Tag: early intervention

Edinburgh Community Health Forum calls for immediate halt to ‘misguided’ funding cuts

The recent announcement by the Integrated Joint Board (IJB) regarding the disinvestment from up to 64 community organisations as part of its recovery plan for 2025/26 has ignited significant outrage among Third Sector, including members of the Edinburgh Community Health Forum (ECHF). 

This drastic cut threatens the very fabric of our community support systems and undermines our collective commitment to health and wellbeing in Edinburgh, said ECHF’s Strategic Development Manager, Stephanie-Anne Harris.

Stephanie-Anne vehemently criticised the decision, stating: “This disinvestment will lead to the closure of numerous charities and an increased reliance on statutory services, including the NHS and Council.

“Furthermore, it contradicts the Scottish Government’s and Public Health Scotland’s advocacy for prevention and early intervention strategies.

“Evidence overwhelmingly supports that investing in prevention is one of the most cost-effective methods to improve health outcomes and reduce inequalities.

“This short-term approach to achieving savings is fundamentally misguided.”

Historically, core funding for the Third Sector was managed by the Council before being transferred to the IJB.

The current proposed cuts pose a severe threat to organisations that provide essential services to some of Edinburgh’s most vulnerable residents.

Catriona Windle, Chair of ECHF and CEO of Health All Round, a charity dedicated to supporting residents in Gorgie Dalry, Saughton, Stenhouse, and surrounding areas, added: “We call for an immediate halt to cuts scheduled for 2025 and urge the IJB to engage in meaningful discussions with the sector about sustainable funding solutions.

“While we recognise the need for budgetary considerations, we cannot afford to compromise on the vital support that Third Sector organisations provide. We propose delaying cuts until September 2025 to allow for a proper conversation about the future.

“The IJB must recognise that resourcing for the Third Sector is not non-essential; it is crucial for the wellbeing of our communities.

“We implore Council leaders and the IJB to consider resuming full responsibility for funding these vital services or to engage the Third Sector in developing a strategic funding model that ensures ongoing investment in our collective health.”

EDINBURGH Integration Joint Board meets on Friday 1 November at 10am in the Dean of Guilds Room at the City Chambers.

See below for meeting papers – including details of the cuts being recommended:

EIJB-Public reports pack 01112024Download

REFORM SCOTLAND: Time for action instead of ‘perpetual talk’ on local government powers

Think tank calls more financial controls to be devolved from Holyrood to local authorities

Reform Scotland, the independent, non-partisan think tank, has today released its response to the Local Government, Housing and Planning Committee’s call for views on the sustainability of local government finances.

The think tank suggests that successive Holyrood governments have failed to create the conditions for sustainable local government, and that political discourse has been dominated by “perpetual talk without action”.

For example, nearly 15 years ago the Christie report highlighted the necessity of early intervention and preventative spending programmes. The importance of that report is regularly highlighted by politicians and policymakers, yet it has not been delivered upon.

To make matters worse, prevention programmes are often delivered by the third sector in collaboration with local authorities, and with councils’ budgets under growing strain, all too often these programmes are first in the line for cuts.

In its response, Reform Scotland calls for:

  • Collaboration on new approaches for financing local government activity, such as social bridging finance
  • The end to central government interference in the setting of Council Tax rates, and an empowerment of local authorities to consider the adjustment of bands and exemptions
  • More fiscal powers to be devolved to local authorities to allow them to respond to local needs

Reform Scotland Director, Chris Deerin, said: “During the 25 years of devolution, we have focused on the transfer of powers between Westminster and Holyrood, but we have taken our eye off the ball when it comes to the power of local authorities.

“Unfortunately, in that time we have seen Scotland become further centralised. This approach must end. Scotland is too diverse to presume that the solutions which can work for Edinburgh can work for Elgin, or those that work for Glasgow can work for Gairloch.

“We need to shift away from a drip-drip approach of devolving small, occasional powers, which simply encourages councils to come cap in hand to the Scottish Government, and towards empowerment and recognising that local communities are best placed to meet local needs.

