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Introduction to Family Centre Service  Partner newsletter

 

Welcome to the second edition of the Hertfordshire Family Centre Service Partner newsletter.
Since our first edition back in Autumn 2018, there have been lots of developments, please see the Integration Phase 1 diagram for an overview. This edition contains more details regarding this term's District Partnership Network meetings, case studies demonstrating Family Support's Public Health work as well as an example of integrated working between Family Support Service and Public Health Nursing. There is also an update on the new on-line Family Centre referral system, a progress report on The Lancaster Model, details about the forthcoming BFI re-accreditation as well as details regarding The Family Centre Service's Welcome Week which took place in mid-January.
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Integration Phase 1: Early Integration





 

The next steps for Family Centre Partnership working
 

Thank you to all of you that supported the initial District Partnership Network meetings last term. it was great to have an opportunity to reconnect with our local partners, as well as to give an update on all that has been going on with the new Family Centre Service. Please see below the dates for the Spring Term Family Centre Service District Partnership Network meetings (DPN). There will be pre-DPN meetings across the County arranged, please prioritise your attendance, your continued support is very much appreciated. The focus for this term will include an introduction to the new on-line Family Centre referral form, an update on other Family Centre Service developments, as well as an opportunity to focus on local issues.

As a Family Centre Service Partnership we are also working towards launching Quadrant Advisory Boards in early April 2019. The role of these Boards will be to support each Quadrant's Family Support Provider and Hertfordshire Community NHS Trust to develop plans to successfully address the specific local needs and to meet Family Centre Service Key Performance Indicators. Draft Terms of Reference are currently being drawn up to ensure the Advisory Boards have a clear focus. We obviously will be looking for Advisory Board members who can bring diverse range of skills and expertise in line with our Family Centre Service priorities and who can offer valuable advice, support and challenge.

 

Family Centre Service Partnership Network meetings -  Save the date
 

Districts Date Venue Time Eventbrite link Led by
North Herts Thursday
14th
March
Icknield Family Centre, Letchworth Garden City 14:30-
16:00 
https://www.eventbrite.co.uk/e/partnership-meeting-thursday-14th-march-2019-tickets-56948743224
Password: northherts2019
Barnardo’s and HCT
Stevenage Thursday
14th
March
St Nicholas and Martins Wood Family Centre 12.00-
14:00
https://www.eventbrite.co.uk/e/partnership-meeting-thursday-14th-march-2019-tickets-56926536804
Password: stevenage2019
Barnardo’s and HCT
East Herts Tuesday
12th
March
Selections Family Centre,
Hertford
12:30-
14:30
https://www.eventbrite.co.uk/e/east-herts-district-family-support-service-partnership-meeting-12-march-tickets-56326496066 One YMCA and HCT
Welwyn and Hatfield Tuesday
5th
March
Creswick Family Centre
Sir John Newsom Way
13:00-
15:00
https://www.eventbrite.co.uk/e/welwyn-hatfield-partnership-meeting-tickets-56328632456
 
One YMCA and HCT
Broxbourne Friday
15th
March
High Trees Community Centre 13:00-
15:00
https://www.eventbrite.co.uk/e/advisory-boards-district-partnership-network-high-trees-family-centre-1532019-tickets-56329133956 One YMCA and HCT
Hertsmere
Tuesday
26th
March

 
Bushey Community Centre, High Street, Bushey 10.00-
11.30
https://www.eventbrite.com/e/family-centre-service-partnership-network-meeting-hertsmere-tickets-56479364299 InspireAll and
HCT
Watford and Three Rivers Wednesday
6th
March
Stanborough Centre, 609 St  Albans Road, Watford 09.30-
11.00
https://www.eventbrite.com/e/family-centre-service-partnership-network-meeting-watford-three-rivers-tickets-56479027291 InspireAll and
HCT
St Albans Thursday
7th
March

 
Christ Church, New Greens, St Albans 13.00-
14.30
 
https://www.eventbrite.com/e/family-centre-service-partnership-network-meeting-st-albans-tickets-56478673232 InspireAll and
 HCT
Dacorum Monday
4th
March 

 
Little Hands Little Feet Family Centre, Berkhamsted

 
10.00-
11.30
 
https://www.eventbrite.com/e/family-centre-service-partnership-network-meeting-dacorum-tickets-56479177741 InspireAll and
 HCT


Case studies: Introduction to Solids and 2 year  reviews

 


 

Online Family Centre Service Referral System
 

If a family require the support of a focused intervention from the Family Support Team a referral must be made via the Family Centre Service referral pathway (www.hertsfamilycentres.org/staff). We will support families from the ante-natal phase (week 28) through to the end of the primary phase (Year 6) age 11. However, it is to be noted that the predominate support, and initial contact, will be delivered for families from ante-natal to the start of primary phase. Ongoing support post 5 years of age will continue as appropriate following the Families First approach of identifying the right service to provide the right intervention.

