Pembrokeshire Single Integrated Plan 2013-2018

Annual Review 2015-16

For a copy of this document in large print, Braille, audio tape or an alternative language please contact Jackie Meskimmon on (01437) 776613.

For further information please contact:

Nick Evans Partnership and Scrutiny Support Manager County Council County Hall Haverfordwest Pembrokeshire SA61 1TP

Telephone: (01437) 775858 [email protected]

CONTENTS

Foreword ...... 1

Introduction ...... 3

Children And Families ...... 5

Economy ...... 13

Environment ...... 21

Health, Care And Well-Being ...... 28

Safeguarding ...... 38

Safety ...... 50

2015/16 Annual Scorecard ...... 60

Planning For The Future ...... 62

Foreword

I am pleased to introduce the Pembrokeshire Single Integrated Plan Annual Review for 2015-2016.

This is our third review of the Single Integrated Plan and is our self-assessment of the progress that partners have made during the third year of our joint strategy. It also builds on the progress that has been made since the Planning process started at the beginning of 2000. The relationships that exist between the partner organisations serving Pembrokeshire have always been positive and this review helps us to identify our successes and where we need to concentrate our collective efforts to ensure further improvement.

During the course of 2015-16, Pembrokeshire Local Service Board (LSB) has continued to become more outcome-driven with a focus on shared priorities. Partners have succeeded in removing potential blockages to progress and drawn on other organisations with expertise in specific areas. To strengthen our collective effort we have extended the membership of the LSB this year to include a wider range of partners and this is an important part of our work to embed the requirements placed on us under the Wellbeing of Future Generations () Act. This will also see the LSB transitioning to a statutory Public Services Board (PSB) and significant work has been undertaken during the past 12 months to plan and prepare for this change.

Although the relationships that exist between organisations remain strong, the challenges we face have continued to increase during the course of the past year. Ongoing reductions in public spending place considerable pressure on our ability to deliver a shared agenda and will only likely increase over the years to come as the financial climate becomes ever more challenging.

Now, more than ever, we need to work together across traditional organisational and geographical boundaries to ensure that we secure maximum benefit for every pound spent with the aim of improving life in Pembrokeshire.

We still face significant challenges in Pembrokeshire, all of which are spelled out in detail in the Single Integrated Plan and our emerging issues and priorities for 2016-17 captured in this review. Although our economy has continued to perform reasonably well in recent years, the impact of the recession is self-evident in our towns and their surrounding areas and the financial challenges facing all public services will increase as budgets continue to reduce. The quality of the local environment and some of the lowest levels of crime and disorder in the country remain significant strengths, but we will need to work hard to ensure this position is sustained.

It is also an exciting time for partnership working in Pembrokeshire with the Well-being of Future Generations Act acting as a driver for change and opportunity. Over the next 18 months we will be producing a new local Well-being Plan for Pembrokeshire and this will replace the Single Integrated Plan. This new Plan will be informed by a Well-being Assessment and will be developed through an understanding of what well-being means for our residents and our communities. That means you will have a voice in shaping the services public sector organisations deliver to improve the well-being of Pembrokeshire and I would encourage all residents to engage in this process.

Cllr. Jamie Adams Chair, Pembrokeshire Local Service Board 1 Introduction

1.1 This review focuses on partners’ progress in achieving the outcomes described in the Pembrokeshire Single Integrated Plan 2013-18. The report highlights examples of the projects and developments that have taken place during 2015-16 towards achieving the six stated outcomes of the strategy:

• Children, young people and families have the opportunity to fulfil their learning potential and to live healthy and happy lives • Pembrokeshire has a competitive, productive and sustainable economy • People in Pembrokeshire enjoy an attractive, sustainable and diverse environment • People in Pembrokeshire are healthier • Children and adults are safeguarded • Communities in Pembrokeshire feel safe

1.2 The review process has examined how the public, private and voluntary sector services have worked together to improve the quality of life for everyone in Pembrokeshire.

1.3 Further information on the work of the Pembrokeshire Local Service Board can be found on the LSB website, including details of the information and engagement strategies.

1.4 The chapters in this review describe the progress in delivering each outcome in turn. They begin by introducing each outcome, summarising the key achievements and actions undertaken by partners to deliver each priority in order to capture what we have done and identifying the emerging issues and priorities for 2016-17.

1.5 Having summarised the progress that partners have undertaken in order to deliver each shared outcome, each chapter then summarises a case study to illustrate the impact of examples of our join initiatives.

1.6 By focusing on an outcomes based approach, partners in Pembrokeshire have demonstrated their commitment to achieving meaningful change. Each chapter contains a series of headline indicators that capture the impact of the partnership working. We have included a chart for each indicator outlining data over recent years. The charts also show the difference we will make by delivering this plan and where we are now in achieving change.

1.7 A summary of the performance data contained within the Single Integrated Plan and used by the LSB to regularly monitor progress throughout the year is included in an annual scorecard at the end of the review.

2. Children and Families

Children, young people and families have the opportunity to fulfil their learning potential and to live healthy and happy lives

2.1 Introduction

The Children and Families Executive group is accountable to the Local Service Board for the delivery of the Children and Families outcome theme in the Single Integrated Plan. The group has strategic oversight for the management, monitoring and delivery of partnership priorities.

Following a review of Partnership action plans early in 2015-16, it was agreed to focus on three workstreams during the year. These were;

1. Early intervention and family support 2. Effective and integrated services for children with disabilities 3. Improving access to education, employment and training

In the past 12 months the Executive group has overseen the delivery of the detailed activity under these work streams. A summary of progress in some of these areas is highlighted in the following section.

2.2 What have we done?

2.2.1 Early intervention and family support

• At the beginning of 2015-16, a multi-agency task and finish project group was established to undertake a review of projects commissioned under the Families First programme. The aim of the review was to identify whether services met the needs of the target group, whether they were working towards improving the health and wellbeing of children and young people in Pembrokeshire and whether services were compliant with Families First grant criteria. This review was concluded in September 2015 and a report drawing together the results of observation visits, information analysis and the views of the project group was endorsed by the Early Intervention and Family Support steering group, the group established to strengthen oversight of the early intervention and family support agenda. This is chaired by the Head of Children’s Services and attended by a range of key partners and stakeholders.

• The report was presented to the Children and Families Executive Group in November 2015 and the recommendations within it approved. The work of the project group has led to the use of a more robust performance management system for Families First projects and the implementation of a distance travelled tool, together with the implementation of a stronger commissioning model.

• There were a number of developments within the Flying Start programme over the year. The Neyland Flying Start Centre became fully operational and a formal launch is planned for Spring 2016. At the end of March 2016, 100% of eligible children were accessing free, quality childcare through the programme.

• In October 2015, as part of the work being undertaken to implement the Play Sufficiency Action Plan, the first Pembrokeshire Play Conference was held. The aim of the conference was to look at the importance of play to children’s development, as well as exploring the different ways in which to build on the existing spirit of partnership working with the Public, Private and Third Sector to deliver a joined up approach. Guest speakers from various organisations gave presentations on the day, including from Play Wales, Swansea University, Pembrokeshire Communities First and Hywel Dda University Health Board. Requests have already been received to hold another event during 2016.

• Following the conference the Play Partnership has focused its efforts on consulting with children, young people and families about the availability of play opportunities in Pembrokeshire. A comprehensive Play Sufficiency Assessment is in progress which will be reported to Welsh Government at the end of March 2016. A revised Play Sufficiency Action Plan will also be produced.

2.2.2 Effective and integrated services for children with disabilities

• This work stream is designed to strengthen partnership working between the local authority, health and voluntary sector to deliver seamless and effective services for our most vulnerable children and young people.

• The Team Around the Pupil, Parent and School (TAPPAS) approach is being rolled out across all school clusters from January 2016. This approach, led by the Educational Psychology service, includes Health colleagues and wider services across Education. The termly meetings facilitate joint professional discussions with outside agencies and schools to discuss individual pupils, allocate outreach support and provide training for schools. Further work is due to take place to roll out workshops for families across each of the cluster of schools.

• Work to define the range of preventative support available to families of children and young people with additional needs is ongoing, in conjunction with the voluntary sector, Health and social care. This will seek to identify holiday and after school clubs, networks and other activities that families can access. It will also identify gaps in services and areas where local voluntary service providers can be commissioned and will be a major focus for working in partnership over the next 12 months.

2.2.3 Improving access to education, employment and training

• The causes of disengagement are rarely simple and frequently involve a cumulative mix of factors linked to personal, social and emotional development, life events, school, child and family coping strategies and attitudes to learning. As partners we are working to develop a range of interventions to improve the life chances of young people who struggle to engage with traditional modes of learning.

• Careers Wales host monthly multi-agency NEET practitioner group meetings in which each 16-19 year old NEET is discussed and lead workers are brokered to meet their needs. Attendance at these meetings comprises Local Authority staff, Work-based trainers, Pembrokeshire College, Youth Service, Voluntary Youth Services and other Third Sector providers. Overall 16-19 year old NEET numbers as measured by the Careers Wales Destinations Data remain similar to those in 2014 (78 in 2014; 83 in 2015). In 2015, 49 Year 11 leavers became NEET (an increase from 43 in 2014; 3.81% of cohort 2015, 3.2% of cohort in 2015). 9 Year 12 school leavers became NEET in 2015, the same number as in 2014 (1.1% of cohort in 2014, 1.3% of cohort in 2015). 25 Year 13 school leavers became NEET in 2015, a decrease from 26 in 2014 (4.5% of cohort in 2014, 4% of cohort in 2015).

• Youth Engagement and Progression Framework multi-agency Panels operate in all 8 Secondary Schools, “Stepping Stones” (for anxious and phobic learners), and the Pembrokeshire Learning Centre to broker additional support and provision for learners deemed most at risk to disengage from their education.

• Work is ongoing around early identification of learners with low emotional resilience, with the development of a questionnaire for pupils in relation to incidences of bullying in secondary schools. This will be used to identify specific areas for targeted intervention and support and will be distributed over the next couple of months.

2.3 Emerging Issues and our priorities for 2016-17

One of the perennial challenges in partnership working is the ability to evidence its impact or the difference it makes, and this remains the case. However, the Executive group has made a renewed effort to ensure that its actions and measures are appropriate to enable better reporting on its progress, and additional support has been provided by the partnership team to assist lead officers in developing this.

Looking forward, as this will be the last year for monitoring activity under the Single Integrated Plan, the Executive group has agreed to retain the three priority work streams as the framework within which partnership activity is planned and delivered. A review of the detailed activity under these themes will be undertaken to refresh work where there has been completion or to capture emerging areas of work across the partnership.

This new activity includes:

• Engaging with service users of Flying Start to raise the profile of the service in Neyland, • Engaging with young people in the development of a new Play Strategy, • Continuing the realignment of the provision of specialist services for children with disabilities, and • Targeting disengaged young people to improve their opportunities for employment, education and training along with early identification and support for learners with low emotional resilience.

During 2015-16 progress has been made on the ‘Children, young people and families have the opportunity to fulfil their learning potential and to live healthy and happy lives’ outcome. However, the Executive Group acknowledges that there are significant challenges ahead, including requirements to meet the wider duties placed on public bodies with the introduction of the Well-being of Future Generations (Wales) Act 2015. This will inevitably have a significant impact on partnership working in Pembrokeshire.

In addition, both statutory and voluntary sector partners continue to face a very challenging time in light of the financial climate, with the full impact of these challenges yet to be realised. However, we will continue to focus on working together and to make the best use of limited resources to shape sustainable service models that will meet the complex, changing needs of customers.

To maximise opportunities going forward, the Executive group will continue to review its work to ensure it remains focused on the key priorities and is able to respond to emerging challenges.

2.4 Case Study

Team Around the Family (TAF)

A school referral was received for L, an 8 year old male, and his family as his parents were experiencing difficulties with L’s behaviour at home. The family were reporting that L was having regular violent outbursts, including kicking, hitting, screaming, shouting, swearing and breaking things which was always directed towards other family members. A TAF worker was allocated to the family.

The key issues identified by the TAF worker was that L struggled with showing and understanding his emotions and that he also struggled to show empathy towards others. The family were seeking support to help identify the reasons for L behaviours and to develop their parenting skills in order to support him. It was also identified that L was really struggling in school but would not discuss his worries about school while he was there. Rather, he would bottle-up his frustrations and then explode when he got home.

Following the initial visit an action plan was agreed and a number of measures were put in place to support the family.

• Links with education and a school meeting arranged. • 1:1 work carried out with L regarding his feelings and some anger management intervention. • Sessions carried out within the family home to include positive behaviour activities this will include whole family. • Liaison with TAF Manager about financial support to purchase memory box disposable camera scrap book. • Regular sleepovers with extended family to provide respite.

Outcomes from the TAF intervention

Following the TAF intervention, all of the actions were completed and L’s parents now have the confidence to implement positive parenting strategies without support. There are good links with education and the parents are carrying out work with L at home which will have a positive impact on his learning. L’s behaviour is now less volatile towards family members and there are good routines, boundaries and consequences in place.

