Torfaen Children and Family Services Market Position Statement
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Torfaen Children and Family Services: Market Position Statement projections demonstrate a small decrease in the population of those aged under 25. However, we Key Messages are expecting demand for support for vulnerable families with more complex or enduring needs to Introduction continue over the next 5 years with the market growing in terms of younger children and bigger I am pleased to be able to share this Market families, particularly in light of aspects such as Position Statement, setting out the intention of welfare reform. Children & Family Services in Torfaen. I hope that the Key Messages will increase understanding of how we aim to provide the best services that Message 4 we can for vulnerable children and young people Where possible we try to support children and in Torfaen. young people within their own family, but where this is not possible we will always look to keep them within Torfaen. As a result we have looked to try to avoid making expensive out of county residential placements where possible – this has included the development of an in-county 24 hour supported accommodation for young people aged 16-17 with high support needs. We will continue Ruth Derrick to look to identify ways to avoid unnecessary and Head of Children & Family Services expensive out of county placements. Message 1 Message 5 Over recent years, Torfaen has seen increasing We work in, and will continue to develop, a numbers of children requiring safeguarding collaborative approach to service delivery and through having their names placed on the Child where possible look at the opportunities to Protection Register or needing to be looked after work regionally. For example, Torfaen is part by the Council. This has placed budget pressures of the Children’s Commissioning Consortium across Children and Family Services. Cymru (4C’s), a partnership of authorities across Wales who work together to improve outcomes Message 2 for vulnerable children and young people and We have recently created a Family Focus team achieve value for money through working to deliver intervention, intensive engagement together collaboratively. with families, prevention and early intervention services. But it is recognised that we need to Message 6 provide more of these types of services to prevent We will continue to both encourage and work family’s needs from escalating. in partnership with different agencies to deliver services, building on the effective partnership Message 3 approaches taken to deliver Torfaen’s MIST We are not expecting big demographic changes (Multi-disciplinary Intervention Support Team) in terms of the population of children and young service and Torfaen Young People’s Support people in Torfaen over the next 15 years. Current Service (TYPSS). 2
Social care providers and organisations not currently active in Torfaen can find opportunit your strengths and skills to benefit local people and develop your business. Torfaen Children and Family The local Services: Market authority’s predictions Position of future demandStatement Our population of children and young people is expected to reduce slightly over the next 1 picture across Wales is slightly different, with the expectation that the population of childre people will remain fairly static. Torfaen Children and Young People Population Projections up to 2030 Introduction 8,000 7,000 6,000 2012 5,000 2015 This market position statement is aimed at 4,000 2020 organisations working with vulnerable children, 3,000 2025 2,000 young people and their families and shows the 2030 1,000 kinds of services we are looking to support. We 0 would like this to be the beginning of a discussion 0-2 3-7 8-10 11-13 14-19 20-25 Source: Daffodil about the future market for children, young Source: Daffodil Families that receive family support services come from a range of different backgrounds people and family services. We want to work with services are already succeeding in working with those that are the most vulnerable. Howe Total that we need Population to do in that all Average more to ensure Population our services in and attractive to tho are accessible a wide range of providers, both internally and Torfaen aged the most vulnerable 0-25 and who Wales aged 0 -25 most need our help. externally and see real opportunities for services 2012 challenges One of the biggest - 28,380 in Children and Family 2012 Services - 43,368is the high number of look to come together to minimise duplication and children which is approaching 300. Similarly Torfaen has seen an increasing number of ch 2016 - 27,340 2016 - 42,909 subject to child protection plans in recent years. work in partnership to ensure that we support 2030 - 25,550 2030 - 43,572 entire families to make real and lasting changes. We are committed to stimulating a diverse and The picture across Wales is slightly different, with vibrant market where innovation and success are the expectation that the population of children and encouraged and rewarded and poor practice is young people will remain fairly static. actively discouraged. Families that receive family support services come Providers of children and family social care can from a range of different backgrounds and some learn about our intentions as a purchaser of services are already succeeding in working with services. Voluntary and community organisations those that are the most vulnerable. However, we can learn about future opportunities and what know that we need to do more to ensure that all would enable you to build on your knowledge our services are accessible and attractive to those of local needs in order to develop new activities that are the most vulnerable and who most need and services. People interested in local business our help. development and social enterprise can read about new opportunities in the market and tell us what would help you to come into social care markets and offer innovative services. Social care providers and organisations not currently active in Torfaen can find opportunities to use your strengths and skills to benefit local people and develop your business. The local authority’s predictions of future demand Our population of children and young people is expected to reduce slightly over the next 15 years. 3
