1. GOING FORWARD TOGETHER JOINED UP SOLUTIONS
North Lincolnshire Commissioner and Provider services

5. JOURNEY TO JOINT COMMISSIONING STRATEGY
2000 Sure Start
2001 writing and establishing of a BTec Advanced Certificate in Speech and Language Therapy for support workers.
May 2001 – Local Conference “Future Provision of S&LT to children with SEN in North Lincolnshire” Multi agency
S&LT /Education, Pilot project of a new collaborative approach-11 schools involved –children with SEN Statement seen in school rather than clinics –Project rolled out to all schools
Funding of extra school sessions for Children without Statements where clinics were distant

6. JOURNEY
July 2003 –SLA for S&LT service to Children with Statement of SEN in Mainstream Schools –Jointly funded by Health and Education. All children with Statement seen in school, SLCN addressed jointly by S&LTs and education. Beginning of Integrated pathway
Joint development of Drop In sessions with Health Visitors to maximise early identification and intervention .Screening test rolled out.
2007 –Full time S&LT funded by LA for Behavioural Support Team
Consultant/Trainer for Early Years Children’s workforce (qualified S&LT)
Joint working with St Hugh’s Special school, Specialist College for Communication and Interaction. Funded SLT post for Outreach service

7. JOURNEY
2007-Establishment of Multi agency process in partnership with the ACE centre North via an SLA, for the assessment and provision of AAC.
Funding from the Schools Improvement Programme for S&LT in schools in each zone. Development by SLT service of Communicative Aspects of Learning and Life (CALL)
Jan reorganization of S&LT service in line with parents, children and stakeholders wishes. From Jan 2009 all school aged children seen in school to minimize time lost from education, ensuring all work is embedded in education plans and schools are supporting SLC work. Pre-school children seen at a Children’s centre, CDC or home. Integrated pathway

8. 2011 Service Specification for SLT
UP TO TODAY
2009 Bercow Pathfinder
2010 Visioning work
2011 Joint Strategy
2011 Service Specification for SLT

9. WHAT DID WE LEARN FROM BERCOW?
Importance of Needs Analysis
Users need an independent voice
Outcomes and Impact are key
Commissioners time is even more scarce than ours
Working closely together pays dividends
Flexibility!!!!

10. Themes Listening Workforce Integration Engagement- hard to reach
Resources
Outcomes / impact

11. LISTENING Parents and children Powerful message to CHANGE
What we are good at / What we are not good at!
New model of service going out to users
Independent User voice – workshops / training and support –advocacy -AFASIC
Research re How parents want to be involved –PPI policy
Describe process to develop Independent voice whilst also using other groups and exit=sting routes eg thumbs up group

12. WORKFORCE BTec Advanced certificate Started 2003
Trained 100+ workers with skills and competencies in SLC in our workforce
ECAT
Teacher training / NVQ
Training programme across all age bands and differentiated for Universal/Targeted/Specialist
Mandatory Communication Awareness training for Early Years workers
Describe key learning outcomes

13. Integration Joint working in schools – Toolkit
Integrated ASD pathways –across health, education, social care and Camhs
Early Support Programme
Early Years input across agencies
Joint SLAs with parallel budgets -Early Years/ Schools/Communication and Behaviour and Youth Offending

14. HARD TO REACH
Building relationships –Time and place are key –avoiding value judgments
Joint identification with LA
Careful targeting –right time for the family
Going out to users –home visiting
Working through others –outreach teams
Understanding pressures of families
All workers giving same message

15. PRODUCTS Toolkit for schools
CALL ( Communicative Aspects of Learning and Life)
CICM ( Communication and Interaction Charter Mark)
AAC service partnership with ACE Centre Oldham –Commissioners and Providers across agencies
Joint Vision and Strategy
Service Specification

16. OUTCOMES / IMPACT
Therapy Outcome Measures (TOMS ) –greater emphasis on parents ratings
EYFS scores
Communication and Interaction Charter mark
ECAT language measures improvement
PPI Policy and mechanism for parent decision making and feedback
Need hard data to share here

17. JOINT COMMUNICATION AND COMMISSIONING STRATEGY
Common Vision 0-19 years
Purpose agreed
Agreed who does what and expected outcome and impact
How does it fit into the bigger picture?
Going forward together as change happens all around!

18. BENEFITS OF A JCS Nails down the vision and commitment
Puts it into a local context
Agreement about who does what
Presents a united approach to all
Puts the onus on all agencies and services to move forward together
Gives a reference point for Commissioning and the effects of change

19. QIPP Train others – BTec/ ECAT
Integrated Pathways –right input- right person –right time – right place
Productivity –DNAs reduced
No time wasted on inappropriate referrals
Local skills development –AAC
DIY ! Charter mark

20. CHANGE
Create a winning strategy and implement it well, and you might cruise along for years without any problems. But no strategy is effective forever. Something in the external environment eventually changes--new technology appears, customer needs shift, new competitors emerge--rendering it ineffective. Unfortunately, many management teams cannot recognize when their strategies have become obsolete.
Harvard Business School 2006

21. TIPS Get close and stay close-powerful coalitions
Grow your sphere of influence
Create a clearly and widely understood VISION
Agree and document a shared Strategy
Build systems and products together
Listen to users and empower them to lobby
Stay positive and flexible –one door shuts another opens

22. keeping together is a process, working together is a success.”
“Coming together is a beginning,
keeping together is a process,
working together is a success.”
Henry Ford
“Coming together is a beginning,
keeping together is a process,
working together is a success.”
Henry Ford