2.5 Headline Indicators

Live Births with Low Birthweight Number of childcare places in Pembrokeshire

9.00% 3500 8.50% 3250 8.00% 7.50% 3000 7.00% 6.50% 2750 6.00% 2500 5.50% 5.00% 2250 4.50% 2000 4.00% 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 1750 1500 Wales Ceredigion Pembrokeshire Carmarthenshire 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

2014-15 position: No update provided. 2014-15 position: The number of registered childcare places in Pembrokeshire at March 2015 was 3008 registered places. There has been a decrease of 28 places since March 2014, as one childminder deregistered in April with the loss of 6 places, plus another after school club was unregistered due to a change in location, resulting in a temporary loss of 22 places. Where are we now? The largest modifiable risk factor for low birth weight in Where are we now? The figures attached show the CSSIW/FIS figures for Wales is exposure to tobacco smoke, which has been estimated as being registered childcare places in Pembrokeshire as at March 2016, with the current responsible for more than twice the number of low birth weight babies than the number of registered childcare places in Pembrokeshire at 2775. next largest factor anaemia. Exposure to tobacco smoke includes both maternal The number of available childcare places has reduced by 233 over the last twelve smoking and exposure to environmental tobacco smoke in the home. months. During this period 21 childminders have cancelled their registration. Other risk factors with substantial contributions are related to diet, substance The cost of childcare in Pembrokeshire has increased in all but one type of misuse and sexual health. provision. In the main the cost of childcare in Pembrokeshire is lower than the For many of the risk factors the highest prevalence is seen in mothers who are Welsh average, however, with the current economic climate parents are making under 25 in lower income households and in areas of deprivation. savings where possible, which has led to a reduction in demand.

KS4 Level 2 English/Welsh and Maths 65.00%

60.00%

55.00%

50.00%

45.00%

40.00% 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15

Pembrokeshire Wales Ceredigion Carmarthenshire

2014-15 position: L2inc figures for Pembrokeshire improved at a faster rate than the Wales average between 2010 and 2012 but in 2013 the percentage of pupils achieving L2 inc at KS4 took a significant dip. The provisional Pembrokeshire L2inc figure for 2014 showed an increase, however, this was below the target and it was likely that the Wales average would be above this. Attainment levels in Pembrokeshire are still lower than they should be, and too many of Pembrokeshire’s secondary schools have been judged to be in need of improvement by Estyn.

Where are we now? The 2015/16 academic year has seen the implementation of a KS4 action plan, with a focus on improving school’s practice in assessing and tracking pupil achievement and progress, developing middle leaders in schools, increasing the accountability of Headteachers and Chairs of Governors through termly meetings with the Director, ensuring schools are accessing and learning from best practice in other schools in Wales and beyond, and improving school attendance rates. At the time of writing, the indications from schools are of a significant uplift in performance, but we will not be able to assess the impact of the plan until provisional results are available on 25th August.

% of new young people NEET

6.5% 6.0% 5.5% 5.0% 4.5% 4.0% 3.5% 3.0% 2.5% 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Year 11 Year 13

2014-15 position: Year 11- Labour Market Intelligence assemblies led by Job Centre Plus, and “Choices Events” where all Pembrokeshire Post-16 education providers were held in all of our Secondary Schools in Nov-Dec 2014 to provide impartial advice and guidance to learners. Multi-agency Youth Engagement Panels also operational in 7 of 8 Secondary Schools targeting support to the most vulnerable learners. Year 13- Sustaining Engagement in Education & Training (SEET) Practitioner Group multi-agency panels meeting every month to discuss the needs of NEETs and to broker appropriate support. PCC is developing two regional ESF operations (Cynnydd and Cam Nesa) to support vulnerable learners and NEETs; both operations should be running in the autumn of 2015. Where are we now? Overall 16-19 year old NEET numbers as measured by the Careers Wales Destinations Data remain similar to those in 2014 (78 in 2014; 83 in 2015). In 2015, 49 Year 11 leavers became NEET (an increase from 43 in 2014; 3.8% of cohort 2015, 3.2% of cohort in 2014) The “Unable to enter Employment, Education or Training” increased from 0.37% in 2014 to 1.4% in 2015. 9 Year 12 school leavers became NEET in 2015, the same number as in 2014 (1.1% of cohort in 2014, 1.3% of cohort in 2015). 25 Year 13 school leavers became NEET in 2015, a decrease from 26 in 2014 (4.5% of cohort in 2014, 4% of cohort in 2015). In 2016, the Local Authority and its post-16 partners will host a single “Choices Event” information, advice and guidance session for all Year 11 learners in December, with an expanded remit to include a presence from sector skills councils and vocational sectors representatives.

3. Economy

Pembrokeshire has a competitive, productive and sustainable economy

3.1 Introduction

The Pembrokeshire Business Panel is accountable to the Local Service Board for the delivery of the Economy outcome theme in the Single Integrated Plan.

This detailed update demonstrates how the Panel has delivered on the agreed objectives with this overarching report identifying a number of key achievements, noting any issues that have come to light, as well as identifying potential areas of future development for the Partnership to consider during the coming year.

The key priorities to support the economy are:

1. People with the learning skills and confidence to improve their employment prospects 2. Successful businesses that grow, prosper and employ 3. Infrastructure and investment to support a dynamic and prosperous economy

The work of the partners of the Pembrokeshire Business Panel has often been focused on external policy drivers and macroeconomic issues. Over the last 12 months, the Welsh Government has continued to support the work of the Swansea Bay City Region and the Haven Waterway Enterprise Zone. At a local level, partners worked closely to overcome the uncertainty around the future of the Murco refinery.

The Swansea Bay City Region Board has submitted a City Deal proposal to the UK and Welsh Governments. The proposal marks the beginning of a process to negotiate a package of funding and potential devolved powers. Subject to the outcome of this process, circa £500m-£1bn could become available over the next 20 years to help transform the economy of the Swansea Bay City Region.

The Board have also submitted strategic tourism projects for the region to Welsh Government. In Pembrokeshire, the Llys Y Fran Water Park and the Saundersfoot Harbour Regeneration scheme received support for European Regional Development Funds.

3.2 What have we done?

“People with the learning skills and confidence to improve their employment prospects”

• Pembrokeshire Business Panel invited representatives from the public and private sectors to an event looking at overcoming barriers to recruitment. The event came on the back of recognition by partners of the challenges of recruiting executives and certain skilled workers to the county. • After 4 years of hard work, Communities First have seen their first graduates in Child Development. The students supported by Monkton School, invested 4 years in gaining their degrees which have seen a number move into Learning Support Assistant roles. • Communities First has been running job clubs at Monkton and Foundry House with Job Centre Plus. Working with other partners such as Communities for Work, Jobs Growth Wales and Greenlinks, job club members have improved their skills and employability by undertaking a range of courses including food hygiene, first aid and digital literacy. • The Launch project in Monkton and Communities First have put over 30 people through site safety certification and also provide driving theory software to support individuals move into employment. • Based in Fishguard library, Pembrokeshire County Council’s Life Hub: Work and Money Skills initiative provides space and resources where people can get advice and information on financial matters such as job seeking, careers and business start-ups - as well as welfare and debt advice. It has been developed by the Council in association with Jobcentre Plus and a £40,000 grant from the Welsh Government. The Fishguard facility is supported by a range of organisations and features a private consulting room - with a laptop and printer - , three new computers, a digital projector and screen as well as new work areas for library staff. • In 2015, the Port of supported four Pembrokeshire undergraduates through its Scholarship Scheme. The scheme provides the students with financial support for their studies as well as a four-week work placement at the UKs top energy port. This whole process provides them with valuable interview skills and experience, and other transferable skills such as presentation, research, team-working and time-keeping. • The Port of Milford Haven have provided financial and in-kind support to the Danny Fellows Training Trust which aims to up skill those in the energy, engineering and construction sectors. They have also provided financial support to Pembrokeshire Apprenticeship Scheme (run by Pembrokeshire College) to increase employment of apprentices within the energy sector in Pembrokeshire. • Dragon LNG supported the “This is Me” project in partnership with the Torch theatre to prepare school leavers for work by building confidence through presentation skills and interview techniques.

“Successful businesses that grow, prosper and employ”

• The 8th annual Enterprise Fair attracted over 600 participants last year. Organised by Pembrokeshire County Council, the event is hosted by the Riverside Shopping Centre. Last year external business partners the Bluestone Foundation and Pembrokeshire Lottery provided financial support to the event. The success of this event was recognised in the UK Government Department of Business, Innovation and Skills Enterprising Britain Competition 2015. • Welsh Baccalaureate and School Enterprise work experience week based around enterprise/self employment was delivered to Year 11 & 12 involved a week of activities linked to enterprise. Local business representatives and industries played a vital role supporting as mentors, advisors and judges. • Pembrokeshire County Council appointed a dedicated Community Benefits Officer in June 2015. In the first 8 months in post, 104 unemployed moved into work, 108 apprenticeships were recorded and over £102,000 of value to attributed to the value of community benefits. Using the Welsh Government Benefits measurement tool, a local multiplier figure of £1.84 has been calculated. • The Port of Milford Haven engaged Mainstay Marine to build 3 new pilot boats, an investment of over £3m which secured local jobs, created new employment opportunities and kick started further contracts and job creation. • Renewable Energy Guidance has been prepared by the Authority to advise on what can be developed in the National Park. This includes anaerobic digestion, biomass, hydro, ground and water source heat pumps, solar and wind. Monitoring of permissions granted shows that approval rates have improved since the guidance was introduced. • A series of events showcasing the range of energy projects from the public and private sectors in Pembrokeshire was held to mark the EU Sustainable Energy Week in June 2015. The events included visits to Pembrokeshire Bio Energy at Canaston Bridge, and the combined heat and power plant at Milford Haven Leisure Centre. There was a Marine Energy Community Information Session at Pembroke Dock, where representatives from Marine Energy Pembrokeshire and Tidal Energy Limited (TEL) spoke about tidal and wave energy plans and projects based in the County. TEL spoke in detail about their project Deltastream and there was a visit to the TEL Deltastream device in the Port of Pembroke. Other visits included a trip to the Port of Milford Haven's 5 megawatt, 20,000 panel photo voltaic array at Liddeston Ridge. • The Port of Milford Haven and Pembrokeshire County Council support Marine Energy Pembrokeshire through sponsorship and in kind support to raise awareness of Pembrokeshire as a key location for the developing marine renewable sector. • Pembrokeshire Tourism and Pembrokeshire County Council held the ever successful Supplier to Buyer event now in its 7th year. The event attracted 84 suppliers, the largest number of trade stands to date and over 500 attendees from across the tourism, leisure and hospitality industry. • The Welsh Government has set up the South Wales Seafood Cluster to create a platform for joint action across the industry including fishermen, fishmongers and aquaculture businesses in order to add value to fish and shellfish caught or farmed on Welsh shores. • The Port of Milford Haven staged the 2015 Milford Fish Festival. The 1-day event attracted over 6,000 visitors to celebrated the town’s fishing heritage. • Cruise activity in the county continues to develop with six cruise ships carrying over 2,000 passengers welcomed to the , making a contribution of around £160,000 to the local economy (with the average passenger spending around £80). • The Port of Milford Haven secured European funding to build new food-grade facilities at Milford Fish Docks, opening up new opportunities for start-up or existing small to medium sized businesses within the fishing and food processing industries. • During the year, PAVS supported new and existing social enterprises through the provision of information, advice, training and support on legal structures, good governance, organisational development, sustainable funding and fundraising, community asset transfer, quality assurance, safeguarding, and measuring outcomes. Notably, there has been an increase in demand for support to set up new groups and develop new services, particularly in response to the potential closure or reduction in community-based services. Many new and existing groups are choosing to use or transfer to legal structures that support revenue generation and trading activity, such as a Community Interest Company (CIC) or Charitable Incorporated Organisation (CIO). During the year, PAVS has provided funding and fundraising support to social enterprises through the administration of small grant programmes to pump-prime and pilot new models of service delivery; the Pembrokeshire Funding Fair and sustainable funding workshops; the launch of a web-based funding portal Open4Community and training on developing sustainable funding strategies including loans, income generation, trading activity, tendering for contracts, etc. • PAVS has worked closely with PLANED to support and encourage social enterprise development, particularly through community and citizen engagement and networks. In May, the Pembrokeshire Community Buildings Forum was attended by representatives from 15 halls to exchange best practice and ideas around the theme of sustainability. PLANED’s community engagement work with the St David’s Community Forum and other partners through the BIG Lottery funded Clywed project resulted in the setting up of the St David’s Memory Café. Joint work has also been undertaken by PAVS and PLANED around asset based community development, co-production, citizen engagement, alternative service delivery models and time-banking.

