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Sheffield Short Breaks and Respite Services Consultation
Welcome from
Cllr Jackie DraytonElected Member for Children and Families
Jayne LudlamExecutive Director for Children, Young People and Families
Simon MorrittChief Executive of Sheffield Children’s NHS FT
Today ...
Welcome and introductions Where are we now? Our Short Break and Respite Services Your chance to tell us what you think:
Table discussions on each services area to consider:
What works well? What could be better? How it might be done differently? Any ideas for the future?
Looking ahead - What next?
Why are we here?
We all know that SCC face financial challenges ahead
We have the new The Children and Families Act 2014
We are seeing shifts in demands for services And also know services do not always meet
parents and carers needs
We need and want to ensure that the thoughts of parents and carers are heard in planning our future provision and taking theses issues forwards
Health Context
Health does not have the scale of savings that Sheffield City Council face
Wants to work in partnership across NHS and SCC We think there are opportunities to improve respite
care for children with complex health needs– For example we have developed our community
nursing team over the past 3 years to provide more care at home
We are keen to hear from parents what they value in terms of health respite provision so we can consider if there are other changes we can make
2011/12 2012/13 2013/14 2014/150
5
10
15
20
25
30
35
40
Grant Loss/Pressures
Cash Limit Reductions
2011/12 2012/13 2013/14 2014/15Cash Limit Reductions 17 8 6 11Grant Loss/Pressures 21 10 8 3
LA Context
£84m reduction over 4 years
Cash Limit; 71
Education Services; 6
Public Health; 11 Other Grants; 13
Income; 16
Centrally Retained DSG; 28
Individual Schools Budget; 230
Academies Budget; 105
Pupil Premium; 16
EFA; 6 PFI charges; 24
Total Budget £524m
Financial Context (£m)
6
Schools Funding£408m
Schools Traded Income £6.2
Short Breaks - Local Authority Duties
Short Breaks and Respite
To provide a range of services which is sufficient to assist carers to continue to provide care, or do so more efficiently, in particular a range of:
Day care Overnight in the home or elsewhere Education or leisure breaks out of the home Services in the evenings, weekends and during school
holidays
Short Break Statement The range of services provided; criteria and eligibility;
how services are designed to meet the needs of carers
Childcare - Current Local Authority Duties
To secure sufficient childcare for working parents, or parents who are studying or training for employment, as far as is reasonably practical 0 -18 disabled children
To fund Early Years provision 15 hours free of charge for some 2 year olds and all 3 and 4 year olds
To assess the sufficiency of childcare provision every 3 years
To provide information, advice and assistance to parents and prospective parents on the provision of childcare in their area
Change in duty: local authorities need to understand the market and report on the sufficiency of childcare annually, the prescriptive nature of reporting has ceased
The Children and Families Act 2014
The Local Offer – in one place clear, comprehensive and accessible information,
co-produced with parents and carers Education, Health and Care Plans (EHCP) –
single assessment process 0 – 25 year olds New duty: education, social care and health
services in new assessment process and EHC plan
Right to request a Personal Budget - the Regulations will provide further clarity
Targeted / Specialist provision
Univer
sal,
Incl
usive
short
break
s
Sheffield’s Service Delivery 2012/2013
Social work assessm
ent
MAST / SNIPs / Grant assessment
Capital investmentParks
SIVClubs
Advice, Guidance & support to remove barriers to access
Grant payments to universal clubs to support staff ratio.
£100K267ch
Short breaks grant.£580k
1458 C&YP
Targeted contracted clubs
£450k656 C&YP
Direct payments in lieu of a
service£800k
205 C&YP
Foster care overnight and day
care.£69k
33 C&YP
Overnight social care education and health
respiteSC £2.5m 87C&YPEd £700k 65 C&YP,
Healtk £850k38 C&YP
2012/13 LA Spend No of children
Funding
Universal Clubs – grants for staff 267 £100,000
Short Breaks Grant 1,458 £583,000
Specialist Contracted Clubs 656 £450,000
Direct Payments 205 £800,000
Foster Care Overnight / Day 33 £69,000
Overnight education (T/T only, 4 nights) 65 £700,000
Overnight Social Care Residential 87 £2,500,000
Health Respite 38 800,000
Transport 35 £19,000
Total £6,121,000This does not include the SCC staffing, ie SNIPS, Commissioning, Management, and capital expenditure
2009/10 2010/11 2011/12 2012/13 2013/140
50
100
150
200
250
46 57
88
108
157
77
57
37
1425
213 204
222
Direct Payment Overnight Sat. Hol. Clubs (SNIPs)
Trends in Requests for Social Care and Education Short Breaks/Respite
Additional Information
Piloted and implementing behaviour management for parents and carers
Inclusion Team - mentor and support short break providers, moving to work on a more localised basis
No contribution or charging policy for standard offer Short Break Grant, up and above service provision Project to develop Personal Assistants Expansion in Community Nursing Improved outcomes based approach to Short
Breaks
What do we know• Direct Payments – processes and time• Difficulty finding Personal Assistants• Saturday/Holiday Specialist are at full capacity; are
they easily reachable and do we have equity of access
• Occasional difficulties in identifying services to meet specific complex needs
• Shifts in demand for types of services• Quality of assessment and review• Different contribution policies across the country• Increasing population• Children and Families Act 2014 and Transition
What do families tell us ….• Some Universal services less able to welcome
disabled children• Young people want to do non specialist activities, go
and see a film, go to Scouts / cubs, etc. Some families would like to hold their own funding
for Saturday / Holiday clubs and arrange own bookings
That they want more flexibility in services That the pathway and infrastructure is not meeting
your needs Childcare – is there enough and can it be easily
accessed
What’s happening in other areas
On the whole the types of services are very similar Social Care residential offer varies across the country Some areas are introducing flexible booking up to a
maximum number of nights Not all cities have health residential respite Day care short breaks offer also varies across the
country Some areas offer a voucher scheme to enable families
to buy their own activities Contribution policies Few areas offer Short Breaks Grant
What next
• Stage One Seeking the Views– Consultation– On-line Survey for families who could not attend– Consultation with Children and Young People– Consultation / Liaison with Providers and staff groups– Work with parent representatives to ensure we have captured a
wide range of parental views– Focus Group Discussions– Collation and capture of all information
• Stage Two Further Consultation and Feedback– With all parents and carers who receive short break and respite
services on the outcome of stage one recommendations for change
Table Discussions • Short Break Grants
– Led by: Liz Roe• Developing access to Universal Services
– Led by Helen Cooper and / or MAST • Saturday, school holiday and after school Short Breaks clubs
– Led by Lorraine Hall• Health Short Breaks/Respite Care
• Out of Home Overnight / Respite Care – Led by Sue Hatton and Liz Spaven
• Direct Payments / Personal Budgets / Personal Assistants – Led by Amanda Hill and Pete Mitchell
• Disabled Children’s Childcare for working parents or those in training– Led by Linda Wright / Jen Richardson / Yolande Tose
Members of the Parent Carer Forum are here to support your participation in the table discussions
Thank you for giving your time to take part in this consultation