Toby Price LB Sutton July 2010

Processes and care pathways that workFewer bottlenecks, faster access to servicesLess reactive, crisis-driven service provisionFewer disabled children coming into careFeedback from parents, children and young peopleDisabled children increasingly seen as “everybody’s business”

 Inherently difficult life-change for families  Structures that don’t match up  Different funding streams  Different legislation  Different priorities  Different policies  Multiple cultures  Strongly held, conflicting beliefs

Young people

Post-14 Partnership Disability Partnership for CYP LD Partnership MH Partnership Carers Partnership Physical & Sensory Partnership

 Better understanding  Vision and Principles  Protocol  Transition health check  big issues affecting outcomes we agree we must tackle

 As LAs and PCTs focus on cutting spending, will the arrangements we have all developed for partnership and participation (a) survive and (b) continue to serve a purpose?

 Retreat to silos: from collaboration to cost- shunting  Participation costs money but is not core business  Savings not optional – so why consult?  Power relationships laid bare  Mindset shifts from “involve in decisions” to “manage expectations”