is also one of the key performance indicators that are reportable to the SPSO. We will, over the course of
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22 2023-2024 place further emphasis on identifying and applying learning from complaints, recording learning outcomes and evidencing subsequent improvements. We will also emphasise the need to ensure that all complaints are dealt with in the identified timeframes, with clear communication of outcomes. Compliments Across social work, seven compliments were made throughout 2022-2023 in relation to complaint handling. All referred to quick actions by responsive staff to provide resolution. Care Opinion Care Opinion a non-profit organisation, funded mainly through subscriptions from health and care organisations, has built a national and international reputation for their innovative and value-led approach to online feedback. Subscription to Care Opinion locally has given a further platform for people who use social work services to comment on the quality of the service that we provide but may also encourage people to make formal complaints. The usage of Care Opinion has been slow, however, there have been marked increases in comments posted about social care services throughout the period from January 2023 – March 2023. Anecdotal information from our partners in NHS Lanarkshire suggests that in the early stages, uptake can be poor, but that sustained promotion will drive traction and momentum. There is a Care Opinion implementation group who meet regularly to agree plans for increased promotion and shared learning. To support the use of Care Opinion as a vehicle to promote feedback on services, Quality Assurance revised our Contract Management Framework and requires all contracted providers, through their quarterly monitoring returns, to report on their use and promotion of Care Opinion as a method of seeking feedback. Carers Engagement with carers in North Lanarkshire remains equally critical to service delivery and development and is undertaken through the framework of the Carers Strategy 2019-24 NL- Carers-Strategy.pdf (carerstogether.org) which was developed in partnership with carers with a vision ‘to ensure, in partnership, that North Lanarkshire adult carers and young carers are supported, represented and enabled to build resilience, carry out their caring role and to live healthy independent and fulfilled lives’. North Lanarkshire Carers Together continues to provide an information and advice service but also a network for carers to represent individual and collective issues and to contribute to policy development, service provision and evaluation both locally and nationally, a role which has been particularly valuable and important in ensuring carers voices are heard and challenges understood during and as we emerge from the pandemic period. Voluntary Action North Lanarkshire (VANL) continues to provide the key local interface with the community and voluntary sector in North Lanarkshire and participates as equal partners in the partnership structures described above and in a wide range of linked improvement
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23 activity. This has included membership of the Children’s Services Partnership Board and the ongoing involvement and facilitation of endorsed third sector networks linked to the Community Justice Partnership. VANL have also continued to play a central role in developing voluntary and community sector involvement through community capacity and carers support work as reflected within the Community Solutions Strategy and delivery programme, Softening the Lines 2018-23. Using 9 thematic leads to guide best practice and 6 locality host organisations to ensure a community led approach a devolved budget of over £1milliion has been invested yearly by HSCNL in local organisations and community groups. The overarching aims are to prevent isolation and loneliness; to address inequalities using innovative approaches to support people to be more active; and to reconnect people to their communities A supporting commissioning plan and the programme approach have ensured a focus on key outcomes with the budget also helping to secure additional funding and/or in-kind contributions. The use of Community Solutions model has also been used within Children’s Services, aimed at addressing distress and promoting positive mental health. A significant portion of new Scottish Government funding was targeted at early intervention and community support through the Children and Young People’s Mental Health and Wellbeing Framework allocated to organisations through VANL to develop new supports in partnership with school clusters, children, young people, and their families. Engagement, inclusion, and empowerment are embedded in day-to-day practice with a focus on good conversations and strength-based approaches rather than being one off, or episodic events and this approach remains of key importance in social work across all care groups. 2B2. SERVICE DEVELOPMENT, QUALITY AND PERFORMANCE 2.1 PERFORMANCE AND IMPACT MEASUREMENT Whilst measuring impact in the complex context of social work is challenging, there is a robust framework of formal scrutiny, oversight and governance. For each person supported, positive outcomes are planned for and agreed during assessment; and are subject to ongoing review throughout the person’s journey and evaluated using a variety of Social Work practice tools. Use of tools such as the outcome star within various settings allows for the measurement of change at individual level but can also be collated to support evaluation of wider service impacts. Proxy measures may also be used to measure the impact of interventions at both individual and service level whilst case studies/stories and service user feedback can provide depth and an equally valuable picture of how services are experienced and the impact of trauma informed and relationship based practice. A mix of quarterly, six monthly and annual reporting is in place for social work services including through the Council’s Strategic Performance Framework and HSCP detailing key
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24 performance areas such as access, operational performance, workforce, quality and outcomes. In addition to internal performance management arrangements all Social Work services provide validated performance and activity data to the Scottish Government and the various agencies who have a strategic interest in social work service delivery supporting national indicator sets, such as the Local Government Benchmarking Framework and the Integration Indicators which can then be used for benchmarking purposes. External scrutiny is provided primarily through the Care Inspectorate’s including through regulation of registered services including residential care, care at home and adoption and fostering service and through strategic inspection and thematic reviews. During 2022/2023 a strategic inspection took place with respect to the partnership’s delivery of Adult Support and Protection whilst services participated in national thematic reviews in relation to Carer support during the pandemic, support for Children with Disabilities and Secure Care. 2.2 SUPPORT TO UNPAID CARERS Unpaid carers continue to be the main source of support for people, including those who might otherwise need assistance from social work and health services. Supporting unpaid carers therefore continues to be of vital importance. Over 2022 / 2023 we continued to work with our existing partners as well as developing new initiatives to ensure that the range of support options that help meet unpaid carer needs and outcomes was in line with carer led and carer informed needs, expectations, and outcomes. Some of these approaches were aimed at maintaining carer health and well-being, some at preventative approaches or to help meet anticipated need, and some span all these areas. Last year’s report had a focus on the impacts of the COVID-19 pandemic on unpaid carers. These impacts still had resonance across 2022/23, and many carers continued to provide more care than in pre COVID times. Recruitment and staff retention issues combined with an increased need for support across social care, social work, and health sectors, both locally and nationally, remained challenging, compounding the issues experienced by unpaid carers. The cumulative impact on carer health and well-being was significant. The National Carer Strategy, launched in late 2022, had its first strand focused on “Living with Covid” and we are developing approaches to meet the aims of that. Locally, we have three commissioned carer organisations: Lanarkshire Carers – Direct Support for Adult Carers. Action for Children Young Carers Service – Young Carers Support Services. North Lanarkshire Carers Together (NLCT) – Campaigning,
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25 information, and representation services. These are further augmented by a diverse range of other 3rd Sector organisations including: Voluntary Action North Lanarkshire – Community Solutions Programme North Lanarkshire Disability Forum – Community Many others who also offered a variety of services including condition specific and\or age-related support organisations. We continued to work in close partnership with the commissioned carer service organisations as well as funded organisations where there was a direct, or indirect, carer support role. Estimates vary slightly, but approximately 13,000 carers were aligned to carer support organisations in North Lanarkshire or known to Health and Social Care in 2022/2023. The true number of unpaid carers in our area is likely to be significantly higher. Again, estimates vary, but it is considered that the real figure is around 50,000. That means that only one in four to one in five carers is known to us, making advance planning and preventative approaches that bit harder to design and deliver. Work is ongoing to ensure that non-aligned (“hidden”) carers are aware of carer support options and the importance of Adult Carer Support Plans and Young Carer Statements. Our focus continues to be on preventative and/or anticipatory approaches, promoting and supporting self-help and independence as much as possible, and ensuring that carers are aware of sources of help and support and can access these at an early stage, rather that when crisis arises. During 2022/2023, 914 Adult Carer Support Plans were progressed by Lanarkshire Carers. In situations where carer need was identified as being significant or critical and unable to be met through the range of carer support options described in this report, 48 individual carer budgets paid through a Direct Payment were agreed. These individual budgets to support people reflected individual carer circumstances, such as complex care related needs, caring responsibility for more than one person, or the carer’s own health related needs. More commonly carer circumstances were considered within the 2, 375 individual budgets for supported people, which were agreed during this period. In addition, over 900 small grants for carers were distributed through Lanarkshire Carers. In line with the Carers (Scotland) Act 2016 and the North Lanarkshire Carers Strategy the Action for Children Young Carers Service continued to ensure that every young carer referred to the service had a Young Carers Statement (YCS) and a review of this statement where appropriate. Short breaks provision continued to be of high importance with each young carer receiving a short break, and several families received additional short break support. Group work programmes and individual 1:1’s remained the main source of support within the service. Maintaining young carers' mental health remained a vital part of the work within the service, delivered in partnership with Kooth and other mental well-being organisations. Staff also had a presence in most high schools in North Lanarkshire during this period promoting awareness of young carers needs whilst financial support for young carer families was maximised through continued funding applications through carer partners and the Action for Children fundraising team.
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26 North Lanarkshire was one of a small number of areas across Scotland where in-depth activity linked to the Care Inspectorate’s national ‘Inquiry into carer’s experiences of social work and social care service delivery’ took place. Findings from this inquiry, released in late 2022 demonstrated that North Lanarkshire was performing relatively well in supporting carers compared to the national position. Lanarkshire Carers continue to operate a well-established short break service, and this continues to play an important role in supporting unpaid carers in enjoying a break from their caring role. Feedback from carers also highlighted a need for more regular, flexible ‘time out’ options accessible within their local community. This led to a range of new initiatives including a ‘Carer Breather’ programme, facilitated through North Lanarkshire Carers Together and introduced in April 2022. Positive feedback from unpaid carers regarding this approach resulted in an extended programme scheduled to commence in April 2023. Work to meet the requirements of the Carers Act to ensure that unpaid carers were as involved as they wanted to be in hospital discharge arrangements also continued over this period. This included involvement in decision making, as well as support at the point of discharge and beyond. Whilst this approach was welcomed, we continue to be aware through feedback from carer support organisations, advocacy providers, and individual carers that further work will be required in this area, to ensure that no involved unpaid carers are missed from discharge planning. In response to concerns regarding delayed discharge, we successfully piloted an innovative Hospital Discharge Carers Payment scheme between January and March, where carers were paid a fixed sum of £1000 in lieu of services, to help facilitate hospital discharge. This scheme proved to be a success, and based on carer feedback, as well as that of those being cared for, the intention is to reintroduce the scheme later in 2023. In response to the most recent Carer Census which identified that Dementia and Autism were the two most prevalent conditions impacting on those supported, we developed a Dementia Link Worker Service and progressed work to enhance support for carers involved in supporting people with autism. We remain aware also of the diversity and fluidity of the carer population and that despite our efforts some carers remain less visible to services and supports. We continue to innovate and use a range of methods to ensure information and support is accessible, from the more traditional information packs to the launch of a new podcast for carers and support for digital inclusion. 2.3 JUSTICE SOCIAL WORK SERVICES The strategic landscape for community justice social work over this period has been influenced by the new national ‘Vision for Justice’ published in February 2022 and the new ‘National Strategy for Community Justice’ published in June 2022 in addition to the continued indirect and direct impacts of the pandemic most notably the related backlogs within the justice
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27 system. At a local level additional temporary funding has been provided through Scottish Government to address demand pressures and whilst this has created some challenges including in recruitment the service has continued to innovate and enhance joint working to improve outcomes. 2.3.1 CPO UNPAID WORK During this reporting period 127,057 unpaid work hours were imposed by Court Services. This constitutes a 64% increase from the previous year 2020-2021. Prior to 1st October 2022, individuals made subject to Court mandated Unpaid Work Requirements had the timescale for completion extended by 12 months. This was implemented by the Scottish Government via The Coronavirus (Scotland) Act 2020 in a bid to assist Local Authorities to manage the unpaid work backlog of hours created by the Covid-19 pandemic however as of 1st October 2022 the extended timeframe to complete unpaid work ceased and reverted to the 6 months’ timeframe. Despite this shift, North Lanarkshire Council during this reporting period delivered a total of 75,465 unpaid work hours. The unpaid work undertaken was a combination of workshops, squad and single placements, home working, individual litter picking and other initiatives. Despite the national context, the significant rise in the hours imposed and the reduced timescales to complete them, Restorative Justice staff were able to respond innovatively. To absorb the additionality, Justice staff engaged and matched individual needs to a hybrid mix of single placements, squad placements, home working and other activity groups and interventions to the benefit of the local communities. This has reduced the need to request time extensions on an already strained Scottish Court Service. Examples of unpaid work projects completed in North Lanarkshire are as follows: Wood Workshop – Items made in our workshop are utilised for various community projects, such as pirate ships for schools and nurseries, benches, and planters for sheltered housing complexes. We also continue to use wooden pallets, in keeping with recycling and cost effectiveness central to our ethos. These are transformed into imaginative play items for school and nurseries, such as trucks, trains, boats and cars. Bike workshop – Refurbished bikes are donated to community groups, schools, and individuals. Over 115 bicycles were distributed to assist and support individuals within the community to maximise their health and wellbeing. In September 2022 a new initiative was launched to repair bikes for people who struggle financially in the local area. Laundry workshop – We have continued to work in partnership with the local school uniform banks and community charity groups and shops laundering donated clothes.
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28 Activity groups and Homeworking – In keeping with tackling poverty and our recycling ethos, recycled materials have been used to make draught excluders, rugs for dogs, hand warmers and mental health and anti-bullying plaques for schools, community groups and local walkways. These items were destined for landfill and repurposing items assists to reduce the council’s carbon footprint. as well as providing opportunities for service users who needs may require them to undertake unpaid hours from home. Squad placements – Projects completed in the local community have included landscaping, groundwork, clearance and building projects. These projects are carried out in schools, sheltered complexes, walkways and community gardens. Single placements – These are delivered within an array of settings including local churches, allotments, sheltered housing complexes and charity shops. Home improvement workshop – Teaches skills such as decorating, tiling, and plastering and this will continue to be developed over the next year to include more community projects. The work outlined above has benefited communities within North Lanarkshire in a range of ways including through environmental projects and support for community groups, with work also supporting active travel and health and well-being outcomes for both unpaid work participants and the community. In addition, there continues to be a focus on reducing waste and the council’s carbon footprint and on addressing financial hardship and the cost-of-living crisis both directly through income maximisation for service users and the delivery of support to individuals as well as indirectly through the provision of support and equipment to community and voluntary groups. During 2022-23 Christmas and New Year meals were provided by local business and were distributed to vulnerable adults and families by Justice staff whilst throughout the year various produce that is grown in our allotments in Wishaw and Coatbridge has been distributed to people in need across the authority. Whilst foodbanks rely on and provide non-perishable food donations, our community allotments supplement this by providing the vitamin and nutrient rich fresh fruit and vegetables. The examples outlined demonstrate a creative, meaningful combination of approaches to delivering Unpaid Work for the benefit of the North Lanarkshire community fostering a hybrid mix of traditional unpaid work, home working, other activity, anti-poverty, and health interventions. This demonstrates the core values of Community Payback which are reparation, reintegration, and rehabilitation of service users. Some examples of beneficiary feedback received includes:
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29 “The Squads carrying out work makes it so much easier for our plot holders and now the private placements have kept the allotments looking good” – Greenlink Allotment Group. “The Restorative Justice Service redeveloped a piece of waste ground, at the back of the veteran's hub in Craigneuk into a fabulous garden area that will improve the mental health and wellbeing of the veterans. This transformation could not have been done without the help of the Restorative Justice Service” – Veterans Community (Lanarkshire) SCIO. “The work was completed to an exceptionally high standard; staff were excellent and kept me right in what to purchase. The place is looking great and finished in time for the tenants to sit out and enjoy the summer” – Sheltered housing staff. The following comments were obtained from service users: “I loved the healthy cooking group and the allotments. I learned loads about growing and using vegetables and was involved in distributing produce to local sheltered housing complexes”. “My placement in the bike workshop gave me a sense of pride, I fixed and built bikes for those who cannot afford to buy one, whilst learning new skills”. “I learned new skills and knowledge by attending the CPO Connect sessions via the Wise Group, including managing my emotions and addiction awareness”. 2.3.2 OTHER ACTIVITY Continued use of Scottish Government funding enabled the service to work in conjunction with third sector organisations to support the ‘other activity’ element of unpaid work. The commissioned third sector organisations and their interventions include - CPO Connect - The Wise Group delivered an online programme on a group basis which provides information and awareness raising on an array of topics such as, emotional regulation, mental health and wellbeing. Love Learning – Love Learning provided one to one support to address issues, such as registering with a GP, attending appointments, learning basic online skills, literacy and numeracy skills and constructive use of time. Creative Change Collective – The Creative Change Collective uses the creative arts to support people to explore and address a variety of current societal issues impacting on their lives. Participants devised songs, poems and scripts and performed them live to an audience.
