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Personalised approach

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Single front door

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Fear of the unknown, fear of the consequences, fear of judgement, fear of facing up to things

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Hand holding provision

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Reduce stigma by midwifery appointments being in the family hub

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Stigma, emotional fatigue, transport, fear of rejection, literacy, too much signposting.

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Key role for local community navigators as advocates to signpost and support individuals and families

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Need to develop links with local community networks and cvs to improve engagement and promote better access to services

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Need to share information with partners to understand risk and determine right level of intervention and early help

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How could we shape services around families rather than shoehorning families into what we have

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Thresholds in Durham are seen as very high regionally.

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How could we strengthen Comms between national areas between key services...national databases would be helpful to strengthen any potential gaps. There are agreed protocols for cin and CP transfers however where it known in this way or only known to one single agency this is a challenge

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Shared information with partners

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Mental health waiting lists for adults are a huge problem.

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More referrals needed through early help and prevention.

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How do we keep abreast of all the locality providers out there and make best use of this

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Thresholds, sometimes writing referrals is a challenge and professionals don't feel trusted.

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Do we use the good stuff across all the localities as well as we could and learn from good practice

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Parents often ask for help too late or at the point where they are in crisis rather than when the problem is emerging but this is their normality. What is easy for families to access around them. Local dynamics that say any help is a negative and therefore parents aren’t good enough.

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There has been interventions but have they been the right ones are they coordinated and mapped well and are we aware if all of the services out there

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What else we can do to improve knowledge across areas via ADCs and regional groups to strengthen responses to transience

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Longer term approach is required to prevent stop start service - Family Hubs are doing this effectively.

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Cross area boundary info sharing issues around timeliness could be an opportunity to improve

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Systems not talking mean staff are 'blind'

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Rachel's table

Horden together project means yes for the known families but there are families we don't know about going into cic system so there are additional opportunities

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Cases are closed and whole new referrals are required. This is too time consuming for schools. It also delays support for the family.

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Gaps in prevention, trauma from childhood, unaddressed needs brought into parenthood.

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Lots of parents are Cate Experienced and fearful of services including schools sometimes.

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People are coming to the area from other places and cultures and universal staff aren’t aware of relevant history. Issues with sharing information.

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Lots of families are getting the right support.

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Some are, but lots persevere for too long before asking for or accepting help.