Supporting perinatal mental health: from peer-support to specialist services

There is a societal expectation that pregnancy and the arrival of a new baby are happy and exciting times.  However, it may come as a surprise to learn that up to 1 in 5 women develop a mental illness during pregnancy or within the first year after having a baby (also known as the ‘perinatal period’).

Up to 1 in 10 women may develop postnatal depression, however, there are actually a number of other mental illnesses that can affect women during pregnancy or following birth.  These include:

  • Antenatal depression
  • Perinatal anxiety
  • Perinatal obsessive compulsive disorder
  • Post-traumatic stress disorder (PTSD)
  • Post-partum psychosis

These illnesses can range from mild to severe.  Left untreated, perinatal mental illnesses can have a devastating effect on mental and physical health.  In fact, suicide is the leading cause of death for mothers during the first year after pregnancy.

The wider impact on children and families

Perinatal mental illnesses can also impact upon children, partners and significant others.  Research shows links to depression in partners, higher rates of divorces, lower levels of emotional and cognitive development and higher levels of behavioural problems and psychological disorders among children.

As well as the high human cost, there are also a number of economic costs associated with failing to address perinatal mental health needs. Research commissioned by the Maternal Mental Health Alliance found that perinatal depression, anxiety and psychosis carry a total long-term cost to society of about £8.1 billion for each one-year cohort of births in the UK.

In comparison, it would cost only an extra £280 million a year to bring the whole pathway of perinatal mental health care up to the level and standards recommended in national guidance.

Access to specialist services is a ‘postcode lottery’

The good news is that most mothers who experience mental ill health can and do make a full recovery.

At present, mild to moderate cases of mental ill health in pregnancy and following birth are treated by the GP through anti-depressants, talking therapies and/or support from a community mental health team.  For more complex or serious illnesses, GPs can make a referral to specialist perinatal mental health services for expert advice and support.  This may involve staying in a specialist psychiatric Mother and Baby Unit (MBU) – where mothers and their baby can be admitted together.

However, despite the high prevalence of, and risks associated with, perinatal mental illness, access to specialist perinatal mental health services across the UK is a postcode lottery.

Maps by the Maternal Mental Health Alliance show that women in around half of the UK have no access to specialist perinatal mental health services.  There are currently no MBUs in Wales or Northern Ireland, meaning mothers with more serious or complex mental illnesses often face either being admitted to a MBU far from home, or being admitted to a general psychiatric ward without their babies, in order to receive treatment.

For those with mild to moderate mental illness, waiting times for NHS talking treatments can be many months.  Lack of awareness means that many cases of mild to moderate mental ill health go undiagnosed and untreated.  There is an urgent need for both greater awareness of mental illness and better access to mental health services across the country.

The role of peer-support

In recognition of and response to the need for better access to mental health support for pregnant and new mothers, a number of local ‘grassroots’ peer-support projects have been established by dedicated volunteers and campaigners.

One such project is Blank Canvas.  Blank Canvas is a creative journaling workshop in Lanarkshire, aimed at women during pregnancy or in the first two years since birth, who are experiencing mental health difficulties.

The project was set up earlier this year by midwife Elaine Connell, together with some of her midwife colleagues, who shared her dedication to improving mental health support for women in the perinatal period.

Elaine was keen to start her own peer support group following her own personal and professional experiences of perinatal mental ill health, and was inspired by the success of other projects focusing on art and creativity, such as Maternal Journal.

As Elaine explains:

It is free… …to access, and each attendee is given their own art kit to keep. We have a different theme each week and have guest speakers coming to do sessions also. During the group they can explore new art materials and create reflections in their journal, whilst chatting over some tea and cake. Each session they will take home a prompt card which can inspire their journalling during the week until the group meets next.”

Blank Canvas is free to access and works on a self-referral basis, with advertising mainly through Facebook.  A local shop and community space (Swaddle in Hamilton) donated a venue space, and all other costs (including materials) have been raised by volunteers committed to the project, through fundraisers such as coffee mornings and participation in the Kiltwalk.