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30 This ongoing engagement with third sector and creative arts has led to positive feedback from those undertaking unpaid work with individuals reporting an increase in self-esteem and confidence, as well as a reduction in social isolation. “CPO Connect allowed me to share my experiences and consider other people's perspectives, whilst receiving advice and guidance.” Service User Quote. Service users are also supported to complete ‘other activity’ by undertaking offence focused workbooks to explore a wide range of criminogenic needs whilst justice staff utilise online educational courses, parenting courses, employability, and further education resources with service users and facilitate interventions other services such as addiction recovery services, employment support services, mental and physical wellbeing services. Justice staff continue to refer service users to Venture Trust to enhance daily living skills including, problem solving, team working through goal setting, leading to group and individual achievements. Our Health & Wellbeing Agenda promotes health checks with the Keep Well Nurses, suicide awareness and prevention and mental health support. Additionally, service users have undertaken first aid training as well as having access to interventions which promote positive physical health, this includes healthy eating and exercise. In November 2022, Community Payback Supervisors were trained in the delivery of Naloxone, a life-saving medication that can reverse an overdose from opioids, including heroin, fentanyl, and prescription opioid medications. As North Lanarkshire Council Unpaid work service operates a 7 day a week service, it is hoped that this intervention may contribute to reducing the national picture of opioid-related deaths. It is anticipated that this will provide a foundation for delivery across the whole of the Justice Service over the coming year, as part of our ongoing commitment to reducing the impact of drug use and reducing preventable drug deaths. Justice staff have continued to use the Justice Outcome Star a visual and person-centred tool which provides a focus for discussion and intervention. The Action and Support Plan formulation, identifies areas of need which individuals are supported to address, and this is regularly reviewed with the service users. 2.3.3 DIVERSION FROM PROSECUTION In line with the Vision for Justice in Scotland the service continues to prioritise the promotion of Diversion from Prosecution. To ensure consistency of practice in this area multi agency briefing events have continued to take place with relevant social work staff, police colleagues within their local police stations as well as the voluntary sector colleagues. Diversion from Prosecution referrals in North Lanarkshire continues to be above the Scottish Average, and the numbers have been consistently high beyond the Covid-19 pandemic as detailed below.
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31 Age Group No of Reports Sent Male Female Main Recommendation Diversion NS +ve NS - ve Recom Not Recorded Under 16 0 0 0 0 0 0 0 16 - 17 32 25 7 26 0 5 1 18 - 20 53 40 13 38 1 12 2 21 - 25 17 13 4 4 0 11 2 26 - 30 20 17 3 10 3 7 0 31 - 35 31 18 13 15 2 14 0 36 - 40 28 14 14 21 0 7 0 41 - 45 36 26 10 24 3 9 0 46 - 50 34 30 4 13 2 19 0 51 - 55 13 11 2 8 2 3 0 56 - 60 10 5 5 7 0 3 0 61 - 65 3 1 2 3 0 0 0 65+ 4 3 1 1 2 1 0 Total 281 203 78 170 15 91 5 Number of Individuals Commenced Age Group Q1 2022/23 Q2 2022/23 Q3 2022/23 Q4 2022/23 Total Financial Year Male Female Male Female Male Female Male Female Under 16 0 0 0 0 0 0 0 0 0 16 - 17 5 1 5 1 9 0 3 2 26 18 - 20 5 3 9 1 6 2 8 4 38 21 - 25 2 0 0 0 1 0 2 0 5 26 - 30 1 1 0 0 3 1 2 1 9 31 - 35 2 0 1 2 1 1 5 4 16 36 - 40 3 3 1 0 1 2 2 2 14 41 - 45 4 6 1 2 5 0 4 1 23
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32 46 - 50 6 2 0 0 2 1 2 0 13 51 - 55 1 2 0 0 4 0 1 0 8 56 - 60 1 2 0 0 0 1 1 0 5 61 - 65 1 0 0 0 0 0 0 1 2 65+ 1 0 0 1 0 0 0 0 2 Total 32 20 17 7 32 8 30 15 161 2.3.4 OFFENCE FOCUSED WORK Offence focused intervention continues to be central to the delivery of Justice Social Work services, regardless of whether that engagement is mandated through Community Payback Order, Statutory Licence, Structured Deferment or Diversion from Prosecution. Social Workers employ a trauma informed approach, considering wellbeing and individual responsivity and support others to recognise the links between wellbeing and risk. Support is provided to address areas of both risk and need. Education, employment, and leisure are key elements of this and remain a key component of ongoing assessment and intervention. The service also continues to collaborate with Active Leisure to promote exercise and wellbeing for all, with emphasis on the physical, emotional, psychological, and social benefits of exercise. Similarly, collaboration continues with third sector partners to support individuals access employment, education, and training in order that they are supported to achieve and develop their interests and potential. Collaboration with people with lived experience, including the Recovery Community has further developed and supported individuals develop hobbies, interests and relationships which contribute to their support and wellbeing beyond their experience within the formalised supports of the wider justice system. Alongside this, specific offence focussed intervention occurs on a one-to-one basis and within groupwork settings and often involves work around managing strong feelings, handling conflict, improving relationships, and managing impulsive behaviour. Service users are supported to develop individual intervention plans, informed by structured assessment, to identify priority areas of need and to collaboratively develop a support plan that can measure progress and outcomes. In respect of groupwork, more intensive interventions include MFMC (Moving Forward Making Changes) and UP2U (Creating Healthy Relationships). These continue to be delivered through effective collaboration between supervising social workers and programme delivery workers. These are intense and demanding interventions which require a high level of commitment and reflection from participants as they are supported to better understand the
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33 connection between their thoughts, feelings and behaviours, and to develop safer, more effective strategies in complex and challenging situations. Of significance within the past year has been the extension of Structured Deferred Sentence as a disposal option which was extended to Airdrie Sheriff Court in July 2022, building on the positive progress seen at Hamilton and Lanark Sheriff Courts. This extends an opportunity to young people to engage in services effectively and at an earlier stage and provides Court with a viable alternative to imposing a statutory order. Further developmental work has progressed throughout the year and this has included the development of an Arrest Referral service and the development of an Alcohol and Drug Solutions Court. Both will offer real opportunities to collaborate effectively with partners to offer effective interventions at an earlier stage with a sharp focus on well-being, reducing risk and supporting safer communities. 2.3.5 UP2U The UP2U ‘Creating Healthy Relationships’ programme continues to be delivered on a one to one and two to one basis to people who are subject to a statutory order because of a domestic abuse offence. The central UP2U team lead on UP2U developments and oversight of the programme across the service and provide the intervention to service users considered to be high risk of further domestic abuse offending. As the courts and parole board have become more familiar with UP2U there has been an increase in the number of conduct requirements and licence conditions mandating service users to complete the UP2U programme. In March 2023, the first evaluation of the UP2U service commenced and service user feedback was gathered. Most service users have had a positive experience of the UP2U process. Almost all service users consulted felt that UP2U sessions helped them understand how their abusive behaviour could impact their partner and/or their children. Almost all service users found sessions helpful and felt listened to and respected. Other sources of feedback were accessed and reviewed including end of programme reports and end of module reports undertaken by the central UP2U team. Most participants reported improved relationships with their intimate partners and children due to the new skills learned. For the small number of service users who completed the programme during this period, no reported domestic abuse incidents have been recorded. The UP2U partner support service is offered to any partner and/or ex-partner of an UP2U participant. All service users who provided feedback reported a greater sense of safety/reduced risk because of being linked with UP2U partner support. Intimate ex/partners of UP2U participants stated that being signposted or assisted to access other services has positively impacted their lives. Impact statements from women who have accessed the UP2U partner support service include: “My partner support worker knows exactly what’s going on and I can talk freely...I don't feel blame or shame”.
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34 “I know what an UP2U safety plan is and was involved in creating this”. “I would recommend the partner support service for anyone who’s partner is starting the UP2U programme”. A focus group with partner support staff from across Justice Services was held for this evaluation and similarly identified key strengths in respect of enhanced access to practical and emotional support, safety planning and access to specialist domestic abuse supports. Some challenges were identified in relation to safe meeting spaces and the undermining of work by some partners It was noted that some women were also wary of statutory services in which case signposting or referral to Aura or Women’s Aid services will be offered. UP2U Family Practice is the non-mandated version of the programme and therefore delivered through children and family social work with the support of the central UP2U team This has been delivered to a small number of families in various localities across North Lanarkshire. expanding access to a behaviour change intervention. The impact of Family Practice has not yet been evaluated and is currently in the early stages of implementation. 2.3.6 MOVING FORWARD: MAKING CHANGES (MF:MC) NLC Justice Services deliver the Moving Forward: Making Changes (MF:MC) programme which is a national intensive cognitive behavioural programme for men over the age of 18 who have committed sexual offences and looks to assist participants address their offending and reduce their risk of reoffending as part of a Court Order or release Licence. The MF:MC programme is currently being revised with the official MF2C pilot launched in July 22 and NLC Justice Services participating. The new programme has been adapted to ensure it is up to date with developing research evidence and, suitable to all settings in which it will be delivered. Involvement in the MF2C pilot meant that 8 key staff had the opportunity to complete the MF2C Pilot Transition Training in May/June 2022. The Programme Delivery Service is currently maintaining delivery of the MF:MC programme to relevant service users, while at the same time 2 service users are completing the pilot MF2C programme. When the pilot has been evaluated and rolled out, we will transition to increasing MF2C delivery while reducing and phasing out MF:MC delivery. 2.3.7 WOMENS SERVICES North Lanarkshire Women’s Service was set up in 2014 in response to the Commission on Women Offenders by Dame Elish Angiolini. The service works with women who are in involved in the justice system. In the main they are subject to Community Payback Orders with requirements of supervision and/or unpaid work, but also to parole board licences, bail supervision and alternatives to prosecution. We work in partnership with each woman to assess, plan, intervene/support and review their needs to assist them to build on their strengths and work towards achieving their goals and aspirations. Where appropriate the female specific service also allows for female only unpaid work activities.
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35 Most of the women using the service have experienced trauma and much of the work involves supporting them with their emotional and mental health needs with some women facing challenges accessing specialist mental health support. As in other areas of social work multi agency and relational working is key with the following a practice example: A woman subject to CPO with unpaid work was not engaging and refused supports offered. Through persevering and persisting in building a relationship with the woman over a lengthy period the woman accepted a referral to housing and was given accommodation. Work was undertaken to build her confidence in order that she felt able to undertake a placement. The service user completed her unpaid work hours within the Women’s Service activity group. 2.3.8 THROUGHCARE (BRIDGES AND BEYOND) The NLC Justice Throughcare service have successfully delivered the Community Bridges Project in partnership with HMP Addiewell for a number of years. The small support team is funded jointly by NLC and the North Lanarkshire Alcohol and Drug Partnership and focuses on the reintegration and support of those leaving custody who are not supported through statutory throughcare arrangements. During this period rough additional funding from the ‘No-one left behind’ employability fund, the community bridges project has been expanded through the recruitment of a support worker who offers the service in other prisons under the ‘Bridges and Beyond’ and is in the early stages of planning and implementation. This will enable the service to offer voluntary throughcare and support to more service users who are impact by short term prison sentences and experience a range of wellbeing issues as a result. 2.3.9 CHALLENGES There have remained several challenges impacting on the delivery of justice social work services over this period including: Compliance with CPOs – Pandemic related factors such as loss of routine and social isolation have impacted on the compliance of some service users with the conditions of their Community Payback Orders. Staff have addressed this by using motivational interviewing techniques and providing support. Staffing - As reflected elsewhere in this report the service has had some difficulties recruiting new staff to vacancies, particularly those temporarily funded by the Scottish Government Covid Recovery Grant. This is a national issue which has impacted both on workloads and on the services’ ability to maximise the use of intensive groupwork programmes. In response, managers have continued to support staff and, where required, contingency plans were introduced to support a service wide response to demand challenges for example, report writing rotas, and continuing to enhance the
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36 agility and flexibility of the staff group to ensure that teams can work effectively across organisational and geographical boundaries. Decline in Wellbeing - We have utilised local authority policies incorporating stress assessments and a range of resources to support staff and service users to address issues including signposting to NHS, voluntary and third sector services as well as North Lanarkshire’s Time for Talking Service. Cost of living – We continue to support people by referring them to North Lanarkshire Council’s Tackling Poverty Team, the DWP, Social Security Scotland and third sector services with a new pathway to the Tackling Poverty team enabling quicker access to key financial supports. The geography of North Lanarkshire Council can at times require individual service users to travel to identified placements and collection points. This has been difficult at times due to individuals’ financial circumstances. Where possible, adjustments have been made individuals have been matched to a local site placements. Effective collaboration between the Justice service, the Court Social work Service and the Tackling Poverty Team has also resulted in those leaving Court having access to written information and advice covering a range of issues and signposting towards support options, including support with benefits, Housing, Food and Fuel Poverty. 2.4 CHILDREN AND FAMILIES SOCIAL WORK SERVICES 2.4.1 KEEPING THE PROMISE Children and Families Social Work has continued to play a key leadership role in the Council’s commitment to keep The Promise. With reference to the National Promise Plan 21-24, we have focused on supporting care experienced children and young people live with or establish links with brothers and sisters, their right to an education and improving support when moving on from care. We have also worked with the wider partnership in developing plans for whole family support to prevent care and reduce families experiencing crises. A Promise Conference was held on February 2023 which drew attention to, and shared, good practice and areas for development including moving on, working with families impacted by domestic abuse and trauma. The conference programme was co-chaired and co-produced by our care experienced development workers. Our balance of care data continues to demonstrate a commitment to protect and support children with their families and communities, for example through Family Group Decision making. The provision of flexible and integrated family support also ensured that the number of children cared for in out of authority residential care continued to reduce. We are however beginning to see increased demand in relation to our children’s house in part due to young people presenting with increasing complex needs from within our communities, in part due to a greater number of unaccompanied asylum-seeking children arriving through the National Transfer Scheme and in part also because of our commitment to continuing care for older
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37 young people. There was a notable increase in the number of children living with our own North Lanarkshire carers despite a reduction in carer numbers which is due to our carers team working with, and supporting, our carers to look after brothers and sisters to keep them together in North Lanarkshire - Continuing to achieve this balance of care is significant as it must also be seen in the context of an increase in demand for children and families social work support in the post-pandemic period as shown in the table below. Although referrals decreased very slightly in 22/23, there has been an overall increase of 13 % since 2019. Year Number of Referrals 2022/23 10793 2021/22 10858 2020/21 10253 2019/20 9077 2018/19 9519 There has also been a significant rise (65% 18/19 to 22/23) in child protection referrals as illustrated below - This is due to our child protection framework supporting increased consistency in practice, recognition of all forms of harm, strengthened by refreshed IRD guidance. While we have not seen a rise in the numbers of children whose names are placed on the Child Protection Register, there has been an increase in registration of older children aged 12 +. What this indicates, in part, is that practitioners, supported by our commitments to keep The Promise and UNCRC and investment in contextual safeguarding, are increasingly focussing on and recognising the protection of older children and their rights. The service has continued to work with the partners in the Child Protection Committee to monitor and understand the
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38 relationship between child protection referrals and rates of registration to ensure the right children get the right support when they need it. 2.4.2 INVOLVING YOUNG PEOPLE Our team of Care Experienced Promise Development Workers continued to take a key leadership role in the development of social work services, influencing policy and practice and helping us to involve children and young people in the design of our service improvements. Including – Our review of services for children in conflict with the law Re-design of the materials and approach to pathway planning, now called ‘My Future Plan’. A revised framework for family time Our Champion’s Board has continued to go from strength to strength. We have 3 linked groups the TNT (Today Not Tomorrow), the Mad Middles and Crafty Foxes who ran a development session with the Champions Board that included the Chief Officers Group and elected members. Following work to identify need, TNT were involved in co-producing a bespoke counselling service for care experienced young people and took a lead role in all stages of the process including the formal selection of the provider, working with our procurement team.