Torfaen Children and Family Services: Market Position Statement One of the biggest challenges in Children and Family Services is the high number of looked • Families First is a Welsh Government after children which is approaching 300. Similarly initiative which aims to implement Torfaen has seen an increasing number of a prevention and protection model children subject to child protection plans in providing a whole family approach to recent years. services. Families can be helped to build on their own strengths reducing the No. of Children Looked After No. of Children Looked After need No. to have of Children statutory on the interventi Child Protection on. Register 300 250 We anticipate that demand for support for 200 Torfaen Number of LAC Wales vulnerable families with more complex or enduring 150 Comparable needs will continue over the next 5 years with the 100 authorities average market growing in terms of younger children and 50 bigger families. In addition to supporting families 0 with younger children, there will be a requirement 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 to focus resources on families with older children if Year we are to reduce the numbers of children entering the care system. There is also increasing demand Source: Welsh Government Source: Welsh Government elements such as respite, specialist foster carer Source: Welsh Government placements and appropriate accommodation. No. of Children on the Child Protection Register In addition to the No. of Children on theincrease in demand Child Protection Register for social care Families First is a Welsh Government support there has been increased demand for Inmulti- recent years therewhich initiative has been signifi aims cant demand to implement a 200 agency support for vulnerable families through for housingprevention services fromand protection young peoplemodel who providing initiatives 150 such as Families First – there are a number of a whole family approach are at risk of homelessness, are experiencing to services. Number of Children families in Torfaen with complex orTorfaen multiple problems, Families can be helped to build on their Welsh LA homelessness, are leaving care or who have all requiring 100 support from a range ofaverage health, education, own strengths reducing the need to have social care, housing and other services. a history of offending behaviour. At the same Comparable statutory intervention. 50 authorities average time, there are a number of challenges facing We anticipate that demand for support for vulnerable youngfamilies with to people trying more complex establish their orown enduring needs will continue 0 over the next 5 years with the market growing in such independence, termsas aoflack younger children of educati onal and bigger 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 families. In addition to supporting families with younger children, there will be a and training opportunities, high levels of requirement to focus resources on families with older children if we are to reduce the numbers of children entering the care unemployment and a lack of affordable housing; system. There isYear also increasing demand elements such as respite, specialist foster carer placements and appropriate accommodation. which will be further exacerbated by the proposed Source: Welsh Government ment Source: Welsh Government welfare benefit reforms. As such, Torfaen’s Young In recent years there has been significant demandPersons Accommodati for housing services onfrom Strategy youngidenti fies 4 key people who are at In addition to the increase in demand for social or socialrisk careof homelessness, Families First are experiencing is increased a Welsh Government homelessness, priorities are for leaving achieving care ‘best or who practice’ inhave meeti ang history of care support offending there has behaviour. been At the same time,demand there are a number of challenges facing young people trying to mand for multi- initiative which aims to implement a the housing needs of young people: for multi -agency establish their support for own independence, vulnerable families milies through prevention and protectionsuch model asproviding a lack of educational and training opportunities, high levels • Early intervention and prevention through of initi unemployment ati ves such and as a Families lack re a number of a whole family approach to services. of First affordable – there housing; which will be further exacerbated by the proposed welfare benefit reforms. inAs such,with • An integrated approach to prevention at the are a number iple problems, of families Families can be Torfaen helped toTorfaen’s complex build on Young their Persons Accommodation Strategy identifies 4 key priorities or multiplefor achieving all‘best practice’ point ofneeds crisis of young people: alth, education, problems, own strengths requiring reducing the in support needmeeting from to havethe housing Early a range intervention of statutory health, educati on,and intervention. prevention social care, housing • Support and stabilisation andother An services. integrated approach to prevention at the•point Move of crisis on and resettlement or vulnerable families Supportwith andmore complex or enduring needs stabilisation the market growing Move in onterms of younger children and bigger and resettlement s with younger children, there will be a requirement to focus Key if we are to statistics: reduce the numbers of children entering the care elements such as were 94 children respite,on the Child Protection specialist foster carer Register placements at 31.3.2013 4 51 boys and 43 girls were registered under the following categories