Elaine has conducted an evaluation of the first 10-week block and feedback from participants has been extremely positive.  Word about the project has spread and the next block of Blank Canvas – which started on the 18th September – is fully subscribed (with a waiting list).  As Elaine notes, this is fantastic for the project, but highlights the high level of demand that exists for mental health support among new mothers.

The long term plan is to run 6-week blocks frequently throughout the year, moving to separate antenatal and postnatal sessions in 2020.  Elaine also hopes to start up a creative journaling group aimed at fathers too – noting that father’s mental health is often overlooked.

One of the key things Elaine has learned from the creation of Blank Canvas is that there is a lack of support available for people who want to establish their own peer-support groups:

What has been clear when forming the group, is that there is very little support to establish peer support. There are lots of people who want to help others but who won’t because they don’t know where to begin, or how to access funding, or lack of training opportunities.”

Grassroots peer-support groups are an important source of support for mothers in the perinatal period, particularly in cases of mild to moderate mental ill health, where NHS capacity is strained.

Attending peer-support groups such as Blank Canvas may also have a preventative effect for mums who attend during pregnancy. Statistically, women who experience antenatal anxiety are more likely to develop postnatal depression, and so early intervention could help to reduce that risk.

Urgent need for better access to specialist services

While these projects have been successful, they are aimed predominantly at women experiencing mild to moderate mental ill health.

For those experiencing more complex or serious mental ill health, there remains an urgent need for better access to specialist treatment and support.  The Maternal Mental Health Alliance ‘Everyone’s Business’ campaign calls for all women throughout the UK who experience perinatal mental ill health to receive the care that they and their families need.  Specifically, it demands that:

  • perinatal mental health care should be clearly set at a national level and complied with
  • specialist perinatal mental health teams meeting national quality standards should be available for women in every area of the UK
  • training in perinatal mental health care should be delivered to all professionals involved in the care of women during pregnancy and the first year after birth

Promising signs of progress

There have been some promising signs of progress.  NHS England recently announced their plans to rollout specialist perinatal community services across the whole of England, including the opening of four new Mother and Baby Units.

And in Scotland, the Scottish Government recently announced the rollout of an initial £1 million for perinatal mental health services, as part of a wider £50 million investment in mental health services.  This initial investment will support a range of areas, including supporting the third sector to provide counselling, befriending and peer support for women and their families.  It will also help provide more consistent access to psychological assessment and treatment, by increasing staffing levels and training at Mother and Baby Units, for women with the most serious illnesses.

The Scottish Government also established a Perinatal and Infant Mental Health Programme Board earlier this year.  The PIMH Programme Board aims to help implement the commitments to improving perinatal and infant mental health set out in the 2018/19 Programme for Government and Better Mental Health in Scotland.

Clare Thomson, Everyone’s Business Co-ordinator for Scotland, says “It’s fantastic to see the evidence-based approach to developing community perinatal mental health services and look forward to hearing about the first steps – particularly in the North of Scotland“.

Perinatal mental health is Everyone’s Business

However, there is still much to do, including ensuring that this funding translates into services on the ground.  Wales and Northern Ireland are still without MBUs and there is a pressing need to raise awareness of and address mental illness among fathers.

The cost to the public sector of perinatal mental health problems is 5 times the cost of improving services.  It clearly makes sense to invest in improving this care – not only from an economic perspective, but to help improve the lives of women, their children and families across the country. And while more funding is essential to achieve this, raising awareness of the importance of perinatal mental health really is ‘everyone’s business’.


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How AI is transforming local government

Robot

By Steven McGinty

Last year, Scottish Local Government Chief Digital Officer Martyn Wallace spoke to the CIO UK podcast and highlighted that in 2019 local government must take advantage of artificial intelligence (AI) to deliver better outcomes for citizens. He explained:

“I think in the public sector we have to see AI as a way to deliver better outcomes and what I mean by that is giving the bots the grunt work – as one coworker called it, ‘shuffling spreadsheets’ – and then we can release staff to do the more complex, human-touch things.”