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39 2.4.3 A GOOD CHILDHOOD: ACHIEVING A LOVING A CARING HOME Adoption, Fostering, Kinship and Continuing Care The Children’s Carers Service provides support to kinship carers, supported carers of young adults, as well as to adopters and foster carers to achieve permanent loving homes for children and young people into adulthood. The adoption and fostering service was inspected in January 2023, the following are areas were identified as strengths: • Children experienced a high level of warm and nurturing care within their families. There were limited moves between caregiving families as plans progressed in a timely manner. The service has consistently performed in the top quartile in Scotland in this area with only 6.9% of children experiencing more than one placement in 2021/22 (latest available data). • There were strong, positive relationships between adoptive parents and their link social workers. Adoptive parents felt well supported and valued by the service. There was evidence of positive outcomes for children. This was supported by good quality assessments of adoptive parents and in the support provided following the placement of children. Our planning to achieve permanence for children has continued to improve, Children experienced love and compassion from their foster carers. Foster carers were well supported and felt valued by their link workers. They had access to a comprehensive training programme and regular support groups. A number of areas for improvement were also identified including the need to ensure more timeous reviews where carers were providing support for children and young people out with their registration (additional children or out with agreed age category).
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40 Recruitment of foster carers Significant challenges continued in the recruitment of new foster carers with North Lanarkshire facing similar difficulties to that experienced across Scotland. However, the team worked to develop its local partnerships to have a wider local base in addition to the normal media outlets. Presentations were made to strategic groups as well as articles specifically shared with our health, education, and voluntary sector colleagues. Enquiries to the service remained relatively high with 120 enquiries made up to March 2021- 22 for fostering and adoption however the conversion rate for approval, particularly for fostering was low. The conversation rate from people who attended preparatory groups who then applied decreased to 35.7%. The following table shows the trends between 2018-2023: Moving forward we will drill down on why the enquires remain relatively high compared to the conversion rate for progressing to full assessment. We will consider how we can strengthen our efforts to discuss in more detail when an individual, family do not progress to full fostering assessment. Recruitment of adopters remained high, and the service saw a marked increase in the request for post adoption support. The following table identifies the trend for the number of approved assessments, the total and split across adoption and fostering from 2019/20 to 2022/23. Initial Enquiries Initial Interviews Attended Prep Group Progressed to Full Assessment 2018/19 139 83 25 17 2020/21 68 30 16 7 2021/22 120 63 21 8 2022/23 128 68 28 10 0 20 40 60 80 100 120 140 160 Axis Title Initial Enquiries and All Outcomes 2018-2023
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41 Kinship Most children and young people experiencing care away from home are supported through kinship arrangements there was increasing demand for completion of kinship assessments over this period with the team having around 24 ongoing kinship assessments at any given time. Overall, in the past 5 years, there has been a 14% increase in the number of kinship carers. There also continued to be an increase in new enquiries to the service from families looking to be assessed as kinship carers. The following table highlights, assessment activity in this area with approved assessments increasing by 53% since 2020 - 0 10 20 Approved Assessments Adoption Foster Care 2019/20 17 10 7 2020/21 10 7 3 2021/22 14 7 7 2022/23 11 8 3 Approved Assessments by Type of Resource 2019-2023 0 50 100 150 2020/21 2021/22 2022/23 No of Kinship Assessments 82 102 105 Total Approved 64 93 98 82 102 105 64 93 98 Table 4. Number of Kinship Assessment Approved 2020-2023 No of Kinship Assessments Total Approved
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42 The kinship team supported 150 kinship families over the year, with other kinship families receiving support through our localities. Emotional, practical, and financial support was provided to kinship carers on a one-to-one basis to help them in their kinship role and meet the needs of the children placed in their care. Support groups adoption, fostering and kinship Providing support to carers of children and young people is recognises within the Promise as critical to improving outcomes and the experience Carer support groups took place regularly, held centrally for fostering and adoption and in seven local areas, for kinship carers with support groups for kinship carers facilitated by the kinship care team and a colleague from Nurture Scotland. Due to the increasing numbers attending the kinship support groups, the team will be expanding the options available to all carers, and we are now developing a shared training strategy to extend the training available to as many carers as possible. Brothers and Sisters Existing North Lanarkshire carers have offered commitment and flexibility to maintain children within their local communities and keep brothers and sisters together. Development in this area is complex; analysis in March 2022 demonstrated that 65% of children in care were separated from at least one brother or sister. In response to this, the team developed a new strategy, co-led by our care experienced development workers and involving carers, to support brothers and sisters stay together when they need to be cared for away from home. This comprises specific support to carers as well as a focus on recruiting carers with the capacity to look after brothers and sisters together. This led to 86% of children who were required to be looked after in foster placements during this period, remaining with their brother and sisters. There were also two groups of three siblings who have been secured with their adoptive families. In addition, there is an ongoing focus on the assessment and promotion of family time, with the voice of children and parents central to how we can be more creative in our approach, while keeping children safe. National Transfer Scheme (NTS) Throughout the year, North Lanarkshire continued to participate in the National Transfer Scheme, (NTS), supporting the organised transfer of unaccompanied asylum-seeking children scheme. All young people who arrived were allocated to Social Work staff via the Resettlement team and benefited from a partnership approach to support. Over the period we supported 11 young people arriving through NTS, the majority placed, at least for an initial period, in one of our children’s houses allowing them to build relationships with the staff and the other young people who live in the house leading to learning about each other’s cultures, values and others’ experiences.
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43 We have also strengthened staff confidence and learning and development around human trafficking and exploitation, which ensured our workforce are confident to address any emerging risks. The challenges of increasing numbers of children and young people arriving in North Lanarkshire through the NTS scheme during the period of this report has however created additional pressures across our systems, especially in terms of capacity in our 5 children’s houses. We remain committed to make sure the children, young people have positive experiences to support the to deal with their trauma and when they can, take advantage of further educational opportunities, keeping their cultural identity as well as helping them to reconnect with their origins and their families. Our children’s houses, resettlement team and locality staff have responded well and provided a high-quality level of care and support. Children’s Houses In addition to the commitment to unaccompanied asylum-seeking children, our children’s houses created stability for 6 young people through continuing care and responded to the needs of 4 children who returned to North Lanarkshire from independent foster placement which had ended in an unplanned way. Staff have been trained in PPB (Promoting Positive Behaviours), trauma informed practice and contextual Safeguarding which has increased confidence and competence of the residential workforce and will ultimately benefit the young people in our care as staff have better understanding of their needs. We also had a significant focus on improving recording practice and language in partnership with our Care Experienced Development workers. This led to a positive impact in how we record children and young people’s case notes and in how we save photographs and store other positive milestones in our young people’s lives. 2.4.4 MOVING ON: SUPPORTING CARE EXPERIENCED YOUNG PEOPLE WHO HAVE LEFT CARE As at March 2023, 687 young people and adults were eligible for aftercare support, with 259 in receipt of direct social work support. We therefore strengthened the development of our Aftercare Hub and improved the awareness of the rights and entitlements of care leavers and a ‘no wrong door’ approach. The Aftercare Hub has two social workers and three support workers who can work exclusively with care leavers in need of intensive support across 7 days weeks and supported over 100 care leavers in 2022/23. A Care Experienced young people Housing Operation Group was established to review the challenges and barriers to young people accessing and sustaining their own home after leaving care. This resulted in a review of the Joint Housing and Education and Families Protocol for Care Leavers. A significant development to support young people leaving care and care leavers accessing accommodation has been the identification of Housing Champions as the main point of contact. This has enhanced the co-ordination of accommodation options through
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44 Housing Services and the youth housing supports and improved communication between services to prepare and plan for care experienced young people to secure and sustain their home in. In recognition of the complex barriers facing young people the Operational group expanded its remit and now comprises Barnardo’s, DWP, NLC Revenue and Benefits, Skills Development Scotland, the Tackling Poverty Team as well as care experienced young people. Lifelong Links In January 2022, we were able to expand the Family Group Decision-Making (FGDM) team by two social workers through a successful joint application from NLC and the Family Rights Group to the Promise Partnership Fund to implement a Lifelong Links service. This is an approach to support care experienced children and young people reconnect with family and important people when relationships have broken down or been severed through life changes. Our year one priority was to set up the service focusing on care leavers in the transition out of care and into adulthood to ensure they could reconnect with important people in their network, including brother and sisters, before widening the service to include other young people. Following successful implementation in May 2022, the service worked with 20 young people and adults from 13 to 28 years. Those involved with the service were supported to understand their family background, their care experience and identify the important family and others they want to reconnect with. Early indicators are the service is being received positively and making a difference to the young people, including some reconnecting, and establishing relationships with birth parents, former foster carers and support staff and in so doing strengthening their natural support networks. 2.4.5 A RIGHT TO EDUCATION Our Virtual School, which is an integrated service comprising social work and education staff, has a focus on inclusion, providing bespoke packages of support based on a child’s needs, strengths, interests, and future career aspirations. Working in partnership with schools and other colleagues, the Virtual School has been pivotal in reducing exclusions by 89% since its establishment in 2019/20.
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45 In session 2022, 93.3% of relevant young people experiencing care at home achieved SQA passes; Nat 3 and Nat 4. This is the highest level recorded since 2016. 75% also achieved Highers in session 2022. Attainment data for care experienced learners at S4 and S5 has risen across almost all indicators, as shown in the table below. We will continue to build upon this progress by supporting CEYP to gain further qualifications in S6. Since 2019/20 105 CEYP at risk of leaving school without formal qualifications achieved 239 Nat 3 or 4 awards. 2.4.6 YOUNG PEOPLE IN CONFLICT WITH THE LAW/DECRIMINALISATION OF CARE EXPERIENCED YOUNG PEOPLE In December 2022, we concluded our review of the support that we provide to young people in conflict with the law (youth justice) to ensure that the services we provide meet the outcomes and priorities outlined in Justice for children and young people – a rights respecting approach (Scottish Government, 2021). The review was started from a focus on practice as well as the experiences and outcomes for young people rather than organisational arrangements.
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46 During the period of 2022/23 there was 211 children referred to Scottish Children’s Reporters Administration (SCRA) on offence grounds and 86 reports jointly considered by the Procurator Fiscal and Reporter. We recognised that we had higher numbers of children referred to the Reporter on offence grounds relative to the national position and that exploitation and other harms are often factors when young people come into conflict with the law. In January 2023, we therefore started a pilot, in partnership with SCRA and South Lanarkshire Council (SLC), for children referred to the Reporter on offence-based grounds. The aim is to improve outcomes for children by increasing their understanding of their rights, improving relationships and family support with the important people in their lives and ensuring orders are the scaffolding of the care plan, To reduce the risk of secure care and remand we enhanced our intensive support to young people through ADP funding and introduced a dedicated speech and language service to assess unmet need and enable young people to exercise their rights in children’s hearings (or court) by expressing their views more effectively through bespoke support in communication skills. Speech and Language Therapists provided support to 9 young people and offered specific advice and guidance to their social workers: Diversion from Prosecution is a non-conviction disposal. There were 27 diversion reports requested in 2022/23, this was a slight decrease from 2021/22 in which 29 reports were requested. Each of these Diversion reports were completed successfully and the young people were provided with bespoke interventions to address their needs. This disposal was traditionally used for lower-level offences, however, over the course of the year young people were referred by the Fiscal for diversion in more serious situations. In response to these changes the diversion process was enhanced to improve assessment and increase support. Locally the number of young people either remanded or sentenced to custody has continued to decrease in line with national trends. Nevertheless, there were 25 new admissions to Polmont YOI from North Lanarkshire in 2022/23. Four of these young people were under the age of 18. To support this group of young people, staff from Youth Bridges (part of our intensive service) engage with all young people under the age of 21 who have had their liberty restricted. They will meet with all young people within 3 days of being received into custody and work in partnership with prison, health and other staff to support the young people and arrange family contact prioritising building relationships with young people, so they have a trusted worker to support them through the transition back to the community. With the support of Youth Bridges, nearly 90% of the young people who returned to the community were not involved in further offending and 69% reported a reduction in alcohol and drug use. I found the consultation very helpful as it allowed me to gain a better understanding of the young persons use of speech. I think that this is something that is often overlooked as Social Workers are trying to manage risk and relationships rather than assessing understanding and use of language
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47 Structured Deferred Sentences provide time limited, intensive support that can be delivered with a greater degree of flexibility than statutory Community Payback Orders. This approach aims to prevent young people being drawn further into the justice system. During the period of 2022/23 there were six young people under the age of 18 made subject to SDS, this had doubled from three the previous year. An SDS court was established in Airdrie Sheriff Court in July 2022. 2.4.7 WHOLE FAMILY SUPPORT AND PROTECTING CHILDREN AND YOUNG PEOPLE AT RISK OF HARM Family Group Decision Making (FGDM) FGDM is a strengths-based approach to support children remain in their family. This is facilitated through a family led decision making process where a child or young person’s family and friends are supported and prepared to come together in a Family Group Meeting to develop a plan which protects and supports the child and or young person. Through this approach this service continued to make considerable progress in successfully supporting children and young people remain within or return to their family. Over the past year there has been an increase in referrals to the FGDM service, from 58 (2021/22) to 99 (2022/23). During this period 57 families participated in FGDM Meetings and a further 15 families achieved a plan of support without the need for a formal meeting. Of the 57 families’ plans 34 children remained with their families or kinship carers or were returned to their families, 7 families identified supports to increase their network of support and 2 families were supported to reconnect and establish a plan of contact. Feedback from children, young people and families has been positive. No Circumstances Outcome 10 Pre-Birth 9 babies' home with parents 1 – baby – friends/family 22 Prevent Accommodation 11 –Home with parents 8 - With family/friends 1- Foster Care 16 Rehabilitation Plan 8 – Returned to parental care 6 – with friends/family 1 – Foster Care NLC 1 -Children’s House NLC 7 Family Support 7 – Remained with parents
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48 2 Family Time (Contact) Plan 2 – Reconnected with parents/extended family Families found this process inclusive, enabling and empowering: Intensive Services Our Intensive Service provides support to children, young people and their families to reduce the likelihood of a breakdown in family relationships and children being cared for away from home and through additional investment since 2021 the service also supports care experienced young people who have left care across 7 days a week. Support comprises intensive one to one support, parenting and family work, and group work programmes. Over 2022/23 the service provided support to 901 children and young people, representing at 29% increase compared to 20/21. The service provides support to over 30 young people and families each weekend and works closely with the Social Work Emergency Service (SWES) to co-ordinate the response required in relation to any children and families’ referrals received at SWES. Joint Investigative Interviews – Implementation of the Scottish Child Interview Model The Scottish Child Interview Model (SCIM) is a new approach to joint investigative interviewing (JII) by Police and social work for child victims and witnesses. This approach is trauma informed, maintaining the focus upon the needs of the child in the interview and minimising the risk of further traumatisation, whilst seeking to achieve to best evidence through improved planning and interview techniques. Lanarkshire was the first area to implement the SCIM for JII model in Scotland in February 2020. The team have undertaken 1482 interviews utilising the SCIM for JII in the first three years of practice. Between Feb 2022 and Jan 2023 460 interviews were undertaken, with a disclosure rate of 71%. The three areas of highest concern underlying the reason for JII are consistently children experiencing physical abuse, sexual abuse and thirdly, domestic abuse. The data indicates that the age range of children being interviewed is from 3 to over 16 years. As the interviewers have grown in confidence, they have been successfully undertaking increasingly complex interviews involving younger children and children who experience significant learning and or I am just so happy, my family are finally chatting It was just brilliant. It is really a really worthwhile thing to do. We are now all singing from the same hymn sheet
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49 communication needs. A significant shift in the SCIM approach to interviewing is in the preparation and planning for the interview specific to the child’s needs and circumstances. This has been supported across the local partnership and through contact with families to enable interviewers access appropriate and relevant information to support the interview plan for the child or young person. Feedback from children and their families has been positive about the experience of the interview. Many children reported that they were “scared” or “worried” approaching the interview venue, but on arrival the surrounding were “warm” and “friendly” with lots of “colour” and “pictures”. 2.4.8 GENDER BASED VIOLENCE Domestic Abuse is a key priority for social work and its partners. In 2022-2023 there were 3221 domestic abuse referrals. Domestic abuse was also the second highest recorded concerns for children at the time of child protection registration. We therefore continued to invest in two key approaches: Safe and Together and Family Practice Up2U. Safe and Together The Violence against Women Strategic Group and Child Protection Committee have provided direction for the implementation of Safe and Together with social work staff having a key role in embedding the model locally There are now 527 staff trained in Safe and Together (core and overview), this includes social work, education, NHS, housing and community and voluntary sector. NLC had support from Improvement Service in 2022 to carry out a Baseline Evaluation of Safe and Together Implementation in North Lanarkshire. The information gathered from this evaluation allowed an Action Plan to be created with a focus on Communication of the Safe and Together Model, delivery of Training to reach wider groups of professionals, to Support Learning into Practice, and How to Measure the Change.
