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This category includes examples of practice that are developing effective integrated working practices between local authorities and health organisations.

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Practice Spotlight 2026 – ‘New & Emerging Practice’
Summary of 2026 submissions

In this category there were some strong examples of partnership working and co-production particularly with children, young people and families. A number of submissions highlighted how health and local authority services can work more closely together to improve support, with a clear focus on prevention and early intervention.

RBKC and WCC submission; Children with Disabilities Family Help Service (0–25) demonstrated a good example of bringing services together and introducing a single assessment process that helped reduce duplication and made it easier for families to access the support they needed. The Confident Communicators submission also showed strong integration between services, with NHS Speech and Language Therapists, local authority staff and schools working together around prevention and early intervention.

Co-production was another strong theme across the submissions. Enfield’s Preparing for Adulthood work demonstrated how young people, families and professionals can help shape the development of services. Hounslow also showed how local authority and health partners can come together to address complex and longstanding challenges, with a co-produced therapeutic and operational model and plans for a more integrated pathway with mental health support.

Digital wellbeing was another area where partnership working made a practical difference. Brent’s work around digital wellbeing and smartphone use involved co-designing shared tools and developing a borough-wide pledge for schools. This provided a consistent approach to supporting children and young people with their digital wellbeing.

London Borough of Brent- Brent PHONE Pledge

Summary of project: Working together to protect and support our pupils while helping families navigate the challenges of digital technology.

Key Contact: Sabrina Edwards and Shirley Parks

Sabrina.edwards@brent.gov.uk

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Setting the Scene: the context and problem you are solving

We all want the very best for our children in Brent – for them to thrive academically, socially, and emotionally. As technology is becoming an increasingly central part of children’s lives, evidence and local experience shows that unrestricted access to smartphones and social media is having a negative impact on pupils’ mental health, sleep, attention, and overall wellbeing. Schools and families are also becoming more concerned about children’s exposure to risks such as cyberbullying, harmful online content, and inappropriate use of technology during the school day.

Within this context, school leaders across Brent recognised that individual school policies alone are not enough to address the growing challenge. There is inconsistency in expectations between schools, uncertainty among parents and carers, and increasing pressure on staff to manage smartphone use alongside learning and safeguarding priorities.

In response, Brent school leaders came together to agree a shared, borough wide commitment: the PHONE pledge. The pledge was developed to provide a clear, collective approach to promoting healthy digital habits, protecting children’s wellbeing, and supporting families to navigate the challenges of modern technology. It articulates a shared responsibility between schools, families, and the local authority, ensuring that expectations are consistent and clearly communicated.

The PHONE pledge set out five key commitments: protecting children’s safety and wellbeing; helping families and staff with clear guidance and support; observing and reviewing approaches to ensure fairness and effectiveness; nurturing pupils’ digital literacy and responsible online behaviour; and educating the wider school community through shared best practice across the borough.

Many Brent schools were already limiting smartphone use during the school day, but the pledge formalised this practice and strengthened it through collective action. It also encourages families to consider delaying smartphones for non educational use until children were older, reinforcing consistent messages between home and school.

The introduction of the PHONE pledge has marked a united, proactive response to a shared problem, demonstrating how borough wide collaboration can protect childhood, support learning, and promote healthier, safer use of technology for all children in Brent.

How: what you did and how it was delivered to meet the identified need

The response to concerns about children’s smartphone use in Brent was developed through a structured combination of strategic leadership, evidence gathering and collaborative system working.

The work began within the Designated Safeguarding Lead (DSL) network, where mobile phone use emerged as a growing safeguarding and wellbeing concern. To build a clearer picture of practice across the borough, the DSL network designed and distributed a survey on mobile phone use in schools. The findings highlighted significant variation in approaches, increasing pressures on staff, and uncertainty among parents and carers, reinforcing the need for a coordinated, borough wide response.

In response to this evidence, a dedicated steering group was established to develop a shared approach to smartphones in schools. The group was facilitated by a School Effectiveness Lead Professional (SELP) and included headteachers from across Brent, ensuring representation from different phases and local clusters. To inform the work and avoid duplication, the facilitating SELP held initial discussions with neighbouring local authorities, including Harrow, Barnet and Westminster, to understand their approaches and draw on emerging regional learning.

The steering group met through a series of online sessions, during which the purpose, scope and focus of the work were discussed, tested and refined over time. Shared online documents were set up to enable collaborative drafting, allowing all members to contribute asynchronously, comment on emerging ideas and build collective ownership of the developing pledge.

Steering group members also acted as links back to their respective clusters, sharing early drafts of the pledge with other school leaders and bringing feedback into the steering group discussions. This ensured the final approach was grounded in operational reality, reflected the diversity of school contexts, and had broad professional buy in.

Once agreement was reached, the SELP facilitator led on translating the shared principles into practical delivery mechanisms. This included:

• Developing template letters for schools, inviting them to sign up to the PHONE pledge

• Creating a simple online form to enable quick and accessible sign up

• Drafting template parent and carer letters, to be issued once the list of participating schools was finalised, ensuring clear and consistent communication with families

To support visibility and consistency, the SELP also worked closely with the communications team, who developed the pledge into a poster for schools. This helped embed the pledge within school communities and reinforced shared expectations around healthy and safe smartphone use.

Through this approach, the initiative moved from identifying need, to co designing a solution, to delivering practical tools that enabled schools to adopt a consistent, borough wide response. The combination of cross authority learning, professional collaboration, and clear operational support ensured the PHONE pledge was both strategically robust and practical to implement.

Impact: evidence of the difference it has made to children and families

As this is a new and emerging initiative, it is too early to evidence measurable long term impact on children and families. However, early indicators suggest the PHONE pledge is beginning to make a positive difference at both system and school community level.

Early qualitative impact has been seen through strong engagement from schools. A growing number of schools have voluntarily signed up to the pledge, indicating appetite for a shared, borough wide approach and confidence in the principles underpinning it. Feedback from headteachers suggests that the pledge has helped legitimise and strengthen existing school policies on smartphone use, giving leaders greater confidence to act collectively rather than in isolation.

Next Steps: what you are doing next to develop or expand this practice

As an emerging borough wide initiative, the next phase of the PHONE pledge will focus on embedding, strengthening and evaluating the approach, while continuing to build shared ownership across schools and families.

A key priority is to increase participation and consistency across Brent. This will involve continued promotion of the pledge through existing professional networks, targeted engagement with schools that have not yet signed up, and ongoing review of communications to ensure messages to parents and carers remain clear, consistent and focused on wellbeing and safeguarding.

To support visibility and sustainability, work will begin on developing a small, recognisable PHONE pledge logo. This will enable participating schools to display their involvement on school websites, letterheads and communications, clearly signalling that they have signed up to the borough wide commitment.

The work will also be extended through the development of a shared resource bank for schools. This will bring together practical materials to support implementation of the pledge, such as example policies, parent communications, assemblies, curriculum resources, staff guidance and signposting to external support. The resource bank will be shaped by schools’ contributions and emerging practice, enabling peer learning and reducing duplication of effort across the borough.

Evaluation and learning will form a further strand of development. Follow up engagement through the DSL network and headteacher forums will be used to gather qualitative feedback on how the pledge is being implemented, the conversations it is enabling with families, and any early changes schools are observing.

As the work matures, there will be opportunities to strengthen pupil voice and parental engagement, ensuring future developments are informed by lived experience. Ongoing dialogue with neighbouring local authorities will continue to support shared learning and potential regional alignment.

Evolve: advice you would give to others seeking to replicate your model

For others seeking to replicate this model of practice in their local context, several key learning points have emerged through reflection on the development of the PHONE pledge.

Start with shared evidence and professional concern.

Using an existing professional network, such as Designated Safeguarding Leads, to surface concerns and gather baseline information helped build a shared understanding of the issue and created momentum for action. Beginning with evidence rather than solutions supported constructive, non polarised discussion.