To date, very few councils have felt brave enough to invest in AI. However, the mood is slowly starting to change and there are several examples in the UK and abroad that show artificial intelligence is not just a buzzword, but a genuine enabler of change.

In December, Local Government Minister Rishi Sunak announced the first round of winners from a £7.5million digital innovation fund. The 16 winning projects, from 57 councils working in collaborative teams, were awarded grants of up to £100,000 to explore the use of a variety of digital technologies, from Amazon Alexa style virtual assistants to support people living in care, to the use of data analytics to improve education plans for children with special needs.

These projects are still in their infancy, but there are councils who are further along with artificial intelligence, and have already learned lessons and had measurable successes. For instance, Milton Keynes Council have developed a virtual assistant (or chatbot) to help respond to planning-related queries. Although still at the ‘beta’ stage, trials have shown that the virtual assistant is better able to validate major applications, as these are often based on industry standards, rather than household applications, which tend to be more wide-ranging.

Chief planner, Brett Leahy, suggests that introducing AI will help planners focus more on substantive planning issues, such as community engagement, and let AI “take care of the constant flow of queries and questions”.

In Hackney, the local council has been using AI to identify families that might benefit from additional support. The ‘Early Help Predictive System’ analyses data related to (among others) debt, domestic violence, anti-social behaviour, and school attendance, to build a profile of need for families. By taking this approach, the council believes they can intervene early and prevent the need for high cost support services. Steve Liddicott, head of service for children and young people at Hackney council, reports that the new system is identifying 10 or 20 families a month that might be of future concern. As a result, early intervention measures have already been introduced.

In the US, the University of Chicago’s initiative ‘Data Science for Social Good’ has been using machine learning (a form of AI) to help a variety of social-purpose organisations. This has included helping the City of Rotterdam to understand their rooftop usage – a key step in their goal to address challenges with water storage, green spaces and energy generation. In addition, they’ve also helped the City of Memphis to map properties in need of repair, enabling the city to create more effective economic development initiatives.

Yet, like most new technologies, there has been some resistance to AI. In December 2017, plans by Ofsted to use machine learning tools to identify poorly performing schools were heavily criticised by the National Association of Head Teachers. In their view, Ofsted should move away from a data-led approach to inspection and argued that it was important that the “whole process is transparent and that schools can understand and learn from any assessment.”

Further, hyperbole-filled media reports have led to a general unease that introducing AI could lead to a reduction in the workforce. For example, PwC’s 2018 ‘UK Economic Outlook’ suggests that 18% of public administration jobs could be lost over the next two decades. Although its likely many jobs will be automated, no one really knows how the job market will respond to greater AI, and whether the creation of new jobs will outnumber those lost.

Should local government investment in AI?

In the next few years, it’s important that local government not only considers the clear benefits of AI, but also addresses the public concerns. Many citizens will be in favour of seeing their taxes go further and improvements in local services – but not if this infringes on their privacy or reduces transparency. Pilot projects, therefore, which provide the opportunity to test the latest technologies, work through common concerns, and raise awareness among the public, are the best starting point for local councils looking to move forward with this potentially transformative technology.


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Crowdsourcing in smart cities: a world of best practice

By Steven McGinty

Too often, debates on smart cities revolve around terms such as “Internet of things”, “big data”, and “sensors”. However, there is a growing realisation that truly smart cities take a more person-centric approach, which focuses on the needs of citizens and harnesses their skills, talents and experience.

Crowdsourcing is one approach that can help cities do just that. From Danish toy maker Lego to tech giant Amazon, organisations are using digital tools to gather views, opinions, data, and even money from citizens. Public sector institutions have also got involved, introducing projects that engage with citizens, as well as tap into external skills through events such as hackathons (where civic hackers come together to solve key city problems).

Already, there is a wide range of crowdsourcing initiatives across the world. Below I’ve highlighted some of the best.