“Infrastructure and investment to support a dynamic and prosperous economy”

• Pembrokeshire Coast National Park Authority has been monitoring the loss of retail uses. Across the centres of Tenby, Saundersfoot, St Davids, Solva and Newport, and for all A use class units, the average vacant floor space is 3.5% at 2015. This is below the UK average of 9.5%. A breakdown of vacant floor space percentage by centre is as follows, Newport 0%, Saundersfoot 6.2%, St Davids 3.1%, Solva 0% and Tenby 3.5%. • Pembrokeshire County Council is to receive almost £300,000 in funding for a new County Library in Haverfordwest. The grant will go towards a £3.4 million scheme to transform the town's Riverside indoor market. It is anticipated the flagship project will act as a catalyst for the regeneration of Haverfordwest, details of which were unveiled today (Friday, 8th April). The new facility will also house a fully integrated Tourism Information Centre, a Life Hub zone - with access to financial and health information - as well as a coffee shop and a top class exhibition gallery through a ground-breaking partnership with the National Library of Wales. The £285,000 grant is coming from the Welsh Government's Museums, Archives and Libraries Division. It is anticipated the venue could generate close to £1 million of spending in the local economy and create eight to 15 additional jobs. • The Milford Dock Master Plan is focused on the wholesale redevelopment of Milford Marina and Docks which has been identified as part of the town centre in the local development plan. A resolution to grant consent was gained early in 2015 for the Port of Milford Haven’s multi-million pound Milford Dock Master Plan which aims to regenerate the entire area around Milford Dock through developments focused on retail, marine- leisure and fishing. The Port of Milford has provided sponsorship to the Torch Theatre in Milford Haven and continued dialogue with them in making arts and the theatre a core component of the Milford Dock Master Plan, playing a vital role in the regeneration of the entire town. • Fishguard Port has seen a big increase in visiting Cruise Ships in 2015 with seven calls during the year. This is due to increase further to 19 visits in 2016 with the installation of better ramped landing stage. Visits to Milford Haven dropped slightly to six visits in 2015 compared to eight in 2014. The ships visiting Fishguard are generally smaller ‘discovery’ type vessels with the bigger ships still going to Milford Haven. • For the first time in decades, fresh fish landed in Milford Haven will be smoked commercially on the docks. Dragon Fish will be making history when it lights its kilns for the first time last November in brand new premises at Milford Fish Docks. The company is the first tenant in the brand new purpose-built fish processing units developed by the Port of Milford Haven and managed by the Port’s property division Quayside Properties. The project has been supported by the European Fisheries Fund through the Welsh Government and the development is part of a scheme to revitalise the seafood industry locally. Dragon Fish will be hot smoking fish including herring, mackerel and haddock using a traditional kiln that burns oak chips. • A huge pair of state of the art lock gates installed in the Port of Milford Haven’s vibrant docks and marina in Pembrokeshire has been officially commissioned. The £6m lock gates, standing almost 12 metres high and weighing 90 tonnes each, represent a major upgrade to the giant lock system, first built by the Victorians more than 125 years ago when they created the docks as a home to the large fishing fleets of that time. The new lock gates have made Milford Marina the most accessible tidal marina in the UK and a hub for the leisure marine industry in west Wales. The Dock Lock project was part of Visit Wales’ Coastal Tourism project, part funded by the European Regional Development Fund through the Welsh Government, to encourage tourism along the Welsh coastline. • A once in a decade dredging campaign began in December 2015 to clear the shipping channels and berths within the Milford Haven Waterway ensuring the Port remains deep enough for the larger ships. • The Enterprise Zone Board have supported the development of an economic regeneration strategy for the County. Following the initial data analysis, the Board paid for further work to develop an action plan. This work has been championed by the Economy Overview and Scrutiny Committee • The Welsh Government has continued to deliver key initiatives to businesses in the Enterprise Zone including supply chain events and rate relief to over 22 businesses. The regular breakfast meeting for business in the EZ on subjects ranging from HS2 to Egnedol’s projects, Finance Wales and business finance. • A new office building in Johnston is opening up for business later this year. Construction on the £790,000 two-storey building at Hayston Road started in February, with work due for completion shortly. Owners Hayston Business Park (HBP) Limited have confirmed that they already have a tenant lined up, which is set to use the office for staff training and its apprenticeship programme. Located adjacent to the busy A477 on the outskirts of Johnston, the development aims to create jobs and provide the opportunity for further business growth. The project has been supported by £306,000 of European Regional Development Fund monies from the South West Wales Property Development Fund (PDF), match- funded through Finance Wales and private resources. • A multi-million pound road scheme, improving access to some of Pembrokeshire's major industrial sites, was officially opened in July 2016. The Bulford Road improvement scheme was opened by Edwina Hart, Welsh Minister for Economy, Science and Transport. The two-lane 2.7 km road link between Johnston and Tiers Cross improves traffic access to major employment and industrial sites on the north-west shore of the Haven. The £8 million project has been funded by the European Regional Development Fund, Welsh Government's Local Transport Fund together with match funding from Pembrokeshire County Council. • The Port of Milford Haven led the Pembrokeshire bid for the Swansea Bay Tidal Lagoon work.

3.3 Emerging Issues and our priorities for 2015/16

During 2015/16 progress has been made to deliver on the outcome ‘Pembrokeshire has a competitive, productive and sustainable economy’. However the Business Panel operates in a challenging context. European funding projects have been slow in establishing and changes to business support and tourism industry support continue to concern the Panel.

Both statutory and voluntary sector partners face a very challenging period in light of the financial climate however we will continue to work together to make the best use of limited resources to shape services and projects that will meet the needs of the county.

The development of the Economic Regeneration Strategy for the County will support the emerging work on the Wellbeing Assessment and subsequent Wellbeing Plan.

3.4 Case Study

An economy hub has opened at Fishguard library. Called the Life Hub: Work and Money Skills, the Pembrokeshire County Council initiative provides space and resources where people can get advice and information on financial matters such as job seeking, careers and business start-ups - as well as welfare and debt advice.

It has been developed by the Council in association with Jobcentre Plus and a £40,000 grant from the Welsh Government. It is the second life hub to open in Pembrokeshire. The first - based on health and well-being - opened in Pembroke Dock library 12 months ago.

The Fishguard facility is supported by a range of organisations and features a private consulting room - with a laptop and printer - three new computers, a digital projector and screen as well as new work areas for library staff.

3.5 Headline Indicators

Number of active businesses Employment in Pembrokeshire 7000 80 70 6000 60 5000 50 % aged 16-64 in 40 Employment 4000 30 % aged 16-64 who are Percentage 3000 20 employees 10 % aged 16-64 self- 2000 0 employed 2008 2009 2010 2011 2012 2013 2014 Ceredigion Pembrokeshire Carmarthenshire

2014-15 position: With the fall through of the sale of the Murco Refinery in Milford Haven, 2014-15 position: The data is collected via the ONS Annual Population Survey. This there was anticipated to be a significant impact upon the supply chain, with the impact being survey has a sample of around 18,000 people across the whole of Wales in any 12 felt in redundancies and business closures. The Murco Taskforce was established to manage month period (About 0.01% of the population) Consequently the sampling errors are the fallout. The partnership was led by Welsh Government and supported by UK fairly large and the data has to be rounded. Government, Job Centre +, Pembrokeshire County Council and Careers Wales and looked to Numbers and percentages are for those aged 16+ and percentages are a proportion mitigate the impact of the closure of the refinery of all persons in employment. The data reported is for a 12 month period, but is There was an announcement of £5m in grant support for businesses in the area. An updated every quarter (Jan – Dec then Apr - Mar etc.) All of this means that employment event was held for the direct employees of Murphy Oil and for contractor staff percentages don’t add up and they can vary significantly from one quarter to who were based in the refinery. This attracted business from across the oil and gas sector another. globally as well as larger local businesses. A smaller event was also held to assist supply chain companies who lost business. Following feedback from this event further initiatives were considered. Where are we now? The focus remains on the energy sector supply chain. Through the Where are we now? Rates of young people who are not education, employment Haven Waterway Enterprise Zone regular events are held to provide opportunity for supply or training continue to be a focus for partners. Projects to support those who chain development and networking with new projects and opportunities. are economically inactive or unemployed are developing work experience Welsh Government business support has moved to a regional model with services delivered opportunities to compliment traineeships and apprenticeships online and from Carmarthen and focused on growth companies. Concern has been expressed over the ability of the delivery model to support Pembrokeshire’s high levels of Small and Medium Sized companies and micro businesses.

GVA Per Head % JSA Claimants 20 000 5.0 18 000 4.5 4.0 16 000 3.5 14 000 3.0 12 000 2.5 10 000 2.0 1.5 8 000 1.0 6 000 0.5 4 000 0.0 2 000 0

South West Wales West Wales and The Valleys Wales Carmarthenshire Ceredigion Pembrokeshire Wales

2014-15 position: Data on GVA per head is not available at County level and the 2014-15 position: Unemployment in Pembrokeshire remains below the Welsh regional average conceals both the local situation and any developing trends. It is average but as the effects of the redundancies at Murco and their supply chain reasonable to assume that the low manufacturing base in Pembrokeshire coupled companies kick during the first few months of 2015 we will expect to see a with high levels of employment in seasonal and part-time occupations such as significant rise in unemployment. Tourism and Agriculture depresses the County’s performance. Closure of manufacturing businesses in the County (Mustang Marine and possibly Murco) would have an obvious detrimental effect on local and regional GVA performance. Where are we now? GVA for Pembrokeshire is affected by the low rate of those of Where are we now? The fears of the closure of Murco and Mustang Marine have working age in employment which remains above the Welsh average and above been resolved. Murco has been bought by Puma who have turned it into a tank neighbouring authorities. The average weekly earnings are currently sixth highest farm resulting in significant redundancies. Reassuringly, the majority of the in Wales so although wages are strong, Pembrokeshire is affected by distance from redundancies have found new employment, started new businesses and some markets and low levels of economic activity which impact upon productivity taken early retirement. Mustang Marine are now Mainstay Marine and have recently completed new pilot vessels for Milford Haven Port Authority.

4. Environment

People in Pembrokeshire enjoy an attractive, sustainable and diverse environment

4.1 Introduction

The Pembrokeshire Environment Forum is accountable to the Local Service Board for the delivery of the Economy outcome theme in the Single Integrated Plan.

This report is an update to demonstrate how the Forum has delivered on its objectives with this overarching report identifying a number of key achievements, noting any issues that have come to light, as well as identifying potential areas of future development for the Forum to consider during the coming year.

The work of the Pembrokeshire Environment Forum has been focused largely on 3 main areas being community resilience, carbon reduction and air and water quality. Other related partnerships have supported with specific areas of work such as the Pembrokeshire Biodiversity Partnership and the Pembrokeshire Beach Liaison Group.

The key priorities to support the environment are:

1. Pembrokeshire will address the challenge of climate change 2. The quality of Pembrokeshire’s environment will be protected and improved 3. Pembrokeshire will have good communication links to and within the County

4.2 What have we done?

“Pembrokeshire will address the challenge of climate change”

Pembrokeshire's recycling rate for the 12 months between December 2014 and December 2015 was the best in Wales. Recently-released figures show residents recycled 64% of their waste during this period - compared to the Welsh average of 59%. The Council's waste and recycling department is confident the Authority will also achieve good results in relation to the Welsh Government's statutory recycling target of 58% for all local authorities between April 2015 and March 2016.

EU Sustainable Energy Week - A series of events showcasing the range of energy projects in Pembrokeshire was held to mark the recent EU Sustainable Energy Week. The events, which were open to the public and organised by Pembrokeshire County Council, included visits to Pembrokeshire Bio Energy at Canaston Bridge, and the combined heat and power plant at Milford Haven Leisure Centre. There was a Marine Energy Community Information Session at Pembroke Dock, where representatives from Marine Energy Pembrokeshire and Tidal Energy Limited (TEL) spoke about tidal and wave energy plans and projects based in the County. TEL spoke in detail about their project Deltastream and there was a visit to the TEL Deltastream device in the Port of Pembroke.

“The quality of Pembrokeshire’s environment will be protected and improved”

Over the year, the Pembrokeshire Biodiversity Partnership has conducted a review of the State of Wildlife in Pembrokeshire. The report looks at 23 species and habitats in the County which were studies in 2011 and provides an update on the current status and the trends in these features as a metric of the likely situation in the wider environment. The report highlights some successes, but there is still much work to be done if we are to halt and reverse the decline in biodiversity. Headlines include: 70% of features assessed were in poor or moderate conditions, 57% of features were considered stable of improving, 30% were assessed as declined. All the features assessed in good condition or with improving trend have been subject to sustained conservation effort.

The Wildlife Trust of South and West Wales gained funding from the Co-operative to help their work on the wetland nature reserves at the Pembroke Upper Mill Pond. Over the last decade the reserve has dried up considerably due to poor flows of water through the reed bed resulting in scrubby and invasive species encroaching onto the valuable reed bed habitat and ditches blocked through the build up of silt.

The Pembrokeshire Wildfire Group is a partnership of organisations including Mid and West Wales Fire and Rescue Service, Natural Resources Wales, Wildlife Trust of South and West Wales, National Trust, and Pembrokeshire Coast National Park Authority which is managed under the auspices of PLANED’s Sustainable Agriculture Network. The group works with farmers, landowners and graziers to provide them with advice and assistance on carrying out the controlled burning of vegetation. Recently, the group has been working with individual farmers and grazing associations. Fire break cutting programmes have been completed for two seasons and controlled burning awareness events held in St David’s and Newport.

“Pembrokeshire will have good communication links to and within the County”

Passenger numbers on Pembrokeshire's coastal buses increased by nearly 2,250 this year. New figures show that 66,775 journeys were made on the Pembrokeshire Coastal Bus Service in 2015, compared to 64,532 in 2014. The upsurge has been attributed partly to extra stops on the Celtic Coaster 403 service, which covers the St Davids Peninsula, and to the increasing popularity of the coastal buses with visitors and locals alike. The six routes allow people to access coastal towns, villages and beaches, covering much of the coastline from Angle and Stackpole in the south to Newport and Poppit Sands in the north. In a survey of passengers last year, most people (34%) said they used the coastal bus to go walking, while 15% of people said they used them to go to the beach, and 12% for a scenic tour. Wheelchair users will get the chance to explore a Pembrokeshire beach with the introduction of a new beach wheelchair service at Angle next year. The all-terrain vehicle will be available to hire at West Angle Bay from April 2016. It follows the introduction of specially adapted wheelchairs at several beaches across the county. The new wheelchair has been bought by the Pembrokeshire Access Group with funding from the South Hook LNG Community Fund, the Port of Milford Haven and Bluestone Resorts. It is also supported by the Pembrokeshire Coast National Park Authority.

