Re-engineered end to end EHC assessment and plan business process ensuring the family is at the heart of the process so it is done “with” and not “to” a family EHCP evaluation form gathers feedback at the end of the EHCP process from families Services for Young Children (SfYC) secure on-going operational involvement of parents which supports the strategic development and review of services. There are systematic feedback loops* that influence the development and review of services, for example the Childcare Inclusion Fund (ChIF) Throughout SfYC, Portage, Children’s Centres, Area Inclusion Co-ordinators and Support there is a culture. The engagement of parents is a performance appraisal (Valuing Performance) target for all Portage Home Visitors. approaches within SEN. feedback on effectiveness and impact. The way Portage is delivered in Hampshire is currently review and with parents is outlined in the project action plan. A review of Early Support is being undertaken this year and with parents will be outlined in the project action plan
HARG proposal funded by Services working across the IPC “My Life My Way” project and the SEND Reforms for CYP engagement. Young Person’s Local Offer “Info4U” in development following a CYP conference January 2014 focussing on the Local Offer identified this need. existing groups across Hampshire increased understanding and local knowledge. Participation Officer and HARG Chief Officer. Impartial Information, Advice and Support IIAS facilitates the effective participation of parent/carers, CYP and to raise issues about provision/lack of provision. In Hampshire this is provided through Support4SEND (formerly Parent Partnership Service) and Parent Voice working closely together. Parents were involved in the development of the IAS service. Increased working across Support4SEND, Parent Voice and Healthwatch Hampshire through periodic meetings to consider IAS for EHC which may also generate ways of sharing data. Independent Support (delivered by Parent Voice) captures information from parents and CYP and is shared at termly reviews with Support4SEND. Embedded culture in Hampshire of parent/carers accessing IIAS and now Independent Support Evidence is available of support provided across Parent Voice and Support4SEND but needs development in terms of determining positive impact Working well Developing data capture and reporting to feedback more effectively on the impact of IIAS. Developing the offer to CYP who can now access IIAS through Support4SEND More formal arrangements needed for LA to report back how the views presented have
Virtual School Plan have evidence. Data is collected termly on children’s progress). Safeguarding training and other relevant briefings support school staff to work effectively with Children’s Social care in identifying and meeting CYP social care needs and promote close working A distance travelled tool is used with every family to assess the effectives of the intervention. Where children/families need a service from children’s social care teams, referrals pass quickly to R&A teams in every district and timescales for responding to referrals are monitored closely with children being seen and assessed quickly and multi- agency plans put in place without delay. Feedback is sought from families at the ‘front door’. services and confirmed by Ofsted in recent inspections of social care services Safeguarding arrangements work well and the children are looked after and achieve permanence within their care placements.
Comprehensive scrutiny of work takes place via monthly auditing of case records and monthly performance management meetings. In addition there is a programme of peer inspections which are based on the Ofsted Framework and take place 4 times a year. b Identifying and meeting social care Adult Services are fully engaged with EHCP process. Collect early information to inform commissioning strategies. is a transition social work team. Generally people with eligible needs influence how needs are met. Focus on YP as they become an adult. IPC and TLAP projects developing multi-agency approach to person centre care. Developing holistic personal budgets Contribute to EHCPs from age 16. Adult support package agreed by age 17 so aware of outcomes and requirements Developing a seamless journey and managing anxiety for YP and their families. Informing Working well for less complex needs. Area to improve Developing the infrastructure around accommodation needs so able to meet complex needs through market shaping. established
across EHC and encouraging creativity and aspirational planning through co-production of plans. Data collection from age 14+ identifies key areas of need, accommodation, link workers, current support, where educated. Informs planning to meet need and improve outcomes through transition. strategic development and market shaping. Robust focus on ‘local first’. for more complex needs c Identifying and meeting Health needs Clear process for identification of health needs for children based on clinical evidence and health led outcomes. Large block contracts for provision of paediatric services. Single Therapy contract for Hampshire delivered by Solent NHS Trust for children. Single CAMHS contract across Hampshire Single School Nursing contract across Hampshire – the new school nursing service through Southern Health has a focus and a KPI around SEN children IPC/TLAP work in progress will improve and influence how parents have CYP needs met. Public Health Nursing: Health Visiting Service (Provider SHFT) lead and coordinate delivery of the Healthy Child Programme (HCP) 0-5 years and Established liaison with SEN and clinicians ensure early identification. This is coordinated by the Area Incos. Paediatricians and clinicians’ contribution to the EHCP is routine. 