Bairns' Hoose - project plan: progress report and pathfinder delivery plan 2023 to 2025

Pathfinder Delivery Plan and Timeline

In the 2022 Bairns' Hoose Project Plan, the Scottish Government committed to develop test sites for delivery of Bairns' Hoose in Scotland, before scaling up nationally. After extensive engagement with stakeholders, we have further developed and refined our plans for development of the Bairns' Hoose model in Scotland, including these test sites and building in necessary time for learning and evaluation ahead of national rollout.

Bairns Hoose – Three-Phased Approach

We will develop Bairns' Hoose over a three-phased approach to ensure an informed and collaborative rollout, alignment with other key policy objectives, and to allow for the appropriate workforce development where required.

This approach will begin in 2023 and will be underpinned by stakeholder participation and iterative learning together through three key stages.

National Bairns’ Hoose Governance Group

Stakeholder Participation & Engagement

Phase 1 Pathfinders 2023-2025

• Test Bairns’ Hoose Standards (range of sites)
• Support, test and implement SCIM Model
• Inform the development of a ‘Bairns’ Hoose Blueprint’
• Collaborative learning and stakeholder participation

Phase 2 Pilot 2025-2026

• Full Implementation of Bairns’ Hoose Blueprint
• Evaluation of systems, processes and outcomes to inform national rollout.
• Development of guidance and infrastructure required for national implementation

Phase 3 National Rollout From 2027

• National rollout sites
• Clear specifications
• National performance measures

Pathfinder – The Pathfinders will act as proof of concept for the Bairns' Hoose model in Scotland. Learning from the implementation of the Standards, alongside the rollout of the Scottish Child Interview Model, will help provide a blueprint for a pilot of a national Bairns' Hoose model in Scotland.

Pilot - The pilots will test the full implementation of the Bairns' Hoose model blueprint. They will be formally evaluated to identify any issues and to evidence impacts, including impacts on outcomes for children and young people. This will provide a basis to refine the Bairns' Hoose model in Scotland before being rolled out nationally.

National Rollout – Implementation of the Bairns' Hoose model across Scotland.

Phase 1 - Pathfinder (2023-2025)

The Pathfinders will form part of a quality improvement and service design process to identify how the Bairns' Hoose Standards may be applied in different contexts, including remote or islands areas. Learning from the implementation of the Standards, alongside the continued rollout of the Scottish Child Interview Model, will help provide a blueprint for a national Bairns' Hoose model in Scotland.

The Bairns Hoose Pathfinder phase will have 2 key stages: Pathfinder partnership identification and blueprint for the Bairns' Hoose model.

Pathfinder Partnership Identification (Summer 2023 – to Autumn 2023)

The Pathfinder partnership identification will begin with the launch of a Pathfinder Application Pack, supported by Pathfinder application information sessions to take place during summer 2023. This will be informed by the launch of the national Bairns' Hoose Standards and provide an outline for the expectations of Pathfinder areas. All Pathfinder applications will then be evaluated through a fair and equitable process, with input from children and young people, to identify a small number of Pathfinder partnerships to help develop the blueprint for the Bairns' Hoose model in Scotland.

In order to achieve this, we will:

• open invitations for Pathfinder applications
• involve children and young people in the assessment, development and review processes of Pathfinders
• procure an independent fund manager and agree a Pathfinder funding model
• launch the Pathfinder phase.

Developing a Blueprint for the Bairns' Hoose Model (Summer 2023 – Spring 2025)

The blueprint will capture the capability we want the Bairns' Hoose model to have by the end of the Pathfinder phase, with all the key functions and features. The blueprint will provide the foundation that considers the infrastructure, information, processes, resources, governance and technology required to ensure a coherent and holistic Bairns' Hoose model for Scotland, both locally and nationally.

This will include, but not exclusively, exploring processes around:

Governance and Accountability

• Delegated Accountability
• Strategy and Planning
• Alignment with Clinical and Care Governance
• Escalation Points Locally/Nationally
• Risk and Assurance
• Learning and Case Reviews
• Regulation and Inspection

Delivery Models

• Quality Improvement and Service Design
• Review and alignment of Bairns' Hoose Standards
• Review and Alignment of Scottish Child Interview Model
• Development of Therapeutic Support and Recovery model
• Local and National Infrastructure
• Reporting Processes
• Functions and Processes

Resource

• Roles and Responsibilities of Key Individuals
• Additional Staffing/Support Requirements
• Skill-sets, Training and Education
• Ongoing Learning and Development

Data / Performance and Technology

• Data Requirements
• Performance and Insight
• Quality Assurance
• Technology – Hardware/Software

Cross-Cutting

• Finance Models/Fund Management
• Participation and Engagement with Stakeholders – including Children and Young People, Families and Staff

The steps towards developing a blueprint are detailed in the following Pathfinder actions:

• establish a forum to share emerging learning and good practice across Pathfinder partnerships and more widely
• scope the capacity of partners and options for service design/quality improvement support for Pathfinders
• produce a logic model for the delivery of the Bairns' Hoose approach to act a framework for data and evidence collection
• carry out formative research, working closely with Pathfinders, to understand their starting position, plans and progress in moving towards operating as a Bairns' Hoose
• co-produce and agree performance indicators to support internal quality assurance against the Standards with a view to informing external quality assurance
• develop an implementation toolkit which will include cost modelling
• gather performance indicator data at end of the Pathfinder phase to act as a baseline for the Pilot phase.
• publish a Pathfinder findings report with a set of conclusions to act as the blueprint to take forward into the Pilot phase
• commence development of a Pilot delivery plan and process
• develop an evaluation approach for the Pilot phase and commission an external research contractor
• consider information governance requirements to inform potential mechanisms for a national Bairns' Hoose Model

By spring 2025, we will have an initial blueprint for the Bairns' Hoose model in Scotland and will develop a Delivery Plan for the Pilot Programme.