Hampshire Green Paper Pathfinder Project Approach Part of the South East 7 (SE7) SEND Pathfinder group of local authorities www.nhs.uk Who are the SE7? The SE7 authorities are: • Brighton and Hove City Council • East Sussex County Council (SE7 lead authority) • Hampshire County Council • Kent County Council • Medway Council • Surrey County Council • West Sussex County Council The SE7 also includes 4 Health areas: • NHS Kent and Medway • NHS Sussex – covering Brighton and Hove, East Sussex and West Sussex • Southampton, Hampshire, Isle of Wight and Portsmouth PCT Cluster • NHS Surrey Hampshire SEND Approach Hampshire, as part of the SE7 group of authorities, was successful in applying to be a Pathfinder to test the core and optional activities set out within the Green Paper. The activity areas to be tested all have terms of reference developed and are as follows: – Core Activities • • • • Integrated Assessment and Single Plan To define and set out the Local Core Offer To establish a trial for Personal Budgets Strengthened multi-agency commissioning and collaboration – Optional Activities • Support to Parents and Carers including support requirements, key working and mediation/redress • Banded Funding • Age Range and Employment: Transition • Vulnerable (looked after) children What we aim to do • Test proposals across the age range 0-25 years with families recruited to participate within the Pathfinder work • Work across children’s social care, adult social care, education and health services • Apply sound project management principles (Project Initiation Document, Highlight Reports to the Change Board, Checkpoint Reports, Project Plan, Risk Log etc.) • Fully involve key stakeholders, from the outset, throughout the different aspects of the Pathfinder work. These particularly include: – – – – Parent/carers The voluntary and community sector Schools (mainstream and special) Health SQW Evaluation Mott McDonald Support Agency Department for Education & Department of Health Joint Working Group SE7 SEND Regional Steering Group VCS Grant Aided Bodies Local Regional National SEND Pathfinder Governance SE7 SEND Change Board Hampshire Green Paper Pathfinder Hampshire Core Project Team Hampshire Wider Project Team Support Services Council for Disabled Children Strategic VCS Partner for SEND to DfE SE7 SEND Pathfinder leads Strategic Multi-Agency Core Project Team led by the Hampshire Area Pathfinder Lead and supported by a Project Manager Operational Hampshire SE7 SEND local multi-agency Change Board Tactical Hampshire Governance Structure Multi-agency workstreams, with an identified working group lead, to undertake and deliver the Pathfinder activity Hampshire Workstream “Jigsaw” Multi-agency commissioning and delivery (Health; social care; education) Specialist: Most complex needs Path Plan Personal budgets (self directed support) Support to Parents and Carers Specialist: Most complex needs • Defining the key worker role • Resolving differences of opinion • Improving parental confidence Local Core Offer (looked after Framework of services children) & available, and how to access them, for children Transition to with SEN and/or disabilities employment for young and their families adults Vulnerable children 0 to 25 year age range Accessibility Transparency Integrated Assessment and Single Plan Who is involved? Local Change Board membership • Deputy Director Children’s Services (Children and Families) • Pathfinder Lead/County Services Manager SEN • Integrated Disability Manager, Children’s Services • Assistant Director Adult Services LD/MH • Adult Services Commissioning Manager and Transition Lead • Educational Psychology Manager • Early Years Manager • Parent Partnership Officer • Parent/carer representatives (x2) • Voluntary and community sector representatives (x2) • Primary and Secondary mainstream school representative • Special School representative • College/FE representative • Assistant Director Child Health Commissioner, NHS Hampshire • Community Paediatrician, NHS Hampshire • Project Manager and Project Support Key workstreams and recent activity • Assessment and Single Plan – Draft assessment process and guidance – Draft Single Plan template and guidance – Family recruitment for testing proposals • Personal Budgets – Work plan developed – Unit costing and resource allocation system under development • Local Core Offer – Regional framework being developed by Parent Partnership Services and Parent/carer Network for local population Autumn 2012 Key workstreams and recent activity • Support to Parents and Carers – Workplan developed – Key worker desk top research and development – Mediation and redress desk top research • Age Range and Employment: Transition – Workplan developed for pathways to employment • Looked after Children (LAC) – Regional co-ordination of work programme and testing cohort of LAC Assessment and Single Plan: SE7 Regional Family Led Principles Child and family led Child centred ‘the process is led by us and we own and hold the information and the plan. Our contributions are valued and respected’ Holistic ‘our child is seen as a whole person and all of his/her needs are considered’ ‘my child is at the centre of the process and it takes full account of his/her views and wishes’ Transparent ‘we understand the process and how decisions are made’ Prioritised Clear ‘everything is in plain language and we understand it’ Creative solutions ‘the process allows my family and our practitioners to be creative and not just restricted by what is available now’ The Family Led Principles will describe the child’s and family's experience Empowered practitioners and parent carers ‘the system will trust practitioners to make responsible decisions with us’ Responsibilities Family resilience ‘the plan will help my family to manage our day to day lives, building on our own knowledge, skills and expertise’ ‘we will agree together the priority order of the outcomes and the plan will be the road map to achieving these.’ Time specific ‘we know what will happen when’ Outcomes focused ‘the process will be based on long term and shorter term aspirations for our child’ ‘we know who should do what and when and this is set out in the plan’ Assessment and Single Plan: SE7 Regional Framework First contact Needing help and support/join the pathfinder Review and learn Family and key worker undertake child/family centred review of outcomes, to include audit of any direct payments and personal budget. Learn. Identify next steps and amend plan if necessary. Set date for next review Listen and understand Collect information, collate knowledge, identify gaps in understanding, explore and identify the wider resources available (family, VCS and statutory and other). Additional expert assessment commissioned if needed. Decide whether a plan is required. Child and Family centred The Family Led Principles will describe the child’s and family's experience Plan Agree and allocate Agree action, signpost to services, and targeted resources. Identify practitioner to be involved in first TAC. Identify and agree desired outcomes and their priority. Allocate resource and/or personal budget, set up planning meeting. Family and key worker develop child and family