LEICESTERSHIRE TRANSITION STRATEGY 2012 - 2015 Children and Young People’s Service and Adults and Communities VERSION 8 December 2012 1 1 Introduction The objective of this strategy is to improve co-ordination and communication between children’s and adult services and health to achieve better outcomes for young disabled people leaving school. The Disability Discrimination Act 1995 defines disability as, ‘a physical or mental impairment which has a substantial and long-term adverse effect on a person's ability to carry out normal day-to-day activities.' The definition covers physical impairments including those affecting the senses such as sight and hearing, heart disease, diabetes, epilepsy; and mental impairments including mental ill health and learning disabilities. The Strategy is aimed at professionals and partners e.g. further education, schools, colleges, connexions, voluntary sector, who support children with disabilities to prepare for adulthood, and outlines what families and young people can expect from agencies to support a successful transition. This strategy seeks to provide a seamless transition and therefore it highlights good practice. This can be shared with partners and stakeholders for them to consider pathways for other young people that need support Transition is about preparation for the future in adult life. Leicestershire County Council recognises that transition for all people means change. It is acknowledged that young school leavers with special needs will require extra support during periods of great change as they move into Adulthood. Change can be a difficult time for anyone and our aim is to work together with partners to make that period of change as smooth as possible for young people moving from Children’s into Adult services ‘Families and young people still say that the transition from Children’s Services to Adult Services is the most difficult time in their lives and that they feel excluded from decisions. The outcomes are often segregated services rather than helping them to achieve the same things as other young people, that is, an education, a job, and living with their friends in their local community’ (Valuing People Now 2007) This Strategy: Describes the Vision for Transition in Leicestershire Outlines the national context for Transition Identifies proposed local arrangements for the future Describes the legal responsibilities of the Local Authority including Safeguarding Identifies the objectives for a smooth transition Provides a strategic action plan to achieve better outcomes for young people going through the transition from Children’s to Adult Services Vision Children with Special Educational Needs and/or disabilities want to be able to move into adulthood with real opportunities for work, housing choices and a social life in the community, so that they can explore the possibilities and make decisions about 2 their future life. It is therefore important that all agencies work together to provide a seamless transition that provides the support that young people need to live the lives they have chosen. 2. National Context In 2001 the Government published Valuing People: a new strategy for learning disability for the 21st century. This white paper identified four key principles: Civil Rights, Independence, Choice Inclusion. Valuing People takes a life-long approach, beginning with an integrated approach to services for disabled children and their families and then providing new opportunities for a full and purposeful adult life. Valuing People Now 3 published in 2009, consolidates and builds on this work. It expects all young people with learning disabilities: To have person-centred transition reviews and plans by 2012. Young people and their families to have a strong voice at review meetings. To know what is positive and possible in terms of the future, and that clear actions have been set in the areas of health, housing, jobs and careers, and friends and relationships. While progress has been made, the above work has also led Leicestershire County Council to become even more aware of the issues and barriers faced by young disabled people. It is clear that this group of young people want the same things in life as everyone else: to travel, to get a good job, have friends and relationships, to live independently, to have a good social life and to be valued citizens. Individual budgets, person-centred planning and advocacy are just a few of the important ways of helping young people to plan for themselves and to have control over how they want to be supported. 3. Regional Arrangements A Young Peoples Charter This has been developed by the East Midlands NHS Strategic Health Authority, following consultation events throughout 2009-2011 with disabled young people, partner agencies and stakeholders. This Charter clearly outlines what disabled young people are saying they require for a smooth transition into adulthood and identifies services they may need. It also forms part of this Strategy. Link to be added Successful regional work through the Aiming High for Disabled Children programme enabled progress in co-ordinating services and information for young people and families. Person Centred school reviews introduced across the region have improved transition planning and outcomes for young people. 4 Local Arrangements 3 Leicestershire has a well established multi-agency Transition steering group that reports to the Transition Board on the following issues: a) Ensuring integrated inter-agency approach to Transition Planning b) Ensuring smooth transition from Children and Young People’s Disability Services to Adult Disability Services c) Develop the targeted use of person centred planning approaches to transitions, and development of a post to promote short breaks (Aiming High) d) Identifying and resolving issues surrounding transition arrangements e) Providing information to support transition f) Developing protocols / procedures as required g) Support transitional arrangements for LSC h) Respond to relevant government reports and initiatives i) Develop an annual work plan for the group for approval by the Transition Board The steering group reports to a newly formed Transition Strategic Board, with senior management membership from Health, Children and Adults services 5 4a Self assessment At a Local level, in Leicestershire, a