Achieving Positive Outcomes West Lothian Single Outcome Agreement 2013-2023 Annual Report 2014/15 CONTENTS 1. Introduction 2 2. Achieving Our Outcomes 3 2.1 Health & Wellbeing 3 - Our children have the best start to life and are ready to succeed 3 - Older people are able to live independently in the community with an 6 improved quality of life - We live longer, healthier lives and have reduced health inequalities 7 2.2 Community Safety 11 - We live in resilient, cohesive and safe communities 11 - People most at risk are protected and supported to achieve improved life 14 chances 2.3 Economic 17 - We are better educated and have access to increased and better quality 17 learning and employment opportunities - Our economy is diverse and dynamic and West Lothian is an attractive place 20 for doing business 2.4 Environment 21 - We make the most efficient and effective use of resources by minimising 21 our impact on the built and natural environment 3. Delivering West Lothian’s SOA 24 3.1 Early Intervention and Prevention 24 3.2 Understanding Place 24 3.3 Planning and Delivering for Outcomes – local Community Planning 25 3.4 Inequalities 25 3.5 Community Engagement 26 3.6 Life Stages 26 3.7 Performance Management and Reporting 27 3.8 CPP Development Plan 27 4. Conclusion 28 2 1. Introduction Our Single Outcome Agreement (SOA) for 2013-2023, ‘Achieving Positive Outcomes’, outlines the eight outcomes we want to achieve in West Lothian. It sets out how the Community Planning Partnership (CPP) will plan and deliver for these outcomes to make West Lothian the best place to live, work and do business. It is our ten year ‘plan for place’. The SOA was launched in November 2013 and is now well established within West Lothian. A suite of Performance Indicators (PIs) and targets were developed to allow us to measure our progress in achieving our outcomes. The first part of this annual report seeks to highlight some of the key achievements over 2014/15 using high-level performance information, good practice examples and case studies. 2014/15 data is included where available, however it should be noted that there is a lag in data availability for some PIs and so latest available data is referred to. The second part of the report focuses on how we have planned and delivered for these outcomes in 2014/15, in relation to prevention, use of data, targeting resources, local Community Planning, tackling inequalities, community engagement and performance management. In 2014 the CPP was part of the Accounts Commission’s programme of audits that aimed to evaluate the impact and value of CPPs. The audit recognised that we are a mature partnership with a long history of good collaborative working, we are making good progress in improving outcomes for our communities and partners are well placed to implement public service reform1. The report made some recommendations to further improve the partnership, which were discussed at a partnership development day in March 2015 and informed the CPP’s Development Plan – which outlines how we plan to continuously improve as a partnership. 2. Achieving Our Outcomes 2.1 HEALTH & WELLBEING OUTCOMES Our children have the best start to life and are ready to succeed In recent years, the Community Health and Care Partnership (CHCP) has developed, implemented, reviewed and enhanced a range of focused measures to tackle the health and wellbeing of children in their early years and their families. These measures have an improved service reach to targeted populations and evidence of positive outcomes is beginning to emerge. The Children and Young People (Scotland) Act 2014 represents a shift in public services towards the early years of a child’s life and towards early intervention. The Act encourages preventative measures and provides a new legal framework for Getting It Right For Every Child (GIRFEC). West Lothian’s Reshaping Children’s Services programme commenced in January 2014 and aims to modernise our approach to service delivery. Health The National Dental Inspection Programme is carried out every two years and 2012 results (latest available data) indicate 65.7% of West Lothian Primary 1 children had no obvious dental 1 See WLCPP Audit Report: http://www.westlothian.gov.uk/media/5405/West-Lothian-CPP-Audit- Report/pdf/West_Lothian_CPP_Audit_Report_2014.pdf 3 caries, which is above the Scottish target of 60% although less than the Scottish average of 67%. Recent improvements in dental health are linked to the introduction of Childsmile Toothbrushing and Childsmile Nursery interventions. A new local target has been agreed at 70% to be achieved over the next three years. The prevalence of breastfeeding in West Lothian and Scotland has remained static over the last decade (currently sitting at 24.1% in West Lothian). The UNICEF Baby Friendly Initiative is to be implemented in West Lothian NHS community settings and mirrored with a Breastfeeding Friendly initiative across council and other appropriate settings. An Infant Feeding and Nutrition (breastfeeding