12 children were adopted during 2012/13. Torfaen Children and Family Services: Market Position Statement The percentage of young people formerly looked after w known to be in Education Training or Employment is 45 The local authority’s picture of the current state of supply The local Rate of socialauthority’s picture care clients aged of1,000 0-17 per the current s populati on Rate of social care clients aged 0-17 per 1,000 population 80 60 Torfaen 40 Wales Rate Comparable authorities 20 KEY STATISTICS 0 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 • 94 children were on the Child Protection Year Register at 31.3.2013 Source: Welsh Government Source: Welsh Government • 51 boys and 43 girls were registered under the following categories Demand health for socialand services, carethe services has increased voluntary and community sect work signifithrough cantly over ‘team around the last the and 10 years family’ the approaches an Neglect 37 order rate oftosocial reflect care variations clients agedin activity 0-17 peracross 1,000 the county. Emotional abuse 51 population is significantly higher than is seen Physical Abuse 4 The local across authority Wales. has the As a result a Family Focus authority has Team had to that spec addition there is also a Family Resource Team and Sexual Abuse look at different ways of delivering services. All community-based support services, including: self est • 293 Children were looked after by Torfaen families story in Torfaen work; receive individual support direct workthrough high which lo with children, as at September 2013. These can be broken quality universal courses; provisionand assessments; suchpromoting as schools and family activitie down by age: health services. Vulnerable families can also organised by Family Resource Centre staff and s receive 0-4 – 73 Young supportCarers throughServices a diverseisrange also ofbased at the Centre. services provided by the local authority, health services, 5-11 – 121 Both thevoluntary Family and Focus and Family Resource and the community sector. There is Teams 12-15 – 68 intervention, intensivemulti evidence of increasing engagement agency work with families, preve through 16+ - 31 we recognise that we require more of these types o ‘team around the family’ approaches and social family’s needs from increasing as well as a need t • In 2012 the number of children in need in care teams have been restructured in order to contact. Torfaen was 995 reflect variations in activity across the county. • 119 children and young people left the care There are examples of effective partnership working b and voluntary The local authoritysector has aservices, Family Focus for Team example Torfaen’ system to return to live within their family Team) service. that specifi This service cally delivers early helpworks with Looked afte to avoid during 2012/13 overcome significant adversity in escalation. In addition there is also a Family their early years. T • 12 children were adopted during 2012/13 greater Resourceemotional well-being Team and Centre. Theseandteams control offer over thei meaningful relationships, participate positively in the • The percentage of young people formerly a wide range of community-based support education and learning and live appropriately in ordina looked after with who the authority is services, including: self esteem and confidence Support Service (TYPSS) also continues to provide a m in contact with that are known to be in building;inyouth people groups; Torfaen, notlife story only work; care individual leavers. They provi Education Training or Employment is 45% direct work with children, which looks people experiencing difficulties in negotiating at their the transi specific emotional needs; parenting courses; 5
Torfaen Children and Family Services: Market Position Statement assessments; and promoting family activities achieve value for money through working together within the community. Supervised contact is also collaboratively. In 2012 the 4C’s launched two organised by Family Resource Centre staff and Frameworks, one for foster placement services supervised by family support assistants and the and the other for residential placement services. Young Carers Services is also based at the Centre. The Foster Placement Framework is an all-Wales agreement and the Residential Framework is Both the Family Focus and Family Resource Teams being implemented across 13 local authorities. have delivered much needed ‘strength based’ These are outcomes based agreements between intervention, intensive engagement with families, local authorities and independent sector prevention and early intervention services. providers (private and third sector organisations). However, we recognise that we require more of The Frameworks specify looked after children these types of services both to meet need and placement requirements and the outcomes to be to prevent family’s needs from increasing as well achieved for every looked after child. 