Scottish Government

In 2015, the Scottish Government’s Open Data and Fisheries teams introduced Dialogue, a citizen engagement tool developed by Delib (a social enterprise based in the UK and Australia).

The Open Data team were in the process of creating an open data plan for public bodies. They felt that crowdsourcing could help them gain a greater understanding of the types and formats of datasets people would be interested in, and as such, posed a series of questions to citizens.

The Fisheries Team took to crowdsourcing to gather the views on a proposal to create a ‘kill licence’ and carcass tagging regime for salmon. As they knew this would be controversial, they wanted to gain a better understanding of the concerns in fishing communities, and to see if there were any better approaches.

Both teams learned a lot of useful lessons from the process. These included:

  • ensuring questions were as specific as possible so citizens could understand;
  • marketing projects to specific communities with an interest in the question raised;
  • avoiding making assumptions or stereotyping audiences; and
  • giving short deadlines (as this added urgency and encouraged greater participation).

Milton Keynes

MK: Smart – Milton Keynes’ wide ranging smart cities programme – has introduced an online platform known as Our MK to connect with citizens. This award-winning project supports people in playing a central role in urban innovation, from crowdsourcing initial ideas through to finding mentoring support and funding through their dedicated SpaceHive page.

The platform’s citizen ideas competition offers up to £5,000 worth of funding to turn ideas into reality. So far it’s generated over 100 ideas, with 13 projects being allocated funding. This includes the Go Breastfeeding MK App (an app which promotes the use of breastfeeding within Milton Keynes) and the gamification of Redways (which saw an app developed to encourage people to explore the Redways network – a series of shared use paths for cyclists and pedestrians.)

Madrid City Council

In 2016, Madrid City Council launched Decide Madrid. The platform played a key role in supporting the city’s participatory budgeting process, allowing citizens to propose, debate, and rank ideas submitted to the website. Once citizens had chosen their top proposals, city employees checked the ideas against viability criteria and a cost report was carried out. If the proposal failed to meet the criteria, a report was published explaining why it had been excluded.

Decide Madrid provided guidance of what was allowed and what was not (offline meetings were also used to explain the limitations of the scheme), to ensure that only valid proposals were checked. This ensured the initiative didn’t become too labour intensive.

In the 2016 Budget, €60 million was set aside. By the time the process had finished, citizens had debated over 5,000 initial ideas, with 225 projects being chosen for funding.

Reykjavik City Council

Better Reykjavik was introduced to provide a direct link for citizens to Reykjavik City Council. The online platform enables citizens to voice, debate and prioritise the issues that they believe will improve their city. For example, Icelandic school children have suggested the need for more field trips.

In 2010, the platform played an important role in Reykjavik’s city council elections, providing a space for all political parties to crowdsource ideas for their campaign. After the election, Jón Gnarr, former Mayor of Reykjavik, encouraged citizens to use the platform during coalition talks. Within a four week period (before and after the election), 40% of Reykjavik’s voters had used the platform and almost 2000 priorities had been created.

Overall, almost 60% of citizens have used the platform, and the city has spent approximately £1.7 million on developing projects sourced from citizens.

Final thoughts

Crowdsourcing is more than just creating a flashy website or app. It’s a process which requires strategic planning and investment. If you’re planning your own initiative, seeking out good practice and learning from the experience of others is a great place to start.


This article was based on the briefing ‘The crowdsourced city: engaging citizens in smart cities’. Idox Information Service members can access this briefing via our customer website.

Involving children and young people in town planning

By 2050, it is estimated that nearly 70% of the world’s population will live in urban areas.  In the UK, this figure is expected to be closer to 90%.   This demographic shift, along with population growth in general, means that more children than ever are growing up in urban environments.

This has a number of implications for the town planning system.  Creating a ‘child-friendly’ environment requires much more than just ensuring there are enough parks and play spaces.