Invest time in co design and consensus building.

Bringing together headteachers from different phases and contexts and allowing time for the purpose, scope and focus of the work to evolve was critical. The iterative nature of the discussions meant the final approach felt credible, realistic and owned by the system, rather than imposed. In hindsight, allowing even more structured time for early discussion may have accelerated agreement later in the process.

Use skilled, neutral facilitation.

Having a School Effectiveness Lead Professional act as a neutral facilitator helped maintain trust, manage differing views and keep the work moving forward. This role was particularly important in translating professional dialogue into practical outputs, such as agreed principles and shared communications.

Learn from others early on.

Initial conversations with neighbouring local authorities provided reassurance, avoided duplication and helped situate the work within a wider regional context. On reflection, this cross authority learning could have been embedded even earlier to further strengthen confidence and alignment.

Keep the approach values led and light touch.

Framing the work around wellbeing, safeguarding and partnership, rather than enforcement or compliance, was essential in securing buy in. Avoiding language associated with inspection or judgement helped schools feel safe to engage and participate voluntarily.

Support implementation with simple, visible tools.

Providing practical resources — such as template letters, a clear sign up process, shared documents and a recognisable pledge logo — reduced burden on schools and supported consistency. Making participation visible helped reinforce collective ownership and clarity for families.

Overall, the key learning is that system level change around sensitive issues benefits from pace with permission: moving forward decisively, while allowing time for trust, dialogue and shared ownership to develop. This balance has been central to the early success of the model and would be a core recommendation for others seeking to replicate it.

London Borough of Enfield – Preparing for Adulthood: a multi-agency approach to guiding children and young people

Summary of project: Coproducing preparation for adulthood guidance for families, education, health and social
care services to prepare children and young people for adulthood at every age and stage,
ensuring a holistic approach to planning, monitoring and target setting that strengthens
engagement and progress.

Key Contact: Maria Mulvihill-Higgs, Post-14 Strategic Development Lead and Sally Mordi, Designated Clinical Officer and Royal Free London NHS Trust

Maria.mulvihill@enfield.gov.uk

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Setting the Scene: the context and problem you are solving

Enfield Council recognises the importance of preparing all young people for adulthood, especially those who require additional support, and has maintained a focus on PfA in Education, Health and Social Care for several years.

As part of Enfield’s successful bid for Delivering Better Value funding from the DfE, PfA was identified as a discrete workstream, through which a number of focus areas were identified to evolve Enfield’s Preparation for Adulthood offer aligned to the SEND partnership strategic priorities to provide a more holistic offer. In order to inform the PfA development work, scoping was carried out across families, young people, Education, Health and Social Care services, and a number of issues were identified:

  • Parents and young people recognised that services focused on Preparation for Adulthood from the age of 14 onwards but expressed concern that, in many cases, there was little discussion of adulthood before this point, leaving some with anxieties around a process which seemed to be too short.
  • PfA was inconsistently delivered across educational settings in Enfield, with many primary and Early Years settings delivering ‘life skills’ which were not linked to future goals and secondary and FE settings discussing PfA as part of the Annual Review process from the age of 14 upwards. Many educational settings expressed a desire to strengthen their PfA practice but required guidance and support in doing so.
  • PfA support and processes were largely aimed at children and young people with an EHCP, though parents and educational settings all identified that many young people on SEN Support and those without SEN needs would also benefit from a more consistent approach to PfA.

In response to scoping and data analysis, the SEND partnership identified a priority focus of developing ‘PfA curriculum guidance’ with the aims:

• To support educational settings with the delivery of preparation for adulthood skills, to ensure all children & young people are prepared, supported to build the knowledge, skills and confidence and achieve their full potential when transitioning from education to adulthood.

• To support curriculum delivery consistency and progress monitoring across education settings.

• To support education settings and services with statutory processes: outcome-setting, target-writing and annual reviews.

• To empower families to support their child or young person towards adulthood in a way which is appropriate to a home and community setting.

How: what you did and how it was delivered to meet the identified need

Co-production was key to the development of the PfA guidance. A working group was set up, encompassing representatives from Enfield’s parent, carer forum, representatives from mainstream and special educational settings across all phases of education, the SEN Service, Virtual School, Social Care and Health, the Education Psychology Service, the Enfield Advisory Service for Autism, the Schools and Early Years Improvement Service and the Youth Justice Service.

Initially, an audit was undertaken of PfA processes and resources currently used within Enfield, as well as good practice nationally. There had already been some positive steps taken in Early Years settings in Enfield with exemplar descriptors of PfA goals, which suggested a way forward, and this was backed up by detailed analysis of the strengths and weaknesses of other nationally available PfA guidance documents which identified that, as a group, an outcomes-based approach was preferred.

Based on scoping feedback, the working group developed the guidance in alignment with the four Preparation for Adulthood strands, each of which were then further broken down into a series of skills-based outcomes. Each skills-based outcome is accompanied by a number of ‘steps towards outcomes’ (suggested ways in which settings may help a young person achieve the outcome) and support relevant resources. Outcomes are organised into 6 stages which correspond to age-related expectations but are colour-coded, so that age ranges/key stages do not have to be displayed, for the occasions when doing so may harm a child or family’s confidence or self-esteem. A set of assessment booklets was also produced, through which settings, services and, or families can record and monitor a young person’s progress towards the PfA outcomes.

Following positive feedback from parents or carers on the initial document, a request was made for a families’ version, which enables parents or carers and those working with young people outside of an educational setting to work towards the same outcomes using different steps towards the outcomes.

The guidance was initially launched to headteachers, SENCos, service leads and Our Voice, Enfield’s parent carer forum, through a series of meetings, followed up by a targeted schedule of training sessions with educational settings and service teams. These sessions were supported by ad hoc discussions as part of service team meetings and attendance at parent group coffee mornings, which allowed for more informal conversation and significantly increased uptake of the guidance. Monitoring and feedback on the guidance continues with regular check ins within team meetings and additional training sessions offered to educational settings, parent groups and services as required. This consistent approach has been key in developing engagement with settings and services and has supported the ongoing dissemination and uptake of the guidance.

Impact: evidence of the difference it has made to children and families

Following the launch of the PfA curriculum guidance in October 2025, data metrics will be reviewed in Summer 2026; however, feedback and case study tracking has been overwhelmingly positive, with a significant take-up of the guidance across educational settings and a consistently increasing number of families also referring to the guidance at home. Benefits have been identified in all areas:

Young people:

Clear outcomes coupled with a simple method for tracking has enabled many young people to take ownership of their progress towards adulthood. Outcomes are based on a wide range of skills and track progress across much smaller increments than traditional age-related expectations, allowing schools and families to celebrate small wins and more frequent progress than has previously been possibly for children who may struggle to access the traditional curriculum. One mainstream secondary setting in Enfield reported that the guidance is being used by all young people, regardless of need, to track their own progress towards adulthood and that this has been helpful in supporting college applications in Year 11.

Families:

The families’ version of the guidance has also allowed parents/carers to take on more ownership of their child or young person’s progress. Given the home based nature of the steps towards outcomes in this version, families who have previously felt intimidated by homework and more formal approaches have been able to engage with and stretch their child or young person’s learning. Early monitoring with families is showing that they are using the guidance across services, early commonality of language used across outcomes is proving helpful, especially for families in which English is not their first language.

Educational settings:

Educational settings are reporting using the guidance in several ways; PfA curriculum planning, supporting statutory processes (including informing annual reviews / EHCNA requests) and supporting the PSHE and Personal Development curriculum across the board. Two of the schools who piloted an early version of the guidance have seen a positive response to its impact in recent Ofsted inspections where they felt it was useful in showing progress made by children who could not otherwise demonstrate clear progress towards ARE. Additionally, education settings have identified the guidance to be of support in the transitions processes through sharing assessment and tracking of individual PfA strengths and needs.