4C’s have as a need to meet the increasing demand for gone through a tender process to select the best supervised contact. independent residential and foster placement providers. Successful providers have evidenced There are examples of effective partnership that they can provide placements which meet working between local authority services, health the clear standards of care and the outcomes for services and voluntary sector services, for example children and young people specified through the Torfaen’s MIST (Multi-disciplinary Intervention Frameworks, and will be able to develop more local Support Team) service. This service works with placements across Wales. The Frameworks will Looked after Children aged 10-21 who are now be used for up to four years by participating attempting to overcome significant adversity in authorities to provide for the placement needs of their early years. The service aims to help young children and young people where local authority people develop greater emotional well-being and foster or residential care is unavailable. control over their behaviours such that they can engage in meaningful relationships, participate Other collaborations that Torfaen CBC is involved positively in the community, take advantage of with include: opportunities in education and learning and live • Independent advocacy provision with appropriately in ordinary independent living. Caerphilly and Blaenau Gwent Torfaen Young People’s Support Service (TYPSS) • A South East Wales Adoption Service - a joint also continues to provide a multi-agency support service with Monmouthshire, Caerphilly, service to a range of young people in Torfaen, Newport and Blaenau Gwent not only care leavers. They provide an integrated, one-stop provision for young people experiencing • Youth Offending Service provided in difficulties in negotiating the transition to collaboration with Monmouthshire adulthood and independence. • Disabled Children’s Team co-located with Newport in a health setting There has also been a greater focus on joint working and collaboration. Torfaen is part of the We have identified a number of areas to try to Children’s Commissioning Consortium Cymru reduce costs, whilst meeting increasing demand. (4C’s) which is a partnership of authorities across For example an invest to save project aimed at Wales who work together to improve outcomes reducing the volume of high cost out of county for vulnerable children and young people and placements and increasing the accommodation 6
Torfaen Children and Family Services: Market Position Statement options for young people in Torfaen. This led to the development and commissioning Torfaen LAC by Type of Placement - of a 24 hour supported accommodation for September 2013 young people, aged 16-17, with high support needs whose behaviour challenges others. A supported accommodation unit has also been opened that provides 4 young people with accommodation for up to 2 years before they access their own tenancies. Hales House Hostel has been developed, which provides 24 hour support and skills development to young people who have become homeless in Torfaen and cluster accommodation has been developed to provide intermediate accommodation to young people who are ready to move on from Hales House, but still require more intensive support than could be offered via floating supporting. The chart shows the breakdown of Looked after Children placements in Torfaen. It demonstrates that the majority of looked after children are Placed for adoption with placement order (under placed in county in either a foster placement section 21 of the 2002 Act) with current foster carer with a relative or friend or with a local authority Placed for adoption with placement order (under foster carer. We will continue to support the section 21 of the 2002 Act) not with current foster carer placement of looked after children in county, Foster placement with a relative or friend with relatives or friends and Torfaen Foster Carers being used in the first instance. Placement with other Foster carer provided by LA Placement with Foster carer through Agency in Torfaen The diversity of the market can mean a lack of clarity around service provision. We don’t Out of County Foster Placement with a Relative/Friend sufficiently distinguish between the skills and approaches that are required to work with all Out of County Placement with other Foster Carer families in universal services and those that through LA are required to work with more vulnerable Out of County Placement with Foster Carer families in targeted and specialist services. In through Agency addition, services offered to families vary greatly Placed with own parents or person with depending on which service is accessed first parental responsibility and it is unclear in many services how effective Independent living e.g. in flat, lodgings, bedsit, B&B or with friends with or without formal support this service delivery is. Some services focus on supporting the entire family, however many Residential Care Home services support only one member of that family Young Offender Institution or Prison and some services are time limited. All Residential Schools, except where Dual Reg There is some evidence of effective practice, however more work is required to ensure that 7
Torfaen Children and Family Services: Market Position Statement Children and Family Services works closely with of different service types Families First in order to effectively identify the • Work with families for as long as it takes and needs of families and facilitate the joint planning are targeted at specific populations or needs, and delivery of services to vulnerable families taking a proactive approach and that concerns around referral processes and • Are underpinned by a strong theoretical base paperwork do not become a barrier to multi- and a well articulated theory of change agency working. We need to improve how we • Keep children and young people within their share information about families across Children homes and families wherever this is safe to and Family Services and Adult’s Services and do so ensure that we take into account the history of • Actively involve children and young people at the family with a range of different services. We all levels of planning and delivery need to be sure that we have the skills to work