self assessment following implementation of the Transition Aiming High agenda (2008-2011), has been completed which identified significant developments in transition. The outcome of the self assessment informs some of the objectives identified in the Action Plan attached to this strategy. Appendix 1 4b Resources In response to the National and local agenda, resources have been identified that will support the Transition process in Leicestershire and this includes development of a Transition coordinator post. Legal Responsibilities The Local Authority has specific statutory responsibilities in respect of children with Statement of Special Educational Needs and Disabilities Legislation and guidance relating to disabled children and children with SEN include: Disabled Persons (Services, Consultation and Representation) Act 1986 Sections 5/6 set out one of the key responsibilities around Transition planning 4 5a) Identification (Section 5). Identifying disabled children who will need help into adulthood because of their disability. This process of identification starts when the child is in Year 9 at school (i.e. aged 14 years). 5b) Assessment (Section 6). Assessing the individual needs of users and carers and devising a service/care plan appropriate to their needs. For Leicestershire children assessments will be undertaken in the final / penultimate year, before the child is due to leave school or college. 5c) The Children Act 1989 Part 3 section 17 states that “a child shall be taken to be in need if: he/she is unlikely to achieve or maintain, or to have the opportunity of achieving or maintaining, a reasonable standard of health or development without the provision for him/her of services by a local authority under this Part his/her health or development is likely to be significantly impaired, or further impaired, without the provision for him/her of such services, or he/she is disabled” Looked after and former looked after children The Children (Leaving Care) Act 2000 made a number of amendments to the Children Act 1989 in order to: "improve the life chances of young people living in and leaving local authority care. Its main aims are: To delay young people's discharge from care until they are prepared and ready to leave; to improve the assessment, preparation and planning for leaving care; to provide better personal support for young people after leaving care; and to provide the financial arrangements for care leavers." (Paragraph 1 Children (Leaving Care) Act 2000 Guidance). The effect of the amendments together with the Children (Leaving Care) (England) Regulations 2001 is to place a statutory duty on the local authority to provide a social worker and personal advisor and to assess and prepare a pathway plan for an eligible child and to carry out reviews of that plan. The assessment must look at the young person's needs to identify what advice, assistance and support the young person needs whilst they are looked after and when they are no longer looked after by the local authority and the pathway plan must be prepared as soon as possible after assessment. The duty applies to every child aged aged 16 or 17who is or has been looked after by a local authority for more than 13 weeks and that period includes at least a day after the child's sixteenth birthday. The contents of the pathway plan are set out in the regulations (Reg 8) and the schedule to the regulations and includes support, accommodation, education and 5 training, financial assistance and contingency plans. It may also include for provision for support until age 21 and education upto the age of 24. The pathway plan should be undertaken with support from the personal advisor for the young person and within three months of the child's 16th birthday or after they have been looked after for 13 weeks if that is later. Housing Act Young persons formerly looked after by the local authority may seek accommodation through the Housing Act 1996 and qualifies as a person in priority need by reason of the Homelessness (Priority Need for Accommodation) (England) Order 2002. The NHS and Community Care Act 1990 This states that Social Services are expected to arrange multi-disciplinary assessments and establish plans which may include further education for Children In Need including those with significant special needs. Social Services should also ensure that a social worker attends the Year 9 (13/14 years) Annual Review meeting and contributes to the formation of the Transition Plan. Mental Capacity Act 2005 Although the Mental Capacity Act applies mainly to adults, decisions made for future care and support of young people in transition need to have regard to the Mental Capacity Act and whether application to the Court of Protection will be required for sanction of future arrangements for care, residence and welfare, if not otherwise provided for under Section 5 of the Mental Capacity Act or the Deprivation of Liberty Safeguards. Where a person is deemed to lack capacity to make the decision in question, the Mental Capacity Act provides that for decision in respect of care and treatment a decision may be made in that person's best interests. Section 5 does not apply to decisions relating to finance and property or where the care and treatment amounts to a deprivation of liberty. Deprivation of Liberty Safeguards Future care provision may include making decisions about where a person should live and how they should receive their care. sometimes the provision of care will require a degree of restraint. Where the care is being provided in a care home or hospital authorisation and involved restraint such that there is a deprivation of liberty, authorisation should be sought through the deprivation of liberty process. Where care is provided in supported living in circumstances that amount to a deprivation of liberty, authorisation will need to be sought from the court. Connexions Statutory duty follows the SEN Code of Practice (2002) In 2001 the Special Educational Needs code of practice14 was published to support the special educational needs provisions of the; Special Educational Needs and Disability Act 2001 This includes specific requirements relating to transition planning. Connexions must attend the year 9 6 transition review aged 14 years and the school need to produce a transition plan that the Connexions service has to coordinate, Learning and Skills Act 2001 identified the (140) now 139A Learning Disability Assessment, legal responsibility of the Local Authority to produce for all leavers that have a statement of SEN and are moving into post 16 learning. This needs to be completed in the final year of statutory education. The Local Authority contract Connexions to complete these assessments. 