As well as having a fundamental human right to participate in decisions that affect them, there are clear links between children’s health, wellbeing and development and the quality of their surrounding environment.  Particular areas of influence include:

  • housing quality
  • road safety
  • the walkability of an area
  • opportunities for cycling
  • play facilities
  • access to greenspace
  • local amenities such as libraries and community/leisure centres
  • environmental pollution
  • community safety/fear of crime
  • access to healthy food choices

One key way to address this is to involve children in the planning process. As well as helping to create safer, more suitable environments for children to grow up in, involving children in decisions about their local areas has a number of additional benefits.  It helps to build social capital, helps children to form a bond with their home city, and fosters a feeling that they can help to make a change in the world they live in. For planners, involving children can help to provide them with a new perspective on how children use their environments, and highlights issues that adults may not recognise or fully understand – potentially leading to improved design.

Participation methods

Research published in 2011 found that children’s voices had been “notably absent from UK planning and regeneration policies throughout the past two decades”. Children’s participation in planning tended to be focused on services that were designed ‘for them’ rather than ‘with them’, and little attention was given to children’s roles in the wider regeneration agenda.

However, there are some examples of successful involvement.  Methods that have been used successfully range from formal mechanisms such as youth councils, child-led surveys and data collection, to informal ones such as photography, computer-aided mapping, model building and role-play.  Dr Jenny Wood reports that she had success with a delightfully low-tech method, where children were asked to annotate A3 OS maps with a range of stickers, post-it notes and pens, to highlight their likes, dislikes, routes to school and any other information they felt was important about their local area.

At the other end of the scale, some particularly innovative examples capitalise on recent technological advances.  These include the use of mobile phone apps to make traffic reports (see Case Study 1 below), the use of Minecraft (see Case Study 2 below), mapping their local area (Children’s Tracks in Norway) and the use of the SoftGIS methodology in Finland.

Case Study: Traffic Agent, Norway

A new app-based initiative in Oslo, ‘Traffic Agent’, directly involves children in transport planning. It enables children to provide direct feedback on road safety, based on their own experiences.  The app makes use of ‘gamification’ whereby users act as “secret agents” for the city, sending immediate reports on their route to school when they come across, for example, a difficult crossing on the street or an area of heavy traffic.

The project lead, Vibeke Rørholt, illustrates its impact: “I received a telephone call from the mother of a little boy who had reported some bushes that meant he couldn’t see when he was crossing the street. And two days later the bushes were cut. She phoned in saying he’s so happy that he could make this happen.”

Case study: Blockbuilders, England

Blockbuilders is an innovative method of involving communities, and children and young people in particular, in the town planning system.

Using the hugely popular game, Minecraft, the Blockbuilders team create a 3D representation of a local area.  The model is then used as the basis for consultation with the wider community, and can be interacted with and played with to enable communities to help design and shape their local areas.  Projects have included the development of Lewes Neighbourhood Plan, the development of a family-friendly park by Brighton and Hove City Council, and an interactive map of Brighton and Hove.

Common success factors for children’s effective participation

There is no one definition of ‘good’ or ‘effective’ participation practice – the most suitable method depends on the age of participants and the nature of the decision that they are being involved in. However, in their review of children and young people’s participation, the Ecorys project identified a number of common ‘success factors’ for children’s effective participation in planning and regeneration. These include:

  • Official recognition of children’s fundamental rights
  • Partnership working, e.g. planners, local government, academics, NGOs, community organisations and residents
  • Involving adults with knowledge and experience of young people’s participation
  • Utilising a range of diverse participation mechanisms
  • Understanding participation as a ‘whole’ process of learning and change
  • Openness and reciprocal learning between children and adults
  • An incremental and realistic approach to goal setting and developing trust/confidence
  • Visibility in the results
  • Embedding at different levels and spatial scales

Challenges

Despite the compelling arguments in favour of children’s participation in the planning system, a number of barriers exist.

There is a general lack of awareness of the purpose, benefits or skills required for facilitating young participation among planners.  Children are often viewed as being incapable of engaging in a meaningful way, despite research concluding otherwise.

