4 Reaching children and families in
need
Disadvantaged groups
79. Studies of Sure Start children's
centres by the National Audit Office (in 2006) and Ofsted (in
2008) questioned how well children's centres were reaching the
most vulnerable families. [168]
While many children's centres have made progress since then,[169]
practice varies both between and within local authorities. The
NSPCC found that, in one local area, children's centres' engagement
with teenage parents varied from 6% to 68%, while engagement with
non-working families varied from 28% to 100%.[170]
Evidence to our inquiry suggested that barriers faced by disadvantaged
families in engaging with children's centres included a lack of
awareness of services on offer, negative prior experiences or
distrust of helping agencies, social isolation, perceptions that
services were unwelcoming or not relevant and poor transport links.[171]
Some groups, such as fathers, disabled parents or those with disabled
children, face particular problems in attending centres. Ofsted
also reported that "Many children's centres report that they
are less successful in reaching families suffering from 'hidden
needs' like domestic violence, lone parents and teenage parents".[172]
80. The Children's Society argued that
centres need to adapt to the needs of fathers, by offering services
outside the normal working week.[173]
This was supported by some witnesses but the Fatherhood Institute
questioned whether fathers-only groups were effective, arguing
that "it is likely that the single most important recruitment
strategy is, right from the start, to present the father's engagement
as expected and important and to mean it."[174]
An NFER study found that children's centre staff emphasised the
importance of targeting needs (those of children, parents and
families) rather than targeting specific groups (such as teenage
parents, lone parents, minority ethnic groups), in order to avoid
stigmatising or stereotyping, and to increase the focus on outcomes.[175]
81. A recent report by the Children's
Society into the barriers faced by disadvantaged families in engaging
with children's centres found that in some areas there was still
a lack of awareness and understanding of what children's centres
were and that they were not widely promoted by the local authority
and partner organisations.[176]
This was endorsed by witnesses: for example, Jill Rutter of the
Family and Childcare Trust argued that "Not all local authorities
have easily accessible information about children's centres on
their websites".[177]
This underlines the importance of targeted outreach, conducted
both by centres themselves and through organisations such as Homestart,
and of practical assistance such as help with transport.
82. Naomi Eisenstadt warned that it
was easy for centres to focus on parents and children currently
using services and to risk missing some families in need of support.
She told us that "it is the finding out who is not coming
that is the key to the targeted work."[178]
Dame Clare Tickell agreed that "even if you are full, that
might not mean that you are reaching the right people."[179]
The Family and Childcare Trust noted that, until 2011, local authorities
were obliged to report data about the reach of Sure Start children's
centres to the DfE. This provided information about the use of
children's centres by groups such as lone parents, workless households
and teenage parents and "highlighted the varied level of
success of Sure Start in reaching disadvantaged groups or those
less likely to use services".[180]
83. Local authorities are obliged
under the Children Act 1989 to identify the number of children
in need in their area and also to support their families. This
provides a framework for identifying those in need but we recommend
that there be a new duty on local authorities to put these children
and families in contact with services, including children's centres.
Local authorities and health professionals should seek out the
most vulnerable children and also do more through their websites
and other services to raise awareness of children's centres.
84. We recommend that the DfE
restore the national collection of data on the reach of individual
centres in order that both good and poor practice can be identified
and monitored, including the effectiveness of centre services
and the impact on children in the community. Ofsted could use
this data to assist them in their role of requiring local authorities
and centres to account for those who do not attend.
85. Barriers to involving disadvantaged
groups and others, such as fathers, who are reluctant to engage
with centres must be addressed in practical ways. Children's
centres need to learn from the best practice of those who have
been successful in doing this, including offering services outside
school hours and terms to enable more people to take advantage
of their services. Again, networks of centres, such as Early Years
Teaching Centres, have an important part to play in this.
