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Quality Improvement Framework for Integrated Services for Children and Young People

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The Improvement of Services for Children

This annex aims to support the development of Integrated Children's Services Plans and to achieve the aim set out in the guidance published in November 2004 that " the primary focus and content of plans should be to establish an agreed description, table or display of local partners' agreed improvement objectives for services and support for children and young people with, for each of these, clear strategies for delivery, outcomes, measures of performance and timescales".

This annex provides a starting point. The Executive expects to see strategies for delivery against each of these indicators, supplemented as appropriate, by local indicators. The data sources and relevant national standards are provided to underpin your local work. As suggested in our proposals, this approach to improving the quality of services will need to develop over time. It will also need to be updated in line with the development of quality indicators for the coherent system of inspection of services for children and as other service improvement frameworks develop. (For example the performance improvement framework for children and families social work services should be developed by mid 2006). At this point, however, it should help local children services partnerships to develop approaches to self-evaluation and service improvement.

Outcome

Key performance improvement indicators

The relevant Quality Indicators and national standards

Indicator Data Sources

Indicator Baseline Data/Future Developments

1. Safe

Children and young people feel safe.

They are protected from abuse, neglect and harm by others at:

  • Home
  • school
  • the community

1.1
a. The % of child protection referrals that are repeat referrals within 12 months of initial referral or removal from the register, has reduced

1.1

  • The quality indicators for the joint inspection of child protection services www.scotland.gov.uk/hmie
  • Protecting children and young people: Framework for Standards:

Getting our priorities right www.scotland.gov.uk/library5/education/gopr-00.asp

1.1

  • Children in Need Survey (piloting in 2005)
  • SCRA statistics www.scotland.gov.uk/stats
  • Local Authority monitoring of referrals of children who go missing from view of services.

1.1
The Executive agrees with the comments of the majority of respondents that this indicator gives limited information about the extent to which children are safe. This should be used as an interim measure while further options will be considered as part of the evaluation of the child protection reform programme.

1.2
To increase the proportion of recorded incidents of bullying reported to be resolved satisfactorily by pupils and by school management.

1.2

  • How Good is our School/Community Learning Development? www.hmie.gov.uk
  • Local Surveys of Young People
  • National Care Standards: Early education and childcare up to the age of 16 www.carecommission.com

1.2

  • A local report through the Integrated Children's Services Plan is required. All local reports will be collated, analysed and shared with relevant groups. This will help us work with local Partnerships to develop a more robust measure of performance improvement.
  • HMIE Sample Pupil Surveys

1.2
In the future, we will work with local partnerships to ensure that the satisfactory resolution of bullying incidents are recorded throughout children's services, not just schools.

1.3
The number of young people who have expressed a fear of crime, has reduced

1.3:

1.3

  • Being Young in Scotland Survey

1.3

  • SCS:

Decrease in % of 16-24 year olds who feel unsafe:

a) walking in their neighbourhood after dark (16-24 year old men - 15%, women - 41% 2003 SCS)
b) When they are alone in their home at night (16-24 year old men - 3%, women 13% 2003 SCS)

  • SSAS:

Reduction in extent that 18-24 year olds they feel worried about:

a) Having your home broken into (33% worried a great deal/fair amount, 2004 SSAS)
b) Having your car stolen or vandalised (41%)
c) Being attacked or assaulted in the street (34%)
d) Someone else that you live with being a victim of crime (42%)

  • Being Young in Scotland Survey:

Collects data on 11-24 year e.g. reduction in: % of young people who state 'I'm really frightened about going out these days, there is so much violence about'

1.4
The number of

(a) child injuries and (b) fatalities in road traffic accidents per 1,000 population has reduced

1.4 - 1.5

1.4 - 1.5

a) ISD, SMR-01
b) GROSwww.isdscotland.org/isd/info3.jsp?pContentID=3066&p_applic=CCC&p_service=Content.show &

1.4
a) SMR-01 Emergency Hospital admissions, children (aged under 15) with intentional injury caused by road traffic accidents ( RTA): 864, in 2003
b) GROS 2003, death rate per 100,000 population= 1.6 - child death by road traffic accidents ( RTA) = 0.016 per 1,000 population

1.5
The number of

(a) child injuries and
(b) fatalities caused by all other accidents per 1,000 population has reduced

1.5
a) SMR-01 Emergency Hospital admissions, children (aged under 15) with intentional injury other than RTA = 10,232, in 2003
b) GROS 2003, child death rate for unintentional injury other than RTA - 1.8 per 100,000 population = 0.018 per 1,000 population

2. Nurtured

Children and young people live within a supportive family setting.