Services:

The SEN Service has noticed the most immediate effect from the guidance, with strengthened PfA-based outcomes being submitted by schools within Annual Review and EHCNA paperwork. Other services are also using the statements to help to set targets. The guidance has supported services to start PfA discussions at an earlier stage, which will ultimately lead to a more secure transition to adulthood and adult services and greater confidence in young people and families around the move to adulthood.

Next Steps: what you are doing next to develop or expand this practice

Monitoring the uptake of the guidance is still underway and feedback is being received from families, SENCOs and service representatives across Enfield. To continue to develop the project, Enfield Council are working on several next steps:

• Continued work with other services to further embed guidance, including offering training to services where needed.

• Continued expansion of the number of parents/families using the guidance by targeting families through other services, thus allowing families to see the ways in which PfA links to all areas of their child / young person’s life.

• One area in which the guidance does not appear to be consistently utilised is in private Early Years settings. Expanding training and communication around PfA with these settings is an area of focus for next steps, linking to strengthened transitions between these settings and primary school placements.

• Following requests from families and young people themselves, a young person’s guide to PfA is currently in production to complement the existing guidance. This will take the form of a resource, providing information and signposts to further support.

• To maximise the reach of the guidance (and the upcoming young person’s guide), we are looking into ways of developing the guidance into different formats, such as video or infographics.

Evolve: advice you would give to others seeking to replicate your model

• Coproduction has been a key strength of this project, enabling partners to quickly and comprehensively recognise the needs within this area and develop a document that fully addresses these needs. It has also ensured excellent buy in from all services represented and eased difficulties around identification of key change makers within each service.

• The project grew in scale from a one off guidance document for schools and services to a range of guides and supplementary materials aimed at various audiences. This has resulted in changing timescales, which may be problematic for others seeking to replicate the model. As each new document is valuable, it would be advisable for those replicating the model to factor in enough time to create a suite of resources.

London Borough of Hounslow – West London Residential Project

Summary of project: Collaboration with Health Partners to develop a new model of quality local residential care for Looked after Children.

Key Contact: Will Parsons and Toby Benney

Toby.Benney@hounslow.gov.uk Will.Parsons@hounslow.gov.uk

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Setting the Scene: the context and problem you are solving

Across West London, local authorities have faced a long‑standing shortage of suitable residential provision for Children with complex emotional, behavioural and mental health needs. Children are frequently placed far from their home boroughs, disrupting education, family contact and continuity of care. For a small but highly vulnerable cohort, this has included repeated placement breakdowns, use of exceptionally high‑cost provision, in some cases, unregistered placements linked to deprivation of liberty and unnecessarily long stays in Accident & Emergency or paediatric wards.

The WLRP was developed as a sub‑regional collaboration sponsored by the DCS’s in the region. It is a collaboration between Health and Social Care to develop a new model of quality local provision enabling more vulnerable children with complex needs to remain connected to their local communities, avoiding unnecessary stays in A&E and the disruption, distance and insecurity associated with placements in the private market. The project builds on the integrated and robust relationships of system partners already in place across Hounslow and has been coproduced using a wide range of professional disciplines.

A council‑owned property in Hounslow has been identified and progressed for remodelling into a six‑bed children’s home, enabling faster delivery while maximising value from public assets. The home has been designed to flex between group living and higher‑need solo provision, allowing children to be supported safely at different stages of crisis, stabilisation and recovery.

The therapeutic and operational model was co‑produced with health partners from the outset. Clinical leaders from West London NHS Trust worked alongside commissioners and practitioners to design a trauma‑informed approach grounded in Non‑Violent Resistance (NVR), Dialectical Behaviour Therapy (DBT) and psychologically informed practice.

The Northwest London Integrated Care Board (ICB) has committed to embedding Mental Health Expertise within the home, funding specialist Mental Health Practitioner input and enabling the home to operate as part of an integrated health and care pathway rather than a standalone residential placement. Local delivery including clinical supervision of these practitioners will rest with local NHS Trust partners.

Care‑experienced young people are engaged in shaping the environment, design principles and ethos of care, helping ensure the home feels safe, relational and appropriate for adolescents with complex trauma histories. Early engagement with Ofsted helped shape decisions around layout, governance and readiness for registration.

At a system level, the project will change how West London partners respond to complexity. Rather than competing for scarce external placements, boroughs are collaborating around shared capacity, shared risk and shared outcomes. At a practice and pathway level, the model will directly address the drivers of poor outcomes for children with complex needs. By creating local, registered provision with embedded mental health input, the project will reduce reliance on distant and unregulated placements, improve safeguarding oversight and promote placement stability.

The involvement of the ICB will ensure children’s mental health needs are addressed proactively within the placement, reducing reliance on crisis responses and fragmented care. Furthermore, the model will enable transitions to local CAMHs teams to be managed in a more coordinated and seamless way.

Next steps include completion of the build, workforce recruitment, Ofsted registration and phased opening of the home. Early placements will be carefully supported to embed learning and refine practice. Partners will focus on evaluating outcomes and embedding learning into sufficiency planning. Key lessons including, treating sufficiency as a system challenge, not a single‑Local Authority issue. Embedding health partnerships early, with ICB commitment to clinical input.

How: what you did and how it was delivered to meet the identified need

The project was able build on and strengthen existing borough-based relationships, through demonstrating the benefits for all agencies. System partners have been allocated specific elements of the building design and the home’s operating model, including staff training requirements which has positively enabled ownership and leadership. Initial practice improvements flowing from this have seen a reduced reliance on emergency and unregistered provision for the target cohort. It creates clearer step‑down pathways from crisis and is expected to improve placement stability and mental health engagement.

Impact: evidence of the difference it has made to children and families

The model has strengthened joint ownership across health and social care and reduced reliance on emergency and unregistered provision for the target cohort. It creates clearer step‑down pathways from crisis and is expected to improve placement stability and mental health engagement.

Next Steps: what you are doing next to develop or expand this practice

Open the home (planned December 2027), embed outcome monitoring, evaluate health and stability outcomes, and use learning to inform further sub‑regional provision with ICB partners. Develop and embed a community of practice across all homes operated by the Council enabling a system that supports timely and well supported moves and can flex to needs.

Evolve: advice you would give to others seeking to replicate your model

Involve clinicians early, embed mental health support within placements rather than around them, and plan for risk and workforce challenges from the outset. Agree outcome measures early to support meaningful evaluation.

Royal Borough of Kensington and Chelsea and Westminster City Council – Confident Communicators

Summary of project: An early intervention programme delivering targeted speech, language and communication support in schools to improve outcomes, build workforce capability and prevent escalation to statutory services.

Key Contact: Stephanie Connelly and Tiran Khehra

tiranjot.khehra@rbkc.gov.uk

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Setting the Scene: the context and problem you are solving

Demand for statutory SLCN support locally has risen significantly, with requests for EHC needs assessments peaking in the early primary years. Schools reported limited confidence in identifying and supporting SLCN, alongside inconsistent practice across settings and delayed access to therapeutic input without an EHCP. This combination led to avoidable escalation of need, poorer outcomes for children, and increasing pressure on high-cost statutory services.

The system required a fundamentally different approach, one that intervened earlier, integrated education and health expertise, and strengthened sustainable capacity within schools.

How: what you did and how it was delivered to meet the identified need

Confident Communicators is an innovative, co-designed model that brings together local authority advisory teachers, NHS speech and language therapists, and school staff to deliver holistic, child-centred support. It focuses on Reception and Year 1 children at risk of escalation, providing early, targeted intervention that combines direct therapeutic input with workforce development. Education and health professionals jointly assess each child and design bespoke intervention packages tailored to their individual needs. A key adult within the school, typically a teaching assistant, is trained and coached to deliver these interventions, ensuring that expertise is embedded within the school rather than remaining external.