centred plan, including input from identified experts, building on all resources using the personal budget to make best use of these and to put in place additional support to needed to achieve agreed individual outcomes. First contact Needing help or support Listen and understand Agree and allocate A family or practitioner who identifies that the child or young person has additional needs and may benefit from a single assessment and plan will inform a single contact who will arrange for a key worker to make contact with the parent carers. The key worker will contact the family will help them to collate all the current assessment information. Any additional assessment information needed will be sought. All assessment information will be held jointly by the parent carer and the key worker. The parent carers, key worker with other relevant practitioners will agree the strengths, weaknesses and needs of the child or young person. Together they will agree the desired individual outcomes for the child and agree a priority for these. This information will provide the basis for the allocation of a personal budget, if appropriate. Plan The parent carers, key worker and relevant practitioners develop a plan for the support that will be needed for the child or young person and their family to achieve the identified outcomes. The plan will set out accountabilities and time-scales. It will be held jointly by the parent carer and the key worker. If a personal budget has been allocated the plan will set out how this will be used to add to the resources being used to support the child. Review and learn The parent carers, key worker and relevant practitioners will agree how often the plan should be reviewed. It will be reviewed when there are any significant changes to the child or young person’s or their family’s situation. The review will inform the development of an updated plan based on revised resource allocation as appropriate. If a personal budget is being used then review will include audit. Assessment and Single Plan: Hampshire testing and families Test area • One district area within Hampshire First contact Participants • 20 children and young people and their parents or carers plus 20 as a comparison group. Age groups • Five pre-school children (two years before school admission) • Five children in year 4 • Five children in year 9 • Five young people post 16 Characteristics • Children or young people will require services from two out of three of education, health and social care. • The post-16 group will all be in FE college • Of the remaining participants, at least one child will be in a special school, one will be a new request for statutory assessment, one will be in care, and most will be due to have an review of an existing statement or plan in the summer term. Draft Hampshire Assessment Pathway (1) Each family participating in the trial will be allocated a key worker, who will be responsible for guiding them through the process. - - Pathfinder support workers will visit potential families to ask whether they are willing to participate in the trial. Participation is entirely voluntary, and your statutory entitlements under existing special educational needs legislation will not be affected. Once a family has agreed to participate in the pilot, a key worker will be allocated to the family and will arrange an initial meeting. The SEN officer will contact the child’s headteacher (if the child is in school) to explain the pathfinder. Draft Hampshire Assessment Pathway (2) - - - - Key worker will meet with parents/carers and the young person if appropriate to discuss the process and the single plan The family and key worker will consider any existing assessment information together and will complete the first page of the Single Plan, which includes background information and the child’s medical and other history. The family and key worker will discuss the child’s progress and identify whether any further assessments are needed, and who might need to contribute to a single plan covering Health, Social Care and Education. The family and key worker will agree next steps and time scales. Timescales will need to be negotiated according to circumstances, but any statutory timescales will stand under the new process. Draft Hampshire Assessment Pathway (3) - - - - The key worker will contact the administrative coordinator at Hampshire County Council who will request assessments and further information from other professionals. The administrative coordinator will chase contributions as appropriate and will forward any reports or assessments to the key worker and family as they are received. The key worker will liaise with the administrative coordinator about progress against timescales and the key worker will keep the family informed. Once all reports and assessments are in, the family and key worker meet to discuss new information and agree a comprehensive account of the child’s strength and needs across Health, Social Care and Education, which are then drafted onto the single plan. The family and key worker discuss who should be at a meeting with them to discuss and agree the draft plan and when and where this should be held. The key worker will arrange the meeting. Draft Hampshire Assessment Pathway (4) - - - Meeting to formalise the plan takes place. Actions, responsibilities and time scales will be agreed and recorded. Arrangements for monitoring progress against the plan will be agreed. Agreement about who will receive copies of the plan. Key worker will make informal contact with parents within two weeks of the planning meeting to review the assessment and single plan process Reviews take place as agreed on plan. Updated plans will be circulated as necessary. Single Plan Proposed Hampshire Template (1) CHILD/YOUNG PERSON’S PLAN Name of child/young person Male Date of Birth National Curriculum Year Group Address Child’s parent or person responsible Preschool/ School/ College Female Single Plan Proposed Hampshire Template (2) Key Background Information Important things about my life now and in the future” Single Plan Proposed Hampshire Template (3) Summary of child/young person’s strengths “Things I am good at” Single Plan Proposed Hampshire Template (3) Summary of evidence-based needs As reported by 1. 2. 3. 4. 5. 6. “Things I think I need help with” Single Plan Proposed Hampshire Action Plan Date of plan People involved in planning Key targets Actions Name of planning and monitoring coordinator Review date By whom? By when? Hampshire Assessment and Single Plan Timescales • Proposed assessment pathway developed March to May 2012 • Single Plan template and approach developed April/May 2012 • Families identified and recruited May and June 2012 • Key worker roles defined, personnel agreed and training provided June/July 2012 • Testing with recruited families July to October 2012 • Evolution of proposed process July to October 2012 • Evaluation of approach September to December 2012 Hampshire Area Contacts Felicity Dickinson, Pathfinder Lead childrens.services.communications@hants.gov.uk Hampshire area website: http://www3.hants.gov.uk/childrensservices/specialneeds/se7sendpathfinder.htm SE7 Public website: http://www.se7pathfinder.co.uk/