They receive additional assistance if and when required. Where this is not possible, they live within another caring setting, ensuring a positive and rewarding childhood experience.

2.1
All requests, from any appropriate agency, under the Additional Support for Learning Act, are answered within 10 weeks (16 if an extension is agreed) by the relevant agency

2.1
HMIE is monitoring and evaluating the impact of the ASL Act. It will report to Scottish Ministers in September 2007.

2.2
All children and young people who need it have an integrated package of appropriate health, care and education support

2.2

Closing the opportunity gap - target E.

www.scotland.gov.uk/Topics/People/Social-Inclusion/17415/opportunity

2.2
Sure Start Mapping

2.2
Baseline/Self-evaluation report to be provided through the local Integrated children's Services plan

2.3
The number of homeless or temporarily accommodated children and young people under 25 has reduced

2.3
Local Authority Returns, Homeless Persons Legislation HL1 & HL2 disaggregate by age (up to 18);no. of children and type of temporary accommodation http://www.scotland.gov.uk/stats/bulletins/00399-14.asp

2.4
Sufficient, appropriate respite services are available for children with disabilities when they need them

2.4
S 22 of the Children's (Scotland) Act 1995

2.4

  • A local report through the Integrated Children's Services Plan is required. All local reports will be collated, analysed and shared with relevant groups. This will help us work with local Partnerships to develop a more robust measure of performance improvement.

2.5
Family support and relationship services are available for parents and families who may need these.

2.5

  • Growing up in Scotland
  • Mapping of Parenting/family Programmes, including the number of home-school link staff available to schools
  • Pre-school and childcare census

www.scotland.gov.uk/stats/bulletins/00346-00.asp

2.5
Data can include SureStart services, other early years programmes and parenting programmes.

2.6
The number of accommodated children with three or more placements has reduced

2.6

2.6
Scottish Executive: Children Looked After Survey www.scotland.gov.uk/stats/bulletins/00369-00.asp

2.7
The % of children

a) under 5 placed in an adoptive family or a permanent substitute family within 12 months of being accommodated away from home; and
b) 5 or over placed in an adoptive family or a permanent substitute family within 24 months of being accommodated away from home has increased

2.7

2.7
Children in the Adoption/Permanency Process Survey

2.7
Ministers intend to set a more challenging target as part of the implementation of the Adoption Bill once it is passed.

2.8
The % of looked after young people leaving care who have a pathway plan has increased

2.8

2.8

Children Looked After Survey

www.scotland.gov.uk/stats/bulletins/00369-00.asp

2.9
Appropriate support services are available for children and young people affected by domestic abuse

2.9
Guidance Note for Planners: Children and Young People Experiencing Domestic Abuse http://www.scotland.gov.uk/library5/social/cypeda-13.asp

2.9

  • A local report through the Integrated Children's Services Plan is required. All local reports will be collated, analysed and shared with relevant groups. This will help us work with local Partnerships to develop a more robust measure of performance improvement.

3. Healthy

All children and young people should enjoy the highest attainable standards of physical and mental health, with access to suitable healthcare and safe and healthy lifestyles

3.1
To achieve the national target of 50% women still breastfeeding at 6 weeks or more

3.1
CHSP-PS : % children breastfed at 6-8 weeks www.isdscotland.org/isd/info3.jsp?pContentID=1914&p_applic=CCC&p_service=Content.show &

3.1
2004 data: 35.9% of mothers breastfeeding their child at 6-8 weeks

3.2
By 2010 60% of children (a) at age 5 and (b) 11-12 year olds have no signs of dental disease

3.2
Improving oral health and modernising NHS dental services www.show.nhs.org.uk

3.2
Dental Epidemiological Programme www.dundee.ac.uk/dhsru/publications

3.3
By 2022, 80% of children meet the minimum recommended level of physical activity

3.3

www.scotland.gov.uk/topics/Health/health/introduction/active schools

3.3

  • Provision of Physical Education in Schools

3.4
The % of children in Scotland eating more healthily, with at least 5 or more portions of fruit and vegetables daily, is increasing

3.4
As under 3.3. Also:

3.4

  • Food standards Agency Scotland survey of non-milk extrinsic sugars in children

3.4

  • WHO (1998 data) 65.5% of 11-15 year olds eat fresh fruit daily, 34.7% eat raw veg. and salads daily, 49.8 eat cooked veg. daily
  • Food Standards Agency: Data available in 2005

3.5
The number of children and young people voluntarily attending health check-ups and assessments, when they need them, has increased/

3.5

3.5
Census of Secure Accommodation www.scotland.gov.uk/stats/bulletins/00369-00.asp

3.6
Meeting local targets for the % of children and young people with autism, ADHD and for looked after children seen within the local target waiting time for community CAMHS and specialist teams.