The programme extends beyond the classroom through an integrated family support offer, including a home visit that enables parents to reinforce communication strategies in everyday contexts. Termly multi-agency reviews involving families ensure progress is consistently monitored and that decisions about continuation, discharge, or escalation are evidence-based and timely. Importantly, this is not a stand-alone service but a model that combines targeted support for individual children with system-wide capacity building, ensuring that impact is sustained and scaled.

The programme was developed through a six-month co-production process involving families and practitioners. This ensured that the model reflects lived experience, fits within school and home routines, and prioritises the child’s inclusion and wellbeing alongside measurable SLCN outcomes.

Impact: evidence of the difference it has made to children and families

Early evidence demonstrates significant impact at both the individual and system level. Children participating in the programme have shown significant measurable improvements in speech, language and communication using NHS Therapeutic Outcome Measures (TOMs). Of the 63 children supported to date, 22% have been successfully discharged, requiring no further intervention to meet their communication milestones, while only 7% have progressed to an EHCP referral. These outcomes are particularly notable given that children can receive up to six terms of support and the first full cohort has not yet completed the programme (due to conclude in Autumn 26).

The programme is also delivering strong outcomes for the workforce and wider system. Practitioner confidence in identifying and supporting SLCN has increased significantly, rising from an average of 6 out of 10 to 9 out of 10. School staff report greater consistency in practice, improved use of communication strategies in everyday teaching, and a stronger sense of confidence in meeting children’s needs. Feedback highlights the value of multi‐agency collaboration in driving these improvements. One practitioner noted that the programme “up-skilled me no end” and should be available in every school.

Taken together, these outcomes demonstrate a clear triple impact of improved outcomes for children, increased workforce capability, and reduced demand for statutory intervention. An independent evaluation by Speech and Language UK is currently underway to further validate and strengthen the evidence base.

Next Steps: what you are doing next to develop or expand this practice

The programme has been designed with sustainability and scalability at its core. By embedding skills and knowledge within school staff through ongoing training and coaching, the model reduces reliance on external specialists over time. The use of shared tools, consistent outcome measures, and clear step-up and step-down pathways ensures that the approach is both replicable and adaptable.

Future priorities include completing the independent evaluation to refine the model further, expanding workforce development through training all schools in the SLCN progression toolkit, and strengthening early identification pathways across education and health services. Another next step includes using data from the programme to better target 0-5 commissioned SCLN services. The programme will also explore expansion to wider year groups to extend its preventative impact based on school feedback. These developments will support the transition from a targeted intervention model to a whole-system approach.

Evolve: advice you would give to others seeking to replicate your model

To replicate our Confident Communicators model, we’d start by agreeing a shared definition of the challenge locally, including what ‘SEN Support without an EHCP’ looks like and how success will be measured for children and for the wider system. Co-design the approach with the children, families and professionals who know and live with these challenges so that interventions fit with existing school and home routines and are more likely to be adopted consistently. Build workforce development into the core offer through training, coaching and reflective practice, so strategies become part of day-to-day classroom practice rather than an add on. Combine targeted and universal approaches, pairing intensive support for high-need children with whole-school improvements to prevent escalation. Establish a clear ‘step‐down/step-up’ pathway, making it straightforward to discharge children who no longer need specialist support and to escalate those who do, using consistent evidence. Finally, plan evaluation from the outset, with baseline and follow-up measures and simple throughput tracking.

Royal Borough of Kensington and Chelsea and Westminster City Council – SEND Services

Summary of project: A whole-system approach to improving outcomes for children with SEND through early identification, co-production, inclusive practice and strengthened local provision across education, health and care.

Key Contact: Julie Ely, Steph Baiardo and Tiran Khehra

tiranjot.khehra@rbkc.gov.uk

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Setting the Scene: the context and problem you are solving

Kensington and Chelsea and Westminster’s Bi-borough Children’s Services set out to improve outcomes for children and young people with special educational needs and disabilities (SEND) by ensuring needs are identified early, support is coordinated, and high-quality provision is available locally. We faced rising complexity of need including social, emotional and mental health (SEMH) needs, alongside pressure on specialist places, variation in inclusive practice across mainstream settings, and the need to strengthen trust and partnership with parents/carers through meaningful co-production. Our ambition has been to provide the right support at the right time, reduce barriers to learning and participation, and widen opportunities for children and young people with SEND to thrive in education and beyond.

How: what you did and how it was delivered to meet the identified need

We deliver this through a practical, multi-strand approach built on partnership with education, health and community organisations. We have strengthened strategic co-production by involving parents and carers in high-level boards and decision-making, and by maintaining regular Parent Reference Group engagement alongside a dedicated role focused on capturing the voice of children and young people.

Our Autism Partnership is co-chaired by an autistic person and provides clear workstreams across education, health and social care, ensuring that lived experience informs priorities and delivery.

To meet growing SEMH need locally, we reimagined alternative provision with Ormiston Academies Trust (OAT) and local schools and opened Freston Junction (April 2024), a 12-place SEMH provision offering in-borough education in a nurturing environment. The model includes a five-day induction, individual assessments and Individual Education Plans, alongside an integrated therapeutic offer from specialist clinicians.

We also widened opportunities through creative and employment-focused pathways: young people shaped our supported employment offer by co-producing short films and leading decisions on a community premiere event. Alongside this, the Tri-borough Music Hub (with AEG Music/The O2 funding) delivered a Spring 2025 pilot across four Alternative Provision settings in West London, providing seven weeks of personalised music-making sessions in each setting. Please click links below, there are two versions of the animation:

• Full version (3 mins)

We strengthened early SLCN support through Confident Communicators for Reception and Year 1 children at SEN Support, alongside a Teaching Assistant Reflection and Celebration Day across seven schools.

Finally, inclusive practice in mainstream settings is supported through our SEND Inclusive Education Team (SENDIE), which undertakes observation visits, agrees actions with schools, models effective strategies, and coordinates multi-agency input (including SALT, OT, autism advisory, EP and social care), with notes shared to schools and parents and follow-up visits where needed.

Impact: evidence of the difference it has made to children and families

Our approach is improving timeliness, access and lived experience for children and families. Across both boroughs, at least 99% of Education, Health and Care Plans (EHCPs) are produced within 20 weeks this is well above national averages and helps in supporting earlier intervention and faster access to provision. Locally commissioned specialist provision is enabling some of our most vulnerable and isolated children to re-engage with education in a school setting through high-quality, therapeutic-informed support.

Co-production is strengthening children and young people’s influence on services, including participation in senior recruitment (e.g., interviewing candidates for the Principal Educational Psychologist role), shaping home-to-school transport improvement work (25 young people across three specialist SEN schools), and developing peer resources such as All For Youth Magazine and a Transition Booklet co-created with 29 Year 6 and Year 7 pupils.

The Tri-borough Music Hub pilot demonstrated measurable benefit in Alternative Provision: engagement in 92% of sessions, improved self-expression in 94%, and enhanced social interaction in 84%, alongside qualitative improvements in emotional regulation, confidence and participation.

Confident Communicators improved workforce confidence in identifying and supporting speech language and communication needs from an average of 6 out of 10 to a 9 out of 10.

SENDIE is strengthening inclusive practice at scale, completing more than 100 individual child observations across 76 schools, with SENCO feedback consistently positive and 100% reporting the visits were valuable and improved inclusion. Collectively, this is contributing to more inclusive classrooms, stronger partnerships with schools and families, and better outcomes for children and young people with SEND.

Next Steps: what you are doing next to develop or expand this practice

Next, we will build on what is working by expanding learning from Freston Junction to strengthen pathways into and out of SEMH provision, supporting sustained reintegration and positive destinations. We will deepen co-production by widening participation opportunities for children and young people who are less often heard, and by using feedback loops so families can clearly see how their input changes practice. We will continue to embed multi-agency working through SENDIE by strengthening consistency of inclusive strategies across schools and increasing shared problem-solving with health and social care partners where barriers to EHCP delivery are identified. We will also develop the evidence base across our creative and employment pathways using session feedback, school outcomes and participation measures to guide scaling of the music pilot and to grow employer engagement for supported employment opportunities for young people with SEND.

