Webinar on joint working and integration around SEND sharing the - - PowerPoint PPT Presentation
Webinar on joint working and integration around SEND sharing the learning from CDCs regional events 21 st February 2019 Agenda Joint working for quality improvement and integration around SEND: what weve learned presented by
21st February 2019
around SEND: what we’ve learned” presented by the Council for Disabled Children
and Barry Stormont
people in Bedford”, presented by Mrunal Sisodia Agenda
Transforming Care, Regional Networks
CDC Regional workshops – what we did
their families have complex lives; their needs cross traditional service boundaries
support
around joint working
but integration has the potential to reduce pressures on families and professionals
Why we need a focus on joint working
A complex web of inter-relating and intersecting vulnerabilities
SEND 1,244,255 Young
sentenced 25,700 LAC 72,670
SEN support 45% 28% EHCPs
6% 52% * 57.3%
Learning disability 23-32% Dyslexia 43-57% Communi cation disorder 60-90% ADHD 12% ASD 15%
Young Offenders** 26%
SEND LAC CiN Poverty Alternative provision Young
Excluded Mental health needs Troubled families
Engaging with reality
Current figures for LAC, children with SEND and children in custody
Educational Needs in England, 2017)
Youth Justice Statistics 2016/17) Intersection between vulnerabilities
Board, Children in Custody 2014–15, 2015)
statement, and 28% as having SEN with a statement (DfE and MoJ, Understanding the educational background of young offenders, 2016)
disability (Youth Justice Board, Children in Custody 2014–15, 2015) *This is the percentage who said they were or had ever been in care. The official figures are much lower and
**Prevalence rates of neurodevelopmental disorders among young people in custody (Howard League What is Justice? Working Papers 17/2015)
Context and sources
Academy
Support Services
Special Schools, to deliver support closer to home
Therapies in Schools, Whole School SEND
What’s working well?
Helens ND pathway, Rotherham Charter
Person’s Network
What’s working well?
Key challenges for 2019?
The national picture: what’s coming up
Performance Framework
Support to local areas through the DBOT partnership
Can you help us?
https://www.surveymonkey.co.uk/r/27NWPXC
https://www.surveymonkey.co.uk/r/XW9HZMW
Visit our website: www.councilfordisabledchildren.org.uk Subscribe to our blog: councilfordisabledchildren.wordpress.com Find us on Facebook: www.facebook.com/councilfordisabledchildren Follow us on Twitter: @CDC_tweets
Sally Murray (DCO & Head of Children’s Commissioning, Berkshire West CCG Barry Stormont (Manager, Emotional Health Academy)
engagement on CYP emotional and MH across Berkshire
emerging difficulties.
CYPF Health Hub
EHA SAFE! Project CAMHS Time 2 Talk CAAS School Nurses ANDY Research Clinic
and self-harm
units, as well as individual and group interventions.
care, and consultation to our LAC Service
children and young people. We close 85 direct interventions per quarter.
receiving our support report improvement in their wellbeing.
support.
activities
before.
Support Team pilot.
innovation and early intervention.
Barry Stormont (EHA Manager) – barry.Stormont@westberks.gov.uk
Bedford Borough’s local area inspection
An outcomes framework
Workshops to understand what our priorities are and measure how we are doing
Findings and recommendatio ns
What happens next?
In February 2018, Bedford Borough had its local area SEND inspection. The inspectors issued a Written Statement Of Action. They highlighted five areas:
There are no co-ordinated priorities, strategies or accountabilities between the services to ensure that joint commissioning is undertaken effectively. BCCG has only very recently carried
progress and barriers to implementing the reforms. At the time of the inspection, there was no robust plan in place to deliver the necessary actions to ensure that outcomes for children improve. Leaders have not ensured that the local offer provides clear, comprehensive accessible and up to date information about the available provision and how to access it… Leaders have not ensured collectively that EHC plans identify the range of needs for children and young people beyond diagnosis or a multi-agency approach to meeting needs effectively including subsequent signposting and guidance around personal budgets. There are weaknesses in provision across the borough for young people who have emerging SEND including SEMH and more complex needs such as ASD to live successful lives where they participate positively in wider borough life and engage successfully in education, training and transition to adulthood.
To create “co-ordinated priorities, strategies [and] accountabilities” we need a shared approach
We need to agree the outcomes that we must deliver.
We have adapted Hertfordshire’s work and grouped our outcomes into 5 different areas:
An outcomes framework describes the things that children and young people
with SEND and their families want for them.
The outcomes people want What does this mean for children, young people and families? What support and services do we need to deliver this? How do we measure this?
Outcome What does this mean? What services and support are needed? How do we measure this? Be independent I can make choices about my own life and I am supported to plan what I want to do
Flexible personal budgets that enable me to plan and do what I want to The number and percentage of SEND families eligible for a personal budget / direct payments who have one
Be independent I can go where I want to, when I want to
Safe, quality assured and risk assessed transport services are accessible and transport training is available where required The number and percentage of CYP who have been transport trained. The number of bus drivers and taxi drivers that have had disability awareness training.
A survey to ask them how we are currently doing
against our outcomes
What is currently working well and what changes
to services would make a difference to families?
The outcomes people want What does this mean for children, young people and families? What support and services do we need to deliver this? How do we measure this?
Our survey is based on the UN convention on the human rights of the child We do not include all of the articles because not all of them are relevant for
children with SEND in the UK (for example child labour or child soldiers)
We believe that all children should have these rights and that children and
young people with SEND are no different
Do you think you are supported to provide a standard of living that meets your child's physical and social needs?
Do you think your child is protected from bad treatment, violence abuse or neglect?
Is your child enabled to have friends and participate in groups that they chose?
Do you think your child is able to play, relax and take part in leisure, cultural or physical and social needs?
Is your child’s supported to be as healthy as possible, including education about how to stay healthy?
Do you think your child is enabled to reach their full potential?
Does your child have access to education?
Is your child’s education developing them to their full potential – their personality, their talents and their abilities?
Do you think you child's privacy is protected?
Is your child able to freely learn about their culture, language and religion?
Do you think your child is supported to live an independently as possible and be active in their community?
Do you think as a parent you are respected to act in the best interests of your child, including them in decisions where appropriate?
Do you think your child's best interests are always the top priority in decisions about them?
Do you think your child is supported to express their views about anything that effects them (this could include your decisions as a parent)?
Do you and / or your child understand what rights they have?
The average score was
3.04 out of 5
It tells us that the
needs of children and young people with SEND in Bedford Borough are only being partially met
Is this good enough?
Families like the local charities and the services they provide
Families like the SEND Advice service and want more of it
The special schools in Bedford are person centred and wrap around the family.
Families with personal budgets recommend them
Families do not feel included in the community
Families need more access to therapy services
The experience of children with SEND in mainstream schools is too varied and often poor
Families are waiting too long to get help
Parents want and need more information and support
Parents do not feel that they are heard
The report made 16 specific
recommendations that were coproduced with the local authority and the CCG. These included measures to:
Support mainstream schools to be more
inclusive
Jointly commission therapy services Explore making more personal budgets
available for therapy services
Hosting a local offer live event relaunch and
publicise the new local offer
Creation and widespread adoption of the new
co-production charter across all agencies
The report is being shared with key decision making bodies in Bedford
Borough – SEND Implementation Board, Health and Wellbeing Board, Children’s overview and scrutiny committee.
The recommendations have all been incorporated into the WSOA plan and
the local area SEND strategy
We will conduct the survey again in January 2020 to see what difference it
has made to the lives of children and young people with SEND.