Develop an overarching quality assurance framework for SEND in Suffolk to establish shared service expectations and ensure rigorous oversight of service standards, based on outcomes. SEND Programme Manager Existing and planned future QA activity across SEND mapped (by Oct. 2017) Existing activity evaluated by all partners jointly to identify strengths/overlaps/gaps (by Nov. 2017) Overarching framework for quality assurance that draws together key QA elements across all SEND work co-produced and agreed (by Dec. 2017) QA framework introduced (from Mar. 2018) Review of QA framework undertaken as part of external governance review in June 2019 above
an agreed locality. SEN/AP, Chief Nursing Officer, I&ES CCG / WS CCG, Head of Service for Children’s Social Care Fieldwork between health, education, and care partners (by Oct. 2017) Locality identified for trialling new model and practitioner teams to be involved (by Oct. 2017) Implementation plan for trial developed by practitioner team (by Dec. 2017) Trial assessment centre established offering and statutory joint assessments (from Jan. 2018) Evaluation of trial operation period completed and model/operational arrangements refined (by Apr. 2018) Rollout the model of Education, health and care joint SEND assessment programme across Suffolk. Head of Service Development SEN/AP, Chief Nursing Officer, I&ES CCG / WS CCG, Head of Service for Children’s Social Care Fieldwork Rollout phasing agreed and practitioner teams to be involved identified (by Feb. 2018) Implementation plan for rollout developed by practitioner teams (by Apr. 2018) Education, health and care assessment programme implemented across Suffolk (by July 2018) Review of impact and operation of new programme completed by July 2019 and further refinements identified. Suffolk SEND Strategy Action Plan – Priority 2 Objective: (c). Extend outreach services to support children with SEND to continue to access mainstream education where appropriate, and provide this support earlier. Objective Lead: Headteacher for County Inclusive Support Service Related Ofsted/CQC Judgements: The quality of the identification of children and young people’s needs is too variable across the local area and across services. It is over-reliant on individual expertise and the quality of providers and clinical commissioning groups.
Cliff James, Head of Corporate Parenting SPCN critical friend: Jo Hammond, Chair SPCN We will achieve these changes by delivering the action plans set out below which cover the following objectives: Objective: a. Audit education, health and care services in order to agree, with all stakeholders, the pathways of the SEND offer and develop a SEND sufficiency plan to enhance provision and services. Objective: b. Introduce a new system of education funding for SEND provision that is transparent and consistent. Objective: c. Develop the training and support for education, health and care service providers to become more skilled in supporting children and young people (CYP) with SEND and their families. Objective: d. Introduce a transparent way to assure the quality and inclusiveness of SEND services provided, measure children and young peoples’ progress towards achieving their person-centred outcomes and challenge practice which does not reach expected standards. Objective: e. Undertake a commissioning review across the education, health and care of ASD services and support, and work in co-production to develop and establish a local pathway involving these services. Objective: f. Undertake a commissioning review of SaLT and occupational therapy provision across education, health and care involving these services to improve access to appropriate high quality services. Objective: g. Undertake a commissioning review of emotional wellbeing and mental health services to improve access to good quality, early help and specialist services. Suffolk SEND Strategy Action Plan – Priority 3 Objective: (a) Audit education, health and care services in order to agree, with all stakeholders, the pathways of the SEND offer and develop a SEND sufficiency plan to enhance provision and services. Objective Lead: Head of Service Development SEN/AP; Head of Clinical Quality and Patient Experience; Head of Corporate Parenting Related Ofsted/CQC Judgements: The lack of advice, support and local provision for children with autism spectrum disorder and mental Health difficulties (MF)
SEN/AP, Head of Clinical Quality and Patient Experience, Head of Corporate Parenting Communication to all services and providers of our intention to collate education, health and care data for the purpose of ensuring adequate services and provision for CYP with SEND will be completed (by July. 2017) Additional resources identified and agreed by education, health and care leaders to support the data collection and analysis process (by July 2017) Key stakeholder working group has been established to develop the signed off recommendations into a proposed SEND Sufficiency Plan that will include other strategies such as the Children In Care Sufficiency Strategy for children with complex needs and learning disabilities. (by Sept. 2017) The identification of gaps in services and provision through the analysis of the data that includes SPCN survey results will be completed (by Oct. 2017) A set of co-produced recommendations that have been based on the outcome of the data analysis will be presented to SEND Programme Board, the CCG and Directorate Management Team for sign off (by Jan. 2018) SEND dashboard developed with senior leaders across organisations and agreed by education, health and care to provide a basis for ongoing shared intelligence that will inform future planning of services and provision (by June 2018) Develop the SEND Sufficiency Plan (a plan that ensures we have enough adequate provision and services to meet the need of CYP with SEND for the future). Head of Service Development SEN/AP, I,E and W Suffolk CCG Assistant SEND Sufficiency work streams established with co-accountable leads in each work stream from education, health and care authority and an SPCN critical friend (by Jan. 2018) The financial modelling for education, health and care to deliver on the SEND Sufficiency Plan has been completed (by March 2018)
