Transitions Programme: Phase 2 NEW
Customer Pathway:
Key outcomes
08/04/2015
Helping you to help yourself
Being a trusted advocate
Helping you when you can’t help yourself
Information,
Advice &
Support
Short term
support
including
Referral &
Signposting
Child Protection & Safeguarding,
children in care / leaving care
Longer term
support
Is it
working &
what
next?
At any point you may feel able to manage more by yourself
Live your life
Transitions: Key outcomes
Information, Advice
& Support:
including Referral &
Signposting
Children’s MASH &
early help / targeted
prevention
Short term support
Longer term
support
Is it working &
what next?
Child Protection & Safeguarding, children
in care / leaving care
Partner Representatives
Will Coles
Kerry Bishop
Ann McGale
Stephen Harley
Ann McGale
C O’Rourke /J Cattermole
Nita Mistry
Jill Buchanan-Huck?
Improved comms. with
internal/external
stakeholders
Immediate Response &
safeguarding
Supported
independent living
Better understanding
of what works by
listening
Timely & accurate info to
support transition
planning
Re-ablement
Help provided when
you can’t help
yourself
Using review &
feedback for continuous
improvement
Strengthened
Community Support
Self-directed support
Growing great people
Joint commissioning
Links and dependencies
Information,
Advice &
support
Longer term
support
Short term
support
Is it working &
what next?
Partner Representatives
EET
This page may require further development
Children’s Services Improvement Programme
Personalisation
Care
Children's MASH
Self-management /
prevention services
Public Health Promotion
RAS
Different models for care
Healthier Northants
Health
Other /
Joint
working
Continuing
(Health) Care
Targeted Prevention
(from mental health)
Annual
Big Event
Disabled
Children &Web-sites
Young
People’s partnerships
Enewsletter
Locality platform model
Local area
coordination
EHC
Joint
Commissioning
Develop local market
Multi-disciplinary teams
Information, Advice & support:
with Referral & Signposting (Summary)
Links to: Children’s MASH, early help, targeted prevention
Led by: Rachael Tootell, Kerry Bishop (OWD)
Improved communications with internal stakeholders
NCC website
Easy read website
E-newsletters
Local Offer portal
Transitions Service
marketing materials
Named link workers
in schools &
colleges
Annual Big Event
Young Person
Champion (LD)
Timely & accurate information supports transition planning
Performance & finance data
Processes & protocols
People & communities are effectively supported
so that they can make more informed life choices
Developing People
Bespoke training
plan for staff
Development
activity with YP &
families
Developing communities to meet needs
Review current
community activity
Work on
improvement with
local groups
Information, Advice & support - 1
Led by: Rachael Tootell, Kerry Bishop (OWD)
What
Detail
Who
When
Improved communications with internal stakeholders
Refresh NCC web-pages /
‘easy-read’ website
Ensure information is current, relevant and
appropriate
E-newsletter and SNIX newsletter
Maria Faller
Sue Curtis
By Dec-13
Rachael Tootell
Subika Anwar
From Nov13
Local Offer portal
Web-based portal info for young people
with SEN, families & professionals
Gwyn Botterill
By Mar-14
Develop set of marketing materials
For use at promotional events
Rachael Tootell
Subika Anwar
Feb – Apr-14
Named link workers in schools
Link with special schools, FE colleges,
Hinwick Hall, SENSE, out of county
schools/colleges and evaluate
Ann McGale
Maria Faller
Matt Croxon
Julie Gadsden
In place by
Dec-13;
evaluation
to follow
Big Event
Promote services of partner agencies
involved in transitions programme
All partners – led by
Maria Faller
Nov-13
Nov-14 TBC
Young Person Champion
Local champion for young people with
disabilities will link up services
Ashley Poulton
2014
Information, Advice & support - 2
Led by: Rachael Tootell, Kerry Bishop (OWD)
What
Detail
Who
When
Timely & accurate information supports transition planning
Performance & finance data
Further enhancement of transitions data,
including financial forecasting (and with
other partners)
Nita Mistry
Comie Campbell
(Finance)
Ongoing
Processes & protocols
Understand current Transitions processes
(also part of longer-term support)
David Hood with
Transitions et al
Ongoing
Information, Advice & support -3
Led by: Will Coles (Connexions), Kerry Bishop (OWD)
What
Detail
Who
When
Bespoke training plan for
Transitions Team
Well-trained staff will have the skills
& knowledge to empower YP.
