Children’s Wellbeing Stakeholder Event
9.30am - 12.30pm 7th October 2014
The Kindle Centre

A film produced by
Presented by

Introduction and HOusekeeping slide for Jo
Introduction and
Housekeeping
Jo Davidson:
Director of
Children’s Wellbeing

Children’s & Young People’s Plan
The five priorities are:
• Children with disabilities- improve outcomes for children with a disability
• Think family develop a ‘think family’ approach and culture across the partnership to target resources and support vulnerable families
• Youth offending - reduce the number of young people offending for the first time
• Mental health - improve the emotional and mental health and wellbeing of children, young people and their parents and carers
• Early years - improve outcomes for our youngest children (aged 0-5 years)

Interactive session:

Chris Baird:
Assistant Director
Education &
Commissioning

Children & Young People with Disabilities or Special Educational Needs
Services Transformation Programme:
Our vision for children and young people with disabilities and/or special education needs is the same as for all of Herefordshire’s children and young people
– that they are healthy, safe and achieve well; and that they go on to lead happy and fulfilled lives with choice and control.

CWD & SEN Services Transformation Programme
Key Deliverables
Strategic
Needs
Analysis
Short breaks
Integrated
Pathway
Personalisation
Children & young people with disabilities and
SEN and their families/carers Local Offer
Specialist childcare
Education,
Health &
Care Plans

CWD & SEN Services Transformation Programme
Key Deliverables
Strategic Needs
Analysis
Short Breaks
Personalisation
Children & young people with disabilities and
SEN and their families/carers
Integrated
Pathway
Local Offer
Specialist childcare
Education Health
& Care Plans
Strategic Needs Analysis
Build-on the 2010 CWD review &
2014 Children’s Integrated Needs
Analysis to further understand the:
• needs & demands of CWD or SEN
• impact of local services on outcomes
• alternative evidence based models

CWD & SEN Services Transformation Programme
Key Deliverables
Strategic Needs
Analysis
Short Breaks
Personalisation
Children & young people with disabilities and
SEN and their families/carers
Integrated
Pathway
Local Offer
Specialist childcare
Education Health
& Care Plans
Integrated Pathway
Children and families experience an integrated multiagency pathway to access the support that they need.
The pathway will cover different stages of life, including transition to adulthood.

CWD & SEN Services Transformation Programme
Key Deliverables
Strategic Needs
Analysis
Short Breaks
Personalisation
Children & young people with disabilities and
SEN and their families/carers
Integrated
Pathway
Local Offer
Specialist childcare
Education Health
& Care Plans
The Local Offer
Easy to understand information, advice and guidance about the support available to families in Herefordshire, and how it can be accessed https://www.herefordshire.gov.uk/edu cation-and-learning/local-offer

CWD & SEN Services Transformation Programme
Key Deliverables
Strategic Needs
Analysis
Short Breaks
Personalisation
Children & young people with disabilities and
SEN and their families/carers
Integrated
Pathway
Local Offer
Specialist childcare
Education Health
& Care Plans
Education, Health & Care Plans
Frontline services work effectively together with children and families to agree a coordinated plan and package of support that will meet their needs

CWD & SEN Services Transformation Programme
Key Deliverables
Strategic Needs
Analysis
Short Breaks
Personalisation
Children & young people with disabilities and
SEN and their families/carers
Integrated
Pathway
Local Offer
Specialist childcare
Education Health
& Care Plans
Specialist Childcare
Ensure Herefordshire’s childcare sufficiency strategy adequately addresses the needs and demand for specialist CWD or SEN childcare places

CWD & SEN Services Transformation Programme
Key Deliverables
Strategic Needs
Analysis
Short Breaks
Personalisation
Children & young people with disabilities and
SEN and their families/carers
Integrated
Pathway
Local Offer
Specialist childcare
Education Health
& Care Plans
Personalisation
Delivery of a personal budgets allocation, management and review system that will enable families to have more choice and control of the services they access

CWD & SEN Services Transformation Programme
Key Deliverables
Strategic Needs
Analysis
Short Breaks
Personalisation
Children & young people with disabilities and
SEN and their families/carers
Integrated
Pathway
Local Offer
Specialist childcare
Education Health
& Care Plans
Short Breaks
Review Phase 1 and complete Phase 2 of the short-breaks re-commissioning process.
Discussion: We need YOUR help to develop the local provider market