“We have seen years of broad agreement that a one-size-fits-all approach cannot work, yet this has amounted to little more than perpetual talk, without action. Now is the time for action.”

The full response can be read here.

Increased support offered to Scottish families in relationship crisis across the country

Latest figures from Relationships Scotland show continued fallout from pandemic and cost of living crisis are having a negative impact on family life

Support for Scottish families seeking help to deal with relationship difficulties and family breakdown has increased by almost 40% in the last year, according to Relationships Scotland.

Relationships Scotland, the largest provider of relationship support in the country, has published its Annual Review highlighting the increase in support being offered to couples with relationship problems.

The figures for 2022/23 show that across the charity’s network of 21 member services, 86,000 hours of direct support were delivered, increasing from 62,000 the previous year. The figures also show the network provided support to over 14,400 people across the country, up from 13,850 in 2021/22.

Stuart Valentine, Chief Executive of Relationships Scotland said: “There is no doubt the pandemic and the cost of living crisis have put a strain on families and relationships, and these figures are a stark reminder of how acute this strain is.

“This is a significant increase in hours of support across the whole country, and while it paints a worrying picture of the pressures being felt across the nation, we are encouraged that people feel they have somewhere to turn, and are seeking help to deal with these issues.”

The Relationships Scotland network has a strong focus on early intervention and prevention, working with families as early as possible to support them to look at the issues they are facing and helping them avoid problems spiralling. The work of the 21 member services across the country is supported by around 900 people, including over 400 volunteers.

Stuart Valentine added: “The importance of positive and resilient relationships can not be underestimated, with the damage caused by relationship breakdown estimated to cost the Scottish economy around £3.5b each year.”

How Edinburgh’s Family and Household Support Service works to ‘get it right for everyone’

Edinburgh’s Family and Household Support Service has prevented at least 350 households from becoming homeless, a council report has revealed.

At a meeting of the Housing, Homelessness and Fair Work Committee this week, councillors heard how the service is providing a citywide approach to ‘getting it right for everyone’ – with the aim of helping vulnerable residents before it’s too late.

Through referrals from sources such as teachers, housing officers and social workers to police officers and politicians, it has been possible to intervene early in many cases to help households in Edinburgh access the right advice and support.

Around £300,000 in welfare has been sourced to support families referred to the service, alongside advice on issues as varied as parenting, addiction, employment and health and wellbeing, according to the council report.

Working directly with teams which handle antisocial behaviour complaints and neighbourly disputes, the service is also working to prevent repeat instances of antisocial behaviour by working holistically with those involved to assess any support needs.

The Committee also heard how the service is successfully helping tenants sustain their tenancy once they move into a new home. Edinburgh’s ‘Keys and a Kit’ programme as it has been dubbed features sessions on finances, health and local community resources and activities to help new tenants settle in, which can be particularly important following a long period of homelessness.

By making the best use of limited resources by working collaboratively with charities and others, it is also estimated that this preventative approach has provided a saving to the council of close to £6m since 1 April 2022.

Councillor Jane Meagher, Housing, Homelessness and Fair Work Convener, said: “Every day, our tenants are interacting with council services – be it for health care, school, or welfare. These services need to be joined up so that we can better support the whole life of a tenant and it’s great to see the difference this ‘getting it right for everyone’ approach is making.

“Thanks to early intervention from council workers and from our partners, we’ve prevented homelessness for hundreds of households. Families entitled to benefits have been helped and tenants moving into new homes have been supported.

“Plus an extra advantage of this has been £4.5m of costs associated with homelessness avoided in the last year alone, at a time when our finances are under immense pressure.

“I hope to see us build on this even further now that the Family and Household Support Service reports into the Housing, Homelessness and Fair Work Committee.

“I’m confident that we’ll be able to draw this work together even more and build in other measures, such as noticing when a tenant’s home may be suffering from damp or is in need of an essential repair.”