Finally, we will continue to strengthen early intervention for SLCN by sustaining workforce development and collaboration across schools so children can access support earlier and more consistently.

Evolve: advice you would give to others seeking to replicate your model

For areas looking to replicate this approach, agree a shared purpose across education, health and care, then design delivery around what families say matters most. Put co-production on a formal footing (regular forums, supported participation, shared decisions and clear feedback on what will change). Grow strong local provision with partners to reduce out-of-area placements, with routines that prioritise relationships, belonging and therapeutic-informed practice. Combine targeted specialist input with system-wide inclusion support so improvements stick in mainstream settings. Track a small set of robust measures (timeliness, engagement, confidence and school outcomes) and use rapid learning cycles to refine and scale. Above all, take a whole-system, long-term view linking education to enrichment, transition planning, supported employment and community participation.

Royal Borough of Kensington and Chelsea and Westminster City Council – Bi-Borough Children with Disabilities Family Help Service (0–25)

Summary of project: An integrated, multidisciplinary service bringing together social care, short breaks and inclusion support to deliver coordinated, relationship-based and preventative support for children with disabilities and their families.

Key Contact: Kakoli Kumar and Helen Bowring

tiranjot.khehra@rbkc.gov.uk

Read about this practice

Setting the Scene: the context and problem you are solving

Children with disabilities and their families can experience fragmented support, with multiple entry points, repeated assessments and separate pathways across social care, short breaks, early help and inclusion. For families already managing caring responsibilities, health needs and education pressures, this complexity adds burden, requiring them to repeat their story when they most need clarity and consistency.

Across Kensington & Chelsea and Westminster, support was previously delivered through separate teams, including Disabled Children’s Teams and the Short Breaks Service. Although each service added value, families could still experience the system as disjointed, moving between teams and navigating different thresholds and processes.

There were also wider challenges in ensuring children and young people with disabilities could access mainstream activities, build friendships, develop independence and experience belonging, rather than relying only on specialist provision.

Through an extensive review involving families, partners and our workforce, we developed an evidence-informed vision for change. The themes emerging locally strongly reflected the national direction of travel later articulated in Stable Homes, Built on Love. Rather than waiting for reform to become statutory, we redesigned our Children with Disabilities provision in line with the ambitions of social care reform, ensuring the service was responsive to current need and ready for the future.

The Bi-Borough Children with Disabilities Family Help Service (CWDFH) was developed to address these issues by bringing social care, short breaks, family help and inclusion into one integrated, preventative model for children and young people aged 0–25. Its aim is to make support easier to access, more consistent and joined up, so children with disabilities can thrive within their families and communities.

How: what you did and how it was delivered to meet the identified need

The CWDFH Service brings together Disabled Children’s Social Care and the Bi-Borough Short Breaks Service into one integrated, multidisciplinary model. This reduces the need for families to navigate separate parts of the system themselves and supports a more coordinated, whole-family response.

The service includes Family Help Practitioners, Social Workers, Systemic Clinicians, Occupational Therapists, a Designated Social Care Officer, Inclusion Practitioners, Family Navigators and specialist Children with Disabilities centres. Together, they provide support across a continuum of need, from early advice and prevention to statutory intervention where required.

One assessment, one story: A single assessment approach reduces duplication and keeps the focus on the child’s lived experience and the realities of family life.

Continuity through a named practitioner: Each family has a consistent Family Help Practitioner who builds trust and maintains a coherent plan. Where needs increase or safeguarding concerns emerge, practitioners work closely with Social Workers to ensure smooth transitions and joined-up support.

Team Around the Family: The model brings professionals together to deliver timely, tailored support, including short breaks, homecare, personal budgets, parenting support, preparation for adulthood and community-based interventions that build independence and confidence.

Inclusion as a core function: A dedicated Inclusion Team works with schools, health partners, youth services and community providers to remove barriers and increase access to mainstream and community opportunities.

A clear, fair front door: Access is underpinned by eligibility criteria aligned with the Equality Act 2010, focusing on children with substantial and long-term disabilities or complex health needs. Where children do not meet the threshold, Family Navigators provide advice, visits where appropriate, and active signposting to SEND services, Early Help, Family Hubs and the Local Offer.

Impact: evidence of the difference it has made to children and families

The impact of the CWDFH Service is seen in the shift families experience: less system navigation, more relationship-based support, clearer planning and a stronger focus on inclusion and everyday outcomes. Families describe the service as more joined-up, with fewer handoffs and greater confidence that someone is holding the whole picture.

What families are telling us (anonymised feedback):

“From the first visit, the practitioner was professional, kind and understanding. They built a relationship with our child, worked around our routines and kept us informed. We now have a tailored package of support and feel much more settled as a family.”

What this looks like in practice:

One family approached the service during a period of disruption, following a sudden change in parental availability and reduced informal support. Previously, they may have had to navigate separate pathways, repeating their story while waiting for support.

Under the Family Help model, a named practitioner completed a holistic assessment, built a relationship with the child and coordinated support across services. Clear communication meant decisions translated quickly into practical help.

The result was not just a package of care, but a family feeling more settled, empowered and confident, with support that fitted their lives rather than the system.

Early impact themes:

· Stronger relationships, with families highlighting consistency, empathy and trust

· Smoother transitions between early help, short breaks and statutory support

· Greater focus on inclusion, independence and coordination across partners

Why this matters:

In a context of increasing demand and complexity, the model reduces duplication, strengthens decision-making and keeps inclusion and lived experience at the centre.

Next Steps: what you are doing next to develop or expand this practice

The service continues to embed its integrated model with a focus on inclusion, outcomes and sustainability.

Key priorities include:

  • Deepen the inclusion offer so more children and young people can access mainstream and community opportunities
  • Strengthen workforce confidence through training that supports consistent, relational practice
  • Improve data and performance monitoring to evidence impact and inform improvement

Evolve: advice you would give to others seeking to replicate your model

This model offers practical learning for other local authorities seeking to improve outcomes for children with disabilities and reduce inequality.

  • Design around the family, not the system. A coordinated model improves experience and reduces fragmentation
  • Continuity is an intervention. A consistent practitioner builds trust and strengthens engagement
  • Make inclusion core. Dedicated inclusion capacity enables wider system change
  • Work in partnership. Collaboration across agencies supports earlier, more effective intervention

Overall, the CWDFH Service shows how an integrated, preventative and inclusion-led approach can create a more coherent system, improve family experience and help children and young people with disabilities thrive.

Practice Spotlight 2025 – ‘Innovative & Impactive Practice’
Introduction to the submissions in this category

This category saw excellent submissions, reflecting therapeutic, child-centred and preventative approaches, working in partnership to co-produce and deliver truly integrated services to children. young people and their families.

Therapeutic models featured prominently within the category particularly through Barking and Dagenham’s submissions; the Culturally Sensitive Therapy Project, embedding cultural awareness and therapist–family matching, the North East London Sunrise hub demonstrates the impact of a holistic, child-centred, and integrated approach that is supporting the recovery of children and their families who have been affected by sexual abuse.

Greenwich’s well-established integrated working between Local Authorities and health organisations demonstrated how effective multi-agency partnership working helps children and their families receive the right support at the right time. Merton’s Family Hub outlines how careful planning, navigation and engagement across a wide stakeholder landscape enabled co-production and a shared vision for a place-based delivery model with ‘Access, Connections and Relationships’ at the heart.

Delivering together with health in their pre-post birth service, Redbridge are ambitious to build on their established strategic and operational multi-agency partnerships and expand, the service. with health colleagues fully embedded within the team.

Sustainability and innovation on a smaller scale enabled Tower Hamlets to break the cycle of recurring removals of infants from their parents by providing the support necessary for parents to improve their lives and future parenting prospects through effective multi-agency partnership working.