Involving parents in children's
centres
86. According to the Government's core
purpose document, respecting and engaging parents is one of the
principles underpinning the work of children's centres. The document
explains that this "will involve local families having a
greater say in how services are delivered (with transparency about
what money is being spent on and what difference it is making),
actively engaging them in delivery through volunteering opportunities,
as well as working with health visitors to build the capacity
of local parents to help each other and form informal networks
of support."[181]
87. Many parents already contribute
to the running of their centres through volunteering. A survey
by the charity 4Children in 2011 found that 87% of children's
centres were using volunteers.[182]
Their 2013 census highlighted an increase in their numbers and
stressed their role as "a strong link to and with the local
communities".[183]
The DfE provided funding to the Daycare Trust (now the Family
and Childcare Trust) to increase volunteering in children's centres
and childcare settings, including looking at ways of increasing
the participation of fathers and grandfathers.[184]
The Children's Society's recent report expressed support for volunteering
as a way of engaging disadvantaged groups,[185]
and we also heard that the Parent Champions project was successful
"in getting volunteers in".[186]
88. Possible barriers to involvement
by parents include lack of time and a need for help with childcare
or travel costs. [187]
Witnesses also raised the challenge of ensuring that certain groups
of parents did not take over and put off harder-to-reach families.
The Sure Start children's centre survey of parents, published
by the previous Government in 2009, found that "there is
no evidence that particular groups of parents or carers are monopolising
the centres. Equally, the results suggest that no sub-groups are
being excluded from or failing to access the centres."[188]
However, Barnardo's noted that "in a minority of cases, parent
groups have sometimes given way to 'cliques' creating an exclusive
culture. There is a risk that this could make it more difficult
to engage with harder-to-reach families".[189]
Naomi Eisenstadt agreed that this was a potential issue but stressed
that managing it was a key part of the children's centre leader
role: "it is making sure that the current crop of users are
not off-putting to the most disadvantaged, because that is what
happens. They do not want the drug-abusing woman there; they do
not want their children mixing with that family. So it is a very
skilled task to get that mix right."[190]
89. Some witnesses also drew attention
to the limits of parental involvement with regard to taking decisions
about what was offered in centres. Professor Melhuish told us
that "there is certainly a case for consulting the community,
but if you leave this decision entirely to the community, then
you are reliant on the expertise being present in the community
to make the relevant decisions."[191]
Similarly, Naomi Eisenstadt described the tension over "to
what extent you are responding to what mothers and fathers want
and to what extent you are delivering things that you know will
help their children or, indeed, help them."[192]
Professor Sylva suggested that balancing the two elements was
another key element in the role of the children's centre leader.[193]
90. It is important that centres
involve parents through parents groups and in other ways. Local
people need to be encouraged to take a stronger role in influencing
the management of children's centres. Volunteering is particularly
important and should be encouraged both in itself and as part
of a career route into employment for many parents. Practical
support, such as training, childcare vouchers or transport, could
make a significant difference in encouraging this kind of involvement.