Residents and visitors to Carew can now travel to the picturesque village in safety. Work on a new shared-use path between the village and Carew Roundabout was completed this summer. The long-awaited 300 metre route, which cost £250,000 to construct, can be used by both pedestrians and cyclists. The project followed lengthy talks with landowners and the community and work included the relocation of hedge banks to maintain bat flight paths.

A multi-million pound road scheme, improving access to some of Pembrokeshire's major industrial sites, has been officially opened. The Bulford Road improvement scheme was opened by Edwina Hart, Welsh Minister for Economy, Science and Transport this morning (Monday, 20th July). The two-lane 2.7 km road link between Johnston and Tiers Cross improves traffic access to major employment and industrial sites on the north-west shore of the Haven. The £8 million project has been funded by the European Regional Development Fund, Welsh Government's Local Transport Fund together with match funding from Pembrokeshire County Council.

The Tenby public transport interchange, adjacent to the town's multi-storey car park was opened by Edwina Hart, Welsh Minister for Economy Science and Transport. The new hub aims to boost the local economy by improving transport links to and from the popular resort. It also aims to make it easier for people - both residents and visitors - to transfer between different modes of public transport in the town. The £1.3 million project, which has taken three years to complete, has been funded from the Welsh Government's Regional Transport and Local Transport Fund with match funding provided by Pembrokeshire County Council.

4.3 Emerging Issues and our priorities for 2015/16

The Pembrokeshire Environment Forum partners have continued to take steps in developing their collaborative working and making progress on their agreed priorities. There is a great deal of aspiration in the Forum and particular note should be made to the breadth of engagement that has been undertaken on a number of areas of work.

Last year the partners were awaiting the submission of evidence under the European Nitrates Directive on the state of the Cleddau catchment. The evidence has now been submitted by Natural Resources Wales and following a delay due to the Welsh Government elections a consultation period is anticipated shortly. Following the outcomes of the consultation, interventions will need to be in place for 2017.

The Shoreline Management Plan has identified key settlements in the county who are at risk over the long term. Work will continue on the adaptation plan for Newgale. Further work with communities is planned to building upon the Community Resilience work already started. 4.4 Case Study

Managing Bait Digging at the Gann

The Gann, a Biodiversity Action Plan priority habitat of sheltered mixed gravel sediments, is a Site of Special Scientific Interest (part of the Milford Haven Waterway SSSI) and lies within the Pembrokeshire Marine Special Area of Conservation (SAC). Bait collecting is extensive on the site and has been for many years, consisting principally of digging holes to search for king ragworm, Alitta virens. There have been concerns for some time that the large scale of this activity has the potential to impact on the infauna and epifauna of the Gann as well as affecting the sediment composition of the site. Following recent partnership work we may now be a step closer to managing these impacts.

There are two types of digging at the Gann: regular, most likely commercial activity and recreational. The regular diggers are there almost every day and work in a methodical way, usually working the same area of the beach excavating large pits whereas the recreational diggers tend to dig smaller holes dispersed randomly across the beach. Legally speaking, personal bait digging is ancillary to the public right to fish – an individual can collect bait from the foreshore for his or her own use, whereas commercial activity requires the landowners’ permission - without which it is illegal. The difficulty arises in that it is very difficult evidentially to tell the two apart.

We were very fortunate in that the Pembrokeshire Marine SAC Relevant Authorities Group (SACRAG) were able to fund a review which considered case studies from across the UK. This proved to be invaluable in understanding and evaluating the different options available. Sue Burton, Pembrokeshire Marine SAC Officer organised a series of stakeholder meetings where representatives from the relevant authorities, members of the local angling and bait digging community and local residents agreed to progress a code of conduct to include zoning the beach into ‘dig’ and ‘no dig zones’. Restricting bait collection through zoning will ultimately require a byelaw or statutory instrument to back it up. This is not a quick option so a voluntary code can be used in the interim period while byelaws are being passed.

Natural Resources Wales (NRW), with help from the Pembrokeshire SACRAG, PCNPA, Dale Fort Field Studies Centre and the local community established sampling stations throughout the site to investigate the faunal composition of the area. The results of these investigations indicate that the lower, sandier shore supports a high abundance of species - in particular red algae, peacock worms and sand mason worms. The upper and middle shore exhibited a more muddy and gravelly sediment profile and contained the highest levels of bait digging; lower diversity and abundances of species and were recorded in these areas. A sign has been put up by the PCNPA to inform bait collectors of the code and we have subsequently been undertaking activity monitoring to determine compliance.

Some modifications are to be made to the zones following further analysis of the habitat, species and activity monitoring data and we will have to see how this pans out, but hopefully we are now one or two steps closer to managing the impacts of bait digging at the Gann.

4.5 Headline Indicators

A-Roads in Poor Condition Streets Cleaned to a High or Acceptable 9.00% Standard 8.00% 100.00% 7.00% 98.00% 6.00% 96.00% 5.00% 94.00% 4.00% 92.00% 3.00% 2.00% 90.00% 1.00% 88.00% 0.00% 2007-082008-092009-102010-112011-122012-132013-142014-152015-16

Carmarthenshire Ceredigion Pembrokeshire Wales Carmarthenshire Ceredigion Pembrokeshire

2014-15 position: Performance has improved for the last two years. Investment in 2014-15 position: Pembrokeshire’s cleanliness standard was well within the target carriageway resurfacing and strengthening based on highway condition data has of 96% for the year which was within the upper quartile when compared with enabled target to be achieved and exceeded. (Target is 5%) other authorities in Wales and performed well against our neighbouring authorities. Where are we now? The figure for 2015/16 is now 4.6% which shows a further Where are we now? The cleanliness standard for 2015/16 remains well within the small improvement below the target of 5%. The investment from Local Government target (96%). Borrowing Initiative appears to have resulted in “steady state” being achieved for this classification of road. The challenge in future years will be to maintain the roads at this condition when both capital and revenue investment are decreasing.

Waste Disposal (tonnes) 35000 30000 25000 20000 15000 10000 5000 0 2011/12 2012/13 2013/14 2014/15 2015/16

BMW Landfilled Recycled Composted

2014/15 position: Waste sent to landfill The tonnage of BMW (Biodegradable Municipal Waste) landfilled fell dramatically and was well within the decreasing landfill target by approximately 40%. This had been achieved through increased recycling and more residual waste sent to EfW (Energy from Waste) with the bottom ash recycled. Recycling & Composting The tonnage of waste recycled and composted increased significantly over the year through improved recycling of: orange bags, food waste, garden waste and diversion of residual waste to EfW – resulting in recycling of incinerator bottom ash. The introduction of fortnightly collections continued to have an impact as did the work of the waste advisors. Where are we now? Waste sent to landfill In comparing the performance in 2014/15 with 2015/16 the tonnage of BMW (Biodegradable Municipal Waste) landfilled has continued to fall due to increased composting. A large proportion of residual waste continues to be sent to EfW (Energy from Waste) with the resulting bottom ash recycled. This has kept us well within the decreasing landfill target. Recycling & Composting The tonnage of recycling has decreased this year due mainly to the drop in inert waste and sweeper aggregate collected. However the tonnage of composting has increased due in the main to an increase in sweeper waste that is composted. Recycling of dry recyclables through the various recycling schemes and the collection of food waste for anaerobic digestion has been maintained. However black bag waste has increased at a higher rate than recycling.

5. Health, Care and Well-being

People in Pembrokeshire are healthier

5.1 Introduction

It is widely recognised that health is affected by many factors. At an individual level there are fixed biological factors, such as age, sex and genetic make- up, and potentially modifiable lifestyle factors such as smoking, diet and exercise. In addition at a higher level are the wider determinants that influence health, directly or indirectly, including environmental, social and economic factors.

In terms of working to improve residents health and well-being, and to ensure better outcomes are delivered, it is has been acknowledged that this can be done more effectively if organisations work in partnership to address the range of components of good health and ensure that everyone is supported to be as healthy as they can be.

The HSC&WB Commissioning Partnership is accountable to the LSB for the delivery of the Health, Care and Well-being outcome theme in the SIP and continues to act as the partnership group with strategic oversight for the management, monitoring and delivery of emerging priorities. A number of key developments have been noted below and demonstrate how we have delivered on the agreed objectives.

5.2 What have we done

Priority 1: People will be helped and supported to take responsibility to improve their health and wellbeing throughout their lives Good Neighbour Schemes The number of schemes has continued to grow with the most recent being in the north of the county. The community embraced the true ethos of “good neighbours” and with an intergenerational approach and the involvement of all stakeholders, held an Information Event to launch the scheme in the community.

Dementia Friendly Communities The Authority has worked in close partnership with HDUHB and several voluntary organisations to support St David’s to become the first city in Wales to launch Dementia Friendly Communities. The City has raised awareness of dementia with all ages in the community and is encouraging people and businesses to be “dementia friendly”. Businesses have undertaken training and at school, young people have learnt what dementia means. Support for people with dementia and their carers is being developed by the community forum. Many members of the community along with representatives from PLANED, St David’s Community Forum and community members, St David’s City Council, Alzheimer’s Society and Ysgol Dewi Sant attended the launch which was supported by Steven Crabb MP and Sarah Rochira, the Older People’s Commissioner.

Carers During 2014-15 we have continued to implement the Carers (Strategies) Measure 2010, working together with colleagues from HDUHB to ensure we identify carers and provide them with appropriate information. We are in a strong position as we go into the final year of the plan when we will be considering how to take forward the key aims in conjunction with the implementation of the Social Services and Wellbeing (Wales) Act (2014).

Many organisations have received acknowledgement and accreditation for their work with carers under the Investor in Carers scheme including schools and Pembrokeshire College.

We have worked with Carers to facilitate the establishment of a Carers Forum in the County, learning from neighbouring authorities and working toward a model which will be organised and managed by carers themselves.

We celebrated Carers’ Week and Carers’ Rights Day, using them as focal points for activities and events to raise awareness and support carers. Organisations from the voluntary and statutory sectors, including Carers’ Wales, joined us in providing general information on support services and more specifically, information for unpaid or family carers.

The Pembrokeshire Carers’ Strategy, developed jointly with HDUHB, was launched this year and aims to improve the quality of life for carers in Pembrokeshire. Carers will be involved in the annual review and will be given the opportunity to feedback on progress and achievements, through Carers’ fora and events, newsletters and an annual survey.

Develop initiatives to improve the emotional wellbeing of children and young people Schools and pre-school settings continue to work on this aspect of the local scheme and National award criteria.

A number of initiatives have been introduced and/or maintained to improve the emotional wellbeing of children and young people including Restorative Practice (RP), Values Education, KiVa, Philosophy for Children and Team Teach to name but a few. Morning check in and check out at the end of the day provide opportunities to assess children’s feelings and provide support when necessary. Schools provide nurture groups like Pyramid and some have introduced the role of Emotional Learning Support Assistant (ELSA). Effective school councils with responsibility given to pupils of all ages are evident. There are many policies and strategies in place which follow national and local guidance including: attendance and wellbeing, safeguarding, anti-bullying, SEP etc. Circle time, PSE and SRE also contribute to the improvement of pupil wellbeing. A number of schools have recently completed the Foundations programme and are introducing Mindfulness to pupils to help them manage anxiety, feel calmer and to increase resilience in the face of stress and difficulties.

Increase availability of evidence based interventions in primary care Pembrokeshire Local Primary Mental Health Support Service (LPMHSS) has consistently beaten the Welsh Government targets for assessment and interventions despite the continually high volume of referrals from GPs across the county. (910 referrals were received from March-Sept 2015)

A number of new initiatives have taken place including the training of LPMHSS staff to deliver a pilot of the new mindfulness based ACT (Acceptance and Commitment Therapy) course which will now be part of the rolling programme of interventions set for the whole of 2016.

The LPMHSS continues to jointly work with the Local Authority Occupational Health Department and recently delivered the ACT course exclusively to LA employees through the LA Training Department.

The LPMHSS has recently been runner up in the Hywel Dda Mental Health awards for ‘outstanding excellence in a team’

Priority 2: We will reduce the inequities through cross-sectoral working Work in partnership with the voluntary sector Significant work has been completed with the voluntary sector during the year. In the South East of Pembrokeshire a trial of the 3rd Sector Broker being based in the GP surgery in Tenby for one morning a week has been undertaken. This has proven useful in terms of raising awareness of the sector with staff and the general public seeking information regarding services. Approaches have been received from a further 2 surgeries with arrangements being made to explore these opportunities further. In addition, through the ‘Caring communities’ small grants fund, British Red Cross were successful in obtaining money for a pilot with 2 GP surgeries to help raise awareness of the sector, and support patients who need 3rd sector services.

The PIVOT programme continued to support people with safe hospital discharges and avoidance of unnecessary hospital admission. The PIVOT and Care and Repair services have reported an increase in referrals. Progress towards a more robust preventative framework of partnership continues with further development of volunteer networks and engagement with health and social care professionals such as GPs.

A continued ‘push’ on raising awareness of ‘Info-engine’ is continuing with a number of training sessions having taken place during the year.

During the year PAVS fed into the Primary Care Cluster funding on behalf of the sector and have been invited to be a part of the quarterly GP cluster meetings to represent the interests of the 3rd sector and to input into cluster plans.

Transport and Health & Well-being Funding has been secured to maintain the Town Rider Services for 2016-17 with Community Transport (CT) information packs produced and distributed for GP surgeries across Pembrokeshire to promote services.

A joint recruitment campaign with PACTO to support and further develop existing Pembrokeshire Country Cars has led to a number of new volunteers for Accessible Country Cars. However, additional volunteers will still need to be recruited for regular Country Cars.