Keeping The Promise: Helping families stay together

Vital funding to help transform family support services and reduce the number of children going into care has been announced by the Scottish Government. Local authorities will receive £32 million in Whole Family Wellbeing Funding for 2022-23, with a further £6 million available to support this work.

This will help build services that focus on prevention and early intervention, so families get the support they need to overcome challenges before they reach crisis point.

Arrangements for distributing the remaining £12 million of Whole Family Wellbeing Funding committed for 2022-23 are being finalised.

Education Secretary Shirley-Anne Somerville said: “It is essential that we provide the right kind of support to enable families to thrive so that, ultimately, fewer children and young people go into care. 

“Whole Family Wellbeing Funding aims to transform the way support is delivered by ensuring families can access seamless support that meets their individual needs.

“The £50 million committed in 2022-23 will focus on building the capacity for further investment from 2023-24 onwards. This funding is a critical part of how we will keep the Promise by helping families access the support they need, where and when they need it.

“Our ambition is that from 2030, we will be investing at least 5% of all community-based health and social care spend in preventative whole family support measures.”

The Scottish Government has committed to investing £500 million in Whole Family Wellbeing Funding over the course of this Parliament.

Decisions on the use of the £32 million allocated to local authorities for 2022-23 will be made by Children’s Services Planning Partnerships.

State of Child Health – it’s not good

The RCPCH has today published State of Child Health 2020, the largest ever compilation of data on the health of babies, children and young people across all four UK nations.
The report shows that for many measures of children’s health and wellbeing, progress has stalled, or is in reverse – something rarely seen in high income countries.

Visit the State of Child Heath website

Across most indicators, health outcomes are worse for children who live in deprived areas. Inequalities in some outcomes have widened since the last State of Child Health report in 2017. Progress has also been seriously affected by deep cuts to local authority budgets – used to finance public health initiatives and community services.

The authors highlight that, even where there have been notable improvements in children’s health, the UK is often lagging far behind other countries.  For example, although there has been a fall in the number of emergency asthma admission rates across all four nations, the UK still has one of the highest mortality rates in Europe for children and young people with asthma.

Dr Ronny Cheung, Clinical Lead for RCPCH and co-author of the report, said: “Two weeks ago, the Marmot Review presented a stark picture about life expectancy in England. Now, our own report shows troubling signs for children and young people across the UK.

“The harsh reality is that, in terms of health and wellbeing, children born in the UK are often worse off than those born in other comparably wealthy countries. This is especially true if the child is from a less well-off background.

“Infant mortality is a globally-recognised sign of how well a country is looking after the health of its citizens. Throughout the world, the number of babies dying in their first year has been steadily falling for decades, as incomes rise and mothers and children receive better healthcare.

“Yet UK infant mortality rates have stalled, and in England they actually got worse between 2016 and 2017. For a high-income nation such as ours that should be a major wake up call.”

State of Child Health 2020 brings together 28 measures of health outcomes, ranging from specific conditions – such as asthma, epilepsy, and mental health problems – to risk factors for poor health such as poverty, low rates of breastfeeding, and obesity.

Community paediatrician and co-author Dr Rakhee Shah, said: “Investment in preventative health services must now be prioritised by the new UK Government.

“England has seen a huge decline in spending on local services and I see the results of that every day of my working life especially for my most disadvantaged patients. The cuts to services also have an impact on our NHS – people have fewer places to go to get advice, support, and stay well.”

The authors make a number of policy recommendations for each nation. These include:

  • Introduce a cross-departmental National Child Health and Wellbeing Strategy to address and monitor child poverty and health inequalities.
  • Restore £1 billion of real-terms cuts to the public health grant for Local Authorities.
  • Ensure future investment in public health provision increases at the same rate as NHS funding and is allocated based on population health needs.
  • Implement in full commitments from the prevention green paper, Advancing our health: Prevention in the 2020s.
  • Implement commitments to provide a Youth Investment Fund, with protection of the committed £500m funding.
  • Provide health-based support for children throughout education, including funding for increased numbers of school nurses and school counsellors.
  • Provide renewed investment in services for children and families, which support the child’s school readiness.
  • Ensure that health visiting services are protected, supported and expanded with clear and secure funding.