Implementation will be business as
usual
Amy Brock
Autumn
2013 &
ongoing
Development activity with young
people and their families
Work with shooting stars group
to understand need then scope
outcomes
Kerry Bishop
Feb – June
2014
Kerry Bishop with
Maria Faller
Ann McGale
Jill Buchanan-Huck
Jun – Aug
2014
Kerry Bishop
Sept – Dec
2014
People & communities are effectively supported
so that they can make more informed life choices
Developing People
Developing Communities
Developing communities to meet
the needs of young people &
their families
Work on community
improvement with local groups
1.
2.
Review current situation
Work with local groups to
encourage & improve provision
Short term support (summary)
Child Protection & Safeguarding, children in care / leaving care
Led by: Ann McGale, Children’s social care rep (TBC)
Children with disabilities who need of protection receive effective support
through immediate response & safeguarding
Formal agreement on working with
children’s social care for Initial & core
assessments
Agreed protocols with children’s MASH
Service users have the confidence & skills to carry out activities themselves and
continue to live at home through re-ablement.
Autism outreach workers
in Transitions & YA
Commissioning Strategies:
short-term support
Strengthened Community Support
Community connecting programme
Improve social networking for YP (18+)
with learning disabilities
Short term support
Led by: Ann McGale + TBC
What
Detail
Who
When
Children in need of protection receive effective support
through immediate response & safeguarding
Children’s social care &
Transitions
Formal agreement on co-working with children’s
social workers on assessments to meet statutory
obligation
Ann McGale
Stephen Harley
Sept-14
Agreed protocols with
children’s MASH
With implementation
Ann McGale
Julie MacFarlane
Sept-14
Service users have the confidence & skills to carry out activities themselves
and continue to live at home through re-ablement
Autism outreach workers
Pilot of 2 workers (North/South) for YP aged 18-25
where short-term response is required, with analysis
Karen Sexon
Liam Spalding
Commissioning Strategies
For short-term support only
Ann McGale
Nicola Hobbs
Initially
for 12m
Strengthened Community Support
Community connecting
programme
Pilot with DELOS, will look at quantitative &
qualitative data to report to DMT
Social networking
“Mates & Dates” for young people (18+) with
learning disabilities
Karen Sexon
Liam Spalding
Jun-14
Longer term support (summary)
Child Protection & Safeguarding, children in care / leaving care
Led by: Ann McGale, Catherine O’Rourke / Judith Cattermole
People are supported to live as independently as possible
Transitions post in Health
Health and the
Transitions Service
Multi-agency service for
autism / learning
disabilities
Connexions & Transitions Service
Commissioning strategies:
long-term support
Self-directed support enables people to keep control of their lives
Aspergers pathway
EHC Implementation & Plans
Housing &
accommodation
Help is provided when you can’t help yourself
Improve understanding of the Continuing Care process
Longer term support
Led by: Ann McGale, Catherine O’Rourke / Judith Cattermole
What
Detail
Who
When
People are supported to live as independently as possible
Health: Transitions post
New fixed term post (2 yr) in NHfT
Health & Transitions Service
Understand impact of health recommissioning
Multi-agency service for autism
& learning disabilities
Commission health provider to work with
AFAT as a multi—agency service (0-25)
Commissioning Strategies
For long-term support only
Sharon Robson
From Jan-14
Carolyn Kus
April-14
C O’Rourke
Judith Cattermole
Ann McGale
Nicola Hobbs
Self-directed support enables people to keep control of their lives
Aspergers pathway
New pathway for YP with Aspergers
Sue Pepper (CCG)
April 2014
EHC Plans - Single
Multi-agency outcome-focused plans for all
disabled children in education. Will build on
CAFs and link to personal budgets.
