SEND reforms implementation - joint workshop Yorkshire & Humber, 4 March 2016

• DfE Strategic Reform Partner

• With National Children’s Bureau – Department of Health Strategic Partner

• Young people at the centre of what we do

• Work with parents

• Work with clinicians – RCPCH, BACD

• Work with researchers – MCRN, PenCru

• Work with commissioners

Council for Disabled Children

What do you want to get out of today to address key challenges in your area?

“It doesn’t matter where the support comes from, I don’t care who pays for it”- Every parent, ever.

Supporting my dreams and goals•I am supported to feel confident and to develop my own dreams and goals.•Adults around me do not make assumptions about what I can and cannot do.•I am supported to make progress with my studies and get the fullest education possible in a way that does not limit my later options.•I can meet and learn about other people I relate to, whose experiences may have been similar to mine, and who I can share my experiences with.•People, professionals and services recognise that, when help is required, it must be timely so as not to disrupt my progress. They act accordingly.

I Statements

Commissioning - around the child

Early Years Commissioning – who and what? Social Care Health Education

Responsibility DfELA-Children Services

CCG- general healthNHS EnglandLocal Authority- public health

Department for Education Local authority Parents

Provider Early Years ServicesChildren CentresFamily Information ServicesChild in need or Early Help Children’s Safeguarding

Universal - GPs, Walk in centresEarly years - Healthy Chid ProgrammeHealth VisitorsPortageMaternal health servicesMDT, CDCPaediatricianTherapists

ChildmindersNursery schoolsPVI settings

Funding LA Children Services Funding from DfE

Local Authority Health Visiting Grant CCG- Funding from NHS England to provide services for local population

Dedicated Schools Grant (early years block)High-needs block

Data Social Care Statistical Return/Performance  Local Authority Management and Quality Assurance DataLA level Strategic Information will be presented to: Health and Wellbeing Boards, Local Safeguarding Children Boards and Children’s Trust BoardsJoint Strategic Needs AssessmentFOI RequestsComplaints reportsOfsted Inspection Reports

Early Years Foundation Stage Profiles

NHS Outcomes FrameworkCommissioning Outcome Indicator Set Clinical Outcomes data

Early Years Foundation Stage ProfilesOfsted inspection

Social Care Health Education

Responsibility DfELA-Children Services

CCG- general healthNHS EnglandLocal Authority- public health

Department for Education Local authority Education Funding Agency

Provider School Holiday and Short Break ProvisionBehavioural SupportChildren’s CentrePersonal Budgets

Universal - GPs, Walk in centresChildren’s Services-MDT, CDC, Paediatrician, TherapistsChildren’s Continuing Healthcare Care School nursesCAMHS

Maintained schoolsAcademies Special schools (various)Pupil Referral Units and other alternative provision

Funding LA Children Services Funding from DfE

CCG- Funding from NHS England to provide services for local population CAMHS- Local Area Transformation Plan allocation Local Authority- Public health grant

Dedicated Schools GrantNotional SEN budgetHigh-needs block

Data Social Care Statistical Return/Performance  Local Authority Management and Quality Assurance DataLA level Strategic Information will be presented to: Health and Wellbeing Boards, Local Safeguarding Children Boards and Children’s Trust BoardsJoint Strategic Needs AssessmentFOI RequestsComplaints reportsOfsted Inspection Reports

NHS Outcomes FrameworkCommissioning Outcome Indicator SetChild Health Data set in development

Clinical Outcomes data

ProgressAttainment ExclusionsAdmissionsOfsted inspection

School Age Commissioning – who and what?