3.6

December 2004 Consultation: Children and Young People's Mental Health: A framework for promotion, prevention and care. www.scotland.gov.uk/publications

3.6
A local report through the Integrated Children's Services Plan is required. All local reports will be collated, analysed and shared with relevant groups. This will help us work with local Partnerships to develop a more robust measure of performance improvement.

3.6

3.7
Suicide and self-harm rates among 10-24 year olds has reduced

3.7
as under 3.6 and "Choose Life" The national strategy and action plan to prevent suicide in Scotland (2003-06) www.scotland.gov.uk/publications

3.7
GROS Cause of death www.gro-scotland.gov.uk/statistics/library/03reference-tables/03reference-table6.html

3.8
The level and frequency of alcohol consumption has reduced among children and young people under 25

3.8 and 3.9
Getting our priorities right www.scotland.gov.uk/publications/2003/02/16469/18705

3.8

3.9
The % of children and young people under 25 who are involved in substance misuse has reduced

Young People with, or at risk of developing problematic substance misuse www.scotland.gov.uk/publications/2004/10/201310/43974

Hidden Harm www.drugs.gov.uk

The Scottish Executive Response to Hidden Harm www.scotland.gov.uk

3.9
As above

4. Achieving

Children and young people have access to positive learning environments and opportunities to develop their skills, confidence and self-esteem to the fullest potential.

4.1
i) The % of pre-school education centres that are rated as at least good on the following HMIE quality indicators:

  • Staff Interaction in Children's Learning
  • Meeting Children's Needs

ii) A local target for developing the effectiveness of leadership in centres delivering pre-school education as a means of securing improvement towards very good and excellent ratings

4.1

4.1

  • HMIE and Care Commission Joint Inspection reports
  • Joint Inspection reports on pre-school education centre

http://www.hmie.gov.uk

www.hmie.gov.uk/stats

4.1
Pre-school quality indicators by education authority are available through HMIE. This will be developed to include this indicator.

4.2
The % of the original S4 cohort who by the end of S6 have attained 5+ awards at SCQF levels 3,4, and 5 and 1+, 3+ and 5+ at SCQF level 6 respectively

4.2

  • HGIOS. www.scotland.gov.uk/hmie
  • The National Priorities are currently under review and the Schools and the relevant indicators here and throughout this annex may change as a consequence.
  • Schools Improvement Framework

4.2

4.3
Young people in compulsory school education participate in enterprise in education activities on an annual basis

4.3
HMIE Quality Indicators for Determined to Succeed. www.scotland.gov.uk/hmie

4.4
The participation of school age children in leisure, cultural, learning and physical activities, outside the core curriculum has increased

4.4
Let's Make Scotland More Active: A strategy for physical activity www.scotland.gov.uk/topics/health/introduction/activeschool

4.4

Scottish Health Survey - physical activity see 3.3 and 3.4

4.4

Pilot phase ends 2006. The future vision proposes that cultural co-ordinators will play a central role in taking forward the 'escalator model', outlined in Scotland's Culture

http://www.scotland.gov.uk/Publications/2006/01/18091052/12 , helping young people through cultural activity to realise their talents & achieve their full potential.

4.5
All schools are health promoting

4.5

4.5
HMIE will report on this target as part of their inspection programme

5. Active

Children and young people are active with opportunities and encouragement to participate in play and recreation, including sport

5.1
The % of school age children who (a) say they enjoy the cultural, learning and sporting activities they take part in and (b) think there are sufficient opportunities to access these activities has increased

5.1

  • Quality Indicators for Community Learning and Development www.scotland.gov.uk/hmie
  • Sport 21: A national strategy for sport in Scotland.

5.1
A local report through the Integrated Children's Services Plan is required. All local reports will be collated, analysed and shared with relevant groups. This will help us work with local Partnerships to develop a more robust measure of performance improvement.

  • Local School Inspections
  • Sportscotland annual participation survey (Scottish Opinion Survey)

5.2
The % of parents of 0-5 year olds satisfied with access to outside play space has increased

5.2
Area's Community Plan

5.2
Growing Up in Scotland Survey ( GUS)

5.3
The % of young people who agree that there are good opportunities to participate in recreation activities has increased

5.3

  • The area's young people survey/strategy
  • Implementation of the new planning guidance on open space and health.