Children’s participation in planning is frequently still viewed as ‘special’, rather than as part of general community engagement processes.  It tends to be focused specifically on children’s services, rather than the wider range of universal services, and takes the form of consultation, rather than proper involvement in every phase of the decision making process.

A number of political and structural barriers also limit children’s potential influence – such as competing interests within the planning system and the short timescales often required for decisions.  This can mean that even when the intentions are there, planners themselves may have limited time or influence over the decision making process.

Future steps

However, these challenges are not insurmountable.  As we have seen, through its influence on the design of the urban environment, the town planning system has a huge impact upon the wellbeing and development of children.  By involving children in the design of their local environment, it can help create environments that support children to reach their fullest potential.

Children who are involved and interested in their local environment will hopefully grow up to become adults who are involved and interested in their local environment.  The town planning system is in a unique position to help facilitate this.  And as Enrique Penalosa, former mayor of Bogota, Colombia has said:

If we can build a successful city for children, we will have a successful city for all people”.


Keen to make your city more child-friendly?  Next month we look at the characteristics of child-friendly urban design. 

If you can’t wait, why not download our briefing on Planning a child-friendly city – available to Idox Information Service members via our customer website.

Introducing the Idox Information Service … supporting evidence use for over 40 years

Exterior of the Idox Information Service office in Glasgow

Exterior of the Idox Information Service office in Glasgow

As a team who work every day to supply evidence and good practice to our clients in the public sector and consultancies, it would be easy to feel a bit down about the ease with which the idea of a post-truth world has taken grip.

In fact however, it’s heartening that so many organisations continue to recognise the value that our service brings. Not only does it offer a continuing professional development resource for staff, it also acts as a channel for knowledge sharing between organisations – helping them when they have to review services, look for efficiencies, or transform what they do in light of changing government policy or priorities.

We know that much of what we do can remain hidden, even to our own members. So let’s go under the bonnet of our unique service …

Who we are

The Idox Information Service is a membership library service, which was established over forty years ago – originally under the name of the Planning Exchange. At the outset, the emphasis was on the provision of resources to support professionals working in planning and the built environment in Scotland, but over the years we’ve expanded our subject coverage to cover the whole spectrum of public sector information, and across the UK.

Our members include policy makers and practitioners from organisations including local authorities, central government, universities, think tanks, consultancies and charities. They work in challenging environments and often need evidence to inform service delivery or decision-making.

Our work

Our team is made up of a mix of researchers, public policy specialists and qualified librarians, along with support staff. They have professional memberships, including chartered membership of CILIP and the Social Research Association. This picture shows the typical range of activities in a year:

2014 statsPublic policy is an ever-evolving subject and so current awareness services are a big part of what we do. Members can set up their own subject alerts on anything that interests them, and we also have a set of weekly and fortnightly updates on common topics. Last year we added three new current awareness updates on Devolution, Smart Cities and of course, Brexit!

UK grey literature is a particular strength of our collection. We spend a lot of time sourcing documents such as technical reports from government agencies, and research reports produced by think tanks, university departments, charities and consultancies which are often overlooked by other databases. Recent research has highlighted the value of grey literature for public policy and practice.

We also write our own research briefings for members on different topics, with more detailed analysis of research and policy developments, and including case studies and good practice. Some of these briefings are publicly available on our publications page.

The interest from members in using our Ask a Researcher service has been increasing, due to the time pressures and other challenges that people face in sourcing and reviewing information. An example looking at the links between employee wellbeing and productivity is on our website. Members regularly comment on the usefulness of the results, and it’s satisfying to be able to make a direct contribution to their work in this way.

Keeping it personal

While our online database allows our members to search for and access resources themselves, there is a strong personal element to our work.

Our members know that we’re always available at the end of the phone or via email to provide them with dedicated support when they need it. It’s important to us that we provide a quality service which keeps pace with the changing needs and expectations of a varied membership base.