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50 There are Safe & Together (S&T) Champions in each of the 6 Social Work teams, Intensive Services and Corporate Parenting and locality managers and practitioners’ access and contribute to Safe and Together Case Consultations. Practitioners who are working with families where domestic abuse is an issue, can access support from the Safe and Together champions and Trainers to look at a case through a Safe and Together lens. Work will continue with the Safe and Together Institute and Improvement Service to support ways in which we can measure change and the impact of the model and its approaches on families affected by domestic abuse. This will include multi-agency case file audits and focus groups with social work staff, trained in the model in their role as the lead professional. UP2U Family Practice Model The approach to addressing domestic abuse and tackling its impact on families, is a partnership approach. Social workers as the lead professionals are integral to assessment and planning for families. As referenced in 2.3.5 above in collaboration with Justice Services, Children and Families, have implemented this model to engage with individuals who are not mandated by the court but who have recognised the need to address their abusive behaviours and its impact on partners and as parents. The model is a trauma informed, relational based, therapeutic behaviour change programme. with implementation supported by high quality training. It provides a framework to work in partnership with parents and children, young people to address the impact of domestic abuse in their lives. It includes partner support to consider safety planning as well as offering practical and emotional support and includes 1:1 and groupwork support. The model allows for trusting relationships to be developed which support children/young people and their voice to be heard, led around a family’s own experience and support network. The Up2U Family Practice Model compliments the Safe and Together Model, providing additional tools for social workers and support workers to use, supporting families in the model and approach which best meets their needs. 2.5 ADULT SOCIAL WORK SERVICES As can be seen throughout this year’s report, there continues to be a range of challenges to meet in the delivery of Adult Social Work Services. These include the legacy impacts of the COVID pandemic, the increased demand for support across cared for/ supported people, as well as unpaid carers, recruitment challenges, and the cost-of-living crisis. This report reflects the challenges experienced in sustaining quality care in line with statutory and regulatory requirements as well as work in redesigning and improving services to help progress outcomes for individuals in receipt of support or services.
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51 During 2021/22 investment through the Winter Planning and Enhanced Support funding stream from the Scottish Government was introduced to increase capacity in direct provision as well as to improve assessment capacity connected and aligned through our business plan to local operational and strategic priorities. Whilst some of this investment, for example in the Home Assessment Team (HAT) is beginning to impact positively at service as well as individual level, the volume and complexity of demand in 2022/23, alongside ongoing workforce challenges continue to create capacity pressures. Specific pressure points continue in areas such as: Support at Home Mental Health Officer capacity and in adult protection. The narrative below provides further detail on service activity, performance, innovation and improvement as well as areas of challenge. EARLY AND PREVENTATTIVE INTERVENTIONS – RIGHT SUPPORT, RIGHT TIME 2.5.1 GETTING IT RIGHT FOR EVERYONE (GIRFE) Getting it right for everyone (GIRFE) is a Scottish Government multi-agency approach to health and social care support and services. It builds on existing adult best practice, as well as learning from Getting It Right for Every Child (GIRFEC.) It aims to provide a model to deliver the Community Health and Social Care Integrated Services framework which supports person centred outcomes. In line with practice developments in North Lanarkshire and nationally over the past decade, GIRFE is focused on providing a more personalised way to access help and support when people need it. It aims to place the person at the centre of all decision making that affects them, with a joined-up consistent approach regardless of the support needed at any stage of life. It is intended that the GIRFE approach will ultimately form the future practice model of all health and social care professionals and shape the design and delivery of services, ensuring that people’s needs are met from young adulthood to end of life care. GIRFE is being co- designed by pathfinder projects located in different local authority areas alongside the Scottish Government and will be tested and developed to enable the approach to be more widely interpreted and implemented in wider contexts. North Lanarkshire Health and Social Care Partnership (NL HSCP) is one of 10 pathfinders with the progression of this work supported by the Scottish Government’s GIRFE Design School. North Lanarkshire’s focus is on Frailty and Older People with the pathfinder linking to a range of local as well as national aspirations, policies and strategies including: The Plan for North Lanarkshire; the Health & Social Care North Lanarkshire Strategic Commissioning Plan and the Frailty Strategy. It is planned that over the next 12 months, NL HSCP will progress a GIRFE pathfinder initiative in Wishaw. Learning from this will inform a national sense-making process for future expansion of GIRFE across North Lanarkshire and Scotland. 2.5.2 MAKING LIFE EASIER
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52 The Making Life Easier team has two Disability Information Officers and a newly recruited Resource Worker. Making Life Easier (MLE) is an online resource offering all residents of North Lanarkshire the tools to live active and healthy lives, self-manage their health conditions and providing access to direct supports and services. The team is actively promoting Making Life Easier and the services available across North Lanarkshire through participation in events, presentations to local support groups and most recently with information stalls working in partnership with NL Libraries, University Hospitals, RNIB and St. Andrews Hospice. Whilst new additions to the website include Long Covid Rehab Team and Assistive Technology Team services. Planned development work includes changes to the user journey, simplifying assessment outcomes and an interactive body map. In 2022/23, 11,566 people in North Lanarkshire used MLE, this is a 43% increase on the previous year. Of these users, 87.7% were new visitors and 1,023 people completed a self- assessment with a further 465 people completing a LifeCurve™ assessment. Making Life Easier continues to be a reliable support for all. Making Life Easier website X (Twitter Account) 2.5.3 ASSISTIVE TECHNOLOGY The ethos of the team is to ‘Think Tech First’ and the ambition is to achieve better outcomes for people and their carers. From the team’s inception they have worked tirelessly to promote technology across the partnership. There is a simple accessible referral process and the team assist from advice to installation and instruction in the use of equipment. During 2022/23 the team has participated in 53 events, meetings and presentations across the partnership and for external agencies and built strong links in locality teams, have been providing a tech advice duty service for Access Social Work and are about to embed the same model into the HAT (Home Assessment Team) to further the ‘think tech first’ agenda. The aim is that the consideration of a technology solution is at the start of any assessment journey in health and social care North Lanarkshire. The assistive technology flat remains an innovative project showcasing a mixture of service- provided equipment and mainstream technology, focusing on promoting safety, enhancing wellbeing, and supporting choice for people. Over the reporting period there have been 406 referrals to the assistive tech team. There has been a marked increase of uptake from other staff members as well as internal and external agencies in visiting the assistive technology flat. This has in turn seen an increased interest in technology and more requests for NLC-provided items. From January to June 2022 to January to June 2023 there has been an increase of 162% in tech flat visits.
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53 An interactive magazine using the Paper Tiger platform to provide more information about the service is accessible via the link below. Assistive Technology Team Page Tiger Assistive Technology catalogue Page Tiger 2.5.4 COMMUNITY ALARMS The Community Alarm Service supports vulnerable service users to remain safely in their own homes. providing a service that gives both the service user and their family reassurance that help is always available if required. The service operates 24 hours a day, every day of the year and supports over 7,000 people living within their own homes across North Lanarkshire. A community alarm can consist of a standard alarm base unit and pendant alarm and, depending on the person’s level of need, additional devices such as bed and epilepsy sensors, fall detectors and GPS devices can be used to ensure any safety concerns are satisfied. The Community Alarm Service provides a full call monitoring service with calls received at a central alarm receiving centre where handlers assess each contact to gain insight into presenting issues and needs and risks. These can include matters such as falls, failure to reply to the call handler and activation of smoke alarms with responses including dispatching a home support worker, contacting family/friends to respond, or contacting emergency services. On average the response teams attend more than 400 service users who experience uninjured falls per month. This is of significant benefit to the Scottish Ambulance Service and the individual, as it minimises the time someone waits for assistance while easing resource requirements for ambulance staff to attend quickly. Recognising the benefit of high service standards, the team are members of the Telecare Services Association and registered with the Care Inspectorate. The recent inspection of the service was positive, in relation to the quality of service provided. Analogue to Digital The analogue to digital telecare transition is a major change project with considerable associated challenges for our Community Alarm Service through the transition. This work is progressing and to date 2820 of 6500 Community Alarms have been exchanged with new hybrid Digital Alarms. This workstream will continue over the next 18 months to ensure all our community alarms are replaced prior to the 2025 deadline. The current Alarm Receiving Centre will also be transitioned to a fully digital solution in the next 18 months, bringing with it many benefits including increased resilience, enhanced end user experience and opportunities for proactive person-centred solutions to be implemented.
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54 2.5.5 EQUIPMENT & ADAPTATION SERVICE (EAS) The Equipment & adaptation service, continues to support residents of north Lanarkshire, proving equipment and adaptations. In addition, we provide NHS Lanarkshire equipment pan Lanarkshire. The service has continued to deliver full services despite remaining challenges of waiting list from covid and staff vacancies and have recently appointed to most outstanding posts. Over the last year 209,837 pieces of equipment were delivered by the service and a total of 3353 adaptations spanning privately owned, public rented and Housing Association properties. We have recently commenced a review of the service to ensure that we are meeting the future demand needs of service users and their carers’. In addition, we are in the process of purchasing a new computer order system to streamline processes and improve service delivery spanning the Partnerships. 2.5.6 LOCALITY SUPPORT SERVICES The six Locality Support Services (LSS) provide self-directed, strength-based support to adults who have a disability/long term health condition to have healthy, active, inclusive lives in their communities. LSS use “service last,” approach – ensuring that people exercise choice and control over progression to outcomes. Following assessment, LSS provides people with appropriate support to help meet their needs and desired outcomes. The aim is early intervention, to maintain independence and to promote self-management. Reviews take place at least six monthly with the supported person central to the process. The service offers flexible support across 7 days including evenings. At referral, to minimise reliance on services, people are supported to identify and consider opportunities available to them through natural connections such as family as well as through their local community. Support may be for example, to strengthen connections, provide travel training or budgeting support. Effective community mapping and local area co-ordination has furnished LSS with detailed knowledge of local resources. Sharing buildings has increased opportunities for connection with other team and has been benefited partnership working. Strong links with parents/carers are maintained and LSS work closely with Lanarkshire Carers who progress Adult Carer Support Plans. This includes working with families to access support and forward plan, including to a time when they may no longer be able or around to provide care. This support often incudes supporting families to consider support for the cared for person through an individual budget or a carer budget, within the wider approach to Self- Directed Support (SDS).
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55 The Care Inspectorate grades for the LSS’s are currently overall 5 (very good) with no areas for improvement or requirements. 2.5.7 INTEGRATED DAY SERVICES Integrated Day Services for Older Adults have continued to work with an aim to support people with complex support needs to continue to live in their own homes safely, often preventing admissions to hospital. All services have now returned to working as a building- based service and Locality Link community groups are now fully up and running. This support is still reduced for 5/6 services due to non-site interventions from health professionals. Since returning to full-service the Integrated Day Service has noted an increase in pressures due to challenges in other areas of the system and further review activity is planned to ensure service design meets ongoing need. SUPPORT AT HOME 2.5.8 HOME ASSESSMENT TEAM The Home Assessment Team (HAT) has a multi-disciplinary approach to person centered care and consists of Home Support staff, AHP’s, Clinical Responders and Social Work staff facilitating ‘Home First’ principles, enabling people to be supported to return home for a period of assessment. This also reduces the pressures associated with having to make life- changing decisions around longer-term care from a hospital setting. As reported in the 2021-2022 CSWO report, The HAT soft launch took place in Wishaw on the 25 April 2022 taking referrals from University Hospital Wishaw/ Monklands and on the 15 August 2022 this launch was extended to both University Hospital Wishaw (UHW) and University Hospital Monklands (UHM) considering the North Locality. By the 26 August 2022, 73 patients in total had been referred to and supported by HAT across Cumbernauld and Wishaw rising to 172 by November 2022 as team capacity expanded through recruitment. As of 31 March 2023, 442+ individuals had been discharged through HAT from our acute settings across Lanarkshire. All involved have successfully been assessed in their own home. The largest service provided to date through HAT remains our Home Support service with an input of 67%, down 4% from the previous year however most recent North Lanarkshire figures inform us that by the end of the 2-week assessment period input from Home Support in 51% of cases support decreased to zero with a 16% decrease in those who continue to receive a service. A further 30% remained the same with 2% requiring an increase. As well as continuing to work collaboratively with hospital discharge hubs and clinical teams to support these timely discharges HAT have now begun to work alongside Hospital @Home
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56 to develop a pathway to enable people to remain at home or to support avoidable admission due to social/personal care requirements. 2.5.9 HOME SUPPORT SERVICE The Home Support Service continues to provide care to around 3200 people at home in any one day. The service received more than 3,500 referrals during this reporting period from individuals seeking a Home Support Service. This resulted in nearly 6,000 people accessing the service at some point throughout the year a 10% increase on 2021/22. The service provides on average 25,500 hours of support on a weekly basis again a 10% increase on the previous year, with around 70% of this provided by NLC in house services. The remaining 30% is delivered by our partners in the independent sector. As noted in the 21/22 CSWO report maintaining responsive, high-quality support at home for those who require this has continued to present challenges over the past year, due to continuing increase in demand. As illustrated above work has continued to focus on early intervention and prevention with the Home Assessment Team (HAT) driving a programme of reablement, ensuring that service users potential is maximised, thus reducing the reliance on paid supports with early intervention and technology-based solutions being provided. Recruitment and retention of key posts within the Home Support Service has remained challenging, resulting in key gaps within each of the locality Home Support Teams impacting on the responsiveness of the service and staff morale Whilst this also reflects national challenges in recruitment and retention in social care and pending ongoing service redesign activity interim actions have been taken to try to address this position as reflected in Section 5 of this report. As part of a wider review of the Home Support Service it was evident that the new structure and model of service delivery within the partnership did not have the impact expected, with some of the operating difficulties attributed to the current service delivery model. A benchmarking exercise is planned and the learning from this will be incorporated into the workstreams leading on the review of the service. The current operating model was originally devised in 2018 and implemented in 2020, however the current operational landscape has changed significantly over the last three years and a review of our current operating model has been moving forward at pace, with a new model being devised to address current challenges and provide sustainability. The overall intention is to develop and deliver support arrangements that have a stronger fit with the national personalisation agenda.