CWD & SEN Services Transformation Programme
Key Deliverables
Strategic Needs
Analysis
Short Breaks
Personalisation
Children & young people with disabilities and
SEN and their families/carers
Integrated
Pathway
Local Offer
Specialist childcare
Education Health
& Care Plans
Short Breaks: Local Challenges
• Changing culture from relying on highcost and institutionalised services
• Promoting self-reliance, independence and choice
• Support to access inclusive universal and mainstream activities
• Evolving the wider provider market to support children with disabilities and challenging behaviours

CWD & SEN Services Transformation Programme
Key Deliverables
Strategic Needs
Analysis
Short Breaks
Personalisation
Children & young people with disabilities and
SEN and their families/carers
Integrated
Pathway
Local Offer
Specialist childcare
Education Health
& Care Plans
Short Breaks: Addressing unmet need
• Consider the pen-picture provided, what types of break could help?
• What universal or specialist activity breaks have been successful in places like
Herefordshire?
• What adult or community services could be developed to work with children?
• What would encourage existing or new providers into the short breaks market?

7th October 2014 ‘Putting the patient at the heart of everything we do’
21

Why?
The aim of this piece of work is to provide a robust evidence base to enable re-procurement of HCCG commissioned mental health services.
• Ensure that HCCG commissioned services fit seamlessly within a future mental health and wellbeing strategy;
• Integrate with other services and other system resources, including the voluntary and community sectors.
• Contribute to the achievement of outcomes, for the individual and for Herefordshire, in terms of good mental health.
7th October 2014 ‘Putting the patient at the heart of everything we do’
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Methodology
Listening
– to young people
– to carers and parents
– to practitioners
– to organisations
Analysing information
Reviewing evidence base and good practice
7th October 2014 ‘Putting the patient at the heart of everything we do’
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Children and Young People
• There are 40,000 children and young people in
Herefordshire.
• Estimates suggest that 8,620 children and young people will experience poor mental health between the ages of 0-19 years old.
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Areas of interest
1. Tiered Model of Services
1
2
3
4
Services provided by practitioners working in universal services (such as GPs, health visitors, teachers and youth workers), who are not necessarily mental health specialists. They offer general advice and treatment for less severe problems, promote mental health, aid early identification of problems and refer to more specialist services.
Services provided by specialists working in community and primary care settings in a uni-disciplinary way (such as primary mental health workers psychologists and paediatric clinics). They offer consultation to families and other practitioners, outreach to identify severe/complex needs, and assessments and training to practitioners at Tier 1 to support service delivery.
Services usually provided by a multi-disciplinary team of service working in a community mental health clinic, child psychiatry outpatient service of community setting. They offer a specialised service for those with more severe, complex and persistent disorders.
Services for children and young people with the most serious problems. These included day units, highly specialised outpatient teams and inpatient unit, which usually service more than one area.
2. Vulnerable groups
3. Prevalence:
• 0-4 years old
• 5-10 years old
• 11-16 years old
• 17-19 years old
7 th October 2014
‘Putting the patient at the heart of everything we do’
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Early Findings
• Identification of mental health in children and young people is significantly below estimates.
• Young children require more identification, especially boys aged 5 -10 years.
Prevention and Early Intervention
• There is limited support available for children, young people and their parents / carers.
• There is limited preventative work to reduce anxiety.
• Young people want to be able to self-refer to services.
7th October 2014
‘Putting the patient at the heart of everything we do’
26

Early Findings
Support and Treatment
• Referrals to CAMHS have increased since 2012 by
19.6%
• Need more support for young people that self-harm.
• Need acute hospital liaison services for children with serious and chronic physical illnesses.
• Young people want online facilities
7th October 2014 ‘Putting the patient at the heart of everything we do’
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Workshop Question
On your tables:
If we could change 3 things for children and young people experiencing poor mental health, what would they be?
Think about….
• Prevention
• Early Intervention
• Support & treatment
• Vulnerable groups
7th October 2014 ‘Putting the patient at the heart of everything we do’
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Round-Up:
Question & Answer
Session
Jo Davidson

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