0-25 Transformation in Salford 0-25 SEND Pathfinder A new way of - PowerPoint PPT Presentation

0-25 Transformation in Salford

0-25 SEND Pathfinder • A new way of working, putting children and families at the centre of the process, enabling families to make the choices that best meet their child’s needs. • Piloted in the South locality, started in September 2017 and will until December. • The Pathfinder is for any children and young people with complex needs who are being supported by 2 or more services / organisations and who are in education or live within the south locality.

SEND 0-25 principles • Child first and foremost • Putting the family at the centre of the process • Listen, understand and look at things from the family’s perspective • Needs and outcomes framework • Co-production • Enabling rather than providing • Early intervention and prevention • What CAN we do, NOT what do we do • Local • Integrated • One assessment (with multiple dimensions) • One plan • High Expectations for all children and young people

Child / Young Person: SEND 0-25 Pathfinder complex needs with 2 or more services / agencies expected to be involved (South Locality from September 2017) Worker uses online referral form to notify the Bridge CAF team notified – request to complete Family Assessment (unless straight to CAFA due to safeguarding need) Bridge creates a record for monitoring, analysis and future reference Bridge: CRM record of involvement Locality Manager: EMS record of involvement Allocation meeting - Pathfinder Operational Manager to confirm the most relevant professional as the Engagement Lead (in the event that a safeguarding need is identified, the Engagement Lead will usually be the social worker) Please note: Meetings that have already taken place prior to the Bridge referral such as TAF, Family Service Plan meetings will be included in the pathway. Multi Agency Meeting (MAM): Family Assessment or Family Assessment Review child, family and services explore solutions A MAM will need to be arranged to provide an completed & submitted to CAF team. opportunity for the child / young person and their family CAFA if safeguarding need to be actively involved in the decision making process. Where needed: ‘MAP’: EHC Plan if appropriate Multi-Agency Panel explore high cost / high complexity solutions Pathway feedback Child, family and professionals review progress through further engagement and meetings as required

Overview of Activity • 27 PVIs • 4 Childrens Centres • 55 Primary schools • 18 High schools • 1 Special school • 6 Primary PRU • 1 Medical PRU • 1 Secondary PRU

Overview of activity ADHD 4 • ASD / ASC 15 • Attachment 2 • Behaviour 20 • Complex health needs 6 • Complex needs 7 • Development 7 • Hearing / Deaf 3 • Physical / mobility 6 • SEMH 15 • SEN 22 • Speech & language 31 • Transitional support 12 • Visual impairment 3 • (13 have social care as the main reason for referral) •

Overview of Activity Parents / Carers scores 4.7 4.6 4.6 4.5 4.5 4.4 4.4 Listened to Involved in decisions Understood Confidence & trust

Overview of Activity Professionals / Engagement Lead scores 5.0 4.5 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0.5 0.0 Information sharing Accessing information MAM successful Success for parents Success for professionals Engagement Lead Other Professionals

Overview of Activity What’s working well for.. • Families • Involvement • • Transparency • Timescales Knowing who to ask • • Meeting SEN workers face to face For schools • Informality • Engaged parents • • Timescales Easy paperwork • Support of other professionals • • For other professionals • Forum to discuss concerns •

Overview of Activity • 86 have resulted in a full EHC needs assessment (last year – 95) • Co-production of EHC plan • Tribunals - Nil • Complaints – Nil • Capacity to sustain MAMs • MAPs • Principles of personalisation

Principles Children and young people are in control of their own lives Listen and see things from others’ point of view   Focus on what individual children and young people want to It’s not about who we are, it’s about what needs to be done   achieve One assessment, one plan  Children and young people are safe from harm  Easy access to information  Good lifestyles depend on a good education, decent income,  supportive communities and clean green places. Act early to address issues  Recognise different types of families Take the time to understand what works   Create a flexible, dynamic workforce – ready to adapt when Families and services plan together   things change Services build on the strength of communities and families  Change our habits and behaviours if they’re not working  Convenient services: right support, right place, right time  We are in this for the long term 

Data  We serve almost 79,500 0-24 year olds in Salford.  ONS population projections for Salford showed that the 0-24 population will grow by 14% between 2015 and 2035, from 79,500 to 90,700.  The biggest growth will be in the 10-14 age group (up 32%) and the 15-19 age group (up 21%).  The 0-4 age group is not projected to grow from 2020, with consequent levelling off in other age bands as this cohort ages.

Foundations to growth New Listening to Dads specification Start Well School and Families feed back , informing care and Wellcomm community delivery model shaping the system Consultation included bespoke Dads Pathway work redesign TC1: Speech, GMCA Transforming language trauma and CCG therapy Care proposal behaviour Innovation PCCA work services- pilots – CYP school Elklan TC2: Children Start well resilience with TALC Projects ( 5) Disabilities screening Pathway review TC3: EHWB including CAMHS Consultation with OJC youth Training , link worker

Overview The GM Transforming Care (TC) for Children and Young People (CYP) accelerator project will focus on preventing the number of CYP which are placed in a 52/38 week residential school placements . We will do this through the following key components of the project: • Establish a population health and care dynamic support model and CETR arrangements across all GM localities which will embed the thrive methodology. • Pilot an intensive support service for CYP which will involve therapeutic and short breaks services (using the Ealing model) which will look to bring together assessment processes, strengthen joint working between health and care and include key working arrangements. This will apply only to 3 or 4 GM localities to be selected. • Embed culture change through a CYP LD forum linked to Youth Parliament, strengthen coproduction with families within the new models of care, and greater support to staff and families to increase use of personal budgets. Contacts: Lucy Malcolm, LD Programme Manager: Lucy.Malcolm2@nhs.net Sandy Bering, Strategic Commissioner for LD and MH: sbering@nhs.net 14

GM Transforming Care – CYP Accelerator Project The GMHSCP Transforming Care Children and Young People Accelerator Project will involve three key priorities supported by three Local Care Organisations enablers: PRIORITIES AND WORKSTREAMS Risk Registers and CETRs Intensive Support Services Integrated Personal Providing therapeutic support, PBS Budgets (IPS) and short breaks working with and Joint health, care and support families for children most at Support staff and families to education risk registers and risk of admission or residential access IPB that support CYP CETRs to ensure the right placement. support is in place. and families in most effective ways. Enablers /Cross cutting Data Coproduction Governance LINKING INTO EACH OF THE Establish working group Understand numbers, Embedding ABOVE PLUS THE trends and trajectories for bringing all the key arrangements to FOLLOWING CYP in 52/38 week coproduce with CYP, stakeholder together to ADDITIONAL placements and inpatient PRIORITIES families and experts-by- oversee and lead delivery of services. experience. the project. 15