Children and Families Bill SEND provision: how we work together Helen Wheatley Assistant Director Council for Disabled Children 5th February 2013

What Bill? The bigger picture Children and Families Bill Care Bill Safeguarding guidance update School and college funding arrangements NHS changes from 1st April 2013 Welfare reforms - ongoing Local authority cuts Health and Social Care Act 2012 – infrastructure

Children and Families Bill The Bill covers the following areas: Adoption Looked after children Family Justice SEN Childcare Office of the Children’s Commissioner Shared parental pay and leave Right to request flexible working

Principles clause 19 The importance of taking into account the views of parents and children The importance of parents and children participating in decisions The importance of supporting of parents and children to participate fully in these decisions Focus on outcomes for the child or young person

Local integration of health, care and education Building on existing practice and guidance to: Integrate services to promote well-being (clause 25) LAs to keep education & social care under review Includes SEN provision and children’s and adult social care Determination of whether provision is sufficient (clause 27)

Co ordinated support Joint commissioning Joint commissioning by Local Authorities and Clinical Commissioning Groups [Clause 26] Put in place joint commissioning arrangements Including for securing provision in EHC plans Arrangements for resolving disputes between parties Plus underpinning the planning of individual support: Health duty Option of personal budget for families and young people with a plan  

National Health Leadership Bodies Department of Health: Stewardship and guardianship. Secretary of State retains ultimate responsibility for NHS NHS England: National commissioning body and system manager Public Health England: provide information and intelligence to support local public health services and lead on national public health campaigns Clinical Networks: bring together experts on particular conditions and service areas

Local Health Bodies Clinical Commissioning Groups: Led by GP Practices with secondary specialists. Will commissioning local NHS services and will set out their strategy for local health services in annual commissioning plans Local Authority Directors of Public Health: lead on local authorities’ new public health commissioning functions. Health and Wellbeing Boards: bring local partners together in each local authority will to plan health, social care and public health services Clinical Senates: Hosted by NHS England, give expert advice to the NHS Commissioning Board and CCGs in each area of the country

Working together – Why is it so hard? Different cultures and targets Funding limitations Capacity to understand and plan Data sharing and limitations Risk vs creativity Priorities Workforce support …and we all like to think our way is the right way!

Opportunity to create better outcomes: Information on schools in the local offer Local authorities must include in their local offer information on what schools are expected to provide from delegated budgets Schools must cooperate with the local authority Local authorities will seek information on how schools us their delegated SEN budgets

Local authorities must consult schools about other services in the local offer Schools can use this opportunity to identify if there are any gaps in provision and inform the local authority as part of the review of the local offer

Schools could… Review what they currently provide from their delegated budget Consider how they might want to influence services commissioned by health and/or the local authority Develop links with the relevant officer in the local authority and inquire about initial publication of the local offer

Pathfinders Invitation out now for Pathfinder Champions EHCP - next set of developed examples due soon All pathfinders developing their local offer Increasing engagement of individual agencies eg schools Families and co production Use of person centred approaches Testing personal budgets Multi agency working

What next Local areas are looking at: Local offer – parents and young people involvement Preparing for plans – who; when; how/how many? Are staff supported – across services Who needs to know this is coming Who knows what support is available (evidence/expertise) Strategic plan – who is the lead? Local Healthwatch and health and well being board Health and Wellbeing Boards Joint Strategic Needs Assessment Joint Health and Wellbeing StrategyAssessments Clinical Commissioning Groups

Information – Who knows what Local areas existing practice Pathfinder Champions and pathfinders North East (NE): Hartlepool Regional events Delivery partners and contract holders (eg Achievement for All and Preparing for Adulthood) + Grant holders – 72 grants to 64 organisations Evidence, resources and activity from wide range of agencies

CDC - Strategic Reform Partner Partnership with agencies like ADCS to promote information on change and highlight areas of support. Gather evidence on existing effective practice and potential challenges VCSE Innovation and Sustainability programme with a particular focus on new commissioning arrangements and reform implementation An offer with ‘delivery partners’ and other DfE funded organisations to local areas on supporting the development of local reform pathways

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