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Costs and outcomes for
children’s services in
Scotland: a tool to analyse
routinely collected data
Helen Trivedi
Research Associate
Centre for Child and Family Research
Methodology overview
 Costs from ‘bottom up’
 The child or family is the starting point
 Uses child level data on children’s
characteristics and experiences
 Links to unit costs of case management
activity organised into ‘processes’, with
service provision
 To calculate costs of support overtime
 Child, placement and service pathway
variations
 Relates costs to outcomes
2
http://www.lboro.ac.uk/media/wwwlboroacuk/content/ccfr/publications/CCfCS%20Su
mmary%20March%202014.pdf
Time use activity
data provided by
children’s social
care personnel
Salary data for
each type of
children’s social
care personnel
involved in the 8
processes
Organizational
overheads
(running costs)
finance data for
the children’s
social care service
Cost calculator
tool
Unit costs for the 8
processes for looked
after children (includes
standard case costs
and variations)
Child level data
(needs,
placements and
outcomes)
Finance data
(placement fees
and allowances)
Unit cost reports for individual
children, groups of children or by
placement type
Process unit costs of 8 cost
calculator processes for looked
after children
Analysis of social care costs by
outcomes
'What if' analysis to explore the
costs of providing alternative
placement types
The Cost Calculator for Children’s
Services: Inputs and Outputs
3
Social Care Processes for Looked After
Children
1. Decide child needs to be looked after
(including activity for finding initial placement)
2. Care planning
3. Maintaining the placement
4. Leaving care/return home
5. Find a subsequent placement
6. Review
7. Legal processes
8. Transition to leaving care/ after care services
4
5
Process 6 Review: Staff Salary costs
Pay scale midpoint (includes on
costs)
+ 45% for overheads
+ Capital overheads
42 working weeks per year
37 hours per week
£39,944.87
£17,975.19
£1943
£59,863.06
1425.31
38.52
Hourly rate for Social Worker = £38.52
Social care activity: worked example
6
 Fact finding/liaising within
and outside of social services
 Visits or discussions with
carers/potential placement
 After review – distribution of
review form
 Actions resulting from review
 Case files and LAC/ICS
paperwork
Process 6 Review: social worker
Social care activity: worked example
 Consultation with child or
young person prior to review
 Consultation with parents
prior to review
 Consultation with carer prior
to review
 Organising room booking
 Completion of social worker
report
 Duration of review
7
Process 6 Review: Standard case (ENGLAND)
Activity Time
Social Worker 5 ¼ hours
Admin 1 hour
Team Manager 1 ½ hours
Fostering Team social worker 2 hours
Independent reviewing officer 5 ¾ hours
Hourly rate
Unit cost per
worker
38.52 202.23
21.21 21.21
48.36 72.54
38.52 77.04
44.00 253.89
Unit cost
Review
(standard
case) =
£626.91
Social care activity: worked example
8
Process 6 Review: Variations
Variation Additional activity Additional cost New unit cost
Standard case £626.91
First leaving Care Review PLUS 5 ¼ hours 404.46 £1031.37
Unaccompanied Asylum seeking
Children
PLUS 10 ½ for
Translator
327.82 £954.73
Children in placements other
than foster care
MINUS 2 hours
for foster team
- 77.04 £549.87
Social care activity: worked example
Time use activity
data provided by
children’s social
care personnel
Salary data for
each type of
children’s social
care personnel
involved in the 8
processes
Organizational
overheads
(running costs)
finance data for
the children’s
social care service
Cost calculator
tool
Unit costs for the 8
processes for looked
after children (includes
standard case costs
and variations)
Child level data
(needs,
placements and
outcomes)
Finance data
(placement fees
and allowances)
Unit cost reports for individual
children, groups of children or by
placement type
Process unit costs of 8 cost
calculator processes for looked
after children
Analysis of social care costs by
outcomes
'What if' analysis to explore the
costs of providing alternative
placement types
The Cost Calculator for Children’s
Services: Inputs and Outputs
9
The development for Scotland
 Funded by the Scottish Government
 Working with two local authorities
 Development of underpinning information:
 Scoping exercise
 Development of the processes for Scotland
 Calculate unit costs
 Adapt software:
 Initial programming
 Testing
10
The development for Scotland
 Time use activity data
 Mapped social care processes for Scotland