5.3
A local report through the Integrated Children's Services Plan is required. All local reports will be collated, analysed and shared with relevant groups. This will help us work with local Partnerships to develop a more robust measure of performance improvement.

5.4
The % of those aged 17-24 who take part in sport more than twice a week

5.4
As under 5.3

5.4

  • Being Young in Scotland Survey
  • Scottish Health Survey - physical activity see 3.3 and 3.4

5.4
Sportscotland annual participation survey (Scottish Opinion Survey)

5.5
By 2006, all schoolchildren should have had access to one year's free music tuition by the time they reach Primary 6

5.5
Scottish Arts Council: Youth Music Initiative ( YMI) Years 4 and 5 funding application and guidelines issued to local authorities. The purpose of these funds is to deliver this target and to improve overall the delivery of music services.

5.5
A local report through the Integrated Children's Services Plan is required. All local reports will be collated, analysed and shared with relevant groups. This will help us work with local Partnerships to develop a more robust measure of performance improvement.

5.5
Youth Music Initiative:
Beyond 2006 the 'P6 target' should be sustained and efforts continued to address barriers to participation, to build infrastructure necessary to sustain increased activity and improve quality of youth music provision.

6. Respected and responsible

6.1
The level of attendance at school has increased

6.1

  • National Priorities in Education: Values and citizenship - teaching pupils respect for self and one another
  • Better Behaviour - Better Learning www.scotland.gov.uk/publications

6.1
SE: Schools Management Information Systems

6.1
Local systems should reflect looked after children as a sub-set of this indicator.

6.2
The number of young people volunteering has increased

6.2

6.2
A local report through the Integrated Children's Services Plan is required. All local reports will be collated, analysed and shared with relevant groups. This will help us work with local Partnerships to develop a more robust measure of performance improvement.

6.2
Relevant data may become available in the Scottish Household Survey. To be confirmed.
Being Young in Scotland Survey

6.3
The number of persistent offenders has reduced

6.3

6.3

7. Included

Children, young people and their families have access to high quality services when required and are assisted to overcome the social, educational, physical, environmental and economic barriers that create inequality

7.1
A local target for getting parents into work by tackling childcare barriers in disadvantaged areas

7.1
A local report through the Integrated Children's Services Plan is required. All local reports will be collated, analysed and shared with relevant groups. This will help us work with local Partnerships to develop a more robust measure of performance improvement.

7.2
The provision of affordable, accessible, quality childcare in

a) nationally and
b) low income households

that meets parents' needs

7.2

7.2

7.2
- PDACS national baseline data cannot be disaggregated to local authority level. We are considering whether we can add to the Scottish Household Survey
PDACS data includes the % of parents of children aged 0-2 who state that their child currently receives their ideal childcare arrangements (83% in 2004)
- % of parents of children aged 3-4 who state that their child currently receives their ideal childcare arrangements (81% in 2004)

7.3
Out of school provision is available in every neighbourhood to parents who need it.

7.3
National Care Standards: Day care of Children www.carecommission.com

7.3

  • Local report/assessment of supply and demand.
  • A local report through the Integrated Children's Plan. Al local reports will be collated and analysed. We will work with local Partnerships to develop a more robust measure of Performance Improvement

7.3
Amendments to the Scottish Household Survey to ask parents of 5-14 whether they are satisfied with the availability of out of school provision are under consideration. Disaggregating this data to identify satisfaction of children with additional support needs will also be considered.

7.4
The number and % of all looked after young people who have achieved SCQF level 3 or above in English and Maths has increased

7.4.

7.4
Children Looked After Survey www.scotland.gov.uk/stats/bulletins/00369-00.asp

7.5
The tariff score of the lowest attaining 20% of S4 pupils in the area has increased

7.5
as above and Closing the Opportunity Gap Target F www.scotland.gov.uk/Topics/People/Social-Inclusion/17415/targetf#top

7.5
Scottish Executive collect SQA data from: www.scotland.gov.uk/stats

7.6
The % of 16-19 year olds moving to positive destinations including education, training and employment for (a) all (b) from low income families; (c) young carers and (d) looked after children has increased

7.6

  • Smart, Successful Scotland and Careers Scotland strategic priorities

(i) Investing in the workforce of the future
(ii) Reducing economic inactivity among young people
(iii) Improving productivity through personal career planning www.careers-scotland.org.uk

7.6

7.7
The number of young people leaving care and secure accommodation who sustain a tenancy for more than 6 months has increased.

7.7

7.7
Children Looked After Survey www.scotland.gov.uk/stats/bulletins/00369-00.asp