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57 Approval was given for the service to move forward with a tender for a dynamic scheduling system which will benefit Home Support workers in the community and for those who schedule the care and support for the wider workforce. In addition, implementation will have a positive impact on service efficiency and improvement. The service has continued to work with Care Inspectorate colleagues, in delivering improvements within the service. From inspections, several requirements and areas for improvement were identified as consistency and quality of care for some people in receipt of support were impacted by demand and staffing pressures. Whilst strengths highlighted through inspection included good infection prevention and control practices, staff and a supportive management team, gradings in two localities temporarily fell to ‘weak’ before being raised to ‘adequate’ following improvement priorities being met. While progress has been made, significant work is ongoing to work towards restoring the previously high-level grades and to ensure that all those who receive as service have a positive experience, 2.5.10 TRANSFORMATIONAL SDS AGENDA The overarching aim of the SDS transformation in North Lanarkshire is aligned with the intention and values underpinning the SDS Act 2013 - to support and empower people to achieve the outcomes that are important to them, to lead full and meaningful lives, and to participate in and contribute to their communities. Our approach and refreshed strategy continue to have a sustainable impact in building resilience in the whole system supporting people and communities in North Lanarkshire and upon the strong foundations and value base we have created. Locally, our approach to SDS starts with the person and their personal resources, wider family and friends, community resources and community solutions, as well as targeted supports or services. This approach reinforces that self-directed support encompasses everything available that helps someone live their life and moves away from SDS as being seen solely as an individual budget to our approach to delivering outcomes and social care in North Lanarkshire. Over the past year, several workstreams were established to take forward the aims of our Transformational Agenda. These workstreams are progressing the development of an updated local SDS Strategy for North Lanarkshire.
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58 The membership of each workstream includes representation from community and third sector organisations, independent care providers, health and education colleagues and carer organisations enabling co-production of the SDS Strategy while also strengthening the key principle of partnership working to promote earlier preventative and proactive approaches to meeting outcomes. Individual Budgets While there is a focus on preventative and proactive interventions, significant support continues to be provided in North Lanarkshire by way of individual budgets for those with critical or substantial ongoing need. The number of people receiving an individual budget within the 22/23 year was 2381. With a total of 347 Direct Payments (Option 1). As with SDS budgets noted above, these figures include all children, adults and carers. Individual Budgets have increased by 56% since last year. A contributory factor to the increase has been the introduction and embedding of the Self-Directed Support with Care at Home Flexible Framework which has seen the move for many people from traditional home support service provision to Individual Budgets, to date a total of 1019. 2.5.11 COMMUNITY LIVING CHANGE FUND/COMING HOME In line with Scottish Government recommendations made within the Coming Home Implementation Report, and more recently the allocation to North Lanarkshire Health and Social Care Partnership of £1,298,332 from the Community Living Change fund, a program of work is being undertaken over a three-year period (2021-2024), to support the strategic objectives of: Reducing delayed discharges of people with complex needs. Repatriating those people inappropriately placed outside of Scotland. Redesigning the way services are provided for people with complex needs. This initiative will build on the work already well established in North Lanarkshire and evidenced through our positive balance of care data. North Lanarkshire has the highest proportion of people aged 18 and over with long term needs who receive personal care at home in mainland Scotland and has the lowest placement rate for all adults aged over 18 in Scotland, which is over 30% lower than the Scottish average.
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59 This additional investment has provided an opportunity to review the current situation post- pandemic and compliment the national work being undertaken to develop a dynamic discharge register for those with the most complex needs. A multi-agency team lead by Health and Social Care Partnership has been established and has begun the personal action planning process. A Coming Home Implementation group has also been established with two subgroups overseeing the individual circumstances and planning requirements and planning the strategic developments required to minimize the risk of people needing to leave the area to receive the support and care they need. For the relatively small number of individuals currently placed out with North Lanarkshire and following appropriate assessment including risk assessments, planning will facilitate appropriate interventions to ensure individuals can come home safely. STATUTORY INTERVENTIONS: 2.5.12 MENTAL HEALTH OFFICERS SERVICE AND ADULTS WITH INCAPACITY ACT (SCOTLAND) 2000 Mental Health Officers (MHO) are social workers with a minimum of two years post qualifying experience who have gained Mental Health Officer Award (MHO award) Statutory duties for MHO’s are set out in the Adults with Incapacity (Scotland) Act, 2000; the Mental Health (Care and Treatment) (Scotland) Act, 2003 [MHCTA]; the Criminal Procedures (Scotland) Act, 1995; Criminal Justice (Scotland) Act 2016 and the Adult Support and Protection (Scotland) Act, 2007. The implications of emergent court judgements emphasising the significance of European Convention of Human Rights and the United Nations Convention on the Rights of Persons with Disabilities in statutory decision making, combine to place heavy demands on the current resource. Additionally, new duties for mental health officers were introduced in the implementation of the Mental Health (Scotland) Act, 2015. The Chief Social Work Officer holds overall statutory responsibility for the governance and the management of welfare guardianship orders granted to the local authority, and for overseeing the supervision of private guardians in their role and function as welfare guardians. The day-to-day management of these statutory responsibilities are delegated to Mental Health Officers and Social Workers and overseen by managers within adult social work. Adults with Incapacity Act (Scotland) 2000
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60 The above chart shows the monthly running total of private and local authority welfare/financial guardianship orders held for individuals in North Lanarkshire over the period April 2022 until March 2023. The total number of guardianship orders in place in the North Lanarkshire Council area at the end of March 2023 was 1051 with 804 private and 207 local authority orders. The North Lanarkshire total figure constitutes 6.15 % of the national total. The local authority has a statutory responsibility to provide supervision and support to all Private Guardians and to undertake reviews of how the powers are being used on a regular basis, unless it is formally agreed that this is not required. In relation to local authority welfare guardianship powers, these are also reviewed regularly either by a Designated Mental Health Officer or Social Worker During this period as referenced in 3.1.6 below, two Large Scale Investigations were undertaken under Adult Protection processes with respect to Care Homes/Establishment for those with complex needs. The co-ordination of these investigations and associated statutory activity, required liaison with home local authorities, to ensure individuals rights were safeguarded and needs appropriately supported. As in the previous year this placed substantial additional demands on North Lanarkshire MHO and social work resources. New requests for Private AWI
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61 AWI Orders April 2022 - March 2023 Over the period April 2022 to March 2023, 218 requests were received for Mental Health Officer reports to accompany new guardianship applications. In comparison with the previous year this shows an increase of 83 reports. These applications were inclusive of welfare guardianship orders and renewals both private and Local Authority which is an Increase in all applications since the previous year. Mental Health (Care and Treatment) Act 2003 and Mental Health (Scotland Act 2015) National trends for civil detentions under the Mental Health (Care and Treatment) (Scotland) Act 2003 have continued to rise both nationally and locally. In North Lanarkshire there has been a decrease in the number of Emergency Detention Certificates (down 38%) and Short- Term Detention Certificates (down 7.9%), whilst the number of Compulsory Treatment Orders has increased (2%) since the previous year. The total number of supervised Forensic orders has also decreased. We continue to maintain a higher than the national average rate of consent to Emergency Detention Certificates, an area of national focus given the checks and balance this provides within the system. This year, MHO’s have however refused consent to 11 Short Term Detentions, 27 less than the previous year. Total Emergency Detention consents [164] 101 Total Emergency Detentions where no consent was sought [35] 76 Consent refused by MHO - Emergency Detentions [3] 0 Total Short Term Detention consents [236] 247 Consent refused by MHO - Short Term Detentions [38] 11
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62 Total Compulsory Treatment Orders [186] 191 Total Forensic Report requests [32] 28 Total Forensic orders supervised (CORO\CO) [30] 17 2021-2022 data highlighted in red. Quality Assurance, Continuous Improvement and Involving Lived Experience North Lanarkshire Council recognise that, MHO involvement in the social work and care management role of adults with complex needs in relation to decision making capacity and/or or those who experience severe and enduring mental health difficulties, can offer much better outcomes for individuals because of the knowledge and skill base MHOs retain whilst ensuing human rights are central to intervention. Nevertheless, the increasing demand on the service coupled with decreasing numbers of MHO’s and the national difficulty around retention and recruitment has necessitated the decision to that MHO workloads are ring fenced and deal with statutory work only. Care management inclusive of SDS has started to be reallocated to locality social work teams from the MHO service. This will be reviewed regularly and when the MHO service is in a better position a move to return to a more holistic approach will be considered. As part of our quality monitoring approach, we have introduced new arrangements for seeking feedback directly from people who access services and their families/carers, which will help us shape and improve service delivery. We are also introducing self-evaluation and auditing processes for statutory MHO reports and have undertaken a trauma informed walk through of the service to ensure best practice and continuous improvement. Service Recovery and Redesign As discussed in previous reports the pandemic on service required rapid development of remote working and centralising processes across the MHO service. Whilst there has been a return to face-to-face assessments, meetings, and MHO forums we have also continued to benefit from the flexibility remote ways of working can offer service users and staff alike with MS TEAMS and ‘Near Me’ service. The centralisation of key functions created many benefits to managing pressures across the service in relation to staffing, workload and sharing knowledge and experience and a centralised priority allocation process continues to be in place as a way of addressing the pressures across the service however in response to concerns that a fully centralized model may inhibit integrated working at local level a survey was conducted across the MHO service and a follow up development day held to discuss findings From the development day an agreed Action Plan was formulated to move towards a Locality Based MHO Service. To support service recovery and in line with the agreed Action Plan it was identified that recruitment would be integral to this success. Further information on how the service is innovating and using temporary capacity funding to support recruitment and development of MHOs to address capacity issues in the face of a chronic shortage of MHOs nationally is included in Section 5 of this report.
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63 3 PUBLIC PROTECTION 3.1 ADULT SUPPORT AND PROTECTION 3.1.1 ASP REFERRAL TRENDS During this period North Lanarkshire, received 3034 ASP referrals, an increase of 25% compared to 2021/22 (2,434 to 3034). This is the fourth consecutive year that an annual increase has been measured. Referrals from NHS colleagues continue to rise, showing a 23% increase compared to last year from 473 to 583 whilst adult support and protection referrals from Police Scotland have decreased 13% from 380 to 330. Social Work referrals increased 10% from 370 to 408. While Scottish Fire and Rescue increased 30% from 86 to 110. Care homes were the highest ASP referrer group in 2022/23 with 31% (933) of all ASP referrals received to localities and SWES. This demonstrates a steep rise in referrals from care homes in comparison to 2021/22 measuring a 105% increase from 455 to 933 in part reflecting the challenges in managing increasing complexity of care needs within group living settings. Monitoring and support in this area is provided by colleagues in Quality Assurance. In addition, a pan Lanarkshire task group has been set up by North and South APCs with all care home stakeholders involved and the aim to provide support to care homes to achieve a balanced and consistent approach in relation to ASP referrals and decision making. This will involve undertaking a survey with care home staff on their current level of understanding of ASP and targeting future training needs based on the responses given. Whilst Police ASP referrals have decreased, Police ‘Adult Concern reports’ continue to increase. there were a total of 4,009 Police ‘Adult Concern’ Reports received during this period. Since the same reporting period last year there has been a 3% increase in police ‘Adult Concern’ reports (from 3885 to 4,009). In a change from the previous reporting year, Physical harm was the most common referral type (48%) 1442 of all referrals received. In analysing the reason behind the sharp increase in referrals featuring physical harm this can be closely linked to the large number of care home referrals received often resulting from a witnessed/unwitnessed fall of a resident. As noted above, ongoing work with care homes and key stakeholders in relation to ASP referrals and decision making. Emotional and Psychological harm remains high, measuring (26%) 802 of referrals received. It has been recognised in research that self-neglect cases can be some of the most complex to manage for practitioners, as they are fraught with issues that cut across ethical, legal and practical considerations. Raising awareness of such issues for multi-agency practitioners has been a key focus within the Multi agency forums and within ASP multi agency training. For this period, there were 278 self-neglect cases which measure 9% of total ASP referrals. Self- neglect referrals continue to rise, referrals have increased 15% in comparison to last year (from 241 to 278).
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64 3.1.2 ASP INVESTIGATIONS There were 399 investigations carried out in 2022-23 which marks an 8% reduction from last year (from 433 to 399). 13% of the total number of ASP referrals received progressed onto a full investigation. This percentage conversion rate has reduced by 5% since the same time last year (from 18% to 13%). 3.1.3 CASE CONFERENCES There were 69 ASP initial case conferences and 117 ASP Review case conferences held for 2022 - 23. This means there has been an 8% decrease in those cases that progress from investigation onto initial case conference (from 25% to 17%). 3.1.4 STATUTORY ORDERS For the period 2022/23, North Lanarkshire Council, as part of Health and Social Care North Lanarkshire implemented thirteen (15) ASP Protection Orders, as follows: Types of Protection Orders Number of Protection Orders granted Assessment Order 0 Removal Order 7 Temporary Banning Order 1 Banning Order 0 Temporary Banning Order with Power of Arrest 4 Banning Order with Power of Arrest 3 Total 15 North Lanarkshire Council’s ASP policy and procedures are currently under review. These will be updated in line with new Scottish Government codes of practice. Revised policy and procedures will be built into the new ‘mosaic’ social work system, the first draft of new procedures is expected November 2023. 3.1.5 APPROPRIATE ADULT SERVICES In January 2020, Appropriate Adults (AA) Services across Scotland became a statutory function via part implementation of the Criminal Justice (Scotland) Act 2016. This now means that a
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65 statutory duty is placed upon Police Scotland to request an Appropriate Adult, while the Council has a statutory duty to provide Appropriate Adult Services, and the training of AA’s. The Care Inspectorate has the duty to assess the quality of AA Services. In North Lanarkshire, AA Services are currently arranged, delivered, and fully funded by North Lanarkshire Council. Currently, there are 28 employees trained to perform the AA role whilst balancing the day-to-day commitments across Council Services e.g., Social Work and Home Support Services. Training is outsourced and delivered through partnership with Edinburgh City Council. Another training cohort will take place in October where it is anticipated a further 20 staff will be AA trained. AA service operates within office hours and via SWES. In 2022/23 the AA service responded to 59 referrals from Police Scotland. On 2 occasions the AA service was unable to provide an appropriate adult to police at the time of the request whilst on 2 occasions police cancelled their AA request. The primary reason police requested an AA was due to an adult being diagnosed with a learning disability (33 of 59 requests). 28 police requests related to facilitating a victim/witness statement and 22 requests involved multiple police procedure e.g., Police Interview Rights of Suspects (PIROS), Caution, Interview, Charge The primary crime type AAs were requested to attend involved crimes of indecency (38 from 59). North Lanarkshire Council have recently recruited a social worker to the adult social work team based in headquarters who will, as a test of change, temporarily lead on and develop the appropriate adult coordinator role. This is in line with local authorities' statutory duty to create a designated post for the appropriate adult service. 3.1.6 LARGE SCALE INVESTIGATIONS An LSI may be required where there is reason to believe that adults who are residents of a care home, supported accommodation, an NHS hospital or other facility, or who receive services in their own home may be at risk of harm due to another resident, a member of staff, some failing or deficit in the management regime, or in the environment of the establishment or service therefore in circumstances where risk may pertain to more than one individual North Lanarkshire Council commissioned and carried out two ASP Large Scale Investigations (LSI) relating to care homes during this period, one of which was commenced in the previous reporting year. The first LSI commenced in March ‘22 and was concluded mid-June ’22 in response to several practical and procedural areas within the care home which caused or was likely to cause direct harm to residents. Following evidence gathered by social work and partners, an action plan was developed in conjunction with the care home with the view of reducing risk to residents which was successful in reducing multiple areas of risks for residents and achieving better outcomes in their lives.
