Resource Allocation Panel Terms of Reference JOINT SOUTHEND ON SEA BOROUGH COUNCIL AND HEALTH COMMISSIONERS Revised December 2014 1 Contents 1 Introduction ...................................................................................................................... 4 1.1 Principles ................................................................................................................... 4 1.2 Panel Membership .................................................................................................... 4 1.3 Aims of the Panel....................................................................................................... 5 2 Scope of the Panel ......................................................................................................... 6 3 Children/young people eligible for services ................................................................ 6 4 Cases to be presented at Panel ................................................................................... 7 5 Operational procedures ................................................................................................. 7 6 Governance ..................................................................................................................... 8 Appendix 1: STAGED MODEL OF INTERVENTION FOR CHILDREN & YOUNG PEOPLE with DISABILITIES ......................................................................................................................... 10 Appendix 2 – Referral Pathways.......................................................................................... 13 2 POLICY AND PROCEDURES FOR RESOURCE ALLOCATION PANEL (DISABLED CHILDREN AND YOUNG PEOPLE) Local Authorities have specific duties towards disabled children. Their main duties are set out in Children Act 1989 and the Chronically Sick and Disabled Persons Act 1970. The definition of a ‘child in need’ under the Children Act 1989 includes a disabled child if that child is: ‘Blind, deaf or dumb or suffers from mental disorder of any kind or is substantially and permanently handicapped by illness, injury or congenital deformity or such other disability as may be prescribed.’ The Breaks for Carers of Disabled Children Regulations 2010 …a local authority must a) have regard to the needs of those carers who would be unable to continue to provide care unless breaks from caring were given to them; and b) have regard to the needs of those carers who would be able to provide for their disabled child more effectively if breaks from caring were given to them to allow them to – i. undertake education, training or any regular leisure activity, ii. meet the needs of other children in the family more effectively, or iii. carry out day to day tasks which they must perform in order to run their household. The Chronically Sick and Disabled Persons Act 1970 provision includes the following services: Practical assistance in the family home such as personal care, equipment, a sitting service, home help, community based services such as day centre, after school club, holiday club or play scheme etc, travel and other assistance to help the child participate in activities outside the home. Definition of Short Break: “Short breaks provide opportunities for disabled children and young people to spend time away from their primary carers. These include day, evening, overnight or weekend activities and take place in the child’s own home, the home of an approved carer, a residential or community setting.” 3 1 Introduction The following principles and aims inform the policy and associated best practice guidelines set out in this document and should serve as a guide for all practitioners 1.1 Principles Children and Young People with Disabilities have the right to: Have their wishes and feelings taken into consideration, Have their interest regarded as paramount, Have their complex needs considered as a whole and not to be subjected to a range of unnecessary additional assessments, Have an up to date Early Help Assessment (EHA) or Single Social Work Assessment (SSWA) which includes their views - but to have additional assessments only if they are proportionate to the need, Have agencies work together to provide ‘joined up’ support and a seamless approach to service delivery, Expect that agencies will acknowledge that no one agency can meet their needs alone, Expect that a transition from children’s services to adult services will be planned from 14 and will be implemented accordingly, Parents/Carers of children/young people with disabilities have the right to: Assistance that will support them with their role and enable them to continue to give care and to reduce stress, To have their own needs (medical, emotional, well-being and leisure/educational needs) taken into consideration as a part of any assessment, To have their views respected and represented in any plan to support their child/young person, 1.2 Panel Membership 1.2.1 The RAP will be chaired by the Service Manager CWDT or Deputy Chair.(Deputy Chair to be nominated and appointed by the Panel.) 4 1.2.2 Membership of the Panel will include: Chair (Service Manager) Family Information Service Representative Health Representative Early Years Representative Parent’s forum Representative Carers Forum Representative CWDT Representative Team Manager of CWDT as legislative consultant 1.2.3 Membership of the Panel may also include: Representative from Youth Services Representative from Transition Services Representative from Adult services Representative from C&FCS 1.2.4 The Panel will be considered quorate if there are representatives from two other agencies in addition to the Chair. In the event of not being quorate in principle a decision can be made but must be ratified by full Panel. 