PCC have been working closely with the Health Board assisting with the development of non-emergency patient transport. There are now 4 services provided by LA and CT to assist with hospital transport with Social Services minibus now providing a service 5 days a week at Withybush Hospital to transport patients to outpatient appointments and home after being discharged. Pembrokeshire Voluntary Transport minibus is also used to transport EMI patients to St Brynachs,

The Pembrokeshire Country Car Eligibility Criteria has been amended to enable patients to access journeys to attend hospital appointments with a new initiative undertaken with Action for Children to provide transport for paediatric patients and their parents travelling to Glangwili Hospital.

Priority 3: People in Pembrokeshire will be provided with appropriate and sustainable health and social care services Reablement Service This service, delivered by the provider Human Support Group (H.S.G.) is flexible enough to accept referrals direct from health or social care or in cases of urgent need, provide a “rapid response”. We monitor activity and outcomes closely to ensure customer needs are met and contract obligations fulfilled.

There has been an increase in the number of customers who completed a reablement programme, regained their independence and had no further need for long term care from 49% last year to53% in 2014/15. Similarly the percentage reduction in planned domiciliary care hours for those completing a reablement programme rose from 47% last year to 57% in 2014/15.

Domiciliary Care Framework The new Domiciliary Care Framework is now operational. Twenty providers have been approved and registered and we believe this will lead to a rise in the standards and quality of care available in the county.

Working with our staff, HDUHB colleagues and H.S.G., we have refined and expanded the reablement pathway. H.S.G. will be able to directly refer customers who have completed reablement but now have no need for long term domiciliary care, to voluntary sector brokers. Customers will therefore have access to the voluntary services in the community which will support them to retain their independence.

Intermediate Care The Intermediate Care Fund (ICF) has provided us with an opportunity to test out developments to support reablement. Four step up/step down community beds are now available at Hillside, an in-house residential home in the north of the county. During 2016 we will be exploring options to maximise the use of in-house residential services, including capital investment into Hillside, to make available additional beds for customers receiving reablement services.

Bro Preseli Extra Care Scheme at Crymych opened in August 2014 and includes the provision of two flats, again funded by ICF, which are equipped to provide intermediate care to support customers on the reablement pathway. The scheme is also the site of the Bro Preseli Day Centre, attended by customers who used to attend day centres at Newport and elsewhere in Crymych. Not all Bro Preseli residents have friends or relatives nearby so we have commissioned a “responder service” enabling them to use the community alarm service where necessary giving them confidence around support in the event of a crisis.

As part of our compliance with the Older People’s Commissioner for Wales Review “A Place to Call Home”, we will publish Annual Quality Statements on the quality of life and care of older people living in commissioned and Authority run care homes in the county. We will be able to comment and provide assurance on the availability of independent advocacy, the quality of life and care, how the human rights of older people are upheld, and describe how we capture the views of older people, advocates and lay assessors around the quality of life and care and the location of care homes.

5.3 Emerging Issues and our priorities for 2015/16

During 2015 progress has been made to deliver on the ‘People in Pembrokeshire are healthier’ outcome. However the Partnership Board acknowledges there are considerable challenges ahead.

There is much work to be done with the introduction of the new legal framework for social care in Wales, as outlined in the Social Services & Well-being (Wales) Act 2014. In addition, there will be a requirement to meet the wider duties placed on public bodies with the introduction of the Well-being of Future Generations (Wales) Act 2015.

In addition, both statutory and voluntary sector partners continue to face a very difficult time in light of the financial climate, with the full impact of these challenges yet to be realised. However we will continue to focus on working together to make the best use of limited resources to shape sustainable service models that will meet the complex, changing needs of customers.

5.4 Case Study

Work in partnership with the Third Sector Client age 99, living with her daughter who is her main carer. Mrs. M is not mobile; she has had a hip replacement, has ulcers on her legs and has suffered a mild stroke. She is often forgetful

The referral came through the local Pharmacist who was concerned about the daughter’s health. The PIVOT leaflet was amongst his delivery of leaflets for the chemist shop from the Health Board and he thought to ring PIVOT to see if there was any help we could offer the client and her daughter. Mrs. M’s daughter is finding it increasingly difficult to care for her mother as she works full time; she is often exhausted and tired. There is a standard care package in place. Carers call 4 X Daily to help wash and dress client and give her breakfast. They call to give medication and then to put her to bed. Her daughter lives next door to her mother. There is another daughter who lives in Sussex who tries to visit every 8 weeks to give her sister some respite.

I visited the client and her daughter. I spoke to client and her daughter to see what help they wished to receive. The client would like to have someone to pop in to have a chat and maybe play cards/games. The daughter wanted to have some respite care so she could leave her mother and have a couple of days rest or to just go out shopping – some time out for herself. I telephoned the First Contact Team at PCC from the client’s house and arranged for someone to call out to complete a residential respite assessment; a carer’s assessment and registration. We completed the British Red Cross Carer’s card application form and the GP registration form for Carers. I referred client to Crossroads and to Alzheimer’s Society for the befriending service and also referred to Age Concern Cymru for their carer support service and befriending service.

An officer from PCC called out and completed the residential respite assessment, the carers’ registration and assessment. Mrs. M’s daughter has received her carer’s card from the Red Cross and has been to speak to the GP. Alzheimers Society have contacted client to arrange to visit. She had a call from Crossroads who said that they had a waiting list but would be in touch again soon. Age Concern Cymru said they did not have anyone in client’s area but would keep her details in case something turned up in the future. When I called the client’s daughter a couple of weeks later, she was feeling much more positive and happy. She has arranged for someone from the village to call in to visit her mother a couple of times a week to chat and play games.

Mrs. M’s daughter was overwhelmed by the amount of support that was available to help her as a carer. She said that she had wished she had asked for help before as she was totally ignorant of what services were open to her. She thanked me for visiting and putting the ‘wheels in motion’, she was very happy with the PIVOT service and with PCC for visiting promptly and completing the assessments so she could arrange respite for her mother.

CLYNFYW CARE CIC – CARING FOR THE CARERS: A support group for carers of vulnerable people of all ages Clynfyw Care Farm set up a support group for carers of vulnerable people across Pembrokeshire, North Carmarthenshire and South Ceredigion with the aim of providing information, respite, a social network and a range of activities. The regular attendees of the group benefitted through access to peer support, increased awareness of services, access to knowledgeable professionals and from sharing stories with other carers who have lived through similar experiences and challenges. The project has also provided carers with information regarding social services and in order for them to be able to access the support they need now, and to plan for the future. Case Study “A” became involved with the project after hearing about it through a 3rd party. A is 64 years old, widowed, and is the primary carer for her granddaughter who has learning disabilities.

“A” reported she has low moods when her caring responsibilities became tiring and overwhelming and despite having a good network of friends, family live some distance away.

Although “A” continues to face challenges and concerns, the project has enabled “A” to meet with other carers, to share difficulties and also re-connect with the joy that caring brings. The project supported “A” through the process around claiming Carer’s Allowance and “A” has built up a strong social network and useful contacts for support.

5.5 Headline Indicators

Life Expectancy (Males & Females) % Adult Obesity and % meeting physical activity 85 guidelines in past week

84 Pembs (M) 40 83 35 Pembs (F) % Adults Obese 82 30 Ceredigion (M) 25 81 Cerdigion (F) 20 %Wales Obese 80 15

Carmarthenshire (M) Percentage 79 10 % Adults Physical 78 Carmarthenshire (F) 5 Activity 0 77 Wales (M) %Wales Physical 76 Wales (F) Activity 2009 2010 2011 2012 2013 2014 2015

2014-15 position:In Wales, the overall life expectancy has risen since 1991-93 by 2013-14 position:According to a Sport Wales survey, there was a 34% jump in the 5.0 years for males and 3.4 years for females. Of the Local Authorities in Wales, number of adults regularly taking part in sport or physical activity between 2008 Monmouthshire had the highest life expectancy at birth for males and and 2012 with the figures being at their highest levels. Swimming, running and Monmouthshire and Ceredigion had joint highest life expectancy for females. cycling has seen noticeable increases while figures have also risen for football Blaenau Gwent had the lowest life expectancy at birth in Wales for both males and and golf. females. (Stats Wales.) Where are we now? In Wales, life expectancy at birth increased by 5.3 years for Where are we now? Across Wales, around 59% of adults are classified as men, from 73.3 years in 1991 to 1993 to 78.5 years in 2012 to 2014. For women, it overweight and 24% as obese. Men are more likely to be overweight than increased by 3.5 years, from 78.8 years in 1991 to 1993, to 82.3 years in 2012 to women, but there is little difference between the sexes for obesity. Obesity is 2014. more prevalent in middle age for both men and women. The prevalence of those who are overweight increases with deprivation, from ONS 2015. 54% in the least deprived fifth to 63% in the most deprived. A similar pattern is evident for obesity, with 17 per cent of people in the least deprived fifth reporting being obese compared to 29 per cent in the most deprived fifth (age standardised). In Pembrokeshire, 61% of adults are overweight, and 23% are obese. Welsh Health Survey 2015.

% Adults who smoke 30%

25%

20% Pembrokeshire 15% Ceredigion

Percentage 10% Carmarthenshire 5% Wales 0%

2013/14 position: Despite smoking being considerably lower than in the 1970s, the fall in rates has slowed down in recent years. Overall, smoking was more common in males than in females, although in children and young people the reverse is true. Smoking rates were highest in the most deprived areas of Wales. More than 40 per cent of adults who have never worked or are unemployed were current smokers, with no signs of this figure decreasing. Smoking rates in managerial and professional groups had decreased in recent years. These trends are likely to contribute to widening health inequalities in the future. Where are we now? Across Wales, 19% of adults report that the smoke. A slightly higher percentage of men smoke than women (21% compared to 18%) and the prevalence of smoking peaks at around 25-34 for both men and women, and then decreases. Smoking rates increase with deprivation, with smoking rates amongst those living in the most deprived fifth of areas more than two and a half times that of the lease deprived fifth (29% compared to 11%). Pembrokeshire has the lowest smoking rate in Wales, along with Ceredigion, at 16% (age standardisation). (Welsh Health Survey 2015)

Delayed transfers of care from hospital to appropriate care setting 4.5 4 3.5 3 2.5 No. per 1000 2 population aged 75+ 1.5 1 0.5 0

2014-15 position: Effective joint working continued to result in good performance Where are we now? 15/16 result - 1.4 15/16 target - 0.5 There has been an increase in the number for DTOCs, resulting from challenges in sourcing domiciliary care packages and complexity of cases. However, effective joint working has supported a result that is within the top quartile and is better than the Wales average.

% of carers offered assessment or review 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%

2014-15 position: Planned activity to engage with carers contributed to this good performance Where are we now? 15/16 result 100 15/16 target 100 Planned activity to engage with carers has contributed to this good performance

6. Safeguarding

Children and adults are safeguarded

6.1 Introduction

Safeguarding Children and Adults

• The Social Services and Wellbeing (Wales) Act 2014, has strengthened the arrangements for safeguarding both children and adults by Local Authorities and partner agencies. Safeguarding Boards are now a legal requirement with a National Independent Safeguarding Board also being established. • The objectives of the Safeguarding Boards and local sub-groups are: a) To protect children and adults within its area who are experiencing, or at risk of, abuse, neglect or other kinds of harm, and b) To prevent children and adults within its area from becoming at risk of abuse, neglect or other kinds of harm. • A Safeguarding Board must seek to achieve its objective by co-ordinating and ensuring the effectiveness of what is done by each person or body represented on the Board (Social Services and Well-being (Wales) Act 2014 section 135, 1 and 3). • There is now one set of regulations for both Safeguarding Adults Boards and Children Boards. This is in line with the commitment to provide a framework for improving safeguarding arrangements for everyone and that any artificial barriers based on age are challenged. It recognises that the Boards initially will operate in parallel but that arrangements for the Boards should allow sharing, exchange and joint working on matters of mutual concern, and that this should be supported wherever possible by common functions and procedures.

• The Mid and West Wales region has agreed to develop the infrastructure and resources of support for both Adults and Children Boards with a shared business manager and dedicated administrative support. These posts will be hosted by Pembrokeshire. The funding framework ensures appropriate contributions from safeguarding partners i.e. the Local Authority, the Local Health Board, Police and Probation respectively.

• The four individual County-based Adult Protection Committees have formally merged to form one Regional Mid and West Wales Safeguarding Adults Board, with the inaugural meeting held on 14 April 2016. The Board is hosted and chaired by Pembrokeshire County Council. • CYSUR delivers the Safeguarding Children Board functions across the Mid and West Wales region, and has been established since 2014.

• The two Boards will convene their meetings on the same day, with cross-cutting matters around safeguarding formally discussed at a joint adults and childrens meeting in between both Boards. • The Pembrokeshire Local Operational Group for Children has been established since 2014.

• The equivalent Local Operation Group for Adults will hold its inaugural meeting on 25 July 2016.

• The Local Operational Groups for Adults and Children will ensure local safeguarding issues are addressed and given scrutiny. Their work will feed into their respective regional Adult and Children Safeguarding Boards. There will also be a joint adults and children’s safeguarding meeting, mirroring the regional structure as mentioned immediately above.

• The above developments are in line with the new Act, and represent an important development for safeguarding both adults and children in Pembrokeshire and across the Mid and West Wales region.

6.2 What have we done?

The development of the Integrated Safeguarding Service (Children and Adults)

• A considerable amount of the safeguarding agenda overlaps across both children and adult services. It is recognised that there are areas of good practice within each department of the directorate which should be shared to ensure continuous improvement in the way we work and deliver services and in line with the Social Services and Wellbeing (Wales) Act 2014.