Social Care Health EducationResponsibility DfE DH

LA Children’s Services LA Adult Services

CCG- general healthNHS EnglandLocal Authority- public health

Department for Education Education Funding AgencyLocal authority Skills Funding AgencyDepartment for Business Innovation and Skills

Provider Targeted Youth WorkYoung Carers SupportSupport to access community facilities Advocacy Employment/Training Support Personal BudgetsAdvocacyPersonal Budgets

Universal- GPs, Walk in centres - ContinuesTransition ServicesSchool nursesCAMHSChildren’s Continuing Healthcare Care Specialist services AdvocacyPersonal BudgetsAdult Continuing Care Funding

School Sixth FormsGeneral FE collegesIndependent Specialist Providers PVI settingsApprenticeship providers UniversitiesPVI settings

Funding LA Children Services Funding from DfE

CCG- Funding from NHS England to provide services for local populationLocal Authority - Public health grant

High-needs blockNotional SEN budgetDedicated Schools GrantSkills Funding Agency statement

Data Social Care Statistical Return/Performance  LA Management & QA DataLA level Strategic Information presented to: Health and Wellbeing Boards, Local Safeguarding Children Boards and Children’s Trust BoardsJoint Strategic Needs AssessmentFOI RequestsComplaints reportsOfsted Inspection Reports

Child Health Data set in developmentClinical Outcomes dataNHS Outcomes FrameworkCommissioning Outcome Indicator SetClinical Outcomes data

ProgressAttainment Ofsted inspectionQualifications

Transition to Adulthood Commissioning – who and what?

Implementation of Children and Families Act has focused on operational aspects(e.g. EHC Plans and maintaining a Local Offer) without Joint Commissioning Arrangements fully established in all areas. BUTJoint Commissioning Arrangements are required for strategic changes required to support this delivery.Without JCA there will be increasing pressure on operational delivery and frontline professionals - potentially undeliverable.Vital opportunity to achieve system wide change across education, health and care for children and young people - e.g. Transforming Care Programme, Children’s Continuing Care refresh, IPC

Nearly 18 months in - emerging lessons?

Joint Commissioning Arrangements: The Children and Families Act Local Roadmap

Joint Commissioning Arrangements

Who should be around the

table?

CCG Lead Commissioner for children/

disabled children

Local Authority

Officer responsible for schools

Designated Medical/Clinical

Officer

Parent and Young People Representativ

es Local Authority Head of SEN and

Disability

SEN Reform Implementatio

n Lead

SEND Joint Commission

er Local Authority

Officer responsible for Post-16 Provision

NHS England Local Area

Team Representati

veLocal

Authority Officer

responsible for early

years

Director of Public Health

Director of Adult

Social Care

Schools Forum Representative

Youth Offending

Team

Joint Commissioning – Who’s around the table?

Where does it fit?

Continuing drive towards integrating commissioning in NHS:Five Year Forward View driving agenda•Implementation of Care Act•Better Care Fund•Integrated Personal Commissioning (IPC) programme•Prime Ministers Challenge Fund Sites•New Care Models Programme Vanguard Sites•Children and Young People Patient Centred Outcomes Measures pilots•Reform of National Framework for Children and Young People’s Continuing Care•Future in Mind Local Transformation Plans•Transforming Care Programme•Local Area Transformation and Sustainability Plans

Alignment with wider local processes in education health and care

Joint Ofsted and CQC InspectionsTwo key questions:•How effectively does the local area identify children and young people who are disabled and/or have special educational needs?

•How effectively does the local area meet the needs and improve the outcomes of children and young people who are disabled and/or have special educational needs?

Holding local areas to account; and helping local areas to identify areas for improvement. The inspection of health and social care functions must extend beyond assessment and provision for children and young people with EHC plans.

“This is a local area joint inspection, not a local authority inspection.”

Group Discussion: The Inspection

How do you know what you are doing is making a difference?

What do you have in place to tell your story?

A Whole Population Approach: Patient Segments in Child HealthThere are a number of cross-cutting themes that can be found within many or all of the 6 segments.

Examples include safeguarding, mental health, educational issues around school and transition.

Dr Bob Klaber & Dr Mando Watson Imperial College Healthcare NHS Trust

S a f e gua r d I ng

Me ntal

H e alth

T r

a n sitI on

S c h o o l

Is s u e s

I nequalitie s

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