Presentation on theme: "The Role of the Designated Medical/Clinical Officer in the SEND Reforms As facilitator can you please start by explaining that as the workshop is quite."— Presentation transcript:
1 The Role of the Designated Medical/Clinical Officer in the SEND Reforms As facilitator can you please start by explaining that as the workshop is quite short we’re not going to go round the room at the beginning. However, as part of the exercise at the end we will be asking people to say who they are. So apologies that it’s back to front, it’s to save time!
2 Implementing the Children and Families Act. These are the: WHY WHATWhat Guidance is available?Children and Families ActRegulationsSEN Code of PracticePathfinder EvidenceVoluntary Sector ResourcesDeveloping Case LawEach Local Area needs to develop theWHOHOW
3 Joint Commissioning Arrangements: The missing roadmap
4 Joint Commissioning Arrangements The Children and Families Act is very clear that there MUST be formal joint commissioning arrangements in EVERY local area.(Section 25-30) Between LA and relevant Clinical Commissioning Groups (CCGs) + link to NHS England for specialist services commissioned a regional or national level. Joint Commissioning Arrangements are the detailed plans of how education, health and social care services will work together to deliver the Children and Families Act: The WHO and the HOW
5 Joint Commissioning Arrangements must set out OutcomesThe availability of servicesIdentification of children and young people with SEN and disabilityIntegration of provisionImprovement of servicesProvision of information & adviceProcess for EHC PlansDispute resolution & mediation
6 Role of the Designated Medical/Clinical Officer The Children and Families Act builds on the role of the Designated Doctor role and recommends appointment of a Designated Medical/Clinical OfficerJoint Commissioning partners should ensure there is a Designated Medical Officer (DM/CO) to support the CCG in meeting its statutory responsibilities for children and young people with SEND.The DM/CO is the key point of contact between the local NHS and the Local Authority and FamiliesSupports the delivery of Supporting Pupils with Medical Conditions at Schools
7 Some Key areas of responsibility for the DM/CO Takes part in strategic decision making in Joint Commissioning ArrangementsRole in coordinating notifications of SEND from clinicians to Local AuthorityCoordinating medical information input into EHC Needs Assessments within statutory timeframeCarrying out assessments for EHC Plans where part of their clinical role and ensuring that assessments and planning is carried outCoordinating delivery of health provision specified in EHC Plans
8 Joint Commissioning Arrangements Changing Context: LegislationHealth and Social Care Act 2012: HUGE Reorganisation of the NHSCare Act 2014: Integration of Health and SocialAcademies Act : New school structuresWelfare ReformsPolicy:Education Funding ChangesWorking Together to Safeguard ChildrenChildren and Families ActLocalismAusterity
9 Wider Changing Context Means: Local areas have very different structures, processes across their services.Also different population demographics and policy priorities.No single model of implementation that can be applied across all areas of the countryThis is reflected in drafting of the Children and Families Act
10 Joint Commissioning Arrangements in Your Area. The Children and Families Act requires professionals all levels of the system to contribute to the implementation of the reforms:System Leaders and Decision MakersService Commissioners and Service ManagersFrontline ProfessionalsWhat needs to be done at each level and how is this developing in your areaA lot of this is not new and builds on existing policy and duties.Opportunity to Build on Existing Mechanisms
11 Joint Commissioning Arrangements CCG Lead Commissioner for children/ disabled childrenNHS England Local Area Team RepresentativeLocal Authority Officer responsible for schoolsDesignated Medical/Clinical OfficerLocal Authority Officer responsible for early yearsSEND Joint CommissionerJoint Commissioning ArrangementsWho should be around the table?Local Authority Officer responsible for Post-16 ProvisionDirector of Adult Social CareParent and Young People RepresentativesDirector of Public HealthYouth Offending TeamLocal Authority Head of SEN and DisabilitySchools Forum RepresentativeSEN Reform Implementation Lead
12 So…..What’s Happening?Implementation of Children and Families Act has focused on operational aspects(e.g. EHC Plans and maintaining a Local Offer) without Joint Commissioning Arrangements fully established in all areas. BUT Joint Commissioning Arrangements are required for strategic changes required to support this delivery. Without JCA there will be increasing pressure on operational delivery and frontline professionals- potentially undeliverable.
14 How my role is configured Who employs me Capacity/time allocation JD DM/CO role in practiceHow my role is configuredWho employs meCapacity/time allocationJDKey relationshipsInvolvement in strategic groups/funding panelsInvolvement in overseeing the EHC ProcessPlans for the roleCheck this slide with your DM/CO!!!
15 Designated Medical/Clinic al Officer How do Joint Commissioning Arrangements involve each system level.Strategic Leaders and CommissionersDesignated Medical/Clinic al OfficerFrontline Clinicians
16 You should be in three small groups Over to you:You should be in three small groupsYou each have three large circles on the wall and a pile of cards. The colour of the cards has no meaning! On each card is a task or requirement of the Children and Families Act reforms which needs to be in place for implementation to work.Your job is to assign those tasks to the available workforce – Strategic leaders and Commissioners, yourselves (DM/Cos) or frontline clinicians. The circles are Venn Diagrams so you may decide that a job sometimes needs to be done by two groups.There are some blank cards for you if there are tasks or elements which you think are vital that we haven’t identified.If as you discuss what goes where you identify obstacles or solutions to those tasks getting done please write these on the blank card and put them in the bottom right hand cornerThe circles are sticky!!Give the groups minutes for this exercise depending on how well it goes. We will try to ensure that each table has a facilitator. They will want to introduce themselves at this point, so make sure the facilitator keeps them brief, names and areas only!!The purpose of this task is to get them to think through the elements of the reforms that they’re involved with and to start to draw out differences between the way it is operating in local areas. We are therefore expecting discussion about both roles and responsibilities of the DM/CO, progress with reforms, obstacles. The reason we are giving them the tasks on cards is because they have sometimes struggled at previous events to identify them! (don’t tell them that!)We should end up with (if it goes to plan) three venn diagrams that look more or less the same.In the discussion when we draw people back together identify any differences, we need the facilitators help here so this isn’t too slow a process if they can do a quick scan between charts before the end. We can then discuss any differences and also any key sticking points or solutions that people have discussed during the task. We’ve allowed 10 minutes for this.
17 Still with you:Thinking about the previous exercise and the elements that need to be in place for the reforms to work; and any particular thorny obstacles , please identify one action that you will go back and prioritise.Give them a couple of minutes for this, this is really for them to think about what they’ve been doing and now they’ve had the opportunity to take a step back and think about the role from a distance whether or not they’ve been prioritising the right things!!and then go round the room asking them to introduce themselves briefly and say what their action is. So we have about 8 minutes for sharing!!!! It is tight.