Data-sharing
91. Good information-sharing is vital
if children's centres are to identify the children and families
in need of their services. The DfE statutory guidance is that
health services and local authorities should share data, including
live birth data and data on families under five who have moved
into the area, with children's centres; and that local authorities
and health service commissioners should consider developing local
partnership agreements for this.[194]
This is clearly working in some areas but not others. The DfE
acknowledged "lingering barriers to effective sharing of
data and information"[195]
and the LGA expressed concern about "the persistent barriers
to effective information sharing between services and children's
centres, specifically in the new health landscape".[196]
92. Access to live birth data is a particular
difficulty. Barnardo's reported that "we are aware of poor
practice [...] where health professionals consider this task [data
sharing of live births] beyond their remit, making it very hard
to obtain sufficient data."[197]
A survey by Action for Children found nearly 70 per cent of their
centres were experiencing problems accessing live birth data.[198]
This is supported by the ECCE Strand 3 finding that "many
centres also spoke of the long-standing difficulties in getting
access to birth data from health authorities; this seemed to be
a local policy decision that could be addressed, since the problems
in gaining access to health data were not encountered in all centres".[199]
The recent serious case review into the death of Hamzah Khan in
Bradford referred to the failure to share birth data with the
result that no early years or school services knew of the child's
existence.[200]
93. These difficulties were variously
attributed by witnesses to factors such as stretched resources
and clashing geographical and organisational boundaries,[201]
but overwhelmingly the blame was attributed to the current guidelines
on data-sharing and what the Children and Young People's health
outcomes forum described as "a wide lack of understanding
of the rules about information sharing".[202]
Nicki Price, Chief Executive of Corby Clinical Commissioning Group,
told us that "even within health, we struggle to pass information
across health organisations due to information governance. To
pass information from health out into some organisations then
becomes very difficult."[203]
Health-visiting lead, Diane Dinch explained that "if your
guidelines are vague, it leaves you feeling quite insecure and
therefore you err on the side of caution."[204]
94. Some areas have found ways to overcome
these barriers, usually involving the development of information-sharing
protocols and consent procedures. The LGA assured us that "there
is a lot of work underway to improve data sharing between public
bodies".[205]
A recent NFER study featured "blue slip registration",
which involves parents giving explicit consent for their details
to be shared with children's centres.[206]
Some areas apply the notion of "presumed consent" which
means that there is an assumption that new birth information can
be passed to children's centres, unless a parent indicates that
they do not wish the children's centre to be informed. In these
areas, most parents allow new birth information to be shared.[207]
95. The lack or insufficiency of shared
data has a detrimental impact on the work of centres. Ofsted reported
that difficulty in obtaining information from key partners affects
the ability of centres "to monitor their work effectively
and to track the difference they are making to their target families".[208]
ECCE Strand 3 reported that centres "found it difficult without
adequate statistics to plan how best to target resources where
they were most needed, and difficult to intervene early before
major problems developed".[209]
96. In 2011 the DfE set up a task and
finish group with Department of Health, chaired by Jean Gross
CBE, to look at the issue of information-sharing in the Foundation
Years.[210] After
much delay the report was finally published on 21 November 2013,
after we had finished taking evidence for our inquiry.[211]
The report echoed many of the issues around information-sharing.
In particular, it confirmed that these issues were "more
about institutional and professional practice and culture than
national regulation" and that the barriers were "less
about actuality and more about the clarity of existing guidance,
whether different groups of professionals have actually seen it,
and about professionals' attitudes and beliefs".[212]
The Ministerial response agreed, amongst other measures, to consider
how to further strengthen guidance on information sharing and
to explore how to achieve an e-learning module on information
sharing in the foundation years.[213]
97. We welcome the Gross report
on information-sharing in the foundation years. Data-sharing is
vital: the DfE must strengthen its guidance on health services
and local authorities sharing data with children's centres. We
recommend that the DfE and the Department of Health audit where
this is not happening and ensure that the appropriate protocols
are put in place. The Government should report back on its findings.