6 Child Protection and Safeguarding in Transitions The Local Authority has statutory functions and a duty of care in ensuring we keep children and vulnerable adults safe. We take the lead in respect of safeguarding adult and child protection investigations, following the criteria below The Children Act 1989 gives local authorities the general duty to: safeguard and promote the welfare of children within their area who are in need; so far as is consistent with that duty, to promote the upbringing of such children by their families, by providing a range and level of services appropriate to those children’s needs The Children Act 1989 specifies that a child shall be taken to be in need if: 7 he/she is unlikely to achieve or maintain, or have the opportunity of achieving or maintaining, a reasonable standard of health or development without the provision for him of services by a local authority under this Part his/her health or development is likely to be significantly impaired, or further impaired, without the provision for him of such services he/she is disabled A Vulnerable Adult is:“A person over 18 years, who is or may be in need of community care services by reason of mental or other disability, age or illness; and who is or may be unable to take care of him or herself, or unable to protect him or herself against significant harm or exploitation”. The Leicester, Leicestershire and Rutland Multi-Agency Safeguarding Adults Policy & Procedures, revised in January 2010, applies to all adults in need of safeguarding and all agencies that have contact with adults in need of safeguarding in Leicester, Leicestershire and Rutland.. The multi agency policy statement states: All adults in need of safeguarding have the right to live their lives free from abuse of any description. All agencies and individuals that have contact with adults in need of safeguarding have a duty to protect them from abuse. Where abuse is reported to or suspected by any person in any agency the response will be prompt and in line with the Multi-Agency Procedures. In some situations it may become necessary to commission a serious case review to establish whether there are lessons learned and to review the effectiveness of 7 procedures. Any recommendations resulting from a serious case review are incorporated into practice by acting on learning to improve and inform local inter agency practice. 8 Key risks in Transition identified by The Council for Disabled Children, Transition Information Network 2009 Period of change (often widespread) Young People can fall through the gaps Young People can become isolated from services and support Young People have the right to make choices for themselves Personalisation increases community interface Link to LSCB procedures http://www.lrlscb.org/ Link to Safeguarding Adults Procedures http://website/safeguarding_no_secrets.pdf Young people want to be able to move into adulthood with real opportunities for work, housing choices and a social life in the community, We therefore need a more collaborative approach to planning with young people, so that they can explore the possibilities and make decisions about their future life. Post-16 education, training and support for employment services must all be able to respond to the young person’s individual aspirations. 9 Objectives of this Strategy Local priorities in Leicestershire are to work with Partners to improve outcomes for young people by achieving the following objectives: Improve co-ordination and communication, including a shared language, between Children’s and Adults Services and Health Co-ordinate the transition review process with all other reviews (eg Looked After Children, Youth Offending Service, Early Support, Educational SEN Statement review, Connexions, Section 139A) Provide comprehensive information and guidance about effective engagement of young people and their families, to enable them to be pro-active, with partners, in their own transition planning process To ensure that Health Action plans are included alongside educational and learning needs in a streamlined (integrated) review process, for young people with complex needs To ensure that Primary care delivers Health Action Plans and co-ordinate health transition services between children and adults 8 To create a seamless person centred transition planning process for young people between the ages of 14 – 25 years in line with transition standards (See Appendix 2) To ensure that all Stakeholders share the responsibility for delivering the successful outcomes in Transition Planning To develop a Transition Action Plan for Leicestershire (See Appendix 1) 10 Equality and Diversity This Strategy seeks to ensure that all SEN and /or disabled young people moving through transitions have an equal opportunity to make choices and participate in decisions about their future lives. Person centre thinking is integral to ensuring that young people and their families are involved and that all decisions made regarding future needs and support are transparent and open. An Equality Impact Assessment Questionnaire has been completed in respect of this Strategy and monitoring arrangements and future consultation on the outcomes of the objectives set will be reviewed. 11 Conclusion An effective transition from receiving services to children to access relevant and eligible adult services can set young people up for the rest of their lives and make a huge difference to their outcomes. If young people and their families have a range of choices, good quality information and clear pathways, while they are still at school, this will provide a positive lifelong impact in adulthood. All partners working with SEN and /or disabled young people and their families will be committed to providing information and advice, when families require this, at the times they need it. The focus will be to maximise independence and choice and the outcomes will be reviewed and utilised to inform future planning and needs. 9