Presentation on theme: "TRANSITION Correct as at March 2015"— Presentation transcript:
1 TRANSITION Correct as at March 2015 CARE ACT SEMINARTRANSITIONCorrect as at March 2015INTRODUCE OURSELVESThe aim of the presentation is to help you reflect on the implications of the Act for your role, so that you will know what you must do differently and what you may need to do differently.
2 OUTLINE OF CONTENT Introduction Children & Families Act 2014 and SEN ReformsCare Act: Transition AssessmentIdentifying Young People and Young CarersIssues of Capacity and ConsentCo-operating with Professionals & OrganisationsSummaryQuestionsBefore we begin – Please turn to your neighbour and ask...What does transition mean to you?2. What key words do you or your organisation use to describe transition?
3 WHAT IS TRANSITION TO ADULTHOOD? Moving on from being a child to becoming an adultThe transfer to an adult environment where they [young people] may need to consult several different health teams, therapy teams, and adult social care servicesThe planned, purposeful movement of adolescents and young adults from child-centred to adult-orientated health care systems as distinct from a single chronological eventThe point at which young people move from children’s to adult servicesTransition to (or preparation for) adulthood happens throughout the teenage years and sometime beyond .Transition isn’t defined in the Care Act or statutory guidance. Definitions of transition from a service transfer point of view include:“...Moving on from being a child to becoming an adult” - that’s all of us“…the transfer to an adult environment where they [young people] may need to consult several different health teams, therapy teams, and adult social care services” (CQC 2014)“the planned, purposeful movement of adolescents and young adults from child-centred to adult-orientated health care systems as distinct from a single chronological event” (RCN 2014 after Blum 1993)“the point at which young people move from children’s to adult services” (‘Don’t let me down’ 2012)There is a growing recognition that the years between the ages of 16 and 24 are a distinct time of young people’s lives.They and their families are expected to make a number of transitions as they consider and make decisions about their future lives.
4 WHAT DO YOUNG PEOPLE AND THEIR FAMILIES HAVE TO SAY? “Young people overwhelmingly have a poor experience of transition, both in terms of services and in terms of having the level of autonomy and control they desire” (Public Service Works, 2011)Quote from young person:“I didn’t want to move at first. But I were nearly 19 so I had to move. And, obviously once I did, I were happy. I wouldn’t, you know, change it now.”(Together for Short Lives)First quote - this would have been echoed in NE LINCS a number of years ago.Key Issues included:the lack of timely planning, decision making, co-ordination from a key worker and no focus on key life outcomes .In response to the issues we now have more joined up working across services, we have restructured the transition team and developments with education mean we are in a much better position to support young people holistically within the Borough. Since the work with the market reshaping project we have being in a much better position to develop person centred plans and housing for people.Quote from young person: “I didn’t want to move at first. But I were nearly 19 so I had to move. And, obviously once I did, I were happy. I wouldn’t, you know, change it now.”Young adults valued friendly and helpful staff who recognise that the first few clinic appointments can be intimidating, and differences between paediatric and adult services can be disorientating or alarming.“...these things, if they were tweaked a little bit, could make all the difference....such as a visit to the adult clinic, which could alleviate anxieties and promote readiness
5 WHY DOES TRANSITION MATTER? It can be a time of significant change.More children and young people with complex health conditions are now surviving into adulthoodGetting it wrong can lead to poor outcomesGetting it right can set young people up for the rest of their livesIt can be a time of significant changes for the young person and family this could be the transfer from children’s to adult health and social care services, moving on from long established relationships and changes to the support families have had often since a very young age.More children and young people with complex health conditions are now surviving into adulthoodGetting it wrong can lead to poor outcomesTransition has been and remains a priority for the Council and CCG, we have worked together to develop a single transition pathway (on a following slide), that we are now working to embed for all vulnerable people .But ...Getting it right can set young people up for the rest of their livesThe GAL Project was based on the model used for supported employment in adults' services. It sought to identify what needs to happen during transition so young people with a disability leave education and move into adulthood with the skills they need to be able to work (that could be volunteering, part time/full time or supported employment).Locally 40+ referrals, 22 young people into some kind of work, it informed the NEL Pathway )Transition needs to be managed well.
6 THE PRINCIPLES AND PROCESSES OF EFFECTIVE TRANSITION Early planningHolistic assessment, planning and reviewActive involvement of young people and their familiesRaising aspirations and focusing on key life chancesProvision of information and advocacyFlexibility in transfer arrangements i.e. arrangements may need to continue over a period of yearsIntegrated streamlined assessment and planning processes across all agenciesThese key principles all appear within the legislation and/or accompanying guidance of many agencies covering Transitions as well as SEND reform. They also inform the NEL Pathway (next slide)READ THROUGH SLIDE“Services at transition should be aimed at moving a person into work/adult life in such a way as to promote their independence and so reduce their long term needs for care and support”Care Act Fact Sheet Care and Support AllianceThe key aim of the Care Act and Children and Families Act , in relation to transition, is for this to be a seamless process for young people and their families, and one which results in young people entering adulthood being better set up for life.