• Significant work has been undertaken during 2015/16 to develop new ways of working in relation to safeguarding in Pembrokeshire. A service manager for Integrated Safeguarding and team manager for adult safeguarding team have been appointed, and enhancements made to the business manager post to work across adult and children services. The responsibility for the coordination of safeguarding boards and all their work streams is now the responsibility of the Integrated Safeguarding Hub alongside Child Protection conferencing, managing allegations, education safeguarding, the lead for Signs of Safety and the Independent Reviewing Officer team.

• The adult safeguarding team is now co-located with the children’s safeguarding team in County Hall, sharing accommodation with the Safeguarding Business Manager, the Safeguarding in Education Manager, the Child Protection Conference Chairs and the Team Managers for Safeguarding (including the LADO - Managing Allegations).

• The Integrated Safeguarding Hub will enable more effective use of resources, including business support such as administration and minute taking, the sharing of good practice, increased learning opportunities and rationalisation of accommodation and service efficiencies.

• Other benefits include mutual support for staff and trust from working in a shared workspace with colleagues from a different service area; staff from both services will gain an understanding of the wider safeguarding agenda and good practice and ways of collaborating will start to emerge as a result of co-location.

Safeguarding Children

• Now in its second year of implementation, the Signs of Safety framework, a solution-focused approach to safeguarding practice across Children & Adult services in Pembrokeshire, has been further developed during 2015/16 for the role of practice leaders for senior social workers to champion the approach within day to day practice. The assessment, care planning and review processes have been redesigned to embed the approach within practice. This has resulted in a positive shift towards person centered planning; more time spent with families and citizens; improved quality of risk assessments and family / citizen engagement and feedback to date has been extremely.

• Referrals to Team Around the Family (TAF) have increased by 30% over each of the previous two years. Referrals received for 2015-16 are currently 445 as at 21/03/16. As referrals to TAF have increased, the numbers of Looked After Children and on the Child Protection Register have decreased. Feedback from families completing work with TAF is consistently good, with the majority reporting that positive progress has been made relating to the changes that they wished to make.

• The Psychology Service for Looked After Children was successfully established during early 2015, and provides timely access to psychological consultation and intervention to improve the emotional health of Looked After Children. Evaluation reports have been received in 2015/16. During this period 48 referrals were accepted by the service. Activity in the nine month period from July 15 to April 16 included 70 direct contacts with young people, 39 consultations with foster carers and 12 Team Parenting Meetings.

• Flying Start continues to develop in Pembrokeshire, with the expansion into Neyland now completed and the development of a Flying Start hub in the centre of the catchment area. Flying Start is now established in five areas of the County: Pembroke, Pembroke Dock, Milford Haven, Haverfordwest and Neyland. The service was delivered to 1226 children during 2015/16. During 2016/17 the focus will be on reviewing the Flying Start provision, including take up of services provided.

• The Mid & West Wales Consortium (Pembrokeshire, Powys, Ceredigion & Carmarthenshire) was set up to deliver this service, and continues to support a regional approach to delivering IFSS interventions across west Wales. Pembrokeshire Integrated Family Support Team has been working with families since 2012, delivering a service underpinned by an evidenced based model using Motivational Interviewing and Solution Focused work to promote sustainable change within families. Each integrated family Support Team is required to be multi-disciplinary with senior practitioners from Social Care and Health. The IFSS interventions have two phases; the initial phase is very intensive with the practitioner spending in excess over 40 hours directly with the family over the first month. The second phase, lasting 11 months is used to review progress, with support from the Quality Assurance Team, and provide ‘booster’ sessions if necessary. Pembrokeshire IFST delivers training programmes to promote working with families in a ‘strength based’ way and fits well with the Signs of Safety approach being championed in Pembrokeshire.

• The When I’m Ready Scheme continues to help young people in Pembrokeshire remain with their Foster carer beyond the age of 18 years. There are currently five young people involved in the When I’m Ready Scheme in Pembrokeshire. Currently, there are close working relationships between the Corporate Parenting Team/Family Placement Team/Family Intervention Team Manager in administering the scheme to promote successful outcomes for young people as outlined.

• Close working links are in place with the education service. The Safeguarding in Education manager works across Children’s Service and Education, and is based in the Integrated Safeguarding hub, 2.5 days per week, working alongside key safeguarding leads. This role ensures robust links and effective information-exchange occurs between schools, education colleagues and social work staff. The role also works closely with, and supports, the designated officer for managing allegations in relation to education professionals. The Director for Children and Schools chairs the education safeguarding meeting and is the lead director responsible for safeguarding in education. This brings together key safeguarding leads to provide oversight and scrutiny on practice across Pembrokeshire.

• We are currently evaluating our methods of delivering safeguarding training across children’s and adults services. We are leading on the development of the regional safeguarding strategy and framework, and recognise that there is an opportunity for some training to be commissioned on a regional basis along with the need to make safeguarding training more accessible considering the use of e learning products.

• A high profile multi-agency Safeguarding Conference entitled Pembrokeshire Safeguarding Children Conference – Exploitation of Vulnerabilities was held during September 2015 at Pembrokeshire College, with over 160 staff in attendance. The event was organised jointly by the Local Authority’s Safeguarding Service, Pembrokeshire College and the Martin Roberts Foundation. Areas covered included child sexual exploitation, radicalisation, domestic violence and honour-based abuse and forced marriage. Further Safeguarding Conferences will be organised and run during 2016/17, also in conjunction with the Regional CYSUR Safeguarding Children Board.

• Significant progress has been made in Pembrokeshire regarding our safeguarding obligations around the Prevent strand of HM Government’s Counter Terrorism & Security Act (2015). Training and awareness-raising of radicalisation and Prevent has taken place across all agencies including Social Services, Education and Housing.

• Pembrokeshire has been identified as a model of good practice for its Channel Panel process and strong collaborative multi-agency working; in particular the commitment and expeditious approach of key staff in their risk-assessments and allocation of resources and support. Local Authorities are an important element of the Channel process. In Pembrokeshire, the governance for this process is provided by the Integrated Safeguarding Service. Channel Panels are chaired by the Integrated Safeguarding Service Manager, with Business support provided by the Integrated Safeguarding Business Manager. Because both of these posts cover adults and children services, they are therefore able to coordinate and oversee the whole process from a Pembrokeshire perspective. To provide a consistent and collaborative regional approach, the strategic work of Prevent is currently being considered on a regional basis, with referrals still being progressed on a local county basis.

• Pembrokeshire Social Services has developed a Practice Standard on the voice of the child or young person. The Practice Standard is a means of ensuring that practitioners understand what this means and the importance of including the child’s voice in service-delivery and planning. Pembrokeshire adopted the UN convention on the rights of the child in March 2014. We have a number of dedicated officers who work in the council to ensure the voice of the child & young person is heard. We are however clear it is also everyone’s business. There are a number of structures that enable this in a more formal way. These include: Pembrokeshire Youth Assembly, Junior Safeguardians, School Councils, Youth Councils/Forums and Special Interested groups e.g. LGTG group.

Safeguarding Adults

• During 2015/16, the governance and business support for the Pembrokeshire Adult Protection Committee (APC) was enhanced and improved to provide a more robust structure, reporting mechanisms, and oversight of adult protection in Pembrokeshire. This included strengthening the Term of Reference and membership, and the creation of sub-groups for practice learning, training and development. The Regional Safeguarding Adults Board has now replaced the APCs across -Powys

• A further important development during 2015/16 in both Adults and Children’s services is the development and implementation of Multi-Agency Professional Forums (MAPF), in line with Welsh Government guidance. These are the foundation for producing organisational learning, improving the quality of work with families and strengthening the ability of services to keep children and adults safe. The purpose of the MAPF is to produce learning from cases, audits, inspections and reviews in order to improve future child and adult protection policy and practice. The Local Operational Groups will be responsible for oversight and dissemination of agency learning into front-line practice.

• The Commissioned Social Services Quality Assurance Group was established in January 2016 to ensure that quality assurance and safeguarding arrangements are in place across all Commissioned Social Services. This objective will be achieved through gathering and sharing information and intelligence on the quality of services provided, service user feedback and evidence of personal outcomes being achieved. Information will be analysed and used to inform the quality of service delivery, appropriate safeguarding functions and future strategic planning and commissioning models and decisions. 6.3 Emerging Issues and our priorities for 2016/17

Integrated Safeguarding Service (Children and Adults)

• Multi Agency Practice Forums (MAPF) established, including the development of the referral pathway process, recording and dissemination of learning, with links to quality assurance clearly defined. • Establish Independent Reviewing Officer role in quality assurance, developing constructive feedback to teams and a process for escalating concerns operating effectively. • Establish strong process for ensuring the voice of children and young people is active in the Looked After Children process. • Review of how allegations of professional abuse in adult social services are managed and learning from LADO role used to develop practice. • Continue to implement and embed Signs of Safety framework in all social work practice and process.

6.4 Case Study

Children’s Services

Background: Helen moved to Pembrokeshire when she was six months pregnant to live with her boyfriend Dan. Helen’s midwife contacted social services because she had gathered information from her previous midwife that was concerning. After speaking to social services in the Local Authority where she formerly resided, it was established that Helen had grown up in care most of her life and her previous child had been removed from her at birth; this child has now been adopted. Helen had had a troubled childhood and had used drugs and drink throughout her previous pregnancy, she was also in a violent relationship.

Intervention: Social service and health staff began to work with Helen, who told us she wanted a chance to parent this baby to prove us wrong. Helen had been ‘clean’ throughout her pregnancy, had attended all appointments and wants to make a family with Dan and live in Pembrokeshire. The Pembrokeshire social worker went to the area where she previously lived to read the files. Helen’s history was very concerning; an Initial Child Protection Conference (ICPC) was called. Just before the ICPC was due to be held, Helen and Dan had a big fight; Helen was pushed down the stairs and Dan disappeared with a police warrant issued for his arrest. Thankfully Helen and baby were well. At the initial Child Protection conference it was agreed that the baby’s name would be placed on the child protection register at birth under the category of neglect. Pembrokeshire County Council also instigated care proceedings in respect of the baby, and an interim care order was granted.

Helen started the process of obtaining a house; she kept herself well and Dan did not reappear. Helen also told us that Dan was not the father of the baby and he would not be on the birth certificate. Baby Zoe was born healthy and it was agreed in court that a parenting assessment would be undertaken in a specialist mother and baby foster placement. Helen and Zoe thrived in the foster placement and, despite all the odds, the parenting assessment was positive. There were challenges along the way, and Helen was still difficult at times; however good progress was made. Pembrokeshire County Council continued with a ‘twin tracking’ approach; working with Helen to help her prove she should keep the baby whilst, at the same time, preparing to obtain a full care order in preparation for adoption. Zoe’s name was taken off the child protection register at first review as she was subject to a care order.

Outcome: Following a period of assessment, observation and intensive support, Helen and Zoe went to live independently. Pembrokeshire County Council progressed to the end of proceedings with a final care plan and statement that asked the court to grant a Supervision Order, so that they could continue to support Helen over a long period of time. This supervision order has now ended, Helen is settled and Zoe is starting nursery. Social service support is low level via the Team Around the Family service. It is envisaged that Helen and Zoe will need longer term support via this service.

Adults Services

Background: The Adult Safeguarding Team received a referral from a care agency in relation to ‘A’. A was a gentleman in his 90’s who had complex health and social needs, he was bed bound, living in his own home in the community. A shared his home with his daughter ‘B’. Carers reported they were becoming increasingly concerned about B’s emotional wellbeing and the impact this was having on her father A. Carers reported that B presented with violent behaviour, there were unexplained marks and wounds on A which carers believed B had caused. Carers believed A was unable to protect himself from further abuse and harm and remained at risk.

Adult Safeguarding Process: A strategy discussion was undertaken with the police, it was agreed a joint visit to A was required. The Adult Safeguarding social worker and Police undertook the home visit to A. It was established during this visit that A had difficulty communicating, had some level of cognitive impairment and was reluctant to engage. However, it was assessed that A retained Mental Capacity to make decisions about where he resided and his future care and wellbeing. During the visit A indicated that he was aware of his daughter’s mental health issues. A later pulled back his sleeve to reveal significant bruising to his forearm, he stated he could not remember how this had occurred.

An Adult Safeguarding strategy meeting was then held followed by a case conference in which A’s two other children participated. They both lived away and shared their concerns about their father’s wellbeing and safety in relation to their sister’s behaviour. They also provided evidence of damage to A’s home caused by B. It was agreed that the Police had no power to remove B as no crime was being reported, leaving A at risk of harm in his own home. In an attempt to mitigate this risk a meeting was held with B and her two siblings in which all concerns were discussed with B and she was asked to leave A’s home.

Outcome: An Adult Safeguarding protection plan was put in place to safeguard A. This involved support for B to leave the family home and encouragement for her to seek support for her mental health. This enabled A to remain living in his own home whilst removing further risk of harm. Measures were put in place to facilitate contact between A and B. This continues to safeguard the emotional and physical wellbeing of A.