5 universal health reviews (antenatal; New Birth; 6-8 weeks; 1 year and 2-2 ½ years). Focus on 6 High impact areas including transition to Developing a seamless journey and managing anxiety for YP and their families. Informing strategic development and market shaping. Robust focus on ‘local first’. New service models in place for PH Nursing Child Health working well Adult Health area to improve New PH Nursing models in place – area to improve as they Managing education settings and parental expectations around health provision particularly therapy, including sensory integration therapy Public Health Improvement: Reach of universal HCP
Part of the DMO role is to ensure the timely identification of the health of children with SEN. DMOs are responsible for liaising with schools, early year’s providers, SEN teams and other key professionals. The DMO’s meet with the CCG formally on a termly basis, to review progress and discuss relevant issues Youth Offending Team The YOT Case Manager checks for SEN information as part of the young person’s initial assessment (ASSET) – and this would be taken in to account when planning the intervention including referral to the YOT Education Worker where necessary (and Health / parenting workers). YOT pass SEN info onto the secure estate to ensure that appropriate SEN provision is made while the YP is detained. The current numbers in youth custody is incredibly low in Hampshire for an authority of our size (7 in October 2015). trusts to explore the DMO role in Hampshire and how this can be developed. 5 Consistency of agreements with education providers their contribution to the Local Offer The Hampshire Local Offer can be accessed from the following link: To ensure consistency of SEN Information Reports a SE7 regionally agreed pathfinder template consisting of 14 questions was developed (with parents) for schools to complete as SEN Information Report (and contribution to LO). All schools completed the same questions and these Evidence that settings have used the agreed template to ensure consistency of information Decisions are made from a more informed starting point. Information is more easily Working well Ongoing content development through the Local Offer sub group leads (Education, Health, Children’s Social Care and
are consistent with their requirements for their statutory duty. All schools in Hampshire were invited to add their details to the Local Offer and provide a link to their SEN Information Reports on their own website. This is found under the “overview of the education setting”. For example: By October 2015 98% of all Hampshire schools and colleges had their SEN information reports linked to Hampshire’s Local Offer. All Early years education settings have been communicated with and workshops have been delivered to provide all registered organisations with guidance to complete their local offers. Children’s Centre has submitted cluster LO and have been provided with a LO toolkit, outlining how to achieve the expected minimum LO expected of all CC across the county All independent schools outside of Hampshire can be found via the Section 41 list included on the Local Offer, in addition to the independent colleges NATSPEC link (under choosing a school or college). Parent/carer feedback that they find the system accessible and informative Signposting on to other services to support the early identification of need accessible for parent/carers so they can find the advice and support they need Preparation for Adulthood) Following up feedback on the Local Offer from the Summer 2015 HPCN SEND survey with a “You said, we did” response. Ongoing development of the Young Person’s Local Offer linking up with Adult Social Care and their developing Information and Advice system
Training in the use of SEN teaching approaches e.g. Precision teaching. MyTMaths outcome: standard score increase over 3 month intervention from 79.2 to 87.2, 87.2 falling within the average range. Standard score maintained after a further 3 months An integrated 2 Year Old check and Additional Support Pathway is being implemented by multi-agency team in SfYC Children in Care support has been reviewed and adapted with a focus on supporting the education outcomes. This has been achieved through tracking progress and delivering direct support to settings on a termly basis where CiC attend (the OFSTED Quality Improvement Plan (QUIP) and Virtual School Plan have evidence). Data is collected termly on looked after children’s progress. The Virtual School focusses on those LAC with SEN needs A SfYC Autism Strategy is being developed in partnership with wider stakeholders (which supports the work of the wider Hampshire and National Autism strategies). Person centred approach to PEP discussions focussing on targets for individual children Virtual school visits have a support and challenge role More ambitious targets being set within PEPs with a greater analysis and awareness of individual needs Quality assurance of PEP findings to inform future priorities and training needs