with families that are more challenging and we Particular changes we will support and encourage need to make sure that our workforce in universal include: and targeted services feels confident in working with more vulnerable families and understands • An increase in the number and types of when they should seek additional support. providers which are willing and able to undertake a ‘lead professional’ or ‘key working’ role in supporting vulnerable families. Identified models of practice the local • A greater focus on services that take a ‘whole authority and its partners will encourage family’ approach, including those that are primarily targeted towards adults We have a commitment to supporting those • Services that are able to be flexible in meeting that need us most but we recognise that early people’s needs in terms of times of delivery intervention and prevention are vitally important and location – ensuring that the whole of the to ensuring that problems are dealt with early Borough is covered at times and days that meet and do not escalate. The solution for managing people’s needs. demand for children and family social care relies • The implementation of programmes that have on early intervention to identify and support a strong evidence base such as evidence families in difficulty, by community based agencies based parenting programmes or those that can and wider neighbourhood networks. We want to contribute to building the evidence base prevent children and young people entering the • A greater emphasis on proportionate care system (when appropriate) and we are keen to measurement and monitoring of the impact support and commission services that: or outcomes of service delivery on family • Take an assertive and persistent ‘whole wellbeing as opposed to monitoring of activity family’ approach • A shift towards supporting services that can • Are family centred and offer approaches that clearly articulate ‘value for money’ fit the assessed needs of families (as opposed • Supporting services which strengthen support to a one size fits all) and are not reliant on for children, young people and families single interventions affected by domestic abuse, substance misuse • Work effectively with a range of partner and parental mental ill health services by demonstrating a willingness and • Supporting services that are willing to work ability to work collaboratively across a range outside traditional organisational boundaries 8
Torfaen Children and Family Services: Market Position Statement and restraints in order to work more effectively The budget for Children and Family Services in with others 2013/14 is £12,797,781. The chart below shows • A clear commitment to increasing the targeting how this is split between the teams across the of resources to the most vulnerable populations service area: • Open access, universal services that build Children & Family Services Budget resilience, prevent or reduce risk factors and 2013/14 identify families in need of additional support at an early stage The likely future level of resourcing Like most local authorities, Torfaen County Borough Council operates within the context of reductions to public sector funding and increasing demand pressures. The Welsh Government has recently announced a four per cent cut in Torfaen’s funding, as a result Torfaen as a local authority are facing a funding gap of £11.2 million for 2014/15 (£3.1 million in Social Care & Housing) and a gap of £40 million over the next four years. This is on top Court Processes Looked After Children of savings of £33 million that have had to be made Disabled Children Care Management over the last five years. Family Placement TYPSS 16+ Team Family Focus The bulk of the savings identified come from Safeguarding Integration Children’s Head of Children Services & Adoption reductions to services, increases to fees and and family services charges, reduction in staffing and changes to the way some services are delivered. In Children and Family Services we expect the following changes/developments: • Commissioning on a regional basis • Continued work with providers to reduce costs/fees • Rightsizing of packages of care • Reduced residential placements • Greater focus on early family intervention • Reduction in independent work or therapy for children in need, with a focus on in-house provision • Review Voluntary Service Contracts that are less value for money (VFM) or minimal impact for statutory responsibilities 9
Torfaen Children and Family Services: Market Position Statement Expenditure What we will Support Despite funding reductions to local authorities We are more likely to support services that have expenditure on Children and Family Services clear aims and objectives, use evidence informed has continued to increase in Torfaen, due to the programmes to plan service delivery, target significant demands put on the authority. Between resources and provide strong evidence of impact 2001 and 2011 expenditure in social care has and value for money. doubled. The greatest increase was in Children and Family teams where expenditure rose by 240% We are less likely to support services that do not over this period. Over the last 10 years there has consider the whole family, do not explicitly target also been an increasing trend across the whole those that are most vulnerable or cannot clearly social care service area of purchasing services demonstrate how the service makes a difference to those it works with. rather than having our own provision. These are difficult financial times and the local Net Expenditure on Children and Family Services: authority will be funding fewer services. However, we wish to use our funding to stimulate new forms 20,000 of care and support activity rather than wholly fund service provision. 