6.5 Headline Indicators Headline Indicators Safeguarding Children

No. of Looked After Children

300 250 200 150 100 50 0

Pembs Ceredigion Carmarthenshire Wales Average

2014-15 position: At 31st March 2015 there were 115 looked after children in Pembrokeshire. This meant that Pembrokeshire had the lowest number of looked after children per 10,000 population (46 per 10,000) aged under 18 when compared with other Welsh authorities. The Welsh average was 89 per 10,000 population aged under 18. Where are we now? At 31st March 2016 there were 126 looked after children in Pembrokeshire, a slight increase compared with the end of year figure at 31st March 2015. Performance Indicators for 2015/16 are currently being validated and comparison data for other local authorities and Welsh average figures are currently not published for 2015/16. There is continued focus on early intervention and prevention work via a suite of services such as the Family Information Service, Flying Start, Team Around the Family, Families First Commissioned Projects and Early Years Provision within the County, including Assisted Playgroup places and Community Child Care Provision. There would appear to be a link between the decrease in the numbers of Looked After Children and numbers of children on the child protection register with the increase in referrals to prevention services like TAF. Whilst it would be unrealistic to link this decrease entirely to early intervention and prevention services, it is important to recognise they have no doubt contributed to the reduction and stabilising of LAC and CPR numbers. The percentage of reviews carried out within statutory timescales during the year has improved during 2015/16 compared with 2014/15. All looked after children have an allocated Social Worker.

No. of Children on the Child Protection Register 180 160 140 120 100 80 60 40 20 0 2008 2009 2010 2011 2012 2013 2014 2015 2016 Pembrokeshire Ceredigion Carmarthenshire Wales Average

2014-15 position: At 31st March 2015 there were 64 children on the Child Protection Register in Pembrokeshire. Where are we now? At 31st March 2016 there were 59 children on the child protection register in Pembrokeshire, a reduction compared with the end of year figure at 31st March 2015. Performance Indicators for 2015/16 are currently being validated and comparison data for other local authorities is currently not published for 2015/16. As with looked after children numbers (see previous graph / section) it should be recognised that early intervention and prevention services have been a contributing factor in the reduciton of numbers on the CPR. Performance in respect of timeliness has remained at 97% for 2015/16 (and 2014/15) for the % of initial child protection conferences due in the year which were held within 15 working days of the strategy discussion. The percentage of initial core group meetings due in the year which were held within 10 working days of the initial child protection conference has improved since last year and is above the Welsh average of 90% (2014/15). All children on the child protection register have an allocated Social Worker.

Safeguarding Adults

% Adult Referrals where risk managed 100% 98% 96% 94% 92% 90% 88% 86% 84% 2011/12 2012/13 2013/14 2014/15 2015/16

2014-15 position: The consistent performance continues supported by improved processes.

Where are we now? % of adult referrals where the risk is managed is a national performance indicator. It reports on referrals that proceed to adult protection procedures where the risk is managed is various ways. There is no Pre-plan position for this indicator other than what has been reported previously. As soon as a contact to the adult protection team is recorded as a referral the risk is managed through the process which is followed. During 2015/16, consistent good performance continued, supported by an improved process and electronic recording system.

Matters of concern reported to the Pembrokeshire Adult Protection Team 1000 800 600 400 200 0

No. of referrals No. meeting threshold

2014-15 position: The escalating concerns procedure has been reviewed and will be finalised as part of the wider workstream to agree a multi-agency escalating concerns protocol. Meetings have been set up with health colleagues to further inform the current draft of the protocol. The draft escalating concerns protocol will be progressed through the internal scrutiny processes of each organisation. The quality assurance framework and matrix has been implemented. The intelligence framework is in place and is developing as information is assimilated. All contracts have been risk assessed and RAG rated, based upon available intelligence. All relevant contracts have been subject to a desktop review within 2014-15. However, targeted higher risk contracts, were subject to a more intensive monitoring and review process. Intelligence is now being utilised to inform quality monitoring arrangements. Two Quality monitoring posts, funded by the Intermediate Care Fund are in place to support the quality risk framework. The intelligence generated by this will feed into improvement plans with the sector. Where are we now? The conversion rate of matters of concern that progressed to adult protection procedures for 2015/16 was 56%. It should also be noted that of the 773 referrals that did not progress to procedures, 223 were inappropriate and 550 required further investigation to determine that they did not meet threshold of significant harm. The new processes and systems outlined below will improve recording and conversion rates. The Adult Safeguarding team have now formally integrated with the Children’s Safeguarding team in one co-located office in County Hall. The relevant forms and documents have been updated in compliance with the new Act. There has been an increase in screening and advice provided, again, in line with the new Act. The Service is working to develop the team and resources. A senior practitioner role and team manager have been appointed. Escalating concerns process is embedded and continues to operate and suppor providers with care. The Commissioned Social Services Quality Assurance Group and Local Operational Group will work to ensure that quality assurance and safeguarding arrangements are in place across Pembrokeshire, with a direct line to the new Regional Adults Safeguarding Board.

7. Safety

Communities in Pembrokeshire feel Safe

7.1 Introduction

Pembrokeshire remains one of the safest places to live in England and Wales, with very low levels of crime and disorder compared to other areas. However, local problems do exist and partners remain committed to doing all that they can to make Pembrokeshire even safer. The Community Safety Partnership acknowledge that despite the very low levels of crime and disorder, fear of crime is still a significant concern for many residents and therefore public reassurance is an important aspect of its work. Crime, and the fear of crime, has a negative impact on community cohesion.

7.2 What have we done?

7.2.1 Provide an effective and coordinated response to antisocial behaviour, focusing on prevention and early intervention

• The outcome in May 2014 of a tendering exercise undertaken by the Police and Crime Commissioner (OPCC) awarded Gwalia the contract to provide a new regional Anti Social Behaviour service. Activity co-ordinated by ASB officers within each CSP area ceased from April/May 2014 as OPCC funding ended. The Gwalia service was formally launched on the 27th March 2015.

• The majority of 2015/16 ASB referrals have been submitted via Dyfed Powys Police, however in the latter part of the year other partner agencies started using the referral procedures. The ReAct system is still very far behind schedule, with roll out still pending.

• Following identification of a gap in early intervention provision, mediation training was completed in September 2015. Eight Gwalia staff and 4 police officers were trained. A mediation service was launched in November 2015 and early indications are that this could be a valuable tool in resolving ASB issues. The service is also looking into the possibility of linking with partner agencies who have staff that are trained in mediation processes in order to have a larger number of mediators available.

• Gwalia have recruited four support workers to provide support to victims of ASB, with one worker located in each County (Pembrokeshire, Carmarthenshire, Ceredigion and Powys). Support is tailored to the individual following an initial assessment and includes helping them to feel safer in their homes and communities and to manage money, relationships and accommodation. Support workers will also assist with signposting to other agencies and liaising with other agencies on the victim’s behalf.

7.2.2 Reduce the harm caused by substance misuse

• Following a regional tendering exercise via the Substance Misuse Area Planning Board, on 1st April 2015, Dyfed Drug and Alcohol Service (DDAS) via Drugaid Cymru started providing services in Pembrokeshire. The new service provides a single point of contact across generic and criminal justice provision for the first time, with one service provider delivering services for the three counties of Pembrokeshire, Ceredigion and Carmarthenshire.

• The new service resulted in additional client facing roles, with new services such as Needle Syringe Programmes, Family Support services, drop in provision, BBV services being delivered for the first time in Pembrokeshire.

7.2.3 Protect every individual’s right to be safe

• The 10,000 Safer Lives project data returns from September 2015 showed that the project had exceeded its target with over 14,000 individuals reporting they feel safer or are safer as a result of the work undertaken to tackle Domestic Abuse and Sexual Violence in Wales. In light of the Safer Lives exceeding targets and the new Act the remaining relevant standards have been taken forward as part of the implementation of legislation rather than via a separate 10,000 Safer Lives Project.

• Violence Against Women, Domestic Abuse and Sexual Violence (Wales) Act 2015 (VAWDASV) received Royal Assent on 29th April 2015. The first law of its kind in the UK, its overarching purpose is to improve the public sector response in Wales to gender-based violence, domestic abuse and sexual violence.

• The Violence against Women, Domestic Abuse and Sexual Violence (Wales) Act 2015 included the appointment of a National Adviser to drive improvements in the way services for victims and survivors of gender-based violence, domestic abuse and sexual violence are planned, commissioned and delivered. Ms Bowen-Davies was appointed in July 2015 and released her first annual plan on 20th April 2016.

• The National Training Framework for Wales was launched in January 2016. Compiling a series of 5 Groups of training, Groups 2-5 are still being developed by Welsh Government. Group 1 generic awareness training for staff will be rolled out in 2016/17.

• Older Peoples Commission representative Steve Bartley presented to the Domestic Abuse Delivery Group. Following this, alterations to the Risk DASH (Domestic Abuse, Stalking, Harassment and Honour Based Violence) were made to include questions relating to older people. This work is also supporting the principal are working towards, that instances of domestic abuse on older people should be reported as domestic abuse incidents and not documented as safeguarding/Protection Of Vulnerable Adults matters.

7.2.4 Reduce the impact of reoffending within our communities

• The Integrated Offender Management (IOM) partnership team continue to work collaboratively on joint action plans, tailored to each individual on the cohort. Each action plan aims to tackle the reasons for offending and therefore reduce the likelihood of it happening again. This work is showing continued success with a regular number of offenders exited from the scheme due to reduced offending and more stable lifestyle behaviours.

• The Cleddau IOM team link closely with relevant service providers and agencies to ensure robust collaboration to tackle substance misuse, physical/mental health and housing issues.

• A recent CCTV review undertaken by Instrom suggested that Pembrokeshire’s CCTV provision was the most efficient within the Dyfed-Powys area and was the most fit for purpose. The Councils own and maintain the majority of the cameras in the county, while not actively monitored were accessed only by the police when required.

• The Haverfordwest Police Station Custody Suite has been selected as one of four in Wales to pilot the Women’s Pathfinder project. The aim of the Women’s Pathfinder project is to reduce female offending and re-offending by providing a women-specific, whole system, integrated approach to service provision in Wales, helping women to address underlying issues, avoid trouble and build relationships.

7.2.5 Prevent violent extremism

• Through working with key partners in the following areas, structures have been put in place to discuss / refer any individuals that are identified as being vulnerable to being exploited; Mental Health Teams, Social Services, Education, Local Authority, Fire and Rescue service, NHS, Probation service and Substance Misuse services. In addition the county holds local CONTEST Boards in order to ensure key partners receive information in relation to the local Counter Terrorism situation via the Counter Terrorism Local Profile.

• Key front line staff within the following professional areas have had their awareness raised in relation to the Prevent agenda via ‘WRAP’ (Workshops to raise the awareness of Prevent); Mental Health Teams, Social Services, Education, Local Authority, Fire and Rescue service, NHS, National Probation Service and Substance Misuse services.

• The locally based Op Protect Team in conjunction with partners within the Local Resilience Forum (LRF) has held a number of exercises to heighten awareness and readiness across a whole range of potential incidents.

• Hate Crime pages have been added to Pembrokeshire County Council’s internet and intranet to raise awareness and signpost victims for reporting and support services. Pembrokeshire County Council’s e-learning module was also revised.

• Channel, part of the Prevent Strategy, Channel is a programme which focuses on providing support at an early stage to people who are identified as being vulnerable to being drawn into terrorism. It uses a multi-agency approach to protect vulnerable people by identifying individuals at risk, assessing the nature and extent of that risk, and developing an appropriate support plan for the individuals concerned. Pembrokeshire Channel Panels utilise existing local Safeguarding Panel structures as their basis. The Chair of the Children’s Safeguarding Panel has assumed the role of Channel Panel Chair and existing members have participated in training which Police Channel experts attended.

7.3 Emerging Issues and our priorities for 2016/17

Provide an effective and coordinated response to antisocial behaviour, focusing on prevention and early intervention o Reducing alcohol-related crime and anti-social behaviour. o Existing CCTV cameras are useful in providing evidence and deterring crime, more work is needed to evidence the benefits to the Police, A&E and the local economy, amongst others. Work also needs to be done in relation to the availability and greater use of deployable cameras. o Implement the requirements of the Anti -Social Behaviour, Crime And Policing Act 2014. o Work with Gwalia to ensure the integration of their ReAct referral database system anticipated to enhance the sharing of information. Explore with Gwalia a mediation service that should provide further support to the local ASB service.

Substance Misuse o Joint working on raising awareness of specific events in the county where alcohol will be available. o Co-ordination between the sectors to tackle New Psychoactive Substances (NPS) use and its associated harms. o Further awareness raising and education across the age ranges to reduce the use and associated harms of NPS. o Further joint training to address the under reporting of alcohol related attendances in A&E. o Monitoring and delivery of the regional Substance Misuse contract.

Domestic Abuse o Improved outcomes for men, women and children victims of domestic abuse. o Partnership service provision to be developed from the Domestic Abuse One Stop Shop. o Clarify and improve the reporting of Domestic Violence incidences among older people. o Implement the requirements of the VAWDASV (Wales) Bill 2015.

Reduce the impact of reoffending within our communities o Work in partnership to ensure all those at risk of reoffending or causing harm to the community are ‘in scope’ of the Cleddau Integrated Offender Management project. o Implement new national guidance toolkit locally to ensure Pembrokeshire’s IOM project is fully IOM Cymru compliant. o Work to ensure a successful pilot for the Dyfed-Powys Women’s Diversionary Scheme. o Implement the requirement of Through The Gate (TTG). o Monitor the impact of the Housing Bill in relation to IOM.