Gwyn Botterill
Jill Buchanan-Huck
All - from
Sept-14
Ann McGale
2014
assessment tool
Housing & accommodation
Link with boroughs & districts; co-location of
care managers/housing; Npton one-stop shop
Help is provided when you can’t help yourself
Continuing Care process
To make it more effective for young people
supported by Transitions
Karen Burrows
Maria Faller
Mar-14
Is it working & what next? (summary)
Led by: Karen Sexon and Jill Buchanan-Huck
Better understanding of what works by listening
Gain customer feedback through:
Surveys of YP &
families
Surveys of staff
Improve process for customer feedback
POET
Making it real
Storybooks
Continuous improvement is achieved through review & feedback
Improve processes for all Review activities
Is it working & what next? 1
Advice & support
Led by: Karen Sexon and Jill Buchanan-Huck
What
Detail
Who
When
Better understanding of what works by listening
Gain customer feedback:
Survey of young people
Survey of families
Survey of staff
Carry out surveys and analyse to
inform the way forward & understand
impact of programme
POET
Personal Outcomes Evaluation tool
Making it real
Workshops to look at full customer
journey & identify priorities
Karen Sexon
Jill Buchanan-Huck
Jill Buchanan-Huck
Improve process for customer
feedback
Develop more effective mechanism
for young people to provide feedback
Maria Faller
Storybooks
Pull together “real life stories” (case
studies) which demonstrate personal
impact of Transitions
Maria Faller
From Jan14
TBA
Is it working & what next? 2
Advice & support
Led by: Karen Sexon and Jill Buchanan-Huck
What
Detail
Who
When
Continuous improvement is achieved through review & feedback
Improve processes for all
Review activities
The range of reviews includes looked
after children, short breaks, school,
respite, care package, Y9 in school, e
Ann McGale
Uzma Moody
Jill Buchanan-Huck
May - Jun14
Links and dependencies 1
What
Theme
Detail
Who
When
Personalisation
Personalised budgets for the
Transitions cohort
Jill Buchanan-Huck
Care
RAS
Resource Allocation System ( see
longer-term support for Transitions
cohort)
Jill Buchanan-Huck
Care
MASH
Multi-agency safeguarding hub for
children – currently being embedded
Satinder Gautam
Care
Children’s Services
Improvement Programme
Set up to improve local services for
children and implement Ofsted
recommendations
Satinder Gautam
Three year
programme
Care /
Health
Different care models
Developing the integration model
Senior Managers in
health & social care
Phase 3
Improve & manage pathway (CC for
CYP, CHC for adults) – different
assessment models, criteria, funding
Mary Chapman
Sharon Robson
Marianne Spencer /
Katie Warren
(Health)
Care
Health
Continuing (Health) Care
Health
Healthier Northants
Health
Targeted prevention services
This section
...from mental health, (currently
being re-tendered)
requires
further development
Sharon Robson
Oct-14
Links and dependencies 2
Theme
What
Other /
Joint
working
Joint Commissioning
Other /
Joint
working
Disabled Children & Young
People’s Partnerships
Other /
Joint
working
Other /
Joint
working
Other /
Joint
working
Detail
Who
Build on locality platform
model
a revolutionary approach to
supporting vulnerable people in
our communities. (“Support
Wellingborough” portal) Not just
Transitions
Tony Meadows?
Andy Horwood?
Local Area
Co-ordination
...working with local people to
promote opportunities to people
who may be vulnerable due to
ages, disability or mental health
needs. Not just Transitions
Kelvin Linnett
Multi-disciplinary teams
Commission multi-disciplinary teams
for children as part of Healthier
Northants agenda (link to Different
Care models)
Judith Cattermole
AD: Learning, Skills
and Education
When
ongoing
In
development
By Oct-14
Outcome Leads: Responsibilities
•Managing the production of required deliverables
•Planning and monitoring the work
•Manage risks & issues; escalate as appropriate
•Keep in touch with programme manager and related projects
to ensure that work isn’t overlooked or duplicated
•Reporting on progress through highlight reports as agreed
•Identify & obtain support and advice for management,
planning & control of work
•Manage administration of work
Task & Finish Leads: Responsibilities
•Delivery of activities to agreed timescales
•Report progress and escalate issues to the “box” lead
•Involve other people – including operational staff – as
appropriate , with advice from the Business Change Manager
Business Change Manager: Responsibilities
•Facilitating change management, through involvement with key
stakeholders (understanding aims, managing expectations, enabling
involvement etc.)
•Working closely with the Programme/Project Manager to ensure that the
work of the project(s), including the scope, covers the necessary aspects
required to deliver the products or services that will lead to operational
benefits;
•Identifying, defining and tracking the benefits and outcomes required of
the project(s);
•Leading the activities associated with benefits realisation and ensuring
that continued accrual of benefits can be achieved and measured after
the project has been completed;
•Establishing and implementing the mechanisms by which benefits can
be delivered and measured.