Child protection and children
in need
98. Ofsted's inspection findings indicate
that "many children's centres are becoming increasingly proactive
in promoting the use of the Common Assessment Framework as a tool
for referral."[214]
It appears that this is not balanced by a similarly proactive
approach on the part of children's services. The NSPCC reported
that children's centres do not always receive information about
Children in Need, citing one manager as saying "we know which
children are on Child Protection plans, but we don't know the
Children in Need who live in the area. If we did, we could offer
support."[215]
The NSPCC argued that centres needed better information on domestic
violence, drug misuse and mental health cases.[216]
99. The DfE provides one way of improving
co-ordination with children's services in its statutory guidance,
saying that "Each children's centre should have a link to
a named Social Worker".[217]
This provision was welcomed by several witnesses, particularly
those from children's charities.[218]
The LGA was wary of this "top down stipulation", on
the ground that local authorities needed the flexibility to make
local determinations as to how multiple agencies can best work
together;[219] but
individual authorities such as Lancashire County Council suggested
that the model "has strengthened joint working and improved
information sharing",[220]
while the East Riding of Yorkshire was confident that the named
social worker requirement "has not been an issue as all Children's
Centre practitioners know the social worker involved with the
family they are working with".[221]
This underlines the importance of the observation from Annie
Hudson, Chief Executive, of the College of Social Work, that it
was the quality of the relationship, rather than the model, which
was important.[222]
Action for Children recommended the Children's Centre Social Worker
pilot as best practice, whereby a social worker coordinates services
with children's centres to prevent the escalation of need.[223]
100. Local authorities need to
ensure better co-ordination between children's services and children's
centres. Information on children and families known to social
services should be passed on where possible. In particular, children's
centres should be directly linked to Multi Agency Risk Assessment
Conferences (MARAC) to ensure that they are kept informed about
domestic violence. The principle behind the named social worker
requirement is that there should be clear responsibility for building
relations with children's centres so that action can be taken
quickly where necessary. Local authorities should ensure that
this is done even where the named social worker model is not adopted.
The DfE should revise its statutory guidance to reflect this.
Registration of births
101. There have been trials involving
siting the local birth registration service in children's centres,
including an experiment in Knowsley under the Transforming Early
Years programme, run by the Innovation Unit for public services.[224]
The Minister reported that "The evidence from where [such
trials have] taken place is very positive about the level of engagement
of children and families".[225]
She cited an example where a children's centre had achieved a
re-engagement figure of 87.5%.[226]
These results led to a recommendation from the APPG on Sure Start
that registration of births at children's centres should be made
as a matter of course. Vicki Lant of Barnardo's described this
approach as "an incredibly practical, pretty obvious way
of engaging families at a point when they may be pleased, open
to suggestion and feeling that they want to do as well by their
children as they possibly can."[227]
Adrienne Burgess of the Fatherhood Institute was similarly positive.[228]
102. Local authority witnesses were
against the proposal on the grounds of cost and staffing.[229]
There are also questions about whether a children's centre is
always going to be more convenient for parents than the traditional
birth register office model, particularly given the move to different
ways of organising early years services. The Minister noted the
concerns of local authorities and acknowledged that while "conceptually
it is a very attractive idea", she did "not want to
impose extra burdens on local government if they say it does not
work for them".[230]
An alternative, recommended by Policy Exchange in a recent report
on Sure Start, would be for all local authorities to adopt the
"Tell Us Once" option and use it to inform children's
centres of new births.[231]
103. Registration of births at
children's centres is a powerful engagement tool but we are unconvinced
that it is necessarily a practical solution for all local authorities
to implement. It is also not cost-free. We recommend that local
authorities should be permitted to adopt the practice but not
obliged to do so. An approach of presumed consent, where the local
authority will pass on information to children's centres unless
specifically told not to, could achieve similar results at lower
cost.
Use of data by centres
104. Even if data were made available
to centres from their partners, children's centre workers would
need to hone their capacity to read, analyse and use this data.
Ofsted told us that "A common factor in weaker centres is
that they are not good at obtaining and using data, evaluating
their services, and monitoring the take-up of particular groups
and families. This diminishes their ability to target their services
at those who are most in need within the community".[232]
Recent research by Caroline Sharp of NFER for the Local Government
Association also suggests that staff skills in data handling may
be an issue, as it is an area "where significant challenges
are reported."[233]
105. Graham Allen's report on early
intervention notes that "development and training for children's
centre staff around data handling is an important consideration
for workforce development."[234]
There may also be greater scope for joint training of those from
different disciplines in this area to address the problem identified
by Family Action that "siloised training of the different
disciplines (ie education, health, social work early years) and
the differing outcomes looked for in early child development and
learning by these professionals are presently obstacles to integration".[235]
106. Children's centre staff need
appropriate training in collecting and interpreting data and centre
leaders need to be taught how to use the data to drive interventions.