President of the RCPCH, Professor Russell Viner, said: “We’ve got a lot of work ahead of us if we’re to get a grip on the state of child health in the UK. This report is the only one of its kind to zoom out and look at the full picture and it’s not a pretty sight. On many vital measures we risk lagging behind other European countries.

“There some positive signs – teenage pregnancies have fallen hugely, Scotland is leading the way on reducing youth violence, and we’ve made huge strides in the treatment of conditions like diabetes. These outcomes are invariably the result of good policy, political commitment, and proper funding.

“In many areas of healthcare, we’ve led the rest of the world. But we’re in danger of failing a generation if we don’t turn this situation around. The government has made welcome commitments on childhood obesity and young people’s mental health but we need to see delivery in these and other areas.

“We have the evidence, the experience and the expertise to make real progress in the life of this government. It’s now time to deliver for children and young people.”

KEY HIGHLIGHTS 

Infant mortality

  • The UK is fifth from bottom among 27 European countries for infant (under one year of age) mortality. Infant mortality in England stalled between 2013 and 2018 at 3.9 per 1,000 livebirths, with a slight rise in 2017 to 4.0.
  • In England and Wales infant mortality is more than twice as high in the most deprived areas compared with the least deprived areas.

Healthy weight

  • The prevalence of children aged 4-5 who are overweight or obese has not improved significantly in any of the four countries since 2006-7.
  • Trends among 4-5 year olds are stable across the UK with around 25% of children overweight but this increases to around 34% for 10-11 year olds in England.
  • Childhood obesity is more prevalent in deprived areas. In England, the prevalence of severe obesity among 4-5 year olds was almost four times as high in the most deprived areas (3.8%) than the least deprived areas (1.0%) in 2017/18.

Child poverty (new indicator)

  • A total of 4.1 million children live in relative poverty in the UK (after considering housing costs) – an increase of 500,000 between 2011-12 and 2016-17. From 2016/17 to 2017/18, the numbers in England rose from 30% to 31% of children and in Wales from 28% to 29%
  • Child poverty in Scotland plateaued at 24% and in NI decreased from 26% to 24%.
  • Across the UK, rates of child poverty have increased for all types of working family. Lone parents working part time and households with only one working parent have seen the sharpest increases in poverty over the last three years.
  • Nearly half of children (47%) in working lone parent families live in poverty.

Immunisations

  • In 2018, all four UK nations fell short of the 95% WHO target for the second dose of MMR.
  • In 2018, the uptake rates of two doses of MMR vaccine at 5 years ranged from 86.4% in England, 91.2% in Scotland to 91.8% in Northern Ireland and 92.2% in Wales.

Youth violence (new indicator)

  • While rates of physical violence among young people are broadly similar across the four nations, England is the only country in which rates are increasing – most notably for 20-24 year olds. Between 2012 and 2017, the rate of physical violence among that age group increased from 297.7 to 315.49 per 100,000.
  • In Wales, Scotland and Northern Ireland, physical violence among young people aged 10-24 shows an overall downward or stable trend from 2012-2017.

Long term conditions

  • Emergency admission rates for asthma have fallen since 2003/4 across the UK. However, the UK has among the highest mortality rates in Europe for children and young people with the underlying cause of asthma.
  • Epilepsy had until recently seen similar falling rates of emergency admissions. However, in 2017/18 rates rose slightly in England, Wales and Scotland. In Scotland, children with epilepsy from the most deprived areas were twice as likely to have an emergency admission to hospital than those from the least deprived.
  • There has been continued improvement in blood glucose control among children and young people with Type 1 diabetes across all four nations, and it is encouraging that there have been increases in the completion of key health checks for those with diabetes.