Priority 3: Developing Services and Provision Objective: (b). Introduce a new system of education funding for SEND provision in Suffolk that is transparent and consistent. Objective Lead: SEND Programme Manager Related Ofsted/CQC Judgements: The pathway of provision from ages 0-25 is not secure. Young adults and their parents and carers expressed the view that adult social care is not proactive in supporting their needs. Health professionals noted gaps in support services in the transition to adulthood phase, including in mental health services and in the provision of appropriate resources. (2.8) Strategic planning has been weak because, at every level, intended outcomes for children and young people are not clear. Structures for accountability and governance are weak across the partnership. Reviews of the impact of reforms on outcomes for children and young people undertaken to date have been too superficial. There is no shared understanding of the expectations of services or individuals. (3.1) Outcomes: By September 2020 new funding and commissioning arrangements for high needs learners will be in place ensuring that local providers are equitably funded ACTIONS Lead Milestone Progress made Building on the existing system and using best practice from other areas, implement a banded funding model which applies to all Suffolk SEND learners 0-25 irrespective of the type of education establishment (FE college, early years, mainstream and special schools etc.) SEND Programme Manager, School Funding Policy Manager High needs working group involving providers established and terms of reference agreed to guide the development of new banding system (by April 2017) High Needs Working Group in place to support the development of this work with agreed terms of reference – April 2017. Descriptors for universal bandings agreed (by Jun 17) Process for aligning current EHCP/HTN/specialist provision pupils agreed (by Oct. 2017) First draft of model attaching funding to descriptors shared with key partners for review (by Nov, 2017) Funding formula and policy for 2019/20 published for consultation (by Dec. 2017) Mirror allocations for new funding model published alongside allocations for Education providers (by Feb.-Apr. 2018) Consultation events held with all stakeholders (by Mar 2018)
Establish the pathways for ASD. Head of Service Development SEN/AP, Head of Clinical Quality and Patient Experience, Head of Corporate Parenting ASD pathway co-produced with families for education, health and care (by Dec 2017) Offer developed based on the needs analysis in the sufficiency plan. The plan will also include how we address the specific issue identified by inspectors regarding the insufficiency of provision for children and young people with ASD and mental health needs. (by Mar. 2018) Reduce delays for ASD diagnosis and clinical psychology intervention with SCH and NSFT. Head of Clinical Quality and Patient Experience Develop a recovery plan to clear back log for referrals for an ASD diagnosis through contractual route (by Aug. 2017) Review referral processes for assessment and diagnosis for ASD in co-production with parents and carers, commissioners and providers (by Dec. 2017) Arrangements are in place to monitor waiting times for access to ASD Diagnostic services at monthly contract monitoring meetings (by Dec. 2017) Monitor service user satisfaction feedback at monthly contract monitoring meetings and take action (by Apr. 2018) Ensure children and young people and their families receive post diagnostic support. Head of Service Development SEN/AP, Head of Clinical Quality and Patient Experience Develop a post diagnostic support model between health, education and social care following scoping outlined above (by Sept. 2017) County Inclusion Support Service to be expanded to extend support to CYP and schools to enable those pupils with a diagnosis to succeed and thrive in mainstream school (from July 2017) Develop a follow on programme to the Early Bird scheme that supports Head of Service Identify a co-production group via SPCN autism survey to work on developing an Early Bird follow
To undertake a commissioning review of OT therapy services. In response to SEND sufficiency plan CYP Assistant Director Commissioning, I,E and W Suffolk CCG Assistant Director Redesign Decision taken regarding scope and plan for review of OT services (by June 2018) OT commissioning review completed (by Dec 2018)
Objective: (c). Develop the role of the Suffolk Young Persons’ Network to become an active partner in the development of SEND services. Objective Lead: Practice Transformation Lead, Moving into Adulthood (Practice Transformation Lead, Moving into Adulthood) Related Ofsted / CQC Judgements: No specific judgements Outcomes: By April 2018 young people will have greater choice and control over things that are important to them and the ability to shape activities to meet their needs and interests through the establishment of the Suffolk Young Persons’ Network as an active partner in the development of SEND services (measured by network’s activity and Suffolk Young Persons’ Network survey). ACTIONS Lead Milestone Progress made Support young people to design a Suffolk Young Persons’ Network (SYPN) for SEND under umbrella of the Suffolk Assembly of Youth. Practice Lead, Moving into Adulthood Good practice researched and used to inform initial planning for a SYPN (by June 2017) Three SYPN planning workshops held with young people across Suffolk (by June 2017) Guidelines drawn up for the network operation (by May 2017) Arrangements for the network agreed by the young people involved (by Sept. 2017) Establish the Suffolk Young Persons’ Network ensuring wide coverage of different young peoples’ voices. Practice Lead, Moving into Adulthood Communication to practitioners regarding the network and its role completed (by July 2017) Co-produced programme of activity for the initial work of the SYPN within the SEND and LD strategies developed and agreed (by Aug. 2017) Youth ambassadors identified and trained to lead on aspects of the network (by Dec. 2017) Working arrangements and impact of SYPN reviewed and evaluated (by May. 2018) Changes agreed and plan in place to implement informed by evaluation (by Jan. 2018) Suffolk SEND Strategy Action Plan – Priority 4