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[THIS DECISION RESCINDS MD-TR-2017-0090] A decision made on 8 August 2018

Decision Reference: MD-TR-2018-0107
Decision Summary Title:	Reallocation of Contingency Funding from CCA to HSSD for the Pilot Parent / Infant Psychotherapy Service		Date of Decision Summary:	3rd August 2018
Decision Summary Author:	Head of Decision Support		Decision Summary: Public or Exempt?	Public
Type of Report: Oral or Written?	Written		Person Giving Oral Report:	N/A
Written Report Title:	Reallocation of Contingency Funding from CCA to HSSD for the Pilot Parent / Infant Psychotherapy Service		Date of Written Report:	3rd August 2018
Written Report Author:	Head of Decision Support		Written Report : Public or Exempt?	Public
Subject: The rescindment of part of the Treasury and Resources Department decision, MD-TR-2017-0090 and the reallocation of Contingency Funding from the Community and Constitutional Affairs Department (“CCA”) to the Health and Social Services Department (“HSSD”) for the Pilot Parent/Infant Psychotherapy Service.
Decision(s): The Minister approved the rescindment of part of the Treasury and Resources Department decision, MD-TR-2017-0090 and the reallocation of Contingency Funding of up to £176,000 (up to £35,000 in 2017, up to £70,500 in 2018 and up to £70,500 in 2019) from the Community and Constitutional Affairs Department (“CCA”) to the Health and Social Services Department (“HSSD”) for the Pilot Parent/Infant Psychotherapy Service.
Reason(s) for Decision: Article 17(2) of the Public Finances (Jersey) Law 2005 states that the Minister for Treasury and Resources is authorised to approve the transfer from contingency expenditure of amounts not exceeding, in total, the amount available for contingency expenditure in a financial year. The current Contingency Allocation Policy (published as R.110/2017) sets the requirement for all allocations from Contingency over £100,000 to be considered by the Council of Ministers prior to submission to the Minister for approval. The MTFP2, as adopted by the States Assembly, included the allocation of £1.65million per year from Central Contingencies for initiatives that support vulnerable children (£4,950,000 in total over the period from 2017 to 2019). In addition on 9th November 2016, the Council of Ministers collectively agreed nine projects to be allocated a proportion of those contingencies monies (totalling up to £2,260,650 over the period from 2017 to 2019). The Council of Ministers also collectively agreed to delegate to the Chief Minister the decision to request the Treasury and Resources Minister to fund other initiatives that support vulnerable children from the remaining contingency allocation. The Chief Minister signed decision MD-C-2017-0038 on 31st March 2017 requesting the current allocation. A T&R decision, MD-TR-2017-0090, was signed by the Assistant Treasury and Resources Minister on 5th July 2017 and the CCA decision, MD-HA-2017-0029 was signed by the Minister for Home Affairs on 11th April 2017. It is necessary to rescind part of the T&R decision MD-TR-2017-0090, specifically item 2 of the decision requesting: 2) up to £35,000 in 2017, up to £70,500 in 2018 and up to £70,500 in 2019 from Central Contingency to the Community and Constitutional Affairs Department revenue head of expenditure to support delivery of the Pilot Parent/Infant Psychotherapy Service. It has been agreed by all parties in July 2018 that this funding be transferred to the HSSD rather than to CCA as previously agreed by Ministerial decision.
Resource Implications: Central Contingency to decrease by up to £176,000 (up to £35,000 in 2017, up to £70,500 in 2018 and up to £70,500 in 2019) and the HSSD revenue head of expenditure to increase by identical amounts. The £176,000 in total is proposed to be drawn down across the years 2017, 2018 and 2019. The amount for each year may be varied without exceeding the total amount for the three years. This decision does not change the total amount of expenditure approved by the States for 2017 and 2018 in the Medium Term Financial Plan.
Action required: Head of Decision Support to advise the Finance Director – CCA and the Assistant Director of Finance – HSSD once this decision has been approved.
Signature:		Position: Deputy S J Pinel, Minister for Treasury and Resources
Date Signed:		Date of Decision:

Budget Transfer - from Community and Constitutional Affairs Department to Health and Social Services Department: Pilot Parent/Infant Psychotherapy Service

- 1 -

States Treasury and Exchequer

Ministerial Decision Report

Reallocation of Contingency Funding from CCA to HSSD for the Pilot parent / infant psychotherapy service

Purpose of Report

Request to rescind part of the Treasury and Resources Department decision, MD-TR-2017-0090 and reallocate Contingency Funding from the Community and Constitutional Affairs Department (“CCA”) to the Health and Social Services Department (“HSSD”) for the Pilot Parent/Infant Psychotherapy Service.