Hopefully, this article has provided some insight into the way that the Knowledge Exchange supports staff and organisations across a variety of fields. More information about the service can be found here.


In 2015, the Idox Information Service was recognised as a key organisation supporting evidence use in government and the public sector. It was named by NESTA / Alliance for Useful Evidence / Social Innovation Partnership in their mapping of the UK evidence ecosystem.

We also contribute data to the Social Policy and Practice database, which focuses on health and social care evidence, and is a resource recommended by the National Institute for Clinical Excellence.

Follow us on Twitter to see what developments in public and social policy are interesting our research team.

From data to intelligence and improvement – what cutting edge councils are doing in the UK

Group of workers having a meeting

By Steven McGinty

Data has the potential to revolutionise the delivery of local services. Just like the private sector – where organisations such as Amazon and Facebook have leveraged user data – local councils have the opportunity to reap significant benefits from analysing their vast silos of data. Improving efficiencies, increasing levels of transparency, and providing services which better meet people’s needs, are just some of the potential benefits.

Although many councils are still at the early stages of utilising their data, some are innovating and introducing successful data initiatives.

Wise Councils

In November 2016, the charity NESTA published a report highlighting the most ‘pioneering’ uses of data in local government. The report emphasised that most local services would benefit from data analysis and that a ‘problem-oriented’ approach is required to generate insights that have an impact on services. The case studies included:

Kent County Council

Kent County Council (KCC), alongside Kent’s seven Clinical Commissioning Groups (CCGs), have created the Kent Integrated Dataset (KID) – one of the largest health and care databases in the UK, covering the records of 1.5 million people. The core requirement of the dataset was to link data from multiple sources to a particular individual, i.e. that information held about a person in hospital, should also be linked to records held by other public bodies such as GPs or the police.

This integrated dataset has enabled the council to run sophisticated data analysis, helping them to evaluate the effectiveness of services and to inform decisions on where to locate services. For example, Kent’s Public Health team investigated the impact of home safety visits by Kent Fire and Rescue Service (KFRS) on attendances at accident and emergency services (A&E). The data suggested that home safety visits did not have a significant impact on an individual’s attendance at A&E.

Leeds City Council

Leeds City Council have focused their efforts on supporting open innovation – the concept that good ideas may come from outside an organisation. This involved the initiatives:

  • Data Mill North (DMN) – this collaborative project between the city council and private sector is the city’s open data portal (growing from 50 datasets in 2014 to over 300 data sets, in over 40 different organisations). To encourage a culture change, Leeds City Council introduced an ‘open by default’ policy in November 2015, requiring all employees to make data available to the public. A number of products have been developed from data published on DMN, including StreetWise.life, which provides local information online, such as hospital locations, road accidents, and incidents of crime.
  • Innovation Labs – the city has introduced a series of events that bring together local developers and ‘civic enthusiasts’ to tackle public policy problems. Leeds City Council has also provided funding, allowing some ideas to be developed into prototypes. For example, the waste innovation lab created the app, Leeds Bins, which informs residents which days their bins should be put out for collection.

Newcastle City Council

Newcastle City Council have taken a data-led approach to the redesign of their children’s services. The Family Insights Programme (FIP) used data analysis to better understand the demand and expenditure patterns in the children’s social care system. Its aim was to use this insight to support the redesign of services and to reduce the city’s high re-referrals and the number of children becoming looked-after.

The FIP uses data in three different ways:

  • Grouping families by need – The council have undertaken cluster analysis to identify common grouping of concerning behaviours, such as a child’s challenging behaviour or risk of physical abuse. When a child is referred to long term social work, senior social workers analyse the concerning behaviours of the case, and then make a referral to a specialist social work unit. Since introducing this data-led approach, social work units have been organised based on needs and concerning behaviours. This has resulted in social workers becoming specialists in supporting particular needs and behaviours, providing greater expertise in the management of cases.
  • Embedding data analysts – Each social work unit has an embedded data analyst, who works alongside social workers. Their role is to test what works, as well as providing insights into common patterns for families.
  • Enabling intelligent case management – Social workers have access to ChildSat, a tool which social workers use to help manage their cases. It also has the capability to monitor the performance of individual social work units.