1.3 Aims of the Panel a) To ensure that children/young people with disabilities and their families have the necessary support to maintain their care at home and to achieve positive outcomes (ECM). b) To ensure that the widest range of community opportunities are considered and made available for children/young people with disabilities. c) For the Panel to consider requests for Care Packages/Grants to ensure transparency and fair access to resources. d) To support and enable practitioners to develop support based on creative and flexible local opportunities that will enable children/young people to be included, participate, achieve, develop friendships and enjoy themselves. 5 e) To monitor local services and identify gaps in provision in order to inform the development of a range of local provision geared to meeting the specific needs of children/young people with disabilities. 2 Scope of the Panel 2.1 To consider requests from Social Workers and Lead Professionals for an allocation of funding to provide a Care Package to provide Short Breaks (Children Act 1989) and/or support for disabled children/young people and their families and/or carers support (Chronically Sick and Disabled Persons Act 1970). 2.2 To consider cases where Health is primary case holders and where a multi-agency plan is needed to support the family. 2.3 To provide advice to the Lead Professional about the range of resources in the community in order to enhance Care Packages. 2.4 To consider requests for Self Assessed Grants in line with the eligibility criteria. 2.5 Following the de-escalation of a case the Panel will consider changes in Care Packages with the relevant paperwork from lead professionals at Schools and within Locality Teams. 3 Children/young people eligible for services 3.1 In addition to the CA 1989 definition the initial threshold for eligibility for services is the Disability Discrimination Act 2005 definition, “Someone who has a physical or mental impairment that has a substantial and long-term adverse effect on his or her ability to carry out normal day-to-day activities”. 3.2 The Eligibility criteria for services is aligned with the Staged Model of Intervention (Appendix 1) in order to ensure that children/young people and their families are not subject to unnecessary assessments and that any assessment is proportionate to need. 3.3 Parents/carers of children/young people with severe disabilities (and young people over 16 who have the capacity to manage their own finances) are able to apply for a Self-Assessed Grant (SAG) if they are 6 not receiving any Short Break services from Social Care or Health see Guidelines for details. 3.4 Health- eligibility – health to complete this section. 4 Cases to be presented at Panel 4.1 Cases which have been assessed by a Social Worker and a recommendation has been made for a Care Package, any recommended significant increase to an existing Care Package or a case with a significant change in family circumstances. 4.2 Where there is a possible need for a multi-agency response that may or may not require funding from more than one agency. 4.3 Requests for one-off Self Assessed Grants – either on EHA or SAG application form. 4.4 This panel runs in conjunction with the Acute and Complex Placements Panel. Cases to be presented to the ACPP are only those of Looked After Children or those whose home situation indicates that they are at risk of needing accommodation This panel complements the Stage 2 and 3 Locality panels. 5 Operational procedures 5.1 The RAP meets on a twice monthly basis, on Tuesday mornings, 9.3011.30am unless otherwise advised Panel held once a month includes Health. 5.2 Practitioners will undertake any new SSWAs or CIN/DPA Reviews and pass to the Team Manager with recommendations for a Care Package. The Practitioner will pass details of case to Panel Administrator to add to the agenda at least 5 working days before Panel and complete panel paperwork 3 working days before Panel date. 5.3 The Panel Administrator will compile Agenda and send to all Panel members 4 working days before Panel. Based on possible conflict of interests the Parent representatives will choose who will attend and will notify the Panel Administrator. 5.4 The Panel Administrator will collate most recent SSWA or CIN/DPA Review assessments and circulate to all the Panel Members who are 7 attending 2 working days before panel (only the Parent Representative who has been nominated to attend). 5.5 Each case will be discussed at the RAP and a decision will be made regarding the Care Package by drawing upon the Panel member’s range of knowledge of services available. 5.6 The Panel Administrator will complete a summary of the discussion and decisions/allocation and desired outcomes on a letter template addressed to parent/carer for each child. This, along with overall Minutes specifying Panel members attending and names of all children discussed, will be sent to the Panel Chair Person within 2 working days of the Panel date. 5.7 The Chair Person (Service Manager) will check contents and make any necessary amendments to the RAP decision letters and then sign/date each one and return them and Minutes to the Panel Administrator within 2 working days of receipt. 5.8 Within 24hours of receipt The Panel Administrator will circulate the individual RAP Information Forms and a copy of the Minutes to the Panel Members who attended the Panel, the relevant social workers for each child, the Team Manager and Practice Manager CWDT. The decisions will be recorded on each child’s electronic file. 5.9 Requests for Self Assessed Grants will be sent to the RAP Chair and the decision, which will be recorded on the RAP decision letter (Appendix 3), will be sent to the applicant by the practitioner/panel administrator within 24 hours of the decision. In an emergency the CWDT Manager is authorised to agree a service for a short specified period to start immediately. The Assessment (SSWA or CIN/DPA) will then go to the earliest RAP for consideration. 6 Governance 6.1 All external members of the Panel i.e. those not employed by the Local Authority or Health Authority or Partner Agencies will receive an induction from Chair to identify needs, new members will also receive the Safeguarding Disabled Children guidelines and will sign a form regarding Conflict of Interests and Confidentiality. 