 Time use activity data from frontline workers
 Focus groups
 Verification scenarios
 Online surveys
11
The project so far
 Focus group data collection in LA1
 Verification focus group data collection LA2
 Local authority salary and finance data
collection
 Future actions
 Survey verification
 Software programming
12
Emerging findings
 Eight social care processes map across to
Scotland
 Standardised universally applicable framework
 Replicable across different contexts
 Fewer practice differences than initially
anticipated
 Structurally the CCfCS largely remains the
same
13
Different types of cases
14
England Scotland
Section 20 Section 31 Section 25 Section 86
Voluntary Legal Voluntary Legal orders
Placed with parents
(5% of total LAC)
Out of home care Out of home care
Looked-after at home
(26.6% of total LAC)
Out of home care Out of home care
An Independent Reviewing Officer
assigned to ALL cases
A Reviewing Officer NOT assigned to LAC at home
15
 Consultation with child or
young person prior to review
 Consultation with parents
prior to review
 Consultation with carer prior
to review
 Organising room booking
 Completion of social worker
report
 Duration of review
 Fact finding/liaising within and
outside of social services
 Visits or discussions with
carers/potential placement
 After review – distribution of
review form
 Actions resulting from review
 Case files and LAC/ICS
paperwork
 Collation of paper work to
Children’s reporter
 Children’s Hearing
Social care activity: worked example
Process 6: Review (social worker)
Difference in time use
 Legal process 7
 Less waiting time for practice social workers,
Children’s Hearing and working with Sheriff
reduces court time
16
Outputs: Analysis
 Analysis of time use activity data
 Direct and indirect activities
 Reconfiguration of processes
 Use of panels
 Understanding process costs can inform decision
making
 placement change for children in care
 “What if” analysis
Contact details
 www.lboro.ac.uk/research/ccfr
Costs and Outcomes Programme: overview
paper
http://www.lboro.ac.uk/media/wwwlboroacuk/content/ccfr/publications/CCf
CS%20Summary%20March%202014.pdf
 H.L.Trivedi@lboro.ac.uk
 www.lboro.ac.uk/research/ccfr
18

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Costs and outcomes for children's services in Scotland: a tool to analyse routinely collected data.

  • 1. Costs and outcomes for children’s services in Scotland: a tool to analyse routinely collected data Helen Trivedi Research Associate Centre for Child and Family Research
  • 2. Methodology overview  Costs from ‘bottom up’  The child or family is the starting point  Uses child level data on children’s characteristics and experiences  Links to unit costs of case management activity organised into ‘processes’, with service provision  To calculate costs of support overtime  Child, placement and service pathway variations  Relates costs to outcomes 2 http://www.lboro.ac.uk/media/wwwlboroacuk/content/ccfr/publications/CCfCS%20Su mmary%20March%202014.pdf
  • 3. Time use activity data provided by children’s social care personnel Salary data for each type of children’s social care personnel involved in the 8 processes Organizational overheads (running costs) finance data for the children’s social care service Cost calculator tool Unit costs for the 8 processes for looked after children (includes standard case costs and variations) Child level data (needs, placements and outcomes) Finance data (placement fees and allowances) Unit cost reports for individual children, groups of children or by placement type Process unit costs of 8 cost calculator processes for looked after children Analysis of social care costs by outcomes 'What if' analysis to explore the costs of providing alternative placement types The Cost Calculator for Children’s Services: Inputs and Outputs 3
  • 4. Social Care Processes for Looked After Children 1. Decide child needs to be looked after (including activity for finding initial placement) 2. Care planning 3. Maintaining the placement 4. Leaving care/return home 5. Find a subsequent placement 6. Review 7. Legal processes 8. Transition to leaving care/ after care services 4
  • 5. 5 Process 6 Review: Staff Salary costs Pay scale midpoint (includes on costs) + 45% for overheads + Capital overheads 42 working weeks per year 37 hours per week £39,944.87 £17,975.19 £1943 £59,863.06 1425.31 38.52 Hourly rate for Social Worker = £38.52 Social care activity: worked example