London Borough of Barking & Dagenham – The sunrise hub in partnership
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Team: Sunrise Hub: The Northeast London Child Sexual Abuse hub (CSA Hub) and LBBD CSA Practice Leads.

Partners: Barts Health NHS Trust, Barnardo’s

Main Submission:

Introduction to the Initiative and Motivations for Action
The North-East London (NEL) Child Sexual Abuse (CSA) Hub, also known as the Sunrise Hub, is a holistic, child-centred, and integrated approach to supporting recovery of children and their families affected by sexual abuse. This initiative was commissioned by Newham CCG and involves multiple partners, including Barnardo’s TIGER services, Barts NHS Health Trust, and a Social Care Liaison officer (SCLO) employed by LB Barking & Dagenham (LBBD).

The Hub has expanded to become a comprehensive wellbeing Hub for all North-East London. The Initiative’s motivation stems from statistics that 1-in-20 children and young people experience child sexual abuse, costing the UK £3.2bn annually. In NEL alone, there were over 700 cases of non-acute CSA reported in 2018/19, with Newham having the second highest rate of reporting in London. The challenge was the lack of tailored emotional support for these children, which led to the development of the TIGER service (Trauma Informed Growth and Empowered Recovery).

Details of Actions, Activities, and Initiatives
The Sunrise Hub has implemented several best practices, combining traditional psycho-educational work with coaching and trauma-informed practice, helping children find strength to lead their recovery. The service operates across NEL and Northwest London Integrated Care Systems (ICSs) and supports victims of both intra-familial and extra-familial abuse. Key actions include:

  • Young Person Research-Based Evaluation: In 2022, MOPAC, along with NEL and NWL, funded a research project focusing on how London CSA services can be improved. Peer researchers undertook surveys with over 300 current and historical CSA service users and their parents.
  • Flexible Service Delivery: Emotional wellbeing services are delivered in locations chosen by the child.
  • Partnership and Collaboration: Weekly intake and partnership meetings between Barnardo’s, the health team, and the SCLO ensure ongoing collaboration. Partnership with Local Authorities
  • SCLO: This is a LBBD employed role, supporting 7 NE London boroughs. It offers advice and liaison between social care professionals and the Sunrise Hub. As a result of this role and the CSA improvement work undertaken in LBBD, the borough has submitted the highest number of referrals in NEL to the Sunrise Hub for CSA medical assessments as well as TIGER referrals for children. In addition to this, LBBD have set up a CSA Think Space consultation which is run by the SCLO and CSA Practice Leads who offer a reflective space to consider and drive best practice. Sunrise Hub attended 61 strategy meetings in LBBD between April ‘24 and December ‘24 in contrast to 28 during the same 2023 period. This has resulted in children and their families receiving timely coordinated services.
  • Promotion and Referral: Local authorities, particularly GPs and children’s social care directorates, actively promote, signpost, and refer children to the Sunrise Hub.
  • Awareness Training: The Sunrise Hub, in collaboration with local authorities, conducts training on trauma-informed conversations with children, parents, and carers, as well as support for lower-risk children
  • Statutory Safeguarding Processes: The partnership ensures that statutory safeguarding processes are followed, reducing the need for children to repeatedly recount their experiences.
  • Service Expansion and Development: The local authority has developed work within schools to raise awareness about healthy relationships, consent, and the use of pornography.
  • Feedback and Improvement: Local authorities alongside the Sunrise Hub gather feedback from children, young people, and families for service improvement.

Evidence of Impact

  • Improved Emotional Wellbeing: The TIGER service has helped children and young people improve their emotional wellbeing, rediscover their sense of self, and learn to self-regulate.
  • Increased Referrals and Access: The CSA health assessment clinics have seen an increase in referrals since 2020, and Barnardo’s has received 388 referrals from April 2020 to March 2023, with 95% being accepted and offered support.
  • Sustainability and Clinical Practice: The creation of a network of paediatric CSA expertise with contracting/funding processes ensure the sustainability of the hub.

Voice of the Child
The Tiger Talks evaluation project recruited peer researchers to undertake surveys and oneto-one interviews with children and young people. Key findings include:

  • Safe Space for Exploration, Validation and Support: Children and young people reported that the support services provided them with a safe space to explore their emotions and talk freely.
    • “It has been good having sessions, and I have learnt a lot, and my TIGER practitioner has listened to me and not judged me. My confidence has
      gotten better, and I go out more with friends. I get on better with my mum as I can be more opened when speaking with her. Thank you”
    • “It has been good to speak about what happened to me. I have never felt judged. – It has been easy to open up to you about my feelings/moods
      and my emotional well-being. I have found our discussions good.”
    • “I was able to talk about my feelings and problems. I understand what abuse is and I recognise when someone is taking advantage of me. I felt happy working with my practitioner, and I felt safe”.
    • “The sessions with my TIGER practitioner benefited me and helped me process hard thoughts. Helped with my derealisation. Made me realise I have a voice and am heard. And empowered.”
  • Comments were made regarding the professionalism, attentiveness and friendliness of both doctors and play specialists. Parents/carers felt that their child’s choices were respected throughout and would recommend the hub to others
  • 2 Parents stated that information and videos before the appointments were helpful to manage expectations
  • older kids commented on the fact that they liked the pace of the appointment and the fact that staff took time to explain everything before it was done.

In summary, the North-East London Sunrise Hub exemplifies best practice in supporting children and young people affected by sexual abuse. Its holistic, child-centred approach, combined with strong partnerships and innovative practices, has made a significant difference in the lives of many. This model of multi-disciplinary working lends itself to being better placed to respond to the recommendations set out in the National Review into child sexual abuse within the family environment

Supporting Information:

Royal Borough of Greenwich – Integrated working between Local Authorities and health organisations

Key Contact: Karl Mittelstadt, Assistant Director Children’s Services

Read more about this project

Partners: South East London ICB, Public Health Team

Main Submission:

Commissioning  

Our commissioning work has long been delivered in partnership with our ICB and Public Health Teams and there is a long-standing commitment to sharing resources where this supports the effective delivery of effective services to children and their families. Two jointly funded integrated Commissioning Director posts, one for adults and one for children, were established in 2021 with responsibility for overseeing commissioning activity across the Local Authority and South East London Integrated Care Board. 

The integration at senior leadership level was further built on through the development of a fully integrated staffing structure over 2022-23, which was implemented from 1 April 2024. These jointly funded teams now oversee the commissioning of services across all aspects of children’s – from CAMHS and placements for children in care to detached youth work and maternity services.  

This has helped strengthen the focus on join-up in our commissioning, including supporting the development of examples below.  

Direct and Commissioned Services  

As part of working together across the LA, ICB and our provider Trust (Oxleas NHS Foundation Trust), we have established a new integrated Clinical Team.  The team is employed by Oxleas and co-located in Children’s Services. The team delivers direct services to children and families with emerging mental health needs (child or adult). It also supports practitioners by offering clinical consultation and supervision. The service accepts referrals for children open to any part of children’s services (including youth justice services, education welfare services as well as social care). Building on this team it has recently expanded to include two specialist mental health workers for Care Leavers (fully funded by the ICB) who are also clinically supervised by Oxleas adult mental health services. 

These arrangements have recently been strengthened by the introduction of family network co-ordinator (funded by Public Health) to improve the emotional well-being of care leavers and reconnect Care Leavers with their networks.  

Our partnership with health also enables us to have strong joined up continuing care and social care decision making and commissioning arrangements in place. A joint panel co-chaired by the ICB and LA oversees the assessments for Continuing Care and provision under the Chronically Sick and Disabled Persons Act.  Although our continuing care budget is overspent, leaders across the partnership understand the volume and complexity of need and work together to alleviate pressure and provide the best support for children and their families.  

The successful commissioning and delivery of services is based on governance and oversight arrangements that are characterised by high trust and integrity. Our DCS has regular 1:1 meetings with the Director of Children and Young People in the Community Health Trust. These meetings are complemented by regular joint leadership meetings between Children’s Services, the Community Trust and ICB.  Most recently these have been extended to Heads of Service. These arrangements strengthen cohesion by fostering sustainable and high-trust relationships.  