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66 The second LSI was commenced in December 2022 and continued beyond end of March 2023. The social work locality response has been timeous and robust and involves a significant resource in investigating harm and coordinating a response to the identified risks. This LSI involves several agencies who continue to implement the agreed protection plan in reducing risk to residents. It should be noted there is no timescales on how long an LSI should last, the average length of an LSI is between 2 and 4 months however the key outcome for every LSI is that adults will be safer, better supported and enjoying a better quality of life. 3.1.7 JOINT INSPECTION OF ADULT SUPPORT AND PROTECTION IN NORTH LANARKSHIRE The final report of the Joint Inspection for Adult Support and Protection was published on 22nd November 2022. The inspection findings are largely positive and recognise the hard work and commitment of staff across the partnership over the last two years. The inspection evaluated local performance against two key questions: 1. How good were our key processes for adult support and protection? The inspectors concluded that our key processes for adult support and protection were effective. There were clear strengths supporting positive experiences and outcomes for adults at risk of harm, which outweighed the areas for improvement. 2.How good was our strategic leadership for adult support and protection? The inspectors considered that our strategic leadership for adult support and protection was effective and demonstrated major strengths, supporting positive experiences and outcomes for adults at risk of harm. Key strengths and areas for improvement were identified as follows: Strengths: Adults at risk of harm had improved safety, health and wellbeing because of the diligent work of partnership staff. The partnership conducted initial inquiries into the circumstances of adults at risk of harm efficiently and effectively. Independent advocacy for adults at risk of harm was a key strength for the partnership. Adults at risk of harm derived considerable benefit from the support they got from capable independent advocates. The partnership’s strategic leaders enabled a culture of strong, credible, strategic partnership working for adult support and protection. Strategic leaders initiated rigorous, multi-agency quality assurance and audit work for adult support and protection. This was a key facet of the partnership’s convincing capacity for improvement. Areas for Improvement:
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67 1.a. The partnership should improve the quality of chronologies for adults at risk of harm. 1.b. The partnership should improve both the presence and quality of protection plans. 2. The partnership should always hold initial adult protection case conferences promptly when required. The police should attend all initial adult protection case conferences they are invited to. 3. The adult protection committee should consider securing the direct representation from adults at risk of harm and their unpaid carers. Thus, it would benefit from their lived experience of adult support and protection. Inspectors noted a small number of other areas for consideration by the partnership but also reflected within the report confidence in the partnership’s capacity for improvement. Next Steps: The Partnerships’ Inspection Improvement plan has been agreed by the Care Inspectorate who will monitor progress for 1 year. The Care Inspectorate continue to express confidence regarding our proven ability to make improvements. This report was welcomed as a fair assessment of our practice which largely reflects our own understanding of our position. The findings were reported by the Inspectors as ‘strong and sound’ for the partnership. Recognition of our clear strengths are welcomed, along with those improvements, which the Inspectorate indicate they are confident of our capacity to meet. 3.2 MAPPA (MULTI AGENCY PUBLIC PROTECTION ARRANGEMENTS Justice social work services have a key role in respect to MAPPA arrangements as lead agency for high-risk offenders subject to statutory supervision. As such the service works closely with the council’s housing service and other responsible authorities including, Police Scotland, NHS and the Scottish Prison Service to assess and manage the risk posed by sexual, violent and other risk of serious harm offenders. Whilst activity is operationally managed within relevant agencies. Multi-agency oversight and co-ordination is supported by a small pan-Lanarkshire team and Strategic Oversight Group (SOG) which is chaired on a rotational basis by North and Lanarkshire CSWOs and the Public Protection Superintendent, Police Scotland. An annual MAPPA report provides information on the ongoing local implementation of MAPPA arrangements, key priorities and activity statistics. The report for 2022/23 will be published on 27/10/23. Add link when available. Of the 787 individuals in custody or in the community in Lanarkshire subject to MAPPA as of 31/3/23, 54% (425) were the responsibility of North Lanarkshire authorities. Overall, the number of individuals managed under MAPPA have grown significantly since arrangements were established 16 years ago. This slowed during the Covid-19 Pandemic but has increased annually since then, with a 9% growth last year alone. In both North Lanarkshire and pan-
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68 Lanarkshire previously there was again a small increase between 20/21 and 21/22 however as in other areas of the justice system it difficult to clearly separate underlying trends from the impact of the pandemic. MAPPA related activity is however a key aspect of justice social work workloads. In March 2022, MAPPA partners attended a practice event to consider collective practice in terms of Environmental Risk Assessment. This was informed by a recent Significant Case Review from another area where development opportunities had been identified. The event provided opportunity for operational partners to physically meet in a way that had not been possible for some time because of pandemic restrictions. Such was the response to the event that partners have committed to a continuous schedule of themed operational development events, hosted across both North and South Lanarkshire which will contribute to the ongoing strengthening of practice and the establishment and maintenance of key professional relationships. Whilst the statutory activity above is categorised in distinct strands there is a clear interface across the different areas of public protection requiring joint working across all social work care groups and partnership arrangements. For example, there is an increasing number of older individuals and those with substantial care needs who are managed under MAPPA requiring close working between adult and justice services. There is also a strong interface between justice services and child protection whilst domestic abuse and violence against women link strongly to wider public protection processes. All social work staff are therefore trained and expected to develop core knowledge of the range of protection procedures and responsibilities. Statutory public protection interventions and processes are also part of a wider continuum of safeguarding and community safety activity in which social workers are involved, some of which are reflected in earlier sections of this report. Additional examples of key priority areas for social work and partners where practice is evolving and innovating to strengthen the protection and wellbeing of our communities are detailed within this report. 3.3 CHILD PROTECTION There has been a significant rise (65% 18/19 to 22/23) in child protection referrals as illustrated below – Year Number Of Referrals Investigations % of Referrals Proceeding to Investigations Number of Investigations that Proceeded to Case Conference Number of Registrations from Case Conferences 2022/2023 1895 775 41% 264 198 2021/2022 1714 754 44% 229 177 2020/2021 1482 831 56% 261 199 2019/2020 1617 800 49% 339 254 2018/2019 1150 642 56% 329 251 2017/2018 1030 692 67% 340 252
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69 This is due to our child protection framework supporting increased consistency in practice, recognition of all forms of harm, strengthened by refreshed IRD guidance. While we have not seen a rise in the numbers of children whose names are placed on the Child Protection Register, there has been an increase in registration of older children aged 12 +. What this indicates, in part, is that practitioners, supported by our commitments to keep The Promise and UNCRC and investment in contextual safeguarding, are increasingly focussing on and recognising the protection of older children and their rights. The service has continued to work with the partners in the Child Protection Committee to monitor and understand the relationship between child protection referrals and rates of registration to ensure the right children get the right support when they need it. In April 2023, the partnership was informed that a Joint Inspection of services for children and young people at risk of harm would take place over the period from April to September 2023. The outcome of this inspection will be reported through committee and within the next CSWO Annual Report 3.4WIDERSAFEGUARDINGACTIVITY 3.4.1CONTEXTUALSAFEGUARDINGANDPROTECTINGYOUNGPEOPLEFROMHARMOUTSIDE THEHOME The service has continued its work towards embedding the Contextual Safeguarding approach to protect young people who are at risk of harm and or exploitation in the community. Alongside our bespoke online training module, where approximately 400 staff from across the council have undertaken the two hour learning- we developed a theory of change to illustrate what we want to achieve and identify priorities: Developing North Lanarkshire’s Response to Extra-Familial Risks and Harms - Overview | Rise 360 (articulate.com) The approach has now been strengthened through the embedding of a multi-agency Young People’s Safeguarding panel (to coordinate actions to protect young people) and over 2022/23, around 30 young people were considered through this panel alongside discussions about their periphery peers, dynamics of key relationships, safety of places they spend time and key conversations around choice, empowerment, voice and trust. Staff have access to consultations to promote their confidence and to offer containment with the emotional and
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70 ethical demands associated with managing complex risks. As a service we have worked to ensure that the trauma young people experience is understood and sensitivities to this are integrated into our practice. The University of Sussex has been researching our work, with early evidence that trauma informed practice is beginning to make a difference. Some key highlights have been that the approach supports workers to: Prioritise who young people are and what they could be – rather than the risks that they face – when describing them to others Identify young people’s experiences of trauma and consider these when developing plans to support them and meet their needs. Identify services and relationships in community settings that could offer sustainable safety to young people beyond the life of an intervention. Another key aspect of addressing the harms faced by children and young people in the community is our approach to responding to children reported as missing to the Police. Recognising the importance of early support for children who are reported missing, the social work service continues to lead a weekly meeting to discuss the circumstances of all children and young people reported to the Police as missing. We also continued to commission a dedicated service from Barnardo’s to undertake Return Discussions available to all children and young people who are reported missing, regardless how many times, in recognition of the potential harms. The meeting is multiagency and discusses the circumstances of the missing episode and looks at what, if any, additional supports the child, young person or their family may need to prevent further missing episodes. Although the number of young people reported as missing has continued to rise since 2020 (342 as opposed to 185), there has been a significant change from where the children and young people have been reported missing. In 2020/21 49% of missing episodes were of children living in Children’s houses within North Lanarkshire. Last year this reduced to 17%. This change is in part due to the proactive and relationship-based approaches taken by our Children’s house staff in collaboration with the police. Most children and young people reported missing from home are not known to social work services (as seen in diagram below). Over 22/23 167 return home discussions (RDs) were completed for 115 young people. Of these 79% were not reported missing again following up to 3 RDs. Of note is that 10 children disclosed protection concerns within RDs previously unknown to agencies prompting action such as a child protection investigation, family group decision making or planning for a child’s wellbeing within the GIRFEC pathway.
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71 3.4.2 SUICIDE PREVENTION During 2022 the Scottish Government and COSLA collaborated in launching a new plan and strategy to tackle suicide in Scotland: Creating Hope Together: Scotland’s Suicide Prevention Action Plan 2022 -2025; Creating Hope Together: Scotland’s Suicide Prevention Strategy 2022 – 2032. In North Lanarkshire, the Suicide Prevention Partnership Group lead on the local suicide prevention strategy and action plan. This includes a range of awareness raising activities use of online and digital platforms and training across services and local communities. The table below includes data from 2018 until 31st December 2021, indicating that North Lanarkshire sadly lost 171 people to completed suicides in that period. There continues to be an increase in deaths of younger people under the age of 39: these have mostly been young males. Suicide rates did not significantly vary throughout the lockdown period (2020/2021); however, as we continue to recover from the emotional and fiscal effects of the pandemic there is concern that the cost-of-living crisis may impact an increasing number of individuals mental health and wellbeing with an associated risk of a rise in suicide rates. In this context continuing to review and enhance the local action plan is clearly essential. Number of Suicides by Year (2018-2022) - North Lanarkshire Year Number 2018 58 2019 57 64% 27.10% 8.90% YP missing from a family or family-based placement Not know to SW at the time of reporting S22 Experiencing Care
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72 2O20 62 2021 52 2022 50 The local action plan remans framed around the following areas: Reducing the risk of suicide in high- risk groups Tailoring approaches to improve mental and physical health in specific groups. Reducing access to means of suicide, including identified locations of concern. Learning from reviews and investigations into unexplained deaths Providing better information and support to those bereaved or affected by suicide. Supporting research, data collection and monitoring Building community capacity to help reduce the stigma and taboo associated with suicide, Distress Brief Intervention is now embedded within North Lanarkshire as early connected and compassionate support whilst suicide awareness and prevention training are being delivered across social work, health, education, third sector and voluntary organisations. Within social work a nominated Senior Officer based in Adult Service leads on Suicide Prevention. 3.4.3 DRUG RELATED DEATHS North Lanarkshire continues to have high levels of drug-related deaths as illustrates in the tables below:
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73 A pan-Lanarkshire multi-agency Drug Death Review Group is in place supported by a drugs death review officer to gather the statistical information to identify patterns working closely with services to look at drug related deaths. This post holder attends all meetings related to drug related deaths, engages with the teams, ADP development officers and information officers. Measures to target drug deaths locally and nationally have been implemented via MAT standards and more recently a newly commissioned service to respond to crisis and assertive outreach has been established. A name has yet to be sought but the initial steering group has met, and a standing operating procedure is being discussed. Including criteria for referral based on risk management. Whilst reducing drug death is a critical priority actions have the wider aspiration to improve quality, choice and to create connections to keep people safe, well and thriving to realise a North Lanarkshire where: Fewer people develop drug and alcohol use. People access and benefit form effective, integrated and person-centres support to achieve recovery. Children and Families affected by alcohol and drug abuse are safe, healthy, included and supported. Vulnerable people are diverted from the justice system wherever possible. Less harm is caused by alcohol. 4. RESOURCES For the financial year 2022/23 North Lanarkshire Council had a gross annual social work budget, inclusive of Covid & winter planning funding, of almost £292m. This was allocated as £242m for Adult Social Work and Social Care and £50m for Children, Families & Justice Services. The equivalent funding for the previous financial year was £266m.
