Children’s Wellbeing Stakeholder Event 9.30am pm 7th October 2014 The Kindle Centre

Introduction and HOusekeeping slide for Jo Introduction and Housekeeping Jo Davidson: Director of Children’s Wellbeing

The five priorities are: Children with disabilities- improve outcomes for children with a disability Think family - develop a ‘think family’ approach and culture across the partnership to target resources and support vulnerable families Youth offending - reduce the number of young people offending for the first time Mental health - improve the emotional and mental health and wellbeing of children, young people and their parents and carers Early years - improve outcomes for our youngest children (aged 0-5 years) Children’s & Young People’s Plan

Interactive session: Service Mapping

Coffee Break and Continuing Service Mapping

Children with Disabilities Strategy Chris Baird: Assistant Director Education & Commissioning

Delivering the strategic approach for children and young people with disabilities or special educational needs

Children & Young People with Disabilities or Special Educational Needs Services Transformation Programme: Our vision for children and young people with disabilities and/or special education needs is the same as for all of Herefordshire’s children and young people – that they are healthy, safe and achieve well; and that they go on to lead happy and fulfilled lives with choice and control.

CWD & SEN Services Transformation Programme Key Deliverables Strategic Needs Analysis Integrated Pathway Local Offer Education, Health & Care Plans Specialist childcare Personal- isation Short breaks Children & young people with disabilities and SEN and their families/carers

CWD & SEN Services Transformation Programme Key Deliverables Children & young people with disabilities and SEN and their families/carers Strategic Needs Analysis Build-on the 2010 CWD review & 2014 Children’s Integrated Needs Analysis to further understand the: needs & demands of CWD or SEN impact of local services on outcomes alternative evidence based models Strategic Needs Analysis Build-on the 2010 CWD review & 2014 Children’s Integrated Needs Analysis to further understand the: needs & demands of CWD or SEN impact of local services on outcomes alternative evidence based models Strategic Needs Analysis Integrated Pathway Local Offer Education Health & Care Plans Specialist childcare PersonalisationShort Breaks

Children & young people with disabilities and SEN and their families/carers Integrated Pathway Children and families experience an integrated multiagency pathway to access the support that they need. The pathway will cover different stages of life, including transition to adulthood. Integrated Pathway Children and families experience an integrated multiagency pathway to access the support that they need. The pathway will cover different stages of life, including transition to adulthood. CWD & SEN Services Transformation Programme Key Deliverables Strategic Needs Analysis Integrated Pathway Local Offer Education Health & Care Plans Specialist childcare PersonalisationShort Breaks

Strategic Needs Analysis Integrated Pathway Local Offer Education Health & Care Plans Specialist childcare PersonalisationShort Breaks Children & young people with disabilities and SEN and their families/carers The Local Offer Easy to understand information, advice and guidance about the support available to families in Herefordshire, and how it can be accessed cation-and-learning/local-offer The Local Offer Easy to understand information, advice and guidance about the support available to families in Herefordshire, and how it can be accessed cation-and-learning/local-offer CWD & SEN Services Transformation Programme Key Deliverables

Strategic Needs Analysis Integrated Pathway Local Offer Education Health & Care Plans Specialist childcare PersonalisationShort Breaks Children & young people with disabilities and SEN and their families/carers Education, Health & Care Plans Frontline services work effectively together with children and families to agree a coordinated plan and package of support that will meet their needs Education, Health & Care Plans Frontline services work effectively together with children and families to agree a coordinated plan and package of support that will meet their needs CWD & SEN Services Transformation Programme Key Deliverables

Children & young people with disabilities and SEN and their families/carers CWD & SEN Services Transformation Programme Key Deliverables Specialist Childcare Ensure Herefordshire’s childcare sufficiency strategy adequately addresses the needs and demand for specialist CWD or SEN childcare places Specialist Childcare Ensure Herefordshire’s childcare sufficiency strategy adequately addresses the needs and demand for specialist CWD or SEN childcare places Strategic Needs Analysis Integrated Pathway Local Offer Education Health & Care Plans Specialist childcare PersonalisationShort Breaks

Children & young people with disabilities and SEN and their families/carers Personalisation Delivery of a personal budgets allocation, management and review system that will enable families to have more choice and control of the services they access Personalisation Delivery of a personal budgets allocation, management and review system that will enable families to have more choice and control of the services they access CWD & SEN Services Transformation Programme Key Deliverables Strategic Needs Analysis Integrated Pathway Local Offer Education Health & Care Plans Specialist childcare PersonalisationShort Breaks

