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

2. 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

3. 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

4. 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

5. 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)

6. 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

7. 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

8. 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

9. 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!

10. 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

11. 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

12. 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

13. 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

14. 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

15. 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

16. 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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