Background

Parental mental health and other complex difficulties influence the capacity for appropriate parenting. Parents experiencing mental health difficulties are identified as one of four groups most likely to be excluded from health and social care provision (SEU, 2004). Many of these parents are likely not to have had positive, nurturing experiences during their own childhoods. Indeed, evidence suggests one-third of individuals who have been abused or neglected as children are more likely to abuse their own children (National Research Council, 1993). Supporting parents with mental health difficulties or other personal complex difficulties such as substance or alcohol misuse, domestic violence and childhood experiences of abuse and neglect, reduces the risk of future mental health and behavioural problems in their children and supports their child in building secure attachments and successfully developing and sustaining relationships.

The project comprises a highly specialised therapeutic service for vulnerable or high risk infants/ young children and their parents/carers. The service will provide evidence-based, high quality interventions including direct therapeutic intervention including programme work, play work and video feedback aimed at improving the parent –child relationship, direct parent-infant interventions using relationship/attachment based models promoting positive relationships.

The clinician will be based, line managed and clinically supervised within CAMHS, working in an outreach capacity to the Bridge and the MESCH programme as necessary.

With funding for a dedicated specialist, the Jersey workforce would be resourced;

• To contribute to reducing the number of children entering the child protection system and prevent the trans-generational break down of family relationships

• To improve the parent-infant/young child relationship, supporting the development of secure attachments and preventing the negative impact of poor early emotional, social & cognitive development and its future longer term effects

• To support the ongoing development of the MECSH programme

• To develop the Mellow Parenting programmes in collaboration with The Bridge

3. Recommendation

The Minister is recommended to approve the rescindment of part of the Treasury and Resources Department decision, MD-TR-2017-0090 and the reallocation of Contingency Funding of up to £176,000 (up to £35,000 in 2017, up to £70,500 in 2018 and up to £70,500 in 2019) from the Community and Constitutional Affairs Department (“CCA”) to the Health and Social Services Department (“HSSD”) for the Pilot Parent/Infant Psychotherapy Service.

4. Reason for Decision

Article 17(2) of the Public Finances (Jersey) Law 2005 states that the Minister for Treasury and Resources is authorised to approve the transfer from contingency expenditure of amounts not exceeding, in total, the amount available for contingency expenditure in a financial year.

The current Contingency Allocation Policy (published as R.110/2017) sets the requirement for all allocations from Contingency over £100,000 to be considered by the Council of Ministers prior to submission to the Minister for approval.

The MTFP2, as adopted by the States Assembly, included the allocation of £1.65million per year from Central Contingencies for initiatives that support vulnerable children (£4,950,000 in total over the period from 2017 to 2019). In addition on 9th November 2016, the Council of Ministers collectively agreed nine projects to be allocated a proportion of those contingencies monies (totalling up to £2,260,650 over the period from 2017 to 2019). The Council of Ministers also collectively agreed to delegate to the Chief Minister the decision to request the Treasury and Resources Minister to fund other initiatives that support vulnerable children from the remaining contingency allocation. The Chief Minister signed decision MD-C-2017-0038 on 31st March 2017 requesting the current allocation.

A T&R decision, MD-TR-2017-0090, was signed by the Assistant Treasury and Resources Minister on 5th July 2017 and the CCA decision, MD-HA-2017-0029 was signed by the Minister for Home Affairs on 11th April 2017.

It is now necessary to rescind part of the T&R decision MD-TR-2017-0090, specifically item 2 of the decision requesting:

2) up to £35,000 in 2017, up to £70,500 in 2018 and up to £70,500 in 2019 from Central Contingency to the Community and Constitutional Affairs Department revenue head of expenditure to support delivery of the Pilot Parent/Infant Psychotherapy Service.

It has been agreed by all parties in July 2018 that this funding be transferred to the HSSD rather than to CCA as previously agreed by Ministerial decision.

5. Resource Implications

Central Contingency to decrease by up to £176,000 (up to £35,000 in 2017, up to £70,500 in 2018 and up to £70,500 in 2019) and the HSSD revenue head of expenditure to increase by identical amounts.

The £176,000 in total is proposed to be drawn down across the years 2017, 2018 and 2019. The amount for each year may be varied without exceeding the total amount for the three years.

This decision does not change the total amount of expenditure approved by the States for 2017 and 2018 in the Medium Term Financial Plan.

Report author : Head of Decision Support	Document date: 3rd August2018
Quality Assurance / Review : Director of Financial performance and Planning	File path: L:\Treasury\Sections\Corporate Finance\Ministerial Decisions\DS, WR and SD\2018-0107 - C36 Reallocation of IJCI Contingency funding for PIP from CCA to HSSD
MD sponsor : Director of Financial performance and Planning