From April 2018, Nottingham City Council (NCC) have commissioned Nottingham CityCare Children’s Public Health service, to work in partnership with NCC’s Early Help Team 0-5 to deliver the new ‘Giving Nottingham Children the Best Start in Life’ service. The commissioned service will deliver and integrate a range of existing services.

Through co-production, resources will be used as efficiently and effectively as possible. The services are working in collaboration with Small Steps Big Changes (SSBC) to test new ways of working to be able to evaluate and produce evidenced based programmes of support across the city.   Evaluation will be undertaken locally by Nottingham Trent University and nationally by Warwick University - there are 5 Big Lottery funded programmes, which will also share best practice as part of the evaluations.

To keep this innovative service transformation on track over the next 7 years (duration of SSBC remaining), a governance structure has been created. A Strategic Systems Change Board (SSCB) and a Joint Operational Group (JOG) are now in operation. The SSCB is chaired by Councillor Mellen, the Early Intervention Portfolio Holder at Nottingham City Council and the JOG is chaired by Children’s Integrated Services (CIS) Director, Helen Blackman.  The JOG meets monthly and reports its progress and challenges to the SSCB on a bi-monthly basis. An annual report will be presented to the Health and Well-Being Board and the Children and Young People’s Partnership Board to ensure that all Partners are involved in this systemic and cultural transformation. SSBC also has a separate Board to manage and steer its performance.

A Best Start Transformation Plan is being drafted by 4 separate workstreams, who will deliver the priority actions as agreed by the strategic board.  The workstreams are:

  • People - Lead Elaine Mitchell, CIS Workforce Development Manager, Nottingham City Council
  • Performance - Lead Helene Denness, Children’s Public Health Consultant, Nottingham City Council
  • Places - Aileen Wilson, Head of Early Help Services, CIS Directorate, Nottingham City Council
  • Practice - Selina Carlin, Assistant Director of Children’s Services, Nottingham CityCare Partnership

Each work streams will meet monthly and create sub groups, as appropriate, to ensure the transformation tasks are shared across each organisation and the communities served. There are 8 Best Start teams and 4 Early Help teams to support 8 Care Delivery Groups, which are aligned to the adult services and area committee boundaries. It is our long term aim to ensure that, as we develop new pathways, families will be able to access the services that they need from a single point of contact.

To ensure that as many parents and carers can have a say in how these services are transformed, we will incorporate parental engagement to ensure co-production of our transformation plan. In addition to the input of the SSBC Community Connection contributions, we will develop ‘Best Start Advisory Boards. It is anticipated that existing Children’s Centre Advisory Board members will help with these changes.

To ensure that as many colleagues can have a say in this service transformation, service and team managers will be using team meetings to discuss with the workforce how you can make a contribution to the workstreams and their sub groups, which will be task and time limited.

Once the Transformation Plan and the Workstream Plans are approved by the Strategic Board and Operational Group, these will be uploaded to the websites of:

  • Nottingham Children’s Partnership
  • Nottingham Children’s Integrated Services
  • Directorate, Nottingham CityCare Partnership
  • Small Steps Big Changes