Overview

Children’s Services are facing ongoing pressure to ensure that all children are kept safe from harm and to intervene before crisis occurs. Xantura’s system uses data from multi-agency sources to identify children that are statistically most at risk of maltreatment, helping transform the way Children’s Services respond to need and enabling the Early Help agenda to become a viable model.

Xantura will help you identify these families by joining up the small signals and triggering a request into existing systems such as the MASH, front door or Early Help system.

The System pulls together data from multi-agency sources to build a single view of a child and a single view of the household.

Scores are applied to the data and the system identifies those children, and families, who are statistically most likely to benefit from earlier, or additional support.

Xantura’s system provides a secure way to push information to Children’s Social Care professionals so that they have better information with which to make decisions.

The system supports the Expanded Troubled Families (TF) agenda both in delivery of the programme and in enabling systems change.

Once data has been processed it will be made available through a secure web based application

The Insight application will enable, for example:

Performance teams and commissioners to understand the impact of services on key outcomes.

View service interventions and outcomes through the lens of a risk stratification model – helping the Council understand whether it is doing the right things for the right people.




Early Help

In order to target scarce resources and support early intervention local agencies need to continually improve their ability to predict children’s safeguarding risks. Xantura’s Early Help system has been designed to augment Local Authorities abilities to identify those at highest risk and target early intervention resources more effectively.

There is pressure on Children’s Services to develop their Early Help response for families, but this pressure is against a backdrop of continued safeguarding concerns and reductions in budgets. Xantura look at longitudinal multiagency data to establish the history and current situation for families.

Xantura use data to develop scores for families - a risk score that comes from the model and a complexity score that shows how the family rank compared to the other families in a particular cohort or authority.

We will help you strategically look at the families within your Authority and identify the level of need so that you can better prioritise your Early Help programme. We will continually trigger alerts for families whose risk and complexity scores have reduced and consequently can be assessed for step down to reduce the pressure on high end services and reduce cost. We will also help evaluate what is working for families whose risk reduces and which needs it is impacting on.

The outcomes of families and what support they have received will be observed over time. The data collection thus provides for a longitudinal tracking pre-post assessment of impact.

The system will improve targeting of resources, reducing both duplication and wasted service when intervention is statistically unlikely to produce positive outcomes. Families can be ranked according to complexity and matched to interventions most likely to succeed based on their needs.

The identification of children in these high risk groups will enable early preventative measures to be agreed and implemented. For example, statistical analysis shows that Nurse Family Partnerships successfully prevent child mistreatment in 50% of cases. With a more targeted approach, directing Nurse Family Partnerships at higher risk cases, it is anticipated this success rate will increase to at least 60%.

We can support you to make strategic decisions on spending to either reduce the spend on commissioned services (for the same output) or ensure a greater proportion of families are able to benefit from Early Help and staged intervention for the same cost.

This multi agency analysis will enable better informed discussions around joint commissioning. Multi-agency data will be tracked and able to identify which partnerships are benefitting specific needs. This will give otherwise unknown insight as there may be some unanticipated impacts across the needs. For example, a Children’s Services funded intervention may be reducing police call-outs.

Partner Collaboration

At present there is the lack of effective, timely flows of information between professional agencies that work with children and adults. This critical issue undermines the efficiency and effectiveness of triage and assessment processes as decisions are made without a full picture and consequent understanding of the pressures on a family. Health data is one of the key areas that has been identified where improved and more systematic flows of data would significantly improve assessment and referral processes.

Xantura Insight provides a collated view of the information that partners have about a family and surfaces the critical information into an easy to understand summarised view. This view of the data includes our complexity and risk scores as well as the latest incident data and the less dynamic factors that contribute to stress within the household, for example; overcrowding and financial stress.

All the underlying data for these views can be drilled down into and viewed if required as part of assessment if the user has the required authorisation.

Xantura is working with Children's Services and with partner agencies such as GP's and schools to enable professionals to have robust views of families at the moment they need them. These views help professionals make better decisions for families and helps them understand the role their agency should have in providing support.

Secondly, where Children's Services are undertaking an assessment, there is a challenge around gathering information from partners where Information Governance is not yet resolved enough to get a whole population flow of information into Insight, for example from some Health partners such as GP's. At present, GP's answer requests for information by fax. With Xantura, this can be automated and authorisation to send the information can be managed case by case at the click of a button by the GP. This approach will be replicated across other partners such as VCS organisations and the Police.

Xantura and Hackney Council are beginning an innovative pilot project to improve the data sharing between health professionals and Children’s Social Care, in particular to support improved and better targeted referral to Early Help. Our approach builds upon the existing infrastructure we are implementing for Hackney to support improved risk stratification within Children’s Services.

Ultimately, this project aims to:

Deliver an infrastructure that enables GP’s to discharge their responsibilities under the Statutory assessment framework in a more systematic way.

Strengthen the relationship between front line health professionals, especially GP’s, and Children’s Social Care by unlocking key information flows.

Speed up the provision of support and ultimately further protect children from harm.

Model a way of information sharing that can be adopted by other partner agencies.

Underpin the above objectives by creating an integrated view of a child and their family’s needs.