Prevent violent extremism o The Counter-Terrorism and Security Act received Royal Assent on 12 February 2015. Among other provisions, the act places the Prevent programme on a statutory footing. This means that in future all local authorities will have a duty to have due regard to preventing people being drawn into terrorism. Therefore we will need to deliver Prevent and Channel. Channel Panels will need to be established and Prevent Action Plans drawn up. o The introduction of the Modern Slavery Act 2015, which received Royal Assent on 26 March 2015, will help to strengthen approaches to tackle modern slavery across the UK and this will enhance delivery in Wales to support victims and to tackle perpetrators. Within the emerging structures and processes to tackle modern slavery there will need to be a continued focus upon partnership working and a continued commitment across agencies and partners to fully embed and mainstream approaches. There is a need to ensure victims are confident to come forwards and agencies are confident and able to report concerns. o Continued need to raise awareness to increase reporting of Hate Crime. o Engage with key departments on tackling hate crime, for example housing, education, health and social services.

7.4 Case Study

IOM Cymru Womens Pathfinder Project

The IOM Cymru Womens Pathfinder Project is a partnership initiative led by the National Offender Management Service in Wales and the four Welsh Police Forces with support from Welsh Government and other partners. Its purpose is to support women who have committed an offence and to divert them out of the criminal justice system. The Diversion Scheme received Home Office Innovation Funding. The Diversion scheme and the end-to-end model is taking place in 4 different places (St Asaph, Newport, Merthyr and Haverfordwest).

The aim of the Diversion Scheme is to divert those who have committed a low level crime Pathfinder supports women at all stages of the Criminal Justice System (CJS). The Diversion Scheme is one element of this. Through the Pathfinder partners have been working together to provide a co-ordinated, multi agency, women-specific approach to the management of women across the Criminal Justice System (CSJ) and beyond. Referrals take place from the custody suite. Women must give consent to be part of the Pathfinder. There is an ongoing programme of research and evaluation attached to the project.

Features of the end-to-end model are: • Co-location arrangements where possible in more engaging environments • Weekly multi-agency case conference • Single assessment process

This scheme went live in Pembrokeshire on 21st of January 2016. Up to March 2016 there had been 18 referrals, exceeding expectations. The top three needs recorded have been; mental and physical health, finance, benefit and debt and alcohol.

Initial outcomes

• Wales CRC now use the One Stop Shop for women only case reporting one day per week, and also access it for 10 weeks per annum to run programmes. Additional drop in sessions are in the pipeline • Close links are being made with the Soroptimists who are keen to provide meet and greet services to women accessing both this and other One Stop Shop Services • Case Conference meetings started in April and have been found to be a good forum to take cases and identify appropriate agency to provide support

7.5 Headline Indicators

Crimes per 1000 population 60 50 40 30 20 10 0

Pembrokeshire Ceredigion Carmarthenshire

2014-15 position: Over the last 12 months, Pembrokeshire has seen a reduction in the number of recorded crimes per thousand population. However, there are signs that this trend is starting to reverse and over recent months there has been an increase. This trend is set to continue. Analysis of crime and incident data across the force has identified a possible correlation between decreases in the number of anti-social behaviour incidents and an increase in low level assaults. These changes have coincided with a time when the force has placed an increased focus and scrutiny on accuracy of recording crime, and it appears that incidents that may historically have been recorded as Anti-social behaviour are now being recorded as common assaults. There has been a rise in the number of sexual offences. This is reflected across the force and nationally and may potentially be attributed to increased publicity relating to high profile national cases and an increased confidence in reporting such incidents to the police. There has been a reduction in alcohol related crime over the last 12 months, from 50% to 37%. An evaluation has been completed, and it is likely that the Local Alcohol Action Area scheme that has made a positive contribution towards this reduction and in particular the effective targeting of night time economy areas. Where are we now? Overall crime levels in Pembrokeshire have risen in comparison with recent years. Crime levels are up by 9.4% (+431 crimes) compared to the previous 12 months up by 8.6% compared to 2013-14 (+400 crimes) and up by 14.2% compared to 2012-13 (+625 crimes). There are a number of explanations for this; Annual Increases in Violence Against the Person – A national focus on the accuracy of crime recording is likely to have resulted in an increase in this area, which has been particularly evident in the recording of domestic violence assaults and less serious assaults. The upward trend is in line with national trends. Domestic abuse crimes and incidents – Both domestic abuse crimes and incidents have been on an upward trend over the last few years. A national HMIC inspection noted that the new focus towards domestic abuse both from a law and multi-agency prospective has led to more victims coming forward and allegations being treated more seriously. Sexual Offences – A rise in sexual offences has been influenced by the change in crime recording and the number of high profile sexual offences cases that have been in the media over the past few years, which may have given victims more confidence to report crimes. Research into DPP records suggests that this is accurate and has had an impact on both historical and current offences.

Anti-social Behaviour Incidents per 1000 Population 100

80

60

40

20

0

Pembrokeshire Ceredigion Carmarthenshire

2014-15 position: Over the last 12 months there has been a decline in the number of incidents of anti-social behaviour across all areas of Pembrokeshire. Analysis shows levels to be moderately to exceptionally low compared to previous years. This is also replicated across Dyfed Powys Police force area. Low numbers of incidents may partly be attributed to a continued commitment by partner agencies to work together, providing a joint approach to problem solving and tackling local community issues. Recent crime and incident trends have seen an increase in the number of crimes categorised as “miscellaneous crimes against society” , which relate to the type of behaviour that historically would have been associated with Anti-social behaviour , but now includes offences committed on-line or via social media and which are not recorded within the “ASB” category. For example “Sexting”, an offence under the Obscene Publications Act etc. Changes in recording practices may also be contributing to a trend in decreasing numbers of anti-social behaviour, and the beginnings of a rise in recorded crime. Further details of these changes are outlined in the comments for Crimes per thousand population. Where are we now? There have been significant reductions in anti-social behaviour in recent years and this trend continues. It is too soon to accurately determine the effect that the new Gwalia ASB service has had in Pembrokeshire but it is hoped that this downward trend in incidents will continue.

Total no. killed or seriously injured in road traffic No. of First Time Entrants into the Youth Justice accidents System 140 500 120 400 100 80 300 60 200 40 100 20 0 0 2010 2011 2012 2013 2014 2015 Jan -Dec 2012 Jan - Dec 2013 Jan - Dec 2014 Jan - Dec 2015

Pembrokeshire Ceredigion Carmarthenshire Pembrokeshire Dyfed Powys

2014-15 position: the target set for 2014 is based on a nationally agreed 40% reduction 2014-15 position: The Bureau has been running since the beginning of August 2014 in the number killed/seriously injured by 2020 from the 2004/08 baseline average and has already made a large impact on the number of Youth Cautions issued. As a figure (the baseline figure for 2004/08 was 96) result the number of 1st time entrants onto the Police National Computer has dramatically reduced to just 4 over the whole period. A Bureau Spreadsheet to monitor re-offending patterns is being developed and will provide far more insight into trends and the impact of Bureau over the long term. Where are we now? Collisions are not an exact science and statistics experience Where are we now? There continues to be a strong downward trend in the number of spikes of highs and lows from year to year. Collision can involve multiple vehicles young people entering Pembrokeshire Youth Justice Services as first time entrants into and multiple occupants and therefore a year on year comparison is difficult to the criminal justice system. This is directly related to the effectiveness of the Bureau explain. The stats are not measure in a controlled an environment i.e. many factors process which successfully commenced in 2014. Bureau is now bedded in and are involved when a collision occurs, human, weather experience etc. continues to support YP who are given a Youth Caution or Youth Conditional Caution as a means of addressing their behaviour and restoring justice in a timely manner. Youth Justice services within our wider Pembrokeshire Youth model has ensured that YP maintain a high level of joint innovation when targeting YP who are at risk of or who offend. For example targeted collaborative interventions such as “Rockets in Your Pockets” (anti-social behaviour arson/firework programme) or Get Smashed (vehicle crime/drug/drink driving programme) will have positively impacted on YP at risk of offending. Consequently, first time entrants onto the PNC system have reduced to mirror the changes.

Domestic Incidents per 1000 population 10

8

6

4

2

0 2012/13 2013/14 2014/15 2015/16

Pembrokeshire

2013/14 position: PI not used in 2013/14. Data for PI used in 2013/14 () no longer collected. Where are we now? Both domestic abuse crimes and incidents have been on an upward trend over the last few years. A national HMIC inspection noted that the new focus towards domestic abuse both from a law enforcement and multi-agency prospective has led to more victims coming forward and allegations are being treated more seriously. Likewise the Multi-Agency Risk Assessment Conference (MARAC) process has seen an increase in the number of cases being discussed and referrals being created by a number of agencies. The total number of MARAC referrals has almost doubled since 2012.

2015/16 Annual Scorecard

Children and Families Headline Indicator 2011/12 2014-15 2015-16/ Change from RAG Baseline Review Current 2014-15 Live births with low birth weight 6.8% 6.8% 7.0% +0.2% - No. of childcare places in Pembrokeshire 2426 3008 2775 -233 KS4 Level 2 incl. English/Welsh & Maths 56.1% 53.2% 54.2% +1.0% Yr 11 3.1% 3.2% 3.8% +0.6% % new young people NEET Yr 13 3.5% 4.5% 4.0% -0.5%

Economy Headline Indicator 2011/12 2014-15 2015-16/ Change from RAG Baseline Review Current 2014-15 No. of active businesses 4450 4480 4490 +10 In 65.0% 70.6% 72.6% +2.0%

Employment in employment Pembrokeshire Employee 54.2% 56.4% 58.7% +2.3% (% aged 16-64) Self 15.0% 13.5% 12.9% -0.6% n/a employed Headline GVA per head at current basic 14343 15128 15750 +622

prices (South West Wales) JSA claimant count as % 16-64 population 3.0% 2.7% 2.1% -0.6%

Environment Headline Indicator 2011/12 2014-15 2015-16/ Change from RAG Baseline Review Current 2014-15 Public rights of way that are easy to use 73.0% 71.0% No longer collected A-roads in poor condition 6.3% 4.47% 4.6% +0.13% Streets cleaned to a high or acceptable 98.7% 98.91% 98.47% -0.44%

standard BMW 18714 7091 6523 -568 landfilled Waste disposal Recycled 22344 31516 29625 -1891 Composted 10044 12824 14366 +1542

Health, Care and Wellbeing Headline Indicator 2011/12 2014-15 2015-16/ Change from RAG Baseline Review Current 2014-15 Males 79.4 79.4 79.7 - - Life expectancy * Females 83.2 - - Obesity 23% 23% - - - % adult: ** Physical activity 34% 33% - - - % adults who smoke *** 23% 19% - - - Delayed transfers of care 1.71% 0.16% 1.43% +1.27% % Carers offered and assessment or review 31.6% 100% 100% -

Safeguarding Headline Indicator 2011/12 2014-15 2015-16/ Change from RAG Baseline Review Current 2014-15 No. of looked after children 152 115 126 +11 - No. of children on the child protection 87 64 59 -5 - register Matters of concern reported to the adult Not 825 452 n/a - protection team available No. of adult protection referrals meeting Not 142 276 n/a - threshold available % adult referrals where risk managed 89.66% 100% 100% -

Safety Headline Indicator 2011/12 2014-15 2015-16/ Change from RAG Baseline Review Current 2014-15 First time entrants to the Youth Justice 121 35 26 -9 System Crimes per 1000 population 43.5 37.1 41.1 +4.0 Anti-Social Behaviour incidents per 1000 61 41 33.1 -7.9 population Total killed/seriously injured in road traffic 64 60 67 +7 collisions

* Life Expectancy – combined figure (males/females) no longer recorded. From 2015-16 recorded separately ** % adult obesity/physical activity – data only available up to 2013-14 *** % adults who smoke – data only available up to 2013-14 9. Planning for the future

9.1 Progress relating to this Plan will continue to be monitored at a strategic level by Pembrokeshire’s PSB and its associated partnerships. Hywel Dda’s Integrated Governance Committees and elected Members on Pembrokeshire County Council’s Partnerships Overview and Scrutiny Committee will also review and challenge how partners are working together to deliver a shared agenda.

9.2 This Review has looked back on our progress during 2015-16 and identified that, in general, good progress has been made against our planned objectives. As partners we are mindful that ongoing financial challenges will affect our ability to improve services in future and that maintaining the same quality of joint initiatives while making substantial reductions in funding will become an increasing challenge for all partners.

9.3 While it is important for the new statutory PSB to continue to monitor the delivery of priorities set out in the Single Integrated Plan, it must also focus on planning and preparing to meet the requirements of the Well-being of Future Generations (Wales) Act. This legislation will have significant implications for how we work collectively in partnership as well as how we work individually, and will mean that we must deliver public services which meet the needs of the present without comprising the ability of future generations to meet their own needs.

9.4 In line with the above, the key piece of work for the remainder of 2016 will be to produce a Well-being Assessment for Pembrokeshire which identifies what ‘well- being’ means for people in an economic, social, environmental and cultural sense. Our Assessment will be developed through the involvement and engagement of people and communities in Pembrokeshire so that we can truly understand what is important. There will be a number of engagement events and workshops delivered to support this work and all residents, stakeholders and community groups are encouraged to participate. Pembrokeshire’s PSB is collaborating with regional colleagues from Carmarthenshire and Ceredigion in this work to ensure that there is a consistent approach across the region and that we support and learn from each other.

9.5 The Well-being Assessment will be published by March 2017 and will provide the PSB will a clear understanding of what people’s priorities are. The PSB will then start work on preparing a new Well-being Plan (the successor to the current Single Integrated Plan) which will set out local objectives based on the information coming forward from the Assessment, and the steps that each partner proposes to take to meet them. This approach will ensure that future partnership working is designed and delivered to have a positive impact on the state of well-being of Pembrokeshire and its people.