and weaning) in Schools Programme is to be developed and implemented and we will also continue to implement the Healthy Start programme across West Lothian. In addition to providing professional support we aim to match breastfeeding mothers with a trained peer supporter who is able to provide informal support. This has resulted in a small incremental improvement in breastfeeding in our more deprived communities. The lifelong health benefits of breastfeeding exclusively are irrefutable. There is also evidence that breastfeeding in the first few days of life also has significant health benefits. Education Attendance levels in West Lothian pre-school stages remains consistently around 90%. Performance has remained fairly static over the last five years. Attendance levels in 2014/15 (91.24%) were slightly lower than 2013/14 (91.67%). Although attendance is non-statutory West Lothian Council has a positive attendance policy that matches national advice that is implemented effectively by schools. Early Years Collaborative work has highlighted the attendance of the most vulnerable pre-school children as an area for improvement. Over 400,000 free breakfasts have been provided since April 2013 to primary and secondary school children who are entitled to free school meals. All schools are particularly targeting those entitled to free school meals to encourage their uptake. In secondary schools the cashless card reduces stigma and uptake is exceptionally high. Vulnerable Children and Families It is the aim of the CPP to minimise the number of placement moves experienced by Looked After and Accommodated Children. Children and young people who experience three or more placement moves are at a greater risk of experiencing negative outcomes throughout their life stages including higher levels of school exclusion and poor educational attainment. In 2014, 6.19% of children who were Looked After and Accommodated had three or more placements, representing 18 children out of 291 (a reduction of 6.38% from 2013). The figures for 2013 and 2014 have been higher than the national average (5.4% in 2013 and 5.9% in 2014 for Scotland) but show a more positive picture where no children under 5 years experienced multiple moves. The Reshaping Children's Services project aims to continually address the problem of multiple placement moves in partnership with the Centre for Excellence for Looked After Children in Scotland (CELCIS) and to explore performance in other local authorities who are achieving better than average targets in order to aim for this within West Lothian. 4 The complementary services of the Family Nurse Partnership (FNP), targeted to first time mothers under 20 years, and Young Mothers Service (YMS), targeted at other vulnerable young mothers under 25 years, are providing intensive 1-1 support to our most vulnerable mothers. Since September 2012 until May 2015 the FNP has delivered a service to 173 young mothers. The first graduates who have been involved with the FNP are expected in July 2015. There is international evidence to support the success of the FNP and the Scottish Government is expected to roll this out across the country. The YMS has delivered a service to 58 families over the period from 1st April 2014 to 31st March 2015 and involvement ended with 36 families during this period. Some of the families completed an evaluation on the service and reported that they had found the service very helpful. Whole Family Support targets whole families with very complex needs using a strengths-based key worker model. The aim is to work with families on their own terms, addressing issues that are live and important for the family by building strong and persistent relationships between professionals and families (taking a co-production approach), supporting them to navigate and negotiate services and release the strengths already present within the family. The team is governed by a multi-agency steering group and each of the partners supports the key workers as they address the varied needs of the families. There was a full evaluation of the service carried out last year and was very positive, highlighting that families are making positive changes in their lives, including reduced anti-social behaviour and housing issues, improved family functioning and home conditions Citizens Advice Bureau West Lothian’s Prevention and Intervention Money Advice Project (PIMAP) aims to help alleviate child poverty across West Lothian, specifically in areas identified as having the highest rates (Armadale, Blackburn, Blackridge, Craigshill, Fauldhouse and Whitburn) by providing advice to pregnant women and people with children under one year old to increase their financial capability and maximise their income. PIMAP have worked in partnership with West Lothian Council and the NHS. The midwives in target areas provide most referrals and the remainder come from other organisations such as Family Nurse Partnership, Community Centres, health visitors and internal referrals from Citizens Advice Bureau.