8 6.2 In the event of a claim regarding Breach of Confidentiality or misconduct regarding a member of the Panel, the Panel Member will be suspended without prejudice and the allegation will be investigated by the Service Manager if the Panel Member is a Parent Representative or the allegation will be reported to the relevant Governing body if the Panel Member is employed by the Local Authority, Health Authority or Partner Agency. 6.3 Data on allocation and outcomes will form part of the Children with Disabilities data collection. 6.4 Data regarding complaints will be forwarded to the complaints Manager - Conflict resolution 9 Appendix 1: STAGED MODEL OF INTERVENTION FOR CHILDREN & YOUNG PEOPLE with DISABILITIES – parenting capacity and family/environmental strengths/needs are also crucial factors in any assessment. A child’s needs may be met by Stage 2 but a sibling may require Stage 4 services for a while to resolve issues. Additionally, it is important that a child is not 'fixed' into a category as their personal needs and family situation is 'fluid' and any assessment needs to reflect this. Needs (Social, emotional, developmental, educational, care and General Position Disabled child’s needs Siblings needs Service/ Support Parents / Carers needs eligibility medical.) Stage 1 Child and family Child’s needs do not Child’s needs do not normally as possible and understand and manage significantly impact on significantly impact on needs easily met by the child’s condition and siblings opportunities. parents personal or social family. can access appropriate Child’s needs are having a lives. initiated by the Aiming High programme, Child requires limited resources. limited impact on siblings Child’s needs are having a including the short breaks opportunities support to access services Child’s level of needs limit opportunities limited impact on parents e.g. clubs/activities/workshops to broaden experiences their participation in and/or prevent build-up some community clubs, children’s centres and specialist of stress in family activities and their clubs e.g. Mencap/PHAB personal or social lives primary health care resources. Open access to many new resources Open access mainstream groups e.g. youth Information and advice- useful contacts development would Stage 2 Universal such as Children's Centres, Child leading life as benefit from additional include Family Information Service, Carers social and leisure Forum, CAB and (AH funded) SNAP online activities director Child requires support to Child’s level of needs Child’s needs significantly Parents need to provide Services as for Stage 1as appropriate, in prevent impairment of result in them being restrict sibling’s personal significant care to other addition: health or development unable to participate in or social lives. dependants who would Common Assessment Framework and/or alleviate stress in some community otherwise be at risk OR undertaken by the Agency who knows the family which may activities which increases child’s needs are child/family best e.g. school, HV 10 lead to risk in Stage 3 or impairment and social significantly impacting on 4. isolation. parents personal or social lives. Co-ordinated plan and delivery of services/ support arising from the EHA lead professional Access to locality panel consideration/ coordination Possible application to self- assessed grant from Short Breaks service Services to support sibling (COOL/CHIL, Carers Forum) Services from specialist support groups e.g. days out/holidays with Carers Forum, Family Voice, Southend Toy Library Or in some exceptional circumstances contact with CWD Team for information, advice and signposting Stage 3 Services as for stage 1 and 2 as Child very vulnerable to Child’s level of disability Child’s needs are Child’s needs met but at risk of significant results in lifelong impact impacting on Every Child significant cost to their impairment of health or with likely lifetime Matters Outcomes for own physical or mental development OR to need support from statutory siblings health OR considerable assessment and possible core assessment for long term social care services risk of family breakdown undertaken. accommodation AND service required to appropriate, in addition: Referral to CWD Team and initial Recommended Care Package arising from continue to provide care assessment taken to multi agency or to do so more Resource Allocation Panel effectively Direct payment Domiciliary care Short breaks in and out of the home, including marvellous minders /domiciliary 11 agency Health short breaks services, provided by Health Stage 4 Services as for stage 1,2 and 3 as Services required to Child’s essential care Siblings’ essential needs Child’s and/or parent’s prevent immediate risk of and/or medical needs cannot be met because of essential needs are not significant impairment related to their disability, disabled child’s needs. being met leading to Core assessment undertaken. which might directly their need for emotional imminent risk of Recommended Care Package arising from affect child’s growth, development and breakdown of physical or assessment taken to multi agency development, physical or stimulation cannot be mental health OR Resource Allocation Panel mental well-being. met without high levels of imminent family OR to prevent the need lifetime specialist breakdown AND service for long term Statutory services required to continue to CWD team family support services provide care or to do so Residential short breaks more effectively Accommodation accommodation appropriate, in addition: Child protection plan and services subject to parent’s ability to protect. Residential school In patient mental or physical health provision Health provision e.g. EPIC (home support service) Hospice provision 12 Appendix 2 – Referral Pathways CWD Referral If CP/Safeguardi ng concerns SSWA If CP or complex case CWD If direct payments required If CP or complex case Locality Panel RAP If CP/Safeguardi ng concerns De-escalation If direct payments required If additional support needed Universal 13