  • 6. 6  Fact finding/liaising within and outside of social services  Visits or discussions with carers/potential placement  After review – distribution of review form  Actions resulting from review  Case files and LAC/ICS paperwork Process 6 Review: social worker Social care activity: worked example  Consultation with child or young person prior to review  Consultation with parents prior to review  Consultation with carer prior to review  Organising room booking  Completion of social worker report  Duration of review
  • 7. 7 Process 6 Review: Standard case (ENGLAND) Activity Time Social Worker 5 ¼ hours Admin 1 hour Team Manager 1 ½ hours Fostering Team social worker 2 hours Independent reviewing officer 5 ¾ hours Hourly rate Unit cost per worker 38.52 202.23 21.21 21.21 48.36 72.54 38.52 77.04 44.00 253.89 Unit cost Review (standard case) = £626.91 Social care activity: worked example
  • 8. 8 Process 6 Review: Variations Variation Additional activity Additional cost New unit cost Standard case £626.91 First leaving Care Review PLUS 5 ¼ hours 404.46 £1031.37 Unaccompanied Asylum seeking Children PLUS 10 ½ for Translator 327.82 £954.73 Children in placements other than foster care MINUS 2 hours for foster team - 77.04 £549.87 Social care activity: worked example
  • 9. Time use activity data provided by children’s social care personnel Salary data for each type of children’s social care personnel involved in the 8 processes Organizational overheads (running costs) finance data for the children’s social care service Cost calculator tool Unit costs for the 8 processes for looked after children (includes standard case costs and variations) Child level data (needs, placements and outcomes) Finance data (placement fees and allowances) Unit cost reports for individual children, groups of children or by placement type Process unit costs of 8 cost calculator processes for looked after children Analysis of social care costs by outcomes 'What if' analysis to explore the costs of providing alternative placement types The Cost Calculator for Children’s Services: Inputs and Outputs 9
  • 10. The development for Scotland  Funded by the Scottish Government  Working with two local authorities  Development of underpinning information:  Scoping exercise  Development of the processes for Scotland  Calculate unit costs  Adapt software:  Initial programming  Testing 10
  • 11. The development for Scotland  Time use activity data  Mapped social care processes for Scotland  Time use activity data from frontline workers  Focus groups  Verification scenarios  Online surveys 11
  • 12. The project so far  Focus group data collection in LA1  Verification focus group data collection LA2  Local authority salary and finance data collection  Future actions  Survey verification  Software programming 12
  • 13. Emerging findings  Eight social care processes map across to Scotland  Standardised universally applicable framework  Replicable across different contexts  Fewer practice differences than initially anticipated  Structurally the CCfCS largely remains the same 13
  • 14. Different types of cases 14 England Scotland Section 20 Section 31 Section 25 Section 86 Voluntary Legal Voluntary Legal orders Placed with parents (5% of total LAC) Out of home care Out of home care Looked-after at home (26.6% of total LAC) Out of home care Out of home care An Independent Reviewing Officer assigned to ALL cases A Reviewing Officer NOT assigned to LAC at home
  • 15. 15  Consultation with child or young person prior to review  Consultation with parents prior to review  Consultation with carer prior to review  Organising room booking  Completion of social worker report  Duration of review  Fact finding/liaising within and outside of social services  Visits or discussions with carers/potential placement  After review – distribution of review form  Actions resulting from review  Case files and LAC/ICS paperwork  Collation of paper work to Children’s reporter  Children’s Hearing Social care activity: worked example Process 6: Review (social worker)
  • 16. Difference in time use  Legal process 7  Less waiting time for practice social workers, Children’s Hearing and working with Sheriff reduces court time 16
  • 17. Outputs: Analysis  Analysis of time use activity data  Direct and indirect activities  Reconfiguration of processes  Use of panels  Understanding process costs can inform decision making  placement change for children in care  “What if” analysis
  • 18. Contact details  www.lboro.ac.uk/research/ccfr Costs and Outcomes Programme: overview paper http://www.lboro.ac.uk/media/wwwlboroacuk/content/ccfr/publications/CCf CS%20Summary%20March%202014.pdf  H.L.Trivedi@lboro.ac.uk  www.lboro.ac.uk/research/ccfr 18