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74 During 2022/23 the Scottish Government was in regular discussions with HSCP’s with respect to in-year IJB Covid costs. The service recorded a spend of £1.342m which related to partner sustainability payments. As reported in the 2021/22 report, North Lanarkshire received a share of £300m funding from the Scottish Government to protect health and adult social care services over the winter and to provide longer term improvement in service capacity across health and social care systems. This resulted in circa £7m new recurring investment for the service. A business case was approved of how this would be utilised which highlighted that the majority of this would be used to increase staffing levels in key areas across the service: https://mars.northlanarkshire.gov.uk/egenda/images/att97950.pdf Unfortunately, there have been recruitment difficulties across the sector therefore some slippage in spend against this business case was reported in 2022/23. Following council and IJB budget setting processes social work services had a savings target of £2.094m, split £2.025m Adult Social Work and Social Care and £.069m Children and Families, the service achieving 31% of this in year. The shortfall was within Adult Social Work and Social Care and was funded using reserves with the saving expected to be fully implemented in early 2023/24. In totality Social Work activity during 2022/23 was undertaken within the overall budget resource and resulted in an underspend position. Within Adult Social Care the underspend was almost entirely because of the recruitment issues, both internally but also within the care at home sector reducing the payments made to these bodies. This is similar overall to the 2021/22 position however due the nature of these underspends they are non-recurring in the long term. Financial pressures are being seen across the following areas: Home Support Independent Care Homes
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75 Self-Directed Services Integrated Equipment and Adaptation Service Family Placements Children’s Houses As in the previous year the core Sec 27 grant for the delivery of statutory justice social work services (5.789 m) was enhanced through additional funding (0.920 m) to support targeted government priorities including women’s services, structured deferred sentences, diversion from prosecution, PASS and third sector commissioning. Additional funding of 0.953m was also provided to enhance capacity to address pandemic related backlogs within the system and to enhance bail supervision. 4.1 FINANCIAL MODELLING FOR SERVICE DELIVERY Financial Planning and monitoring continue to be a key responsibility for the management team. The Council’s financial strategy includes Service input to four key processes. These are: Preparation of detailed single year budget In–year budget monitoring and projections Preparation of rolling 3-year budgets Preparation of a Medium-Term Financial Plan Alongside this the Council Finance Team works closely with the IJB Chief Finance Officer to prepare a medium-term financial plan for the Health and Social Care Partnership. In terms of financial modelling the Management Team increasingly take a whole systems approach to delivering new and more efficient operating models which often requires joint working with other Council services and key external partners. In addition to the wider financial modelling described above, work has also been undertaken to support the business plan for Adult Health and Social Care. With respect to Children’s Services the council and local partnership is one of three areas who have committed to working with the Promise team nationally on ‘Human and Economic Cost Modelling’, work which is intended to support longer term change both nationally and locally by identifying how money is currently spent and the system changes required to move the balance of spend toward early intervention and family support in line with the aspirations of Christie. Following some early scoping this area of work is now integrated into the ‘Resilient People’ strand of the Council’s Programme of Work. A significant risk in children’s social work is the reliance on a range of temporary funding streams, some ‘bid-in’ and some, principally partnership monies, allocated via national distribution formulae to support longer-term transformational change and service improvement with none of these strands committed beyond 2025/26. Similarly in justice services there is uncertainty around the level of recovery funding which will continue beyond the current year.
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76 5. WORKFORCE 5.1 WORKFORCE PLANNING Workforce planning within social work is integrated thought the social workforce group but informed by the Council’s corporate ‘Workforce for the Future Strategy’, and interfaces also with the wider HSCP workplan. As reflected in other parts of this report the direct and indirect impacts of the pandemic and cost of living crisis along with underlying demand pressures continue to impact on the ask of the social work workforce over this period. Challenges in the labour market continue to impact on recruitment and retention of staff, North Lanarkshire is not immune to these challenges and whilst many of these also require action at national level, there is substantial work ongoing locally to address key issues and support workforce resilience. 5.2 SOCIAL WORK RECRUITMENT AND RETENTION In February 2023, a report entitled ‘Social Work Workforce Sustainability’ was tabled at Corporate Management Team. It outlined the range of challenges impacting on the sustainability of the Social Worker workforce and the consequent vulnerabilities with respect to service delivery. The report also set out key proposals to address these challenges, which included a revised and strengthened recruitment model, alongside further work to enhance whole career support and development allied to the wider ambitions of Workforce for the Future. In relation to recruitment, the service made a commitment to a mixed model of internal and external recruitment, re-establishing the Social Work Trainee Scheme for NLC Social Work staff. The Trainee Scheme has been progressed with 8 successful applicants being offered courses, due to commence from September 2023. Courses vary in length from 12 months to 4 years, depending on applicants’ previous educational qualifications. As part of the scheme NLC is also committed to offering rotational experience across residential, day and fieldwork services according to learning needs. In addition to this scheme, we are sponsoring 6 self- funded employees as they complete their Social Work qualification. External recruitment has also continued with over 60 external appointments made in the last 12 months (since Sept 2022). A commitment to offer permanent contracts whenever possible has continued even if this requires a temporary placement in the first instance. This will be reviewed regularly but it has been agreed on the basis that normal levels of turnover mitigate any associated financial risk. Temporary cover requirements, which exist for several reasons including the movement of Social Workers to temporary promoted opportunities and the creation of temporary funded posts, are being closely monitored. Whilst a temporary opportunity can be appealing to the current Social Work workforce, this can cause issues ensuring backfill for their substantive post. The opportunity for newly qualified Social Workers
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77 to join NLC as Social Work Assistants until their full qualification has been confirmed, has also been utilised. External adverts, through myjobscotland, have been generic and specific. Generic adverts have been developed to attract applicants to NLC with preferences given in relation to the care group they wish to work with. Specific adverts have been progressed for specialist teams, for example, Addiction Recovery Services. North Lanarkshire continues to successfully recruit Social Workers, including attracting students who have had positive placement experiences with the authority. This has impacted on experience levels and stability at the frontline, for example in Children, Families and Justice alone 48 external appointments were made to the role of social worker over this period, 38 of whom were newly qualified. Whilst these staff bring skills, creativity and commitment to the service, the impact of the pandemic on pre-qualifying opportunities has impacted on learning needs and the changing balance between newly qualified and more experienced workers, alongside an increasing complexity in the demand profile, has created clear pressures with respect to the allocation of work within localities with a requirement to provide more support across teams. Frontline managers continue to monitor caseloads and assist their workers in the prioritisation of their statutory responsibilities. In Justice Social Work a revised structure has allowed for a more flexible approach to the deployment of staff across the authority to support the teams who are dealing with the most urgent and pressing demands and authority wide teams continue to support localities across all care groups. Whilst not favored as a core element of our ongoing workforce strategy, where necessary limited use of agency social workers has also been employed in Adult and Justice services. A close partnership approach has developed and will be maintained between the service and our HR colleagues in terms of ongoing recruitment strategies. Advertising frequency and dates have been reviewed to streamline processes and quicken the employee onboarding experience. This will continue to be reviewed and improvements made wherever possible. The service also commissioned research into the recruitment of Social Workers from Black and Minority Ethnic Communities. It is hoped that the findings of this research will shape recruitment policies and practices, ensuring they are not just non- discriminatory but anti racist, to the benefit of applicants from these communities and the service as we endeavor to recruit a more diverse workforce. To assist in the retention of Social Workers, a regrade was actioned on 1 May 2023. Following a re-evaluation process undertaken during 2022 which recognised the evolution in the social work role in response to both nationally driven expectations, a more complex and integrated service delivery landscape and the need for an empowered workforce. As a result of this NLC Social Workers increased from grade NLC10 to NLC11, moving NLC from 23rd place, on a list of 32 Local Authorities, when looking at starting salary, to 2nd place. Job Descriptions are being updated and it is hoped that these actions will bring several benefits including reflecting of the professionalism in the role and ensuring NLC’s competitiveness in the market.
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78 As outlined in 4.2 below, a commitment to support Practice Learning, the Supported Year in Practice and to both Continuous Professional Development and Health and Wellbeing, are all critical to longer-term recruitment and retention strategies. This support will continue to be updated and reviewed. Ultimately however action will also be required at national level on social work workforce issues including on areas which create barriers to entry to the profession such as the lack of training bursaries. Our Senior Practitioner Scheme continues to contribute to retention and the building of a skilled workforce. It allows social workers and occupational therapists to progress to an enhanced salary scale on completion of relevant post qualifying training and commitment to undertake additional responsibilities. The scheme remains a key component of our model, with over 60 practitioners within the service carrying the status alongside tailored work plans identifying their additional contribution to the service. Social workers who meet the criteria have immediate access to temporary Senior Practitioner status, pending a process to confirm status. Our strong commitment to the provision of Practice Learning as part of Learning Network West has been maintained providing quality learning experiences. The service has benefitted significantly from the input of the students and as noted above this also supports recruitment. Our hubs are currently supporting 25 newly qualified Social Workers, in their first year of employment, in addition to students training to be Social Workers. All student placement opportunities are overseen by a dedicated Senior Officer in our Training and Organisational Development team. Feedback highlights the value of this support to new social workers and students whilst also providing flexibility of deployment to support service needs. 5.3 RECRUITMENT AND RETENTION OF MENTAL HEALTH OFFICERS North Lanarkshire Council remains committed to developing social workers through the MHO Traineeship Scheme, which supports Social Workers in gaining an MHO award. 1 qualification was supported in 2022/23 and 3 Social Workers are undertaking the course in 2023/24. Recruitment is supported from all care groups with colleagues across Education and Families, Adults and Justice Services showing an interest in being considered for the Award. To support a steady flow of candidates to prepare for the opportunity to undertake the PQ MHO Certificate we have also established a temporary social worker (non-MHO) post within our Community Mental health Team. This post will allow social workers to gain knowledge, experience, and suitable expertise to allow them the opportunity to apply for PQ MHO Certificate, hopefully encouraging a smooth pathway from the social worker to MHO role. Mental Health Officer forums continue every 6 weeks, offering discussion on practice issues, case studies, national reports/guidance and providing feedback to Scottish Mental Health Law Review.
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79 North Lanarkshire continue to offer MHO’s the opportunity to obtain, and maintain, Senior Practitioner status and to share their knowledge and experience with MHO and social work colleagues in relation to various aspects of AWI and MH legislation as well as Self Directed Support. We recognise the breadth of knowledge, experience, and skill across the MHO service and plan to restart consultation sessions regarding human rights, AWI and MH Act as well as establishing MHO champions who have areas of practice interest, in relation to neurodiversity, forensic work, and complex trauma. Remote external training and development opportunities continue to be available to MHO’s, for example via the Scottish Forensic Network, Mental Welfare Commission and MHO community of practice (SASW). To strengthen the structure a stand-alone Practice Assessor, to support Mental Health Officer training, has been appointed. In addition, a Mental Health Officer post for complex discharge planning has also been added, on a temporary basis, to the NLC structure with a postholder in place. We have also appointed on a Temporary basis a Mental Health Officer within the coming home team in line with Scottish Government proposal in this area. Since December 2022 we have secured 3 full time MHO and 3 sessional MHO. Currently the Mental Health Service is under review. The return to a locality-based model referenced earlier in this report will also see and expansion of Senior Social Workers/MHOs from 4 to 6. 5.4 SOCIAL CARE As reflected in Section 2.6.9 above there remain significant recruitment, retention, and capacity challenges with respect to the Home Support Service. The roles of Support Officer and Service Delivery Coordinator have been particularly challenging. A review of Home Support Services is ongoing but considering the current challenges, the decision was taken to redesignate the post of Support Officer to Home Support Scheduler, and the posts of Service Delivery Coordinator to Home Support Team Leader. It is felt that the new designations are more descriptive of the roles and that this may assist in the understanding and expectation of applicants for these posts. Work is also ongoing to ensure Home Support Workers are aligned to appropriate teams, with a focus on re-ablement and Home Assessment Team, to support hospital discharge. Other areas in which recruitment challenges are also evident include Locality Support Services and some roles within residential childcare, significant factors being wider labour market changes and comparative pay. In addition to wider strategic actions, service areas are themselves active in seeking solutions, for example, locality support services have continued to build links with education, encourage apprenticeship schemes and promote the idea to young people that a career in social care is rewarding and full of possibilities for promotion,
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80 further education and development. A group has been set up with a focus on promoting succession planning and preparedness of workers interested in promotion, staff development and the introduction of the principles of creating a working environment that is trauma informed. 5.5 ADMINISTATION AND BUSINESS SUPPORT The Administration and Business Support personnel within Social Work play a vital role in strengthening service delivery. However, they are currently experiencing difficulties with the substantial challenges in recruitment and staff retention. The volume of vacancies and turnover, especially in primary positions, have had a significant impact on both the service and its workforce. Many staff members are leaving for other opportunities, either within the Council or in the private sector. To address these issues, there are plans in place to conduct a comprehensive review of Administration and Business Support across Adult Health & Social Care, Children & Families and Justice Services. The goal is to implement a revamped Business Support model that enhances efficiency and offers roles tailored to the specific needs of the services, thereby making them more attractive and providing better career advancement prospects for staff members. 5.6 CARE ACADAMY Health and Social Care is the largest employment sector within North Lanarkshire and experienced significant increases in demand and ongoing workforce challenges over the year. In terms of future workforce planning, through the UK Shared Prosperity Fund, NLC will make further investment in its staff - to support workforce development and give staff the opportunity to develop and further enhance their careers. We have secured £88,000 over the next 2 years, to develop the skills of the workforce within Adult Health and Social Care. This will be delivered in three projects: Project 1 – Trainee Social Worker Scheme NLC has a successful and respected Trainee Social Worker Scheme where we offer opportunities to a small number of staff each year to train in their role to become a Social Worker. The monies received from the UK Shared Prosperity Fund have allowed us to offer staff who are currently on the trainee pathway fully funded qualifications to support them on their journey to becoming a Social Worker. The fund can also fast track students who are already part way through their qualification to achieve it in a shorter timescale and receive a robust and meaningful placement to allow them to train as a Social Worker. More information can be found in the Social Work Student Hub update below. Project 2 – Upskilling for Home Care Workers As part of a commitment to professional development requirements set out by the SSSC, Home Support Workers require to have a basic Health and Social Care Qualification. Recruitment for these roles is difficult and trying to attract already qualified staff is a challenge.