2020 indicators

  • Mortality – Infant mortality; Child mortality (1-9 years); Young people’s mortality (10-19 years)
  • Maternal and perinatal health – Smoking during pregnancy; Breastfeeding
    Prevention of ill health – Immunisations / vaccinations; Healthy weight; Oral health
  • Injury prevention – Accidental injury; Road traffic accidents; Youth violence (new indicator)
  • Healthy behaviours – Smoking in young people; Alcohol and drug use in young people; Conceptions in young people
  • Mental health – Prevalence of mental health (new indicator); Mental health services (new indicator); Suicide
  • Family and social environment – Child poverty; Education – not in education, employment or training (NEET) (new indicator); Young carers (new indicator); Children in the child protection system; Looked After Children (new indicator)
  • Long term conditions – Asthma; Epilepsy; Diabetes; Cancer; Disability and additional learning needs
  • Workforce – Child health workforce (new indicator)

SOCH-SCOTLAND2-03.03.20

Swinney announces new early intervention fund

A new fund to help support children, young people and families has been announced by Deputy First Minister John Swinney – but grants won’t be available until June next year. This fund will replace the Children, Young People and Families Early Intervention and Empowering Communities Fund, which comes to an end next March. Continue reading Swinney announces new early intervention fund

Total Craigroyston – improving outcomes for children and families

Total Craigroyston is the latest ‘early intervention’ strategy to support families with children in North Edinburgh. Total Craigroyston Manager CHRISTINE MACKAY explains what it’s all about …

Total Craigroyston has been set up  to encourage  all the various organisation which work with Children and Families to work together to  improve outcomes for children and families in the neighbourhood around Craigroyston Community High School.

Our initial focus will be on children who are looked after by the Council to ensure that they have all the support they need to give them the best opportunity to succeed in their lives. We will also be working to reduce the need for children to go into care, and that means finding ways to  support families at an earlier stage and in a variety of ways.

The idea is to take a holistic approach – ensuring that all of the local resources in both the statutory and the voluntary sectors are on the same page, facing the same direction and contributing to the agreed outcomes. It may be that we need to change how some of our services are delivered so that we can offer support at an earlier stage and we want to involve local people as well as local staff  in helping us think what changes might be necessary.

We held a meeting in mid-March, bringing together the local Neighbourhood Partnership, the Edinburgh Partnership and the Total Craigroyston steering group (pictured below) to start the discussion and what everyone agreed on was the need to ensure that local residents, service users and local staff are completely involved in shaping the direction of Total Craigroyston.

To help us do this we have been working with an organisation called  SNOOK, and over the month of June we will be running a series of events and workshops aimed at local residents, service users and local staff so that we can  come up with a set of ideas and proposals, based on local knowledge and expertise,  that we can take forward.

A Design Workshop will be held on Monday 28 May from 9.30 – 12.30 in Craigroyston Community High  School. Come along and give your ideas for changing the way we do things. A crèche is available but places must be booked. Please contact Stephen Straiton on 469 3375 or email Stephen.straiton@edinburgh.gov.uk

On Saturday 2 June, the SNOOK team will be out and about at Muirhouse Shopping Centre, North Edinburgh Arts and Muirhouse Library  speaking  to local people and hearing views.

A Young People Speak Out  session will  be held in Pilton Youth and Children’s Project  on  Wed 6 June  from 7 – 9pm to help us gather young people’s views.

A Prototyping Lab (don’t be put off by the title!!) will be held on Monday 18 June from 10 – 4pm in West Pilton Neighbourhood Centre. This will give the SNOOK team an opportunity to present the ideas that have been gathered and to have a think about the ones we want to take forward. A crèche is available but places must be booked. Please contact Stephen Straiton on 469 3375 or email Stephen.straiton@edinburgh.gov.uk

If you are interested in being involved in any way or you have ideas or a story to tell about your involvement with local services please get in touch. We are based at the Local Neighbourhood Office in West Pilton Gardens. Tel no 529 5050. email Christine.mackay@edinburgh.gov.uk. Please contact us if you’d like more information.

 

Christine Mackay

Manager, Total Craigroyston