Preparing for
adulthood,
preparing for life
NCAS conference
October 2014
Julie Hicklin,
Manchester City Council
Nicola Gitsham,
NDTi
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Case for change – young people and families
Too many families have to battle to find out what support is available
and in getting the help they need from education, health and social
care services
Young people with SEND do less well than their peers at school and
college and are more likely to be out of education, training and
employment at 18. Also more likely to have poor outcomes in
housing, health and be socially isolated
Lack of joined up working across agencies and planning ahead
Low aspirations throughout the system
Cliff edge at 19
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What do young people and their
families have to say?
Young people overwhelmingly have a poor experience of
transition, both in terms of services and in terms of having
the level of autonomy and control they desire (Public
Service Works, 2011)
“The main thing I would change is
making it so that when you move
on from children’s services it
doesn’t feel as though you have
disappeared off the face of the
earth”
‘My son has been getting ready to be
18 for 17 years and we still don’t
know what is available after school.’
Parent from Aspirations for Life
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“Everybody seems to want to do the right
thing, but there seems to be a missing
link. No one seems to work together”
I have the same aspirations for my son as
I do for my other boys, to have friends,
meet someone, be happy and hopefully
get a job, I just have no faith that the
system can deliver it so I ask for what I
think is the best it can offer’
Parent from Getting a Life
3
Case for change – health
“ Poor transition can lead to frankly disastrous
health outcomes for both physical and mental
health….at its worse poor transition leads to
drop out from medical care for those with a long
term condition, and deterioration in those with
disabilities - both leading to unnecessary, costly
and often distressing hospital admissions “
Children and Young Peoples Health Outcomes Forum 2012
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Case for change – local authorities
Rising demand
Reducing budgets
Difficulties predicting demand
High expectations
Challenge of getting joined up vision, processes
and pathways 0-25 and across all agencies
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Time for a new approach
.
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Wind is blowing in the right direction
Children and Families Act and Care Act
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Children and Families Act 2014 – key points
A comprehensive, birth to 25 SEND system, giving new rights and
protections to 16-25 year olds in further education and training.
Children, young people and their families must be involved in
discussions and decisions about their individual support and local
provision.
The right to make requests and decisions under the Children and
Families Act will apply directly to disabled young people and those
with SEN, over compulsory school age (the end of the academic
year in which they turn 16) rather than to their parents.
New 0 to 25 Education, Health and Care Plans, replacing the
current system of Statements and Learning Difficulty
Assessments, which reflects the child or young person’s
aspirations for the future, as well as their current needs.
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Children and Families Act – key points
Personal Budgets – young people have the right to request a
personal budget as part of the EHC planning process.
Local Offer – must include support available to children and
young people to help them to prepare for adulthood
Joint Commissioning – must integrate education, health and care
to promote well-being and must put in place joint commissioning
arrangements including securing provision set out in EHC plans.
The Children and Families Act applies to children and young
people aged 0 – 25 which means this also includes integration of
children’s and adults services.
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http://www.preparingforadulthood.org.uk/resources/pfa-resources/delivering-supportand-aspiration
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Care Act 2014: In force from April 2015
Wellbeing principle
Including particular focus on key outcomes (employment, health, suitable
accommodation and community participation)
Child and Carers Needs Assessment
Duty to carry out if ‘likely need’ and ‘significant benefit’ conditions apply
Personal Budgets
Adult care and support plans will all include a personal budget
Information & Advice Service
Duty to establish and maintain a service for individuals and their carers
Joint commissioning & Market development
Duty to ensure the integration of care and support with health provision and
health-related provision
Duty to ensure co-operation between children’s and adults’ services to
promote the integration of care and support with health services, so that young
adults are not left without care and support as they make the transition
between child and adult social care
Duty to promote the efficient and effective operation for a market in services
for meeting care and support needs
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New legislative framework
for transition to adulthood
Common areas:
• Outcomes
• Assessment and planning
• Joint Commissioning and personal
budgets
• Information, Advice and Support
http://www.preparingforadulthood.org.
