The Social Exclusion Task Force

Key areas of work

Naomi Eisenstadt

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Why are we here?

To ensure that the opportunities open to the vast majority of the UK become available to those whose lives have been characterised by deprivation and exclusion

‒ Focus on the most disadvantaged; people with multiple, complex, interrelated problems

‒ These need joined-up solutions which cross traditional boundaries

‒ We seek a coherent approach:

‒ working with individuals to address the here and now of exclusion, and

‒ working with families to reduce the inter-generational cycle of disadvantage

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Inequality gaps widen as policy success for the many leaves a few even further behind

For most people, things are significantly better The success of ‘whole population approaches’ The limits of whole population approaches Three strands to our work:

‒ System reform: improving the delivery and quality of services to the most excluded groups

‒ Performance management: reflecting social exclusion in public service delivery framework

‒ Innovation at the front line: building the evidence base All built on rigorous data analysis matched with

comprehensive stakeholder engagement and underpinned by… . .

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Five key principles

Early identification across the life cycle to prevent the next decline

Systematically identifying what works, building the evidence base

Promoting multi-agency working

Personalisation, rights and responsibilities

Supporting achievement, managing under-performance

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Whole population approaches; some staggering success, with increasing differentiation over time

19th century clean water, for everyone, and everyone gets the same

20th century universal NHS: for everyone, but based on clinical need, style of delivery same for everyone

20th century education: for everyone, but structured around ‘talent’, nature of offer determined by the State

21st century: universal childcare offer, but flexible availability of hours, and delivery by private, voluntary and public sectors

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Successes in improving outcomes for most families, have left a smaller and much more complex group behind

Bottom 20%, perhaps living in poverty but:

• working, coping poor

• resilient families

• students

• achieving childrenDeep and persistent exclusion – poverty plus multiple deprivation which could include:

• those receiving care from specialist mental health services (1.1m)

• Problem drug users (280,000)

• lack functional numeracy (7m), lack functional literacy (5m)

• young offenders (95,000)

• NEET 16-18 yrs (220,000)

• children in care (60,000)

General population (80%)

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What are we doing?

1. System Reform: improving the delivery and quality of services to the most excluded groups, e.g.

‒ Improved collaboration and coherence across adult services, and between adult and children’s services

2. Performance Management: reflecting social exclusion in public service delivery framework, e.g.

‒ Developing new Adult social exclusion PSA as part of CSR 07

3. Innovation at the front line: building the evidence base for what works, e.g.

‒ Family Nurse Partnerships

‒ Adults in Chronic Exclusion pilots

All part of the Social Exclusion Action Plan, published September 2006, and the bedrock of our work programme

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System reform: Families at Risk Review, Part 1, Reaching Out: Think Family published June 07

Outcomes for children largely determined by circumstances of parents, e.g.‒ Drug and alcohol problems‒ Poor mental health‒ Poor educational background‒ Family violence

Children’s services can ameliorate the effects, but on their own, cannot address root causes of the most excluded families

Requires whole family approach and willingness to work with the most challenging adults and children

Requires all services to build models of support around whole picture of family, and characteristics of individuals within it

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Performance management: Adults PSA in the CSR 07

Designed around evidence on deep exclusion

Important to fill gaps rather than overlap with OGD PSAs

Simple and clear vision to ensure services deliver for vulnerable groups

Policy implications very complex: DWP, CLG, DH, DfES, HO

4 Target groups Adults with learning

difficulties Adults in secondary mental

health services Ex-offenders Care leavers

2 outcomes a place to live Job or training towards work

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Innovation at the front line: implementing the Pilots identified in the Action Plan

Family Nurse Partnerships: 10 sites, 2 year projects, £7 million investment

Adults in Chronic Exclusion: 12 sites, 3 year programme, £6 million investment

Multi-Systemic Therapy pilots: up to 6 sites, 3 year programme, £6.5 million investment

Targeted support delivered by health visitors to at risk mothers and children from pre-birth to 2 years old

Testing a range of models of systems change and service delivery for adults with multiple and complex needs

Community based intensive service provision for young people aged 11-18 with complex needs and their families

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A coherent approach to the most excluded:

Working with adults to address the here and now of exclusion‒ Stock, ACE pilots‒ Stemming the flow: PSA

Working with families to reduce the inter-generational transmission of deep disadvantage‒ FNP pilots‒ FAR Review