8 A lack of focus on achieving good outcomes in health and social care Childrens social care teams are focused on achieving good outcomes as evidenced by the national and local Performance Indicators data set. Hampshire is an Integrated Personal commissioning (IPC) demonstrator site working with children 14 years and older, to improve transition; shift the power; focus on people with complex needs including health. Person centred approaches, better coordination of care across health, social and education. New multi-agency planning model being adopted. Health professionals are working towards a more outcomes focussed approach. is a more joined up approach, but it is too early to establish benefits and outcomes to see if they are different. Within the Children’s NHS Therapies contract HPCN representatives take part in the monitoring of this provision which encourages a more outcomes focussed approach. As part of the SEND Reforms the Manager of the Children’s NHS Therapies Provision service developed a new report template to be used in the EHCP which is very outcomes focused. SEN colleagues report that the Therapy reports received for EHC assessments are outcomes focussed and jargon free with good practitioner engagement. Cohort has been identified and data set agreed. Using Hampshire Health record, agencies Information systems. At risk register being First 5 families start new planning process in Nov 4 peer leaders employed by voluntary sector Coproduction with young people and families underpins ‘My Life My Way’ National and local evaluation tools being established. What is working well what needs to change Person centred evaluation tool being utilised with each family .e.g. ‘what a good week or good day looks like for me.’ Working well for social care and Therapies Area to improve for SfYC and Child Health and Adult Health Lesson learnt from first 5 families and evaluation of benefits then roll out larger cohort.
9 The development of personal budgets Link to the Hampshire Personal Budgets Information on the Offer: Adults: IPC “My Life My Way” project and Local Act Personal (TLAP) work will enable focus on greater opportunities for young people to access personal budgets across education, health and care. Project plan in development, partners signed up to working together, appetite to achieve across all involved at this initial stage. Project Manager has been appointed. Link to the As at September 2015 there are 11 PBs in place in Children’s social care. They are carefully managed and closely monitored. The RAS tool is in place and publicly accessible. Personal budgets are now available to all children within the Disabled Childrens Teams. Health: 1 Personal Health Budget in place. Working towards two others. Working in partnership to develop methods of identifying when a personal budget for SEN might be appropriate. The development of the IPC and TLAP is helping drive this forward. There are a few families interested. Alongside the offer of a personal budget, there First 5 families have agreed to be part of project. New multiagency planning has started in Oct 15 will with personal integrated budgets offered by end of Dec 15. Vision will be to offer personal integrated budgets to children in transition and in particular children with complex Consistent person centred approaches, support and choices will be offered. New personalised care and planning tool agreed across agencies. Area to improve The My Life My Way programme, led by Adult Services, will develop the holistic offer further. New personal budget deployment options are being explored e.g Direct payment Trusts, Individual service funds. To gain sign up from remaining Hants CCGs to National Moving Forward programme for
Health: A Hampshire wide service specification has been developed and discussions are taking place with providers to agree the spec with a view to it being added to all provider contracts from April 2016. Hampshire IPC programme ‘My Life My Way’ demands close working across education, health and social care (currently age 14+) to improve choice and control, and collaboration and develop a whole system approach to creating a flexible offer for young people with complex disabilities. and their families. Informing strategic development and market shaping. Robust focus on ‘local first’. EHCPs highlight gaps in therapy support for year olds. care process. Close working transition social work and SEN. Area to improve – transition from children’s to adult health improve the transition offer. Bridging the gap between child and adult therapy offers. 11 Joint commissioning arrangements (incl. jointly planning and commissioning education, health and care services) The Children’s Integrated Commissioning Group (Health, Education and Social Care 0-25) (CICB) meets quarterly (This was previously the Joint Child Health Commissioning Group and has been re-shaped to meet the new legislation). There are agreed terms of reference and a work programme. It is jointly chaired by the Deputy Director Children and Families Appointment of Joint post for Childrens and Adults services. In Sept 15. Post will work on Joint Joint accommodation strategy agreed with focus on reduction in residential care Area to improve Joint accommodation panel and further development of Joint