15,000 Torfaen Future Opportunities Comparable £000s 10,000 authorities average We will continue to use the two 4C’s Frameworks 5,000 for foster placement services and residential 0 placement services, where local carers are not available, during the life of the Frameworks. 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 These Frameworks are due to run till 2015 with Year an option to extend for a further year until 2016. Source: Welsh Government Across Children and Family Services there are Source: Welsh Government contracts in place to support the delivery of a Torfaen gross expenditure on children's and Torfaen gross expenditure on children’s and family family services number proportionately split between its own and of services including: other provision: Source: Welsh Government services proportionately split between its own and • Provision of independent advocacy – due to Torfaen othergross expenditure on children's and family services provision: endproportionately September 2014, butbetween split with an opti its on ownto and other provision: extend for a further 2 years. 20,000 • Independent chairing of child protection conferences, LAC conferences and Foster Carer 15,000 Comparative authorities Reviews – 3 year contracts awarded in 2014 average with an option to extend for a further year. £000s 10,000 Other gross expenditure • Provision of transport for LAC – contract due 5,000 Own Provision to end September 2015, but with an option to 0 extend for a further year. 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 • A specialist service which seeks to support Source: Welsh Government young people who present with particularly Year challenging behaviour, in an attempt to Source: Welsh Government What we will Support Source: Welsh Government maintain them in the community through We are more likely to support services that have clear aims and objectives, use evidence informed programmes to plan service delivery, target resources and provide strong evidence of impact and What for value we money. will Support We are more likely to support services that have clear aims and objectives, use evidence informed programmes We to plan are less likely to service support delivery, services target that doresourcesnot consider and the provide wholestrong family,evidence of impacttarget do not explicitly and value for money. those that are most vulnerable or cannot clearly demonstrate how the service makes a difference to 10 those it works with. We are less likely to support services that do not consider the whole family, do not explicitly target
Torfaen Children and Family Services: Market Position Statement therapeutic foster placements – contract due to end March 2018. The support the local authority will offer towards meeting its • 24 hour supported accommodation for young identified model people, aged 16-17, with high support needs whose behaviour challenges others contract There is a strong desire to forge a new relationship due to end November 2015. with providers which works well for all who need • Direct payments support provider contract due care in our authority. We also wish to ensure to end September 2014, but with an option to that that there is a level playing field across all extend for a further 2 years. providers, whether private or voluntary, large or small, whilst at the same time we can develop As all contracts come to an end we will be a diverse market that has real choice for service considering options on what services to consumers at its heart. commission beyond the end date. We will review current arrangements and look to In line with the Young Persons Accommodation reduce requirements placed on providers to work Strategy we will also be looking to: within complex contractual arrangements and to • Develop short term accommodation options make it easier for existing and new providers to for young people who are threatened with enter the market and work with us. homelessness to allow time for further investigations and prevention work to We will work with providers to ensure there is be undertaken. more comparative data available about care and • Make use of available prevention fund or support both for consumers and for providers. discretionary monies to assist in the return of young people to their family home. We will continue to encourage local people to • Investigate the potential for developing help influence local commissioning decisions and supported lodgings or reconfiguring the use will always consult with its residents to shape the of existing temporary accommodation, to services they want. allow young people to stay for a few nights whilst further prevention work is undertaken. We will support voluntary, community and social • Develop more supported housing options enterprise organisations to secure funding from third to assist young people to move into suitable parties for activities that support our thinking in this accommodation with adequate support area in particular those that seek to build resilience. networks, and to help them develop basic skills to boost independent living. We will provide information to existing users about • Identify whether there is the potential to the changes in services we are making across the develop a small number of high level support local authority area, and why. accommodation units for young people with complex needs. More effective use will be made of the prevention • Explore opportunities with Registered Social tools available to housing and social services for Landlords for developing small specific schemes assisting young people remain in their own homes for groups of young people dispersed throughout and more training to be provided to agencies on the borough. the tools available. 11
For any queries relating to this document, please contact the Commissioning Unit on 01495 742991
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