Our health partners play a strong role in statutory safeguarding arrangements and co-chair three of our five sub-groups (Quality Assurance and Audit, Learning, Training and Policy as well as the Serious Care Review Group).  

All of our recent inspection activity has highlighted the strength of partnership working in Greenwich.  

HMIP (March 2023): ‘There is an extensive health offer to the children working with the YJS, including a family intervention and clinical health lead (consultant clinical psychologist with CAMHS), YJS nurse, substance misuse service workers, a speech and language therapist, and a liaison and diversion specialist. These personnel are co-located with the YJS team and we saw good evidence of speedy access to services in our case’ inspection. The health team supports accelerated access to specialist mental health services, where this is required. 

Local Areas SEND Inspection (May 2023): ‘Leaders in Greenwich are determined that every child or young person with SEND should have their needs identified accurately and met consistently. The local area partnership in Greenwich is mature and fully integrated. Jointly commissioned services are well established. Leaders across education, health and care know exactly what is working well, and which aspects of work could be even better’. 

ILACS (June 2024):  

  • Highly effective partnership working with housing colleagues, schools, youth services and children’s centres, as well as mental and physical health services, helps children and their families receive the right support at the right time. Collaborative multiagency working is making a difference to children and young people’s lives and helps to limit the demand for more intensive statutory provision. 
  • There is a strong focus on supporting care leavers to maintain their physical and emotional health. Intelligent and effective joint work with the mental health early intervention team provides timely and effective support to care leavers experiencing mental health difficulties. 
London Borough of Merton – Co-production of Merton’s ‘Our Merton Family Hub’
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Team: Family Hub Transformation team.

Partners: Merton Connected, Keystone Marketing, KidsFirst (parent/carer forum)

Main Submission:

In late 2021, Merton applied for transformation funding to support borough wide implementation of the DfE Family Hub programme. Since November 2022 Merton has, alongside 12 other successful LA’s worked diligently to initiate and embed widescale change in the way that Early Help services are accessed and experienced by babies, children, young people and their families.

Moving to a place-based delivery model with strong focus on ‘Access, Connections and Relationships’ has been achieved with careful planning, navigation and engagement across a wide stakeholder landscape. The need to talk with, hear and respond to the views of local families has remained front and centre of early development work. Embedding the ‘Family Hub’ brand and a shared understanding of the concept has taken time. The evolution of ‘Our Merton Family Hub’ was driven by a need to develop simple language and messaging about how Family Hub services would be experienced by those who use and deliver them.

The development of ‘Our Merton Family Hub’ (or visual pledge as it is often referred) was an iterative process, drawing initially, from insights and feedback gained through engagement and consultation activity. This included:

1) Discussions with parents who had joined ‘Merton Family Voice’ (a parent/carer forum where feedback on various aspects of transformation has been sought).

2) Conversations with young people and families who attended the Family Hub launch event in August 2023.

3) Feedback shared by VCFSE partners in a series of workshops aimed to build relationships with third sector organisations (many of whom represent the views/experiences of lesser groups within our local communities).

4) Structured activity held during a Partner Engagement Day (19.01.24) where views were sought on the shaping of a visual pledge.

A visual illustrator was drafted in to translate words into pictures. This was considered important to ensure that the messaging about Merton Family Hubs is understood and accessible to a diverse audience, including younger children, families with SEND, people with learning needs and those with English as an additional language. Young people also told us that any information needed to be easy to both read and understand.

Five versions of ‘Our Merton Family Hub’ were drafted before landing a final product. Each draft was consulted on, and feedback drawn from several sources (including the audiences has allowed Merton to be fully assured that the inception of ‘Our Merton Family Hub’ is truly informed by co-production and collaborative working, supporting a sense of borough wide ‘ownership’ regarding the programme and its aspirations.

This mode of engagement and consultative approach has enabled families and delivery partners to contribute to the shaping of Merton’s Early Help/Family Hub offer. We recognise that for many families, the support provided through Our Merton Family Hub has made a huge difference when managing very challenging circumstances and whilst waiting for specialist health interventions. This has been of particular significance to parents of children with SEND, who have told us how Family Hub services have really helped them to better care for their children when they become dysregulated. The interface with ‘Kids

First’ has helpfully shaped the framing of Merton’s approach to better reflect and respond to the lived experience of families with SEND and work towards improving outcomes through an effective support offer.

Using the strapline ‘Our Merton Family Hub’ and displaying this widely across buildings, promotional material, websites, presentations and communications has also promoted a sense of collection and belonging. Families told us that they wanted Family Hubs to be somewhere with more opportunities to ‘drop in to’ and meet other parents when the opportunity arises. This is reflected in various ways within both the visual pledge and through the developing Family Hub service offer. As a direct result of feedback, we have increased drop-in sessions across our Family Information and Support Hubs, Open Garden Sessions, MIASS and delivered more open access ‘on off’ events for Families to attend. This has been well received with over 100 family members attending a recent open garden session at one of our Family Hub network delivery locations.

Children young people and parents each contributed to the shaping of this work. Parents of children with SEND shared helpful feedback on use of colours and imaging to support greater full accessibility. Whilst efforts were made to reduce the amount of text within the visual for ‘Our Merton Family Hub’ some parents shared that the visual had too many images and not enough information. Based on this feedback, a decision was taken to develop a separate booklet for parents which explains Family Hub services and the support available. These have been shared at various engagement events with parents reporting that the information contained within these booklets has been a useful source of reference.

We are planning to revisit the effectiveness of our FH brand (including our visual pledge) as part of ongoing review and evaluation activity. This will involve the development of a practitioner resource tool kit which partners will be invited to use in their engagement with families and young people to gauge feedback on perception and experience of support through Merton Family Hub.

Supporting Information:

London Borough of Redbridge – Pre-post birth service
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Team: Family Help: pre- & post-birth

Partners: ICB, NELFT, Public Health, Midwifery

Main Submission:

Delivering together with health in response to the recommendations from Born into Care and to the increasing numbers of post-birth care proceedings, Redbridge Children’s services established a multi-agency pre-birth service in 2021 focused on vulnerable pregnant women where there was a hight risk of post-birth care proceedings.

Redbridge’s data showed that those most at risk were:

  • Care experienced young people/children & young people in care
  • Parents who had experienced the removal of previous children
  • Young parents
    The introduction of this new pre-birth service led to signification reductions in the number of
    child protection investigations and post-birth care proceedings. In 2023/2024, even though the
    number of referrals leading to the assessment of unborn babies increased by 65%. the pre-birth
    service outcomes showed:
  • 22% reduction in child protection investigations
  • 19% reduction in pre-birth child protection conferences
  • 18% reduction in pre-birth child protection conferences leading to a child protection plan
  • 30% reduction in the issuing of post-birth care proceedings

Building on the success of this service

Redbridge is now developing a multi-agency pre-& post-birth service with Health Partners as part of its new Family Help service.

Strategic and operational partnerships with Health colleagues are already in place through the Multi-Agency Safeguarding Hub (MASH) including weekly meetings with the hospital midwifery team to discuss and plan for known high risk pregnancies. A range of other health partners also attend these meetings including perinatal services, health visiting and the specialist midwife for teenage pregnancies.

The new Family Help – pre-& post birth service will build on these established relationships, draw on the learning from the successful Family Nurse Partnership in Redbridge and on the achievements of the existing pre-birth service.

The new Family Help – pre-& post birth service will increase the capacity of our multi-agency team enabling them to expand the number of families they work with in the earliest stage of pregnancy, undertaking intensive, preventative family-centred work, including families where babies have previously been taken into care.