uk/resources/pfaresources/factsheet-the-children-andfamilies-act-and-the-care-act
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Preparation for adulthood outcomes and key themes
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Changing the conversation
• Developing relationships
between young people, families
professionals and community
based on openness and trust
• Workforce development for early
years and health staff
• Asset based approaches to
planning
• Helping families think about the
future and learn what is possible
and what works
• Positive employment strategies
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Employment
What works
• Raising aspirations from early on
• Meaningful work experience from
Year 10 including Saturday and
holiday jobs
• Families who believe employment is
positive and possible
• Person centred outcome focused
planning that includes employment
• Employment focused cirriculum
including travel training
• Vocational profiling
• Post 16 provision that does what
works (supported internships,
traineeships, apprenticeships, self
employment)
• Supported employment whilst at
school or college
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Supported Employment
Work with the job seeker
•Engagement
•Getting to know you
•Agreeing a plan together
Work with the employer
•Engagement
•Understanding needs and identifying vacancies
•Getting to know the job
Job match
•Employers get the right worker and jobseekers get the right job
Arranging the right support
DEVELOP A CAREER
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Supported Internships
http://www.preparingforadulthoo
d.org.uk/supportedinternships
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Study programmes
Learning Difficulty Assessment,
Statement of SEN or EHC plan
Place and train approach to
learning
Based primarily at an employer’s
premises
Meets the career goals of young
people and the business need of
an employer
On-the-job training
Qualifications
Employment support and personal budgets
4 barriers:
• Low expectations
• Commissioner and practitioner
attitudes to employment
• Personal budget process
• Availability of good evidence
based support
• http://www.ndti.org.uk/uploads/fil
es/Insights_21_Personal_Budget
s_and_employment_support.pdf
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The Local Offer – and market shaping
The reforms give us a great
opportunity to commission for
outcomes
The Local Offer can play a
role in shaping the market
Feedback will highlight gaps
and what’s not working
Providers using with young
people and families to put
together a ‘good week’ –
including mix of education /
employment / volunteering
/leisure / independent living
and travel skills / meeting
friends
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Planning ahead – forecasting demand
• Use of national and local data to forecast demand
• Regular and informal communication with SEN team,16-19 commissioner,
Children with Disabilities team and Adult social care
• Transition database drawing from range of sources
• Transition finance group
• Ability to interpret SEN data against adult criteria
• Use of good data analysis to draw from and collate multiple datasets
• EHC plans in Year 9 and the Local Offer Annual preparing for adulthood
reviews that update information and predict demand
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Manchester’s 7 principles for change
Transition
Principles and
Behaviour Change
Low Level HousingRelated Support
Robust Governance
for Support &
Challenge
Improving
Transition
Managing demand
via Parent/Carers
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Strengthened
Social Care Offer
Cohort Analysis &
Improved
Intelligence
Early Help Offer
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Manchester All Age Disability Strategy –
key themes
1.
2.
3.
4.
5.
6.
7.
8.
Health and Well-being
Staying Safe
Getting off to a Good Start
Choice and Control
Independence in your Home
Community Opportunities
Involvement
Advocacy
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Housing and support
Matthew’s Story
 Matthew’s Big Plan.
 High aspirations for an ordinary life. Employment, independent
living including supported living, friends and relationships.
 Work experience from age 11
 Input from Adult Social Care:
Personal Budget? (Enough to pay Job Coach?)
Link to Housing Association
Project Search and job coach – integrated funding from employment,
education and social care
 Now: Living independently and in a job he loves;
 www.media19.co.uk/production/Matthews-story
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Community Inclusion - Eleanor’s Story
Outcomes:
• Develop friendships
• To be part of her community
• Explore setting up a micro/social enterprise
• Improve expressive communication
Personalised Post 16 options and
support:
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Personal budget from post 16 education and social
care pooled and taken as a direct payment;
•
Team of personal assistants recruited and trained;
•
Personalised weekly timetable designed to achieve
outcomes;
•
Personal assistants can continue to support Eleanor
when she leaves education and eventually moves into
supported living.
Multi agency (education, health and social care)
assessment and planning – Hertfordshire
• Developing the workforce in
person centred, outcome focused
planning and PfA outcomes
• 3 way funded transition support
workers who deliver preparing for
adulthood approach
• Changing the conversation –
Living Live sessions
• Early intervention – information
from the local offer and plans from
Year 9 used to inform demand
commissioning of post 16 options
and support.
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Developing local post 16 education
and training providers - Hertfordshire
• Used strategic reform grant to support
workforce development and partnership
• Supported Employment advisors working in
schools and colleges
• Joint funded 5 day offer (3 days with
college 2 at schools to encourage moving
on)
• Working with housing providers to provide
local residential/short breaks offer
• Curriculum development project to see how
study programmes can be developed to
prepare for life, Job coaching training
across 5 colleges
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Support available to local areas - Pathfinder Champions
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North West
Wigan, Manchester, Salford &
Lancashire
North East
Darlington and Early Support
Yorkshire and Humber
Calderdale and York
West Midlands
Consortium of all 14 LAs
East Midlands
Leicester and Nottinghamshire
 East of England
Hertfordshire and Bedford
 London 1
Bromley, Bexley and Enfield
 London 2
SE7
 South East
SE7
 South West 1
Cornwall
 South West 2
Southampton and Portsmouth
http://www.sendpathfinder.co.uk/pathfinderchampions/
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Support available to local areas – delivery partners
Delivery Partners
Preparing for Adulthood
Contact a Family
Council for Disabled Children
Early Support
Information, Support and Advice Services Network
National Network for Parent Carer Forums
The Communications Trust
The Dyslexia-SpLD Trust
Autism Education Trust
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Preparing for Adulthood Programme
• Commissioned by DfE to support the
testing and implementation of SEND
reforms
• Delivered by the NDTi and CDC
• Free training, support and resources
Contact Information:
• www.preparingforadulthood.org.uk
• info@preparingforadulthood.org.uk
• www.facebook.com/preparingforadulthood
• Twitter - @PfA_Tweets
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Contact Information
Website: www.preparingforadulthood.org.uk
Facebook: www.facebook.com/ndti.org.uk

Twitter: @nicolagitsham
Blog: www.ndti.org.uk/blog
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