This referral pathway provides details of the interventions available to assist referrers in choosing the most appropriate support package for families. The Family Support Team are using the Family Centre Workflow module on the EHM as a case management system; all details about the progress of the support package will be recorded on this system.


Family Support Service - Menu of Services
 

  • My Baby’s Brain
This support package uses the Five to Thrive building blocks (respond, cuddle, relax, play and talk). In addition the sessions will includes elements of: using empathy with a baby/child; behavioural states; claiming/attunement/regulatory patterning; soothing/stimulation; building resilience; mindful awareness; co-regulation and co-learning.
 
  • Parental emotional well-being
Although elements of improving self-esteem runs through all the packages, this is a standalone package which could include: family/social networks; personal power; reflection, assertiveness and communication; the possible effects of parental low self-esteem on children; nurturing.
 
  • Protective Behaviours (PBs) - 2 options

i) To support parents to manage their own feelings and behaviours:

This support package is designed to develop parents’ frameworks for personal safety, self-esteem, resilience and confidence building. These sessions will include: exploring their own feelings, thoughts and behaviour; the two PBs themes and the Seven Strategies.

ii) To assist parents to understand their children’s behaviour and work through relational struggles:

This package is designed to be delivered to parents who find their children’s behaviour challenging. Developing parents’ awareness of the link between emotional well-being and behaviour is central to this intervention. The sessions include elements of: Parental feelings, thoughts and behaviours; the two PBs themes; the Seven Strategies; the importance of language when communicating with children; reframing language; unwritten rules; naming feelings; ‘Stop-Feel-Think-Do’; impact of assertive, passive, aggressive parenting styles on children; engaging parents to be reflective about their child’s own inner world of feelings, thoughts and behaviours; Early Warning Signs; safety continuum and helping children and parents build support networks.

 
  • Domestic Abuse
This package has been designed to support parents in the following areas: understanding of domestic abuse, including recognising abusive behaviours and the impact of these behaviours on themselves and their children; developing an understanding of healthy relationships and the positive impact of these relationships; trauma bonding; hopes for the future and keeping safe strategies; support networks. Self-esteem and emotional well-being runs through every session.  This support is not offered to perpetrators of domestic abuse.
  • Supervision and Safety
This support package includes elements of: Exploring concerns and immediate risks; Home safety check; Personal safety and Safe adults; E-safety, Safe supervision and Parental responsibility; Effective and appropriate management of behaviour, and Family rules; Strengths and Weaknesses.
 
  • Perinatal Support
This support package can be delivered from approximately 28 weeks pregnant to 1 year. The package will be designed according to presenting needs and can include elements of: role of a parent; safe handling (including dressing and undressing nappy changing); infant feeding; hygiene (home/clothing/bathing); emotional needs (understanding and responding to); emotional well-being of parents; routines; safety (home, community, adults); managing stress; transitions into parenting; support networks. It includes activities from My Baby’s Brain (both Antenatal MBB and elements of the MBB Five to Thrive/Trauma and Recovery) and Infant Mental Health Online (IMHOL) if appropriate.
 
  • Physical Health
This support package includes information and practical support and activities around: healthy diet; food groups; benefits of exercise; getting out and about; vitamins; budgeting for healthy ingredients; recipes; oral health; personal power, self-esteem
 
  • Routines, Guidance and Boundaries (12 sessions)
Alongside observations to see what strategies are already in place, support will be offered in the following areas: parent’s own experiences, expectations; play/time/turn taking; labelled praise; positive house rules; rewards and consequences; feelings and what we do with them; nurturing; listening; communication; routines; reframing language; unwritten rules; ‘Stop-Feel-Think-Do’; support networks; consolidation strategies to sustain progress.
 
Supporting information:
  • A support package will begin with a Family Star assessment completed with the parent/carer. This Star will be reviewed every 6-8 weeks after the initial action plan has commenced. The impact of the support offered is assessed with the parent at each review; it will then be agreed with the parent whether to: continue with current action plan; offer a further package of support or close the case to Family Support Service and support the family into the services supplied by the Early Start teams. The parenting interventions will be an offered for minimum of 6 sessions unless otherwise indicated
  • Another tool may be identified following this initial assessment i.e. Families First Assessment (FFA) or Graded Care Profile (GCP)
  • All support packages aim to support a parent’s self-esteem and emotional well-being to ensure the parents are able to effect a positive change for their child/ren
  • Motivational Interviewing techniques are used to strengthen a parent's own motivation and commitment to change
  • Each support package is designed to suit the individual family’s needs

A summary report about the impact of the parenting intervention will always be completed at the end of the parenting intervention and can be accessed via the EHM