The new service aims to support many more vulnerable mothers and families both pre- and postnatally by providing earlier targeted intervention and support to first time parents, particularly those identified as high risk. A key challenge was designing and implementing the right structure to meet the needs and demands of the families requiring support from the pre- & post-birth service. Managed by Children’s services, the team is made up of a Team Manager, Practice Manager, a Senior Social Worker two Social Workers, four Family Support Workers.

Reduced caseloads provide social workers with the time to build relationships. Support will be tailored to the individual needs of the family.

The team will integrate key health professionals enabling Family Help to provide practical support to a much wider group of vulnerable families, giving them the confidence and help to look after their babies and keep them safe, ensuring families can thrive and that those who need it access perinatal mental health support. The service will expand to include five health professionals, co-located with the social care team.

These posts include:

  • A dual qualified Health Visitor and Midwife
  • A Health Visitor specialising in drug and alcohol use
  • A Health Visitor with a specialist interest in working with those who have experienced
    Adverse Childhood Experiences and previous children being removed
  • A Mental Health and Wellbeing Practitioner
  • A Nursery Nurse

The breadth of health and social care expertise within the team will enable it to provide intensive support, assessment and intervention to those parents most at risk. As outlined, operational links with midwifery services had been well established, with the service further building upon those relationships. Moving forward the service wants to mirror and embed the practice provided by the Family Nurse Partnership to provide consistent support across both social care and health services.

The service will run in tandem with the pre-birth panel which reviews all high-risk pregnancies in the pre-birth team, with particular attention given to those in care/are care leavers to Redbridge. As previously identified, care experienced young people were identified as being at a higher risk of post-birth separation from their child. The aim is for experienced managerial oversight to ensure early care planning and support is implemented to reduce the number of care proceedings, or to ensure that those at the highest risk are identified early.

Evidence that the best practice initiative is having an impact

We already know the impact of our small pre-birth team and we expect that the expansion of this team into a multi-agency service to support and deliver positive outcomes for a much larger number of families.

To reiterate, in 2023/2024, even with the number of referrals leading to the assessment of unborn babies increased by 65%. the pre-birth service outcomes showed:

  • 22% reduction in child protection investigations
  • 19% reduction in pre-birth child protection conferences
  • 18% reduction in pre-birth child protection conferences leading to a child protection plan
  • 30% reduction in the issuing of post-birth care proceedings
London Borough of Tower Hamlets – Diamond Project
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Team: Edge of Care Team

Main Submission:

The challenge of recurring removals of infants from their parents is a particular issue for Tower Hamlets where 40% of care order applications involve parents who have previously lost custody of at least one infant.

These parents face complex and interwoven challenges. Their histories are often marked by childhood trauma, neglect, and repeated interactions with the care system, leaving them distrustful of professional services and hesitant to engage. Because their children are removed, these parents often become ineligible or untrusting of long-term support. The cycle of infant removal perpetuates their exclusion from essential services, reinforcing patterns of crisis and instability. The Diamond Project was designed to break this cycle by providing the support necessary for parents to improve their lives and future parenting prospects.

Consideration was given to using the Pause Programme, but this is a costly option and imposes some conditions upon the mothers. Tower Hamlets aimed to create a similar, cost-effective project within an established service, ensuring sustainability and innovation at a smaller scale. The Diamond Project was integrated into the existing multi-disciplinary Edge of Care Team which allowed the project to leverage pre-existing relationships and networks within Children’s Services.

The name of the project was chosen because diamonds are strong and unbreakable, qualities we wanted parents to see within themselves so that they felt empowered to make changes in their lives.

The project aims to help referred parents to achieve the following four objectives:

  1. Being a parent -Staying in contact with their children and contributing to their lives.
  2. Staying healthy – Improving their health, including mental health, self-regard, and safer sexual practices.
  3. Staying safe – Avoiding abusive relationships and building safer ones.
  4. Being in control – Building security, accommodation, income, employment, and self-confidence.

The project was developed from the ground up as an innovative initiative funded by Tower Hamlets Council (LBTH) and the London Innovation and Improvement Alliance (LIIA). This was in consultation with the East London Family Court and with support from local stakeholders (RESET/CGL, The East London NHS Foundation Trust, OCEAN Mental Health Service and Perinatal MH Service, EAFC Positive Change, Adult Services Community Learning Disability Service, Adoption London East, and Tower Hamlets Housing. Parents who themselves experienced the repeat removal of their children have been consulted to be active partners in the development of the offer.

The Manager for the Edge of Care Team led the project, which was integrated into her team. This setup facilitated trust and effective working relationships, ensuring that referrals were appropriate and timely. This allowed the practitioner to be part of the multi-disciplinary team, providing support and containment.

In the first year, the project faced challenges with limited capacity of one practitioner, but we resolved this by increasing staff and leveraging partnerships. The Better Together Framework provided a consistent language and approach, fostering collaboration and resource-sharing among diverse stakeholders and allowing the project to build a robust network of partner agencies, facilitating the development of our offer.

To date the project has received 23 referrals for support for parents, and we have worked with 16 of those mothers. Some referrals were not accepted as parent was living outside the borough, or they had older children living in their care, or were already pregnant and did not meet the criteria. Where we could, we sign posted them to other services.

In light of a positive evaluation, the project has been extended for a second year, with two workers. This extension provides enhanced stability, enabling more parents to benefit from the program. Additionally, the group offer has been implemented to support as requested by parents from gathered feedback. The group will provide peer support to parents, specifically focusing on addressing the loss they have experienced. This is planned to be a tri-borough initiative, coordinated with Ocean Mental Health NHS service, supported by a clinical psychologist.

Due to our project’s small scale and capacity, our support has primarily focused on mothers, though we recognise that fathers also face recurrent care proceedings. While some joint support has been extended to fathers, it has mostly involved activities like writing letters to their children or referrals to relevant services. Recently, we decided to trial working with a father who has agreed to receive support. This approach is not yet tested, but we hope that with a larger project in the future, we will be able to expand this support

In Year 1, the project worked with 10 parents who had a total of 39 children removed from their care. None of those has had any further care proceeding at this point two years on.

The pilot service achieved several positive outcomes for the 10 parents in the 12 months of the project. Some examples of our first-year impact taken from the evaluation are:

  • All 10 women are now registered with a GP
  • 2 women facing homelessness are now moved to permanent housing
  • 3 women were supported to rebuild family relationships
  • 4 women have received counselling or advice around drug and alcohol use
  • 7 women have had some advice and support intervention around partner violence

One woman was assisted in accessing the Adult Community Learning Disability Service (CLDS), where she was diagnosed with previously undetected learning difficulties. She now receives support from this service and has been working effectively with its staff, enabling us to conclude our involvement. One partner of a woman was referred for Autism assessment.

Feedback from parents was positive:

“The worker is lovely. She listens to me, and she visits me at home and gives me time. I wanted to understand why my children were taken away. I looked at my papers with her, she helped me to understand it better.”

“She helped me write letters to my children and attends appointments with me as I have learning difficulties.”

“She helped me to be in contact with my children. I didn’t have the letterbox contact but now with support I have the contact and up to date information.”

“If it wasn’t for the worker, I’d be on the streets now”

“My confidence was very low when my children were taken, I didn’t take very good care of myself. She just picked me up and helped me to get on with things.”

Partners have said:

“I cannot over emphasise the importance of having a social worker who is alongside and working for the mothers. She understands her clients’ needs and is able to advocate for them to access the right support.” – Clinical Lead

“This is a service that has been needed for a long time” – CLDS

Practice Spotlight Navigation Panel:

Does your submission information need updating?

Each submission included within the Practice Spotlight Digital Area has been approved by the relevant local authority DCS and Practice Leader prior to inclusion, However, if you spot something in your submission that needs updating such as a change in key contact or a supplementary resource or video that you’d like included then please reach out to LIIA colleagues below;

Project Administrator: Mei Ho (LIIA)

Mei.ho@londoncouncils.gov.uk

Programme Administrator: Nafisa Abdiresak (LIIA)

nafisa.abdiresak@londoncouncils.gov.uk