Children & young people with disabilities and SEN and their families/carers Short Breaks Review Phase 1 and complete Phase 2 of the short-breaks re-commissioning process. Discussion: We need YOUR help to develop the local provider market Short Breaks Review Phase 1 and complete Phase 2 of the short-breaks re-commissioning process. Discussion: We need YOUR help to develop the local provider market CWD & SEN Services Transformation Programme Key Deliverables Strategic Needs Analysis Integrated Pathway Local Offer Education Health & Care Plans Specialist childcare PersonalisationShort Breaks

Children & young people with disabilities and SEN and their families/carers Short Breaks: Local Challenges Changing culture from relying on high- cost and institutionalised services Promoting self-reliance, independence and choice Support to access inclusive universal and mainstream activities Evolving the wider provider market to support children with disabilities and challenging behaviours Short Breaks: Local Challenges Changing culture from relying on high- cost and institutionalised services Promoting self-reliance, independence and choice Support to access inclusive universal and mainstream activities Evolving the wider provider market to support children with disabilities and challenging behaviours CWD & SEN Services Transformation Programme Key Deliverables Strategic Needs Analysis Integrated Pathway Local Offer Education Health & Care Plans Specialist childcare PersonalisationShort Breaks

Children & young people with disabilities and SEN and their families/carers Short Breaks: Addressing unmet need Consider the pen-picture provided, what types of break could help? What universal or specialist activity breaks have been successful in places like Herefordshire? What adult or community services could be developed to work with children? What would encourage existing or new providers into the short breaks market? Short Breaks: Addressing unmet need Consider the pen-picture provided, what types of break could help? What universal or specialist activity breaks have been successful in places like Herefordshire? What adult or community services could be developed to work with children? What would encourage existing or new providers into the short breaks market? CWD & SEN Services Transformation Programme Key Deliverables Strategic Needs Analysis Integrated Pathway Local Offer Education Health & Care Plans Specialist childcare PersonalisationShort Breaks

Mental Health Needs Assessment th October 2014 ‘Putting the patient at the heart of everything we do’

Why? The aim of this piece of work is to provide a robust evidence base to enable re-procurement of HCCG commissioned mental health services. Ensure that HCCG commissioned services fit seamlessly within a future mental health and wellbeing strategy; Integrate with other services and other system resources, including the voluntary and community sectors. Contribute to the achievement of outcomes, for the individual and for Herefordshire, in terms of good mental health. 7th October 2014 ‘Putting the patient at the heart of everything we do’ 22

Methodology Listening – to young people – to carers and parents – to practitioners – to organisations Analysing information Reviewing evidence base and good practice 7th October 2014 ‘Putting the patient at the heart of everything we do’ young people

Children and Young People There are 40,000 children and young people in Herefordshire. Estimates suggest that 8,620 children and young people will experience poor mental health between the ages of 0-19 years old. 7th October 2014 ‘Putting the patient at the heart of everything we do’ 24

Areas of interest Tier 1 Services provided by practitioners working in universal services (such as GPs, health visitors, teachers and youth workers), who are not necessarily mental health specialists. They offer general advice and treatment for less severe problems, promote mental health, aid early identification of problems and refer to more specialist services. Tier 2 Services provided by specialists working in community and primary care settings in a uni-disciplinary way (such as primary mental health workers psychologists and paediatric clinics). They offer consultation to families and other practitioners, outreach to identify severe/complex needs, and assessments and training to practitioners at Tier 1 to support service delivery. Tier 3 Services usually provided by a multi-disciplinary team of service working in a community mental health clinic, child psychiatry outpatient service of community setting. They offer a specialised service for those with more severe, complex and persistent disorders. Tier 4 Services for children and young people with the most serious problems. These included day units, highly specialised outpatient teams and inpatient unit, which usually service more than one area. 7 th October 2014 ‘Putting the patient at the heart of everything we do’ Tiered Model of Services 2. Vulnerable groups 3. Prevalence: 0-4 years old 5-10 years old years old years old

Early Findings Identification of mental health in children and young people is significantly below estimates. Young children require more identification, especially boys aged years. Prevention and Early Intervention There is limited support available for children, young people and their parents / carers. There is limited preventative work to reduce anxiety. Young people want to be able to self-refer to services. 7th October 2014 ‘Putting the patient at the heart of everything we do’ 26

Early Findings Support and Treatment Referrals to CAMHS have increased since 2012 by 19.6% Need more support for young people that self-harm. Need acute hospital liaison services for children with serious and chronic physical illnesses. Young people want online facilities 7th October 2014 ‘Putting the patient at the heart of everything we do’ 27

Workshop Question If we could change 3 things for children and young people experiencing poor mental health, what would they be? Think about…. Prevention Early Intervention Support & treatment Vulnerable groups 7th October 2014 ‘Putting the patient at the heart of everything we do’ 28 On your tables:

Round-Up: Question & Answer Session Jo Davidson

Thank you for coming Please remember to complete a feedback form before you go

Next Stakeholder Event: January 2015: Early Years and Children’s Centres

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