Webinar on joint working and integration around SEND – sharing the learning from CDC’s regional events 16 th January 2019
Agenda “Joint working for quality improvement and integration • around SEND: what we’ve learned” presented by the Council for Disabled Children "Doing it differently: The St Helens Neurodevelopmental • Pathway" presented by Garry Joyce, Julie Hoodless and Sara Dolan. "Therapies in School Projects, Bringing therapies into the • heart of schools" presented by Linnie Chapman and Sam Taylor.
Joint working for quality improvement and integration around SEND: what we’ve learned
CDC Regional workshops – what we did 9 events, 1 in each of the DfE Regions • Focus on joint working and integration • Updates from key partners – NNPCF, NHS England, • Transforming Care, Regional Networks 1-2 examples of new ways of working • Discussion and action planning •
Why we need a focus on joint working Engaging with reality – children and young people with SEND and • their families have complex lives; their needs cross traditional service boundaries CYP with SEND are also more likely to belong to other groups that need • support The policy context – the Children and Families Act and duties • around joint working The financial context – may seem to make joint working harder, • but integration has the potential to reduce pressures on families and professionals
Engaging with reality A complex web of inter-relating and intersecting vulnerabilities Young Offenders** SEND SEND Learning 23-32% Troubled disability LAC 1,244,255 families Dyslexia 43-57% Mental Children SEN support 45% Communi 60-90% 57.3% health CiN 28% EHCPs cation needing needs 26% Young disorder LAC ADHD 12% offenders support sentenced 72,670 6% Excluded Poverty ASD 15% 52% 25,700 * Alternative Young provision offenders
Context and sources Current figures for LAC, children with SEND and children in custody The number of pupils with special educational needs (SEN) was 1,244,255 in January 2017 (DfE, Special • Educational Needs in England, 2017) At 31 March 2017 there were 72,670 looked after Children (DfE, Children Looked After in England, 2017 ) • In 2016/17 25,700 children and young people received a sentence in court (Youth Justice Board/MoJ, • Youth Justice Statistics 2016/17) Intersection between vulnerabilities 57.3% of LAC have a SEN identified by the end of KS2 (DfE, Children Looked After in England, 2017) • 52%* of young offenders asked for a 2014-15 study said they were or had been in care (Youth Justice • Board, Children in Custody 2014 – 15, 2015) 45% of young offenders sentenced in 2014 at the end of KS4 were recorded as having SEN without a • statement, and 28% as having SEN with a statement (DfE and MoJ, Understanding the educational background of young offenders, 2016) 26% of boys held in YOIs in 2014-15 who said they had been in local authority care also reported having a • 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 only represent children currently looked after. **Prevalence rates of neurodevelopmental disorders among young people in custody (Howard League What is Justice? Working Papers 17/2015)
What’s working well? • Early intervention and the graduated approach • Low intensity support, e.g. West Berks Emotional Health Academy • Starting in the early years, e.g. Northants Specialist SEND Support Services • Sharing resources and expertise locally • Collaboration between specialist settings, e.g. Lincolnshire Special Schools, to deliver support closer to home • Building skills and knowledge in universal settings, e.g. Therapies in Schools, Whole School SEND
What’s working well? • Shared outcomes and strategy • Hertfordshire Outcome Bees • Bedford’s shared outcomes • Meaningful co-production and participation • Working with forums and families from the start e.g. St. Helens ND pathway, Rotherham Charter • Empowering young people’s groups e.g. Suffolk Young Person’s Network
Key challenges for 2019? Links with Inclusion (and youth justice exclusion) system Identifying and supporting children and young people with autism only
The national picture: what’s coming up • SEND Leadership Board • NHS Long Term Plan Key worker role • Expanded mental health services and support • Information and training on LD and autism • Integrated Care Provider Contract and ICS Accountability and • Performance Framework Changes to Ofsted framework and exclusions review • SEND inspections and revisits ongoing • Autism review and strategy to include children (Autumn 2019) •
Opportunities for support Support to local areas through the DBOT partnership Audit tool • Regional events • Local support • DMO/DCO forum • Children’s Commissioners Forum • Can you help us? Survey on joint commissioning arrangements: • https://www.surveymonkey.co.uk/r/27NWPXC Survey on autism pathways: • https://www.surveymonkey.co.uk/r/XW9HZMW
Contact details 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
St Helens Neurodevelopmental Pathway
Introductions • Garry Joyce – Senior Integrated Children’s Commissioning Manager • Julie Hoodless - DCO • Sara Dolan – Parent Carer Forum
SEND Inspection Letter Comments Joint commissioning is a strength of the local area. The development of the neurodevelopmental pathway Co-production with Listen4Change has been key to The innovative neurodevelopmental pathway Families awaiting assessment as part of the demonstrates the commitment of senior leaders and success in developing the neurodevelopmental has transformed the accessibility, timeliness and neurodevelopmental pathway are able to access a range Children and young people who are looked after have managers to work collaboratively. Arrangements for pathways. The learning from this work is now coordination of specialist services for children, of training and support. This helps them better The parent carer forum, ‘Listen4Change’, their needs identified and assessed quickly. For example, working together are strong, from senior managers paying dividends with the development of the new young people and their families. Parents and understand their children’s conditions and associated those referred into the neurodevelopmental pathway are co-produced the neurodevelopmental through to frontline staff. local offer, occupational therapy (OT) services as carers agree that referrals are dealt with behaviours. Parents told inspectors about the positive routinely prioritised for assessment by individual impact of the range of training programmes offered. For well as improving EHC planning processes. pathway from its earliest consideration to efficiently and appropriately. services. This means that they are assessed within six example, some parents and carers reported that their its implementation. weeks of referral so they receive the support and help child required no further support or help following the they need quickly completion of these programmes.
Context • Autism coordination established 2012/13 • Challenges from the beginning – long waits, inconsistent service involvement, complaints • Challenges from parents and local parent carer forum • Services re-designed 2014 – 2015 SLT and Community Paediatrics • Introduction of additional support services – 2015-16 • New NDP coordination function established 2017
Governance Arrangements • Agreed establishment of Multi – Agency Stakeholder Group • Local Authority Assistant Director Multi-Agency stakeholder • Education Psychology group was crucial • Specialist Teachers • Involvement of CAMHS • Behaviour Improvement Team from start of pathway • SENCO process for children with • Head Teacher SEMH conditions • Speech and Language Therapy • Bi-monthly Meetings over 2 • Occupational therapy • Community Paediatrics year period • CAMHS • Within project plan, each • Commissioners phase was approved by the • ADDvanced Solutions stakeholder group • Parent Carer Forum • Healthwatch
Parent Carer Forum View • Background • Identifying St Helens Issues • Feedback to Parent Carer Forum Members • Now and the Future
Implementation Phase • Coordination team delivered by North West Boroughs NHS Foundation Trust established • Coordination team consist of Clinical Lead, Pathway Coordinator, Administrator • Establishment of electronic database for Early Years and School Age Pathways • Focus on reducing backlog via additional assessment panels and feedback sessions • Investment in ADOS training, Hanen ‘More Than Words’ training • Documentation
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