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81 To address this challenge, we recruit people who have yet to gain their qualification and fully support them to attain it whilst employed by the Council. The monies from the fund will allow us to put through an additional forty candidates over the next two years who require this qualification for their registration. It also allows us to target Home Care Workers who are keen to progress in their career further and achieve the next level of qualification, helping us to build a pipeline of talent for the future. Project 3 – Home Care Support Officers Support staff are a vital resource for the Home Support Service. Investment in this group of staff is paramount to ensure we retain them and increase morale within the service. Allowing them access to an early qualification in Health and Social Care can create a pathway to future employment opportunities in the service. The fund allows us to offer up to thirty opportunities across the service for staff to gain a qualification essential to their progression within the service. The monies from the UKSPF are allowing us to expedite access to qualifications in a Service where it is difficult to recruit and retain staff. It will help to promote a sense of commitment to the development of staff and hopefully lead to greater retention, improved morale as well as a secure pipeline of talent for the future. 5.7 WORKFORCE DEVELOPMENT AND STAFF SUPPORT Getting it Right in Child Protection Course – 17th to 23rd May 15 Social Workers trained. There continued to be a wide range of learning and development opportunities open to staff over the year, supported and planned both corporately and at service, team and individual level with a focus on alignment to service and corporate ambitions and redesign but also on more specific team and individual development needs, the latter through our PRD processes. Prior to the pandemic the council invested in LearnNL a cloud-based learning management system designed to support a more inclusive and accessible approach to learning whilst improving digital literacy. Going forward, as part of the Learning and Development Strategy, there will be a fully comprehensive learning and development offer for all colleagues within Children and Families, Justice Services and Adult Health and Social Care. This will include pathways for learning for job roles, highlighting the mandatory and essential training for all jobs within the Service. It will also give access to aspirational learning to support career progression within the services. In relation to the development of this platform, there has also been ongoing sessions delivered to Adult Health and Social Care service management to highlight the use of Learn NL and its functions as a Learning Management System, using the available functions to record and maintain records in relation to mandatory training. This will be particularly beneficial when determining Care Inspectorate compliance issues or highlighting areas of concern that require
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82 attention across the services. Work has also been ongoing in relation to the development of the management toolkit and PRD management for all health and social care staff. A summary of key activity over the period with respect to Learn NL, Assessment Centre, and training activity to supporting registration and the social care workforce and Post-qualifying Awards is as noted below: 5.8 LEARNNL Total number of activities undertaken on LearnNL including mandatory learning – 11,001 Leadership Development – 29 activities Fundamental Leadership – 5 Influential Leadership – 9 5.9 ASSESSMENT CENTRE AND REGISTRATION The Assessment Centre continues to support SVQ, and PDA qualifications required to meet registration, role and CPD requirements. This is achieved through both in-house assessment and access to SVQs through external providers. Awards completed (2022 – present) SCQF Level 6 (SVQ2) – 32 SCQF Level 7 (SVQ3) – 5 SCQF Level 9 (SVQ 4) – 1 Active Candidates – External Programmes (2022 – present) New College Lanarkshire – 20 West Lothian College – 1 Active Candidates – Internal Programmes (2022 – present) SCQF Level 6 (SVQ2) – 2 SCQF Level 7 (SVQ3) – 4 SCQF Level 9 (SVQ4) – 3 5.10 POST GRADUATE OPPORTUNITIES Advanced Practice skills – 1 completed 2022 Postgraduate in Management and Leadership – 1 completed 2022 Postgraduate in Child Welfare and Protection @ Stirling University – 4 started in 2022 and due to be completed June 2023. A further four will commence September 2023 due to finish June 2024. Postgraduate Certificate in Child Welfare – 4 started in June 2022, due to be completed June 2023 Postgraduate in Adult Support and Protection – 2
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83 Postgraduate in Contemporary Drug and Alcohol Studies -1 Exploring the Theory and Practice of Psychological Trauma – 1 MSc In Leading People Centred Care – 1 PDA in Health and Social Care Supervision – 1 MSC Applied Professional Studies Child Protection Module - 1 Part funding of final year of PHD qualification – 1 5.11 PROFESSIONAL DEVELOPMENT AWARD IN PRACTICE LEARNING (PDA PL) SQA LEVEL 11 Over the past five years we have promoted practice learning and successfully built a strong cohort of competent and confident link workers and currently have a waiting list to become a practice educator. Three social workers are due to qualify as practice educators in 2023 with a further five being put forward for the next cohort starting March 2024. 5.12 SOCIAL WORK DEGREE PATHWAY WITH THE OPEN UNIVERSITY Over the year fifty-five staff members across different Social Work services from admin staff to support workers and managers expressed interested in gaining a Social Work Degree - requiring them to study in their own time and commit to self-funding. Eight of these staff members were recruited to the Trainee Social Work programme. The qualification for this group is fully funded by the Health and Social Care partnership reserves; four of the trainees are undertaking the fast-track route to qualifying within eighteen months and the remaining four are undertaking the BA degree in Social Work and will qualify 2026/27. As mentioned above in the UK Shared Prosperity Fund update, a further fourteen members of staff who were already part way through their qualification with the Open University are being financially supported to achieve their modules. These staff are from across Home Support, Justice, Access Social Work and Education and Family support workers. There are six employees completing their last year of the Social Work degree and their first assessed placement was fully funded and due to be completed in July 2023. These six employees will then be progressing onto their final assessed placements starting February 2024 and will qualify around October 2024. The level of interest in completing social work training from a group of staff across the service whose position provides a good insight into both the rewards and challenges of a career in social work is encouraging and provides a strong base to further expand qualifying training opportunities should national investment in this area be forthcoming to supplement action taken to date.
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84 5.13 STUDENT SOCIAL WORK HUB Between April 2022 to August 2022: thirty-nine student social workers were placed across service users’ groups. Thirty-one were placed in traditional placements with on-site Practice Educators and Link Workers. Due to the on-going issues following the pandemic, these placements were initially more challenging due to remote working and limitations on the office environment. The Hub worked as best it could with the students to still provide meaningful learning opportunities and successfully support them in their placement. Following their final placement in the Hub, twenty-five students gained employment with North Lanarkshire Council and are in post on the newly qualified Social Work supported year. Our first generic student hub was development as a “test for change.” Eight students from Strathclyde University were placed in the hub with an on-site Practice Educator from Talent and Organisational Development. Following a successful pilot, five of the eight students from this hub secured employment with NLC and transitioned onto our NQSW supported year and remain in post to date. Between August 2022 to March 2023 two generic social work hubs were created - one in the North based at Cumbernauld Locality which had ten students who worked across Airdrie, Coatbridge, and Cumbernauld. The other hub was in the South and worked across Bellshill, Motherwell and Wishaw, this hub also had ten students. A full time Practice Educator was allocated to each Hub to work with the students during this time. Work was undertaken within the hub by student social workers included kinship, childcare and community care assessment and criminal justice social work reports. Between August 2022 and March 2023 there were nineteen student Social Workers placed in traditional placements across different service users’ groups. Six of these students were North Lanarkshire Council employees on their first assessed placement which was provided by the Hub. There are currently another two student hubs which have twenty-two students from external universities with two on-site full-time Practice Educators. These hubs support Community Care and Justice. In addition, we have again implemented two “test for change” sites in progress: one student based within the Virtual/Forest school base in Airdrie and two based in Access Social Work. 5.14 NEWLY QUALIFIED SOCIAL WORK PROGRAMME North Lanarkshire Council is one of 12 local authorities in Scotland who are working with the SSSC on the early implementation of a support year for Newly Qualified Social Workers (NQSW).
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85 The Grant funding agreed by the SSSC for the year 2022-2023 was £30,000. This amount, along with further internal funding was used to employ a Practice Learning Officer to lead the development and implementation of a supported year for all NQSW recruited to North Lanarkshire Council. This decision was made to promote equality of opportunity across all NQSW employees, promote the consistency of support in adherence with SSSC recommendations, and further promote staff retention. A consistent and quality induction was a Core Element of the supported year, and the NQSW development lead alongside colleagues from Talent and Organisational Development created a virtual social work induction that was placed on LearnNL. This can be used to update and inform all new employees to North Lanarkshire about the roles, functions, models, and aspirations of social work in North Lanarkshire. Building on previous Early Professional Development sessions, the NQSW are now encouraged to attend twelve, 4 -weekly face to face sessions where support and learning directly align to the NQSW Standards that quantify the social work registration requirements for the SSSC. Between April 2022 and March 2023, a total of 40 NQSW were recruited across all social work disciplines. Thirty-five of these had been students on placement at North Lanarkshire Council. All have been involved in the supported year. Of this number, 3 NQSW have successfully completed the requirements of the supported year to date and have submitted their work to SSSC. A further seventeen will end their supported year by November 2023 with the remainder by April 2024. All have received training in relation to the expectations of the supported year, their Senior Social Workers have also received training in their changed role, as has senior management. As a result, the needs of our NQSW recognised as a priority, and NQSW learning, and development has been a focus of allocations of work, supervision, and training opportunities. With a further 25 NQSW anticipated to join the supported year after March 2023, the ongoing development of the year remains paramount. Indications are that the NQSW supported year will be ratified by Scottish Government for it to be a mandatory requirement across all of Scotland from October 2024. North Lanarkshire Council are well placed to recruit and retain NQSW because of our current and future development. 5.15 OTHER KEY TRAINING AND DEVELOPMENT ACTIVITIES March 2023 saw the introduction of a newly established Health and Social Care sub team within Talent and Organisational Development. The sub team was developed due to the recognised needs and ongoing challenges the Adult Health and Social Care workforce continues to face in responding to competing priorities such as the registration agenda, recruitment and retention of staff as well as ensuring that staff have adequate access to learning and development pathways; all in keeping with our workforce development plans. One of the key priority areas for the sub team is the co-ordination and management of the registration agenda. This area of work will be ongoing as we look at allocation of resources to
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86 meet the needs of services to ensure a sustainable and reliable model of delivery; whilst ensuring compliance levels are maintained and improved. Work has already commenced regarding identifying priority areas of mandatory training particularly in relation to Level 1 Adult Support and Protection training made available for all Home Support staff and Level 2 for Service Delivery Coordinators. This will be a collaborative effort involving all Adult Health and Social Care Teams throughout the Home Support services and the Adult Protection Committee. Furthermore, during this time priority is given to the delivery of mandatory Infection Control, Moving and Handling and Medication training. As of March 2023, a total of 1989 staff have attended events in relation to these key areas. As well as the above we have also continued to offer core training in relation to Adult Support and Protection, Council Officer training, Appropriate Adult, Child Protection and Promoting Positive Behaviours. We have also continued with the delivery of essential mental health learning including ASIST, Suicide Alert, Safe Talk, Scottish Mental Health First Aid and Mental Health Stigma Workshops. There are further ongoing developments in relation to the roll out of Trauma Informed Practice. There are two sessions of the Getting it Right in Child Protection training arranged to take place in May and October 2023. This will result in approximately 40 additional Social Workers being trained in this area. To date 293 people have registered to participate in Understanding Child Neglect eLearning module and 262 people have completed this. There have been 1349 registrations for Child Protection Awareness training and 1136 people have completed. 377 people have registered for Assessment and Planning for Children and Young people and 251 have completed. In addition to the above mandatory and core programmes we have also commissioned access to widely requested training such as Autism and Neurodiversity, Sensory Impairment Awareness and Dementia Support Skills all of which were delivered using a blended approach of online and face to face learning. Due to the popularity of these courses, we envisage further opportunities to be developed in these areas in the future. 5.16 TRAUMA INFORMED PRACTICE In line with the National Trauma framework, a significant priority continued to be changed to the delivery of social work services across systems and within organisations to improve outcomes for individuals and communities. Senior leadership in North Lanarkshire committed to organisational change and the development of staff knowledge and skills. This was evident in the transformative change of the Hub implementation plan and whole family support approach based upon meaningful collaboration with people with lived experience of trauma. To support the implementation of Trauma informed practice, build on, and add pace to the work, the Trauma training programme was integrated into training plans. Furthermore, a Senior Officer was appointed in late Feb 2023. This role supported the vision and actions of the steering group and the implementation of trauma training.
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87 The training plan included all 4 levels of the National Trauma Training Programme. A universal element was also developed. This approach was mandatory for all staff to support understanding of trauma, its impacts and how to reduce re traumatization for people using our services and staff. Further methods and support are planned to be delivered to staff on a phased basis dependent on their service area and role. 5.17 LIVED EXPERIENCE As has been reflected throughout this report, throughout 2022/23, the increased involvement of people with lived experience in influencing and shaping what we do has been very beneficial – across training, development activities and targeted employment of those with lived experience. Further work is planned across the service to enhance engagement with, and the participation of, people with lived experience. Alongside this, we anticipate that joint development sessions alongside people with lived experience for those staff involved in ethical commissioning will help to further embed lived experience into our overall approach. 5.18 REFLECTIVE LEARNING: THE SCOTTISH CHILD ABUSE INQUIRY/HISTORICAL ABUSE Improvement work continues to take account of the reflective learning from the Scottish Child Abuse Inquiry, with many themes aligned with the ambitions of the Promise and associated development work. Both the Inquiry and the Promise highlight the power of language and the importance of robust record keeping, detailing the involvement of services with children and families, often at times of significant and life altering change. A particular focus has been a review the language used and recording practice by staff in in a range of settings to promote record keeping that is rights based, written in an accessible format and is trauma informed. A language leaflet was developed to support the workforce embed the key principles in practice. Records are often accessed by individuals to support their understanding of past events in their life. The service has seen a significant increase in requests for access to records. To increase confidence and competence across the workforce to engage with the requester and to complete the request, a range of development sessions were undertaken. The sessions were attended by 91 workers with follow up forums scheduled for the future. 5.19 SUPPORT FOR STAFF WELLBEING As highlighted throughout this report, staff commitment and resilience has continued to be remarkable during these challenging times. As with any workforce, anywhere, staff are more than just staff, they are people too, with lives and families, and needs of their own. Workplace pressures, issues with staff recruitment and retention, in meeting the very high levels of demand, working within an agenda of significant change and the residual impacts of the COVID pandemic all have a degree of impact on staff well-being. As part of our wider approach to wellbeing, we continue to have a focus on the wellbeing of staff within day-to-day practice and working arrangements, to manage and thrive. Our service continues to offer a wide range of staff wellbeing initiatives and supports, which helps meet many of the work-based challenges mentioned above. One of our key priorities in 2023/24 is
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88 to further embed a framework of well-being at work to ensure all staff have maximum opportunities to flourish, in turn being more equipped to support the people of North Lanarkshire to meet their outcomes. 6. LOOKING FORWARD – PRIORITIES FOR 2022-2023 AND BEYOND As highlighted in previous reports, several interrelated factors including COVID legacy issues, the cost-of-living crisis, the increased demand for social work interventions and support, the increased number of people who have complex needs and staffing challenges in health and social care, all mean that meeting demand within available resources will continue to prove difficult in the forthcoming year and beyond. Challenges in other parts of the public sector, such as the acute health services, can also reasonably be anticipated. However, within North Lanarkshire this is partially mitigated by a strong partnership ethos, and integrated working across Health and Social Care, the Education and Families Service and the wider Council and Partnership and we will also continue with our whole system approach to help meet these challenges. This includes the Empowering Cluster’s model within Education and Families, the 3 Conversations Model in Adult Services and our approach to whole family planning and support, a key part of the Council’s new Resilient People Programme of Work and the Health and Social Care Partnership’s Strategic Commissioning Plan. Equally, and both despite and because of, the challenges created by financial restrictions including those of the increasing reliance on short-term funding for transformational activity, we will continue efforts to develop and embed a more strategic approach to investing in prevention to support good lives and our balance of care. This is critical to preventing and mitigating greater need and also to longer term sustainability but will require ongoing facilitation at national as well as local level. Income maximization and tackling poverty continue to be key strands in the delivery of social work and social care in North Lanarkshire. These have become increasingly integrated into day-to-day practice and service delivery and have a strong fit with the core values of social work – promoting, independence, self-help, and self-reliance. The challenges faced by the people who require our support are significant. The close association across poverty, health inequalities and statutory interventions across all social work care groups and the disproportionate experience of poverty also impacting on unpaid carers mean that tackling poverty in all its forms will continue to be a priority for us. Workforce pressures and issues in social work and social care continue to need attention at both national and local level to reduce the risk to the delivery of statutory responsibilities to maintain the quality of care and support, and to ensure capacity. Measures set out in this
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89 report including most recently the re-evaluation of frontline social work posts should bring some benefit. Digital developments will continue to be essential and create opportunities for wider engagement. We have invested in an enhanced assistive technology team. Whilst technology can’t ever replace face to face human contact, it can play a vital role in offering virtual support, minimizing risk, maximizing independence, and reducing isolation. Our intention ensures that where appropriate, assistive technology is introduced at the right time, as a preventative or anticipatory support, rather than as a reactive measure. Our focus on building trauma informed systems and organisations continues, as well as to strengthen practice in this area. This will be fundamental in creating a healthy service which supports staff to deliver excellence for our communities. As intimated in last year’s report, the conclusion of a tender for a new social work case management system was anticipated to be completed early in 2022/23. This process has now concluded, and work is well under to migrate to the new MOSAIC system. Whilst this will require significant transitional work over the coming year it will ultimately more effectively support practice and will enhance performance management information. Work has also progressed towards the introduction of a dynamic scheduling system within Home Support. As highlighted in last year’s report, the context for the delivery of social work services will continue to be impacted by key national policy drivers including the Promise, the yet to be finalised incorporation of UNRC into Scots Law, the Vision and Strategic Priorities for Justice, and perhaps most significantly by the planning and legislative process for the proposed National Care Service which continues to have the potential to significantly change local integration and service delivery arrangements both in respect to Adult and Education and Family Services. Additionally wider and emerging demands on social work services include the National Transfer Scheme for Unaccompanied Asylum-Seeking Children and, with the resettlement support needs arising from the conflict in Ukraine. The overall scale of change, alongside the demand and workforce pressures for social work will continue to challenge capacity. Looking ahead there will be a need to maintain the benefits of local best practice and partnership working whilst progressing the system transformation required to address longstanding problems and to support outcomes. Continued strong leadership will be required to support staff and to balance pressures with core service delivery, and the associated risk to those we support, with the change and improvement capacity required for the scale of envisaged over the coming years.