Investing in data

Tom Symons, principal researcher in government innovation at Nesta, has suggested that councils need support from central government if they are to accelerate their use of data. He’s suggested that £4 million – just £1% of the Government Digital Service (GDS) budget – is spent on pilot schemes to embed data specialists into councils.

Mr Symons has also proposed that all combined authorities should develop Offices of Data Analytics, to support data analysis across counties. Over the past few months, Nesta has been working on this idea with the Greater London Authority, and a number of London boroughs, to tackle the problem of unlicensed HMOs (Houses in Multiple Occupation). Early insights highlight that data analytics could be used to show that new services would provide value for money.

Final thoughts  

After successive years of cuts, there has never been a greater need for adopting a data-led approach. Although there are undoubtedly challenges in using council data – including changing a culture where data sharing is not the norm, and data protection – the above examples highlight that overcoming these challenges is achievable, and that data analysis can be used to bring benefits to local councils.


Follow us on Twitter to see what developments in public and social policy are interesting our research team. If you found this article interesting, you may also like to read our other digital articles. 

Celebrating a different kind of library: the Idox Information Service

Number 95

Exterior of the Idox Information Service office, an art deco building in Glasgow

by Laura Dobie

It’s National Libraries Day this Saturday, and events are being held up and down the country to celebrate libraries and their contribution to communities. When people think of libraries, it tends to be public libraries which spring to mind and rows of bookshelves. However, the library sector is diverse.  Many librarians and information professionals work in different types of organisations, with different kinds of service users.

With libraries taking centre stage over the course of this weekend, we wanted to showcase our own specialist library service and the skills of our library staff.

Who we are

The Idox Information Service is a membership library service, which was established over thirty years ago under its earlier name of the Planning Exchange. At the outset the emphasis was on the provision of resources to support professionals working in planning and the built environment, but we’ve expanded our subject coverage over the years to cover the whole spectrum of public sector information.

Our members include policy makers and practitioners from organisations including local authorities, central government, universities, think tanks, consultancies and charities. They work in challenging environments and often need evidence to inform service delivery or decision-making.

Our work

Our research officers are all qualified librarians, and many are chartered members of CILIP. This picture shows the range of activities last year:

2014 statsGrey literature is a particular strength of our collection. We spend a lot of time sourcing documents such as technical reports from government agencies, and research reports produced by think tanks, university departments, charities and consultancies which are often overlooked by other databases. Recent research has highlighted the value of grey literature for public policy and practice.

Although we may work in a specialist sector, many of our activities will be familiar from other libraries. We do our own abstracting and cataloguing, and current awareness services are a big part of what we do.

We also write our own research briefings for members on different topics, with more detailed analysis of research and policy developments, and including case studies and good practice. Some of these briefings are publicly available on our publications page.

The interest from members in using our Ask a Researcher service has been increasing, due to the time pressures and other challenges that people face in sourcing and reviewing information. A recent example looking at the links between employee wellbeing and productivity is on our website. Members regularly comment on the usefulness of the results, and it’s satisfying to be able to make a direct contribution to their work in this way.

Keeping it personal

While there has been an increasing trend towards self-service in libraries, and our online database allows our members to search for and access resources themselves, there is a strong personal element to our work.

Our members know that we’re always available at the end of the phone or via email to provide them with dedicated support when they need it. It’s important to us that we provide a quality service which keeps pace with the changing needs and expectations of a varied membership base.

Hopefully this article has provided some insight into a different kind of library, and library and information work, and the way in which we support professionals across a variety of fields. More information about the service can be found here.


Laura Dobie is a Research Officer at the Idox Information Service and a chartered librarian. She writes regular blog articles and research briefings for the service, and tweets for @IdoxInfoService