It should be the responsibility of local authorities to ensure
that the required standards are met by centres. Joint training
in data-handling with staff from other agencies would break down
barriers and ensure greater understanding of what data is available
and how it can be used to target those in need of services. We
recommend that the DfE include this in its statutory guidance
on children's centres.
168 NAO, Sure Start children's centres, December 2006,
HC 104, Session 2006-07; Ofsted, How well are they doing: the
impact of children's centres and extended schools, January 2008 Back
169
Impact studies, NESS 2008, 2010, 2012 Back
170
NSPCC presentation for APPG on Sure Start, 30 January 2013 Back
171
Eg Ev w20, para 7 and Ev 186, para 5.2 Back
172
Ev 180, para 20 Back
173
Ev w20 Back
174
Fathers and Parenting Interventions: what works?, Adrienne Burgess,
The Fatherhood Institute, 2009, p33 Back
175
Lord, P., Southcott, C., and Sharp, C. (2011).Targeting children's
centre services on the most needy families (LGA Research Report).
Slough: NFER, p.3 Back
176
Ev w20 Back
177
Ev 186 Back
178
Q91 Back
179
Q83 Back
180
Ev 186, para 5.1 Back
181
Sure Start children's centre core purpose, DfE, April 2012 Back
182
Volunteering in Children's Centres: Results from a volunteer questionnaire
survey carried out by 4Children for Family Lives, 2011 Back
183
2013 census, p7 Back
184
Ev 214, para 8 Back
185
The Children's Society, Breaking Barriers: How to help children's
centres reach disadvantaged families (2013) Back
186
Q479 [Jill Rutter] Back
187
Ev w20, para 7 Back
188
Sure Start children's centres parent survey 2009 DCSF Back
189
Ev 198, para 37 Back
190
Q11 Back
191
Q245 Back
192
Q2 Back
193
Q245 Back
194
Statutory guidance (2013) Back
195
Ev 219 Back
196
Ev 223 Back
197
Ev 197, paras 24 and 25 Back
198
Ev 206 Back
199
ECCE Strand 3, pp. xx-xxi Back
200
Bradford Safeguarding Children Board, A Serious Case Review: Hamzah
Khan (November 2013) Back
201
Ev 120 Back
202
Report of the Children and Young People's Health Outcomes Forum,
p45 Back
203
Q191 Back
204
Q191 Back
205
Ev 227 Back
206
Lord, P., Southcott, C., and Sharp, C. (2011) Targeting children's
centre services on the most needy families (LGA Research report),
Slough: NFER Back
207
Ev 227 Back
208
Ev 180, para 19 Back
209
ECCE Strand 3, p 27 Back
210
Ev 214 Back
211
Information Sharing in the Foundation Years: A report from the
task and finish group, November 2013 Back
212
Ibid Back
213
Undated letter to Jean Gross CBE from Elizabeth Truss MP and Dr
Dan Poulter MP Back
214
Ev 181, para 29 Back
215
Ev 191, para 12 Back
216
Ev 189 Back
217
Statutory guidance (2013) Back
218
Ev 162, para 28-29, Ev 191, para 12 Back
219
Ev 225 Back
220
Ev w25 Back
221
Ev 231 Back
222
Q635 Back
223
Ev 162, para 28-29 Back
224
Radical Efficiency in Action: Transforming Early Years, better
outcomes for families at lower cost, Innovation Unit, p39 Back
225
Q879 Back
226
Ibid. Back
227
Q524 Back
228
Q492 Back
229
Qq 767-8 Back
230
Q879 Back
231
Policy Exchange, Centres of Excellence? The role of children's
centres in early intervention (2013),p9 Back
232
Ev 180, para 20 Back
233
Lord, P., Southcott, C., and Sharp, C. (2011) Targeting children's
centre services on the most needy families (LGA Research report),
Slough: NFER Back
234
Early Intervention: the next steps, Graham Allen MP, January 2011,
chapter 5 paragraph 51 Back
235
Ev w14 Back
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