FCS Leadership arrangements for the quadrants and districts
 

New Quadrants and Districts Public Health Nursing
(Health Visiting)
Operational Manager and Team Leads
Public Health Nursing –
School Nursing
Operational Manager and Team Leads
Family Support
Managers and Team Leads
Hertsmere, Three Rivers and Watford Nikki Sharkey
Operational Manager
Andrea Harrington
Strategic Lead
and Operational Manager
Liz Applin
Head of Family Support Services
Karen Rudman
Deputy Head of Family Services
Sue Hannell
Family Support Service Manager
Hertsmere Sandra Magyar
Team Leader
Diane Carrington
Team Leader
Katie Marks
Early Start Team Leader
Kelly Bartlett
Family Support Team Leader
Three Rivers Nicola Drake
Team Leader
Diane Carrington
Team Leader
Joanne Burgess
Early Start Team Leader
Aliyah Shabbir
Family Support Team Leader
Watford Ce Ward
Team Leader
Diane Carrington
Team Leader
Joanne Burgess
Early Start Team Leader
Aliyah Shabbir
Family Support Team Leader
St Albans and Dacorum Liz Little
Operational Manager
Andrea Harrington
Strategic Lead
and Operational Manager
Liz Applin
Head of Family Support Services
Karen Rudman
Deputy Head of Family Services
Sue Hannell
Family Support Service Manager
St Albans
Gill Gibson
Team Leader
Mairi Bunce
Team Leader

 
Sally Dussek
Team Leader
Emma Ashworth
Early Start Team Leader
Claire Norris
Family Support Team Leader
Dacorum
Felicity Bonwick
Team Leader
Tess Gartside
Team Leader

 
Sally Dussek
Team Leader
Linzie Goldstein
Early Start Team Leader
Rosie Seaman
Family Support Team Leader
North Herts and Stevenage Fiona Petty
Interim Operational Manager

Andrea Harrington
Strategic Lead
and Operational Manager

 
Craig Horner
Assistant Director Children’s Services
North Herts Julia Miller
Team Leader
Sue McCabe
Team Leader
Angela Hall
Children’s Service Manager
Sarah Rutherford
Team Manager
Stevenage Elaine Beech
Interim  Team Leader
 
Sue McCabe
Team Leader

 
Sharon Bell
Children’s Services manager
East Herts, Broxbourne and Welwyn Hatfield Kim Bilsby
Operational Manager
Andrea Harrington
Strategic Lead
and Operational Manager
Serreta Pritchard
Director of Family Support
Linzi Schier
Head of Family Support
East Herts
Val Haines
Rebecca Rapson (mat leave) Interim position TBC

 
Jo Kerr
Team Leader
Heather Crouch
District Manager
Broxbourne
Gemma Beckerman
Team Leader
Jane Cabon
Team Leader

 
Jo Kerr
Team Leader
Sue Smith
District Manager
Welwyn Hatfield
Sarah Barrett
Team Leader

 
Jo Kerr
Team Leader
Viki Young
Interim District Leader

 

Family Support Contract Monitoring dates
 

The format for contract monitoring will be as follows:
 
Prior to visit
Contract monitoring document sent to provider, requiring completion of section A. Section B will give details of additional areas for discussion during the visit. Surveys will be requested from parents and partners to help inform the monitoring.
 
Week of contract monitoring
Monday – clear day
Tuesday – HCC visit venues and meet with families, staff, partners. Colleagues from data teams meet to discuss KPIs and other aspects of information management.
Wednesday – clear day
Thursday – HCC meet with Family Support provider to discuss all aspects of the contract monitoring documents. This will include some time with HCC colleagues from other teams, e.g. early years, parenting support, data.
Friday – HCC meet with Family Support provider to discuss findings, recommendations, actions.
 
Contract Monitoring personnel from HCC: Bruce Judge, Nicola Judd, Lynne Shine.

 

Week commencing Quadrant Provider   HCC staff
28 Jan West InspireAll   Lynne & Bruce
4 Feb North Barnardos   Nicola & Bruce
11 Feb South InspireAll   Lynne & Bruce
18 Feb East One YMCA Half term week Nicola & Bruce
         
29 April West InspireAll   Lynne & Bruce
6 May North Barnardos Bank Hol Monday Nicola & Bruce
13 May South InspireAll   Lynne & Bruce
20 May East One YMCA   Nicola & Bruce
         
29 July West InspireAll Summer hols Nicola & Bruce
5 Aug North Barnardos Summer hols Lynne & Bruce
19 Aug South InspireAll Summer hols Nicola & Bruce
26 Aug East One YMCA Summer hols & Bank Hol Lynne & Bruce
         
