Pembrokeshire Single Integrated Plan ANNUAL REVIEW 2014-15 www.pembrokeshirelocalserviceboard.co.uk Contents Foreword .................................................................................................. 4 Introduction .............................................................................................. 5 Children and Families ............................................................................... 6 Economy ................................................................................................ 15 Environment ........................................................................................... 23 Health, Care & Wellbeing ....................................................................... 31 Safeguarding .......................................................................................... 39 Safety ..................................................................................................... 47 2014/15 Annual Scorecard ..................................................................... 57 Planning for the future ............................................................................ 58 Foreword I am pleased to introduce the Pembrokeshire Single Integrated Plan Annual Review for 2014- 2015. This is our second review of the Single Integrated Plan and is our self-assessment of the progress that partners have made during the second year of our joint strategy. It also builds on the progress that has been made since the Community 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 2014-15, Pembrokeshire Local Service Board (LSB) has continued to become more outcome-driven due to the focus on shared priorities. Partners have succeeded in removing potential blockages to progress and drawn on other organisations with expertise in specific areas. Although the relationships that exist between organisations are stronger than they have ever been, the challenges we face have become even greater during the course of the past year. Since we first reviewed the progress of the Single Integrated Plan 12 months ago, even greater reductions than expected in public spending have been experienced and have placed considerable pressure on our ability to deliver a shared agenda. These challenges are only expected to increase over the years to come. 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. To strengthen the collective effort of all Public Services in Pembrokeshire we have extended the membership of the LSB to include a wider range of partners as we move towards meeting the duties of the Wellbeing of Future Generations Act and the transformation to a Public Service Board. Over the past 12 months, performances in most of our headline indicators have continued to be positive and I am pleased with our progress. Of the 28 measures that are included in the Plan and monitored regularly by our LSB, over 85% either improved or remained static during the last financial year. The performance of a number of our joint service areas in Pembrokeshire have consistently been amongst the best in Wales and others have shown significant improvement during the last year. The opening of the Bro Preseli Extra Care Scheme development at Crymych is an example of how excellent community based services can be achieved through partnership working. The quality of our services to children, young people and their families continue to improve, however the outcomes achieved in our schools need to improve. Our safeguarding in education practices continue to be viewed as being sector leading in respect of arrangements for monitoring safeguarding in schools and managing allegations. We still face significant challenges in Pembrokeshire, all of which are spelt out in detail in the Single Integrated Plan and our emerging issues and priorities for 2015-16 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. Cllr. Jamie Adams Chair, Pembrokeshire Local Service Board 4 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 2014-15 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. The results of the review, including the views of voluntary and community groups expressed at the annual Public Services in Pembrokeshire Day, have informed the plans for next year. 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 2015-16. 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 and an indication of what we think will happen in the next few years if we do nothing. 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. 5 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. In last year’s annual update, strategic partners reported that the partnership had undertaken a thorough review of its work and planned to transition from the historical structure of the Children and Young People’s Partnership (CYPP) to a more strategic and streamlined partnership which has greater purpose, relevance and adds increased value for children and families in Pembrokeshire. At the conclusion of its review, and in consultation with a wide range of stakeholders, the group identified four priority work streams on which to focus its efforts: 1. Early intervention and family support 2. Effective and integrated services for children with disabilities 3. Improving access to education, employment and training 4. Children’s rights and participation In the past 12 months the Executive group has overseen the early 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 • Team Around the Family (TAF) is a multi-agency approach to delivering integrated support services to vulnerable families and is focussed on prevention and early intervention. It currently works with approximately 250 families in Pembrokeshire. • The service was remodelled in 2014 and now comprises 13 TAF workers, three Nursery Nurses plus a Senior Social Worker who, alongside the manager, monitors the threshold of intervention ensuring that Child Protection issues are appropriately escalated. To ensure that the most appropriate service is allocated, referrals are now discussed in weekly multi-agency panel meetings and this facilitates greater collaborative working from the outset. Given its early success, one of the main challenges is to manage expectations