28 Oct West InspireAll Half term week Nicola & Bruce
4 Nov North Barnardos   Lynne & Bruce
11 Nov South InspireAll   Nicola & Bruce
18 Nov East One YMCA   Lynne & Bruce

 

The Lancaster Model


The Lancaster Model (TLM) is used to assess a child's needs at key transition points, enabling them ( if necessary) to receive some targeted support that can achieve a positive outcome for them and their family. The model was piloted last year in Watford and Dacorum and is now being rolled out across the County. It uses an online health questionnaire that highlights any particular areas that the Public Health Nurses need to consider whilst making their assessment. This is in line with Government Directives and allows us to hear the child's voice to assess and plan any relevant interventions. The key transition points are Reception ( a parent completes the questionnaire), Year 6 and Year 9 ( the child completes the questionnaire). Here is some of the great feedback we have received from Head Teachers and Year 6 pupils:


 

Well done to those of you involved in The Lancaster Model (TLM), here are the latest TLM Statistics:

 

•   11463 year 6 questionnaires completed as at 23.01.2019 which is 83% of cohort number
•   14954 alerts were raised, all assessed and completed bar 15 (in process)
•    2272 reception parent questionnaires completed, raising 1923 alerts, which teams are currently working on
•    Year 6 TLM sessions almost complete across the county. Very nearly all alerts assessed and completed

Key Activities next period will be the completion of reception questionnaires and the commencement of the Year 9 TLM sessions.

 

Baby Friendly re-accreditation
 

We have a provisional date of 10-11th July 2019. Both Family Support Services and Public Health Nursing will be assessed concurrently for separated awards.

 

Re-accreditation will consist of interviews with mothers, staff and managers to check audit results and discuss how the standards are being maintained. Internal audits results and outcomes such as breastfeeding initiation, continuation and exclusive rates will be reviewed.

Re-assessment of Baby Friendly accredited facilities usually takes place two years after the intital accreditation which we had in 2017. Evidence is gathered via interviews with mothers and staff and the review of documentary evidence ( including internal audit results) to determine whether the Baby Friendly standards are being maintained.

 

The requirements for passing a re-assessment are the same as for initial accreditation; the difference is that all the standards are assessed together, rather than in stages. This is because re-assessment looks at maintenance of standards previously confirmed as being in place rather than at the initial implementation of those standards. Evidence of additional work to improve care for mothers and babies related to the standards will be reviewed and added to the overall picture at re-assessment, with the aim of encouraging facilities to build upon the achievements of their original accreditation, and continue to improve. 


A full re-assessment includes:

  • Review of documents such as policy, guidelines, curriculum etc
  • Review of staff training records
  • Interviews with managers
  • Interviews with staff
  • Interviews with mothers
  • Observations within the facility/facilities
 
This enables the assessment team to make an informed decision about the overall effectiveness of the way the programme has been implemented.

 



 

 

Welcome Week
 

Last month Family Centres across the County opened their doors as part of a Welcome Week introducing families to the all-new service.

An official launch and ribbon cutting ceremony took place with Councillors, partners, staff and families at Highfield Community Centre, a community venue in Hemel Hempstead used by the Family Centre Service, to mark the start of the Welcome Week with further events held at many other centres across the County during the celebrations in January.

Cllr Tim Hutchings, who was recently appointed Executive Member for Public Health and Prevention, said; ''The new service will run events and activities all over Hertfordshire, not just at specific centres, giving it a more community feel for families. The Welcome Week sessions were a good opportunity for people to find out more about the service, have a chat to their local team and to find out what's happening in their area.''

 

The new service commissioned by Hertfordshire County Council brings together Children's Centres, Health Visiting and the School Nursing Service for the first time. Hertfordshire families can now access wider skills, expertise and health and well-being services under one roof, delivering an improves and more flexible range of support for parents carers and children from pre-birth through to age 19.

Theresa Heritage, Executive Member for Children, Young People and Families, said; ''We look forward to welcoming children, young people and families across Hertfordshire to join us and register for their new service, which is now fully operational and running programmes across lots of local venues. Family Centres are open to all, and as well as providing lots of vital support are a great place to make friends with other parents and carers locally''.




 


Next Steps

After a very successful launch and first few months of the new Family Centre Service, staff are now in their new roles and starting to deliver Family Centre services across Hertfordshire. We recognise that while we have been focussing on staff restructures and building initial services, there are likely to be some of you who have not yet had the chance to be updated with future plans and therefore we thought we would share ' next steps' with you in each edition of the newsletter.

Staff Training

One current stream of working is around staff training, We have asked all Family Support Service staff to complete a training matrix which has enabled us to write a training plan. Training such as Oral Health, Intro to solids, group reviews, Breastfeeding, sleep etc., are being planned and staff are booking themselves onto training to learn new skills or update their knowledge with more current information to support families.

 

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