8 CHILDREN AND FAMILIES ACT 2014 AND SEN REFORM A comprehensive birth- to-25 special educational needs and disability (SEND) system, giving new rights and protections to year olds in further education and training – as outlined in the new DfE SEND Code of PracticeChildren, young people and their families must be involved in discussions and decisions about their individual support and local provisionThe right to make requests and decisions under the Act will apply directly to disabled young people and those with SEN over compulsory school age rather than to their parentsThe Children and Families Act and the Care Act are very closely aligned. Alongside the availability of appropriate provision the process of transition should start while the young person is still in contact with children’s services and may, subject to the needs of the young person, continue for a number of years after the transfer to adult services. There needs to be an overall focus on outcomes and activities rather than services..The Department for Education’s vision for the SEND reforms are that they will implement a new approach which seeks to join up help across education, health and care, from birth to 25. Help should be offered at the earliest possible point, with children and young people with SEND and their parents or carers fully involved in decisions about support and what they want to achieve.
9 CHILDREN AND FAMILIES ACT 2014 AND SEN REFORM (CONT.) New 0-25 Education, Health and Care Plans (EHC), replace the current system of Statements and Learning Difficulty Assessments, which reflects the child or young person’s aspirations for the future, as well as their current needsYoung people have the right to request an (education) personal budget as part of the EHC planning processNew rights to assessment and support for young carers and parent carersA local ‘information and advice offer’ including support available to children and young people to help them to prepare for adulthoodIntegration of education, health and care to promote well-being and joint commissioning arrangements to secure provision set out in EHC plansThis is an outline the children and Family Act and see how similar it is to the Care Act. New education, health and care plans (EHC) must be person-centred, outcome focused and from aged14 + must focus on Preparing for Adulthood outcomes (see slide 10). Personal budgets for young people could be SEN personal budget and/or personal health budget or social care personal budget. Young people have the right to request a (SEN/education) personal budget as part of the EHC process.The Children and Families Act instills new rights to assessment and support for young carers and parent carers – similar to the requirements under the Care Act.The Children and Families Act 2014 requires local authorities to publish a local offer, which includes provision of information and advice for children’s social care in their local area, including specific requirements for young people who are preparing for adulthood. Local offers must be developed with young people and their families, must state how they support young people to move into adulthood with employment, independent living, community participation (friends and relationships) and good health. The Children and Families Act applies to children and young people aged 0 – 25 which means this also includes integration of children’s and adults’services. The Care Act 2014 and Children and Families Act 2014 provide a single legislative framework for transition to adulthood
10 PREPARING FOR ADULTHOOD Refer to the NEL Pathway as based on this - All of the SEN reforms are intended to help young people transition to adulthood with better outcomes. Preparing for adulthood is referred to throughout the reforms as young people having high aspirations for a full adult life with the following outcomes:higher education and/or employmentindependent living – choice and control over lives and support with good housing options and supportparticipating in society – friends, relationships and participating in and contributing to the local communitybeing as healthy as possible (health and wellbeing).PfA (which follows on from GAL) has developed five key messages through their work with SEND pathfinders:develop a shared vision of improving life chances with young people, families and all key partnersraise aspirations for a fulfilling adult life by sharing clear information about what has already worked for othersdevelop a personalised approach to all aspects of support using person-centred practices, personal budgets and building strong communitiesdevelop post 16 options and support that lead to employment, independent living, good health, friends, relationships and community inclusiondevelop outcome-focussed multi-agency commissioning strategies that are informed by the voice of young people and families.
11 NEW PATHWAY TO ADULTHOOD FOR YOUNG PEOPLE WITH EHC PLANS Good transition planning starts before age 14For young people with EHC plans, there must be a clear focus on preparing for adulthood from age 14 (year 9)This requires coordinated multi agency support throughout transition to enable young people to achieve good life outcomesIt includes information advice and support, and preparing for adulthood reviews as well as EHC plansLocal authorities may continue EHC plans until the end of the academic year during which the young person turns 25Local authorities must consider whether education or training outcomes have been achieved before ceasing a planGood transition planning starts before the young person is 14. This includes raising aspirations and supporting children to make decisions from an early age.For young people with special educational needs who have an Education, Health and Care (EHC) plan under the Children and Families Act, preparation for adulthood must begin from year 9. EHC plans must be person-centred, outcome focused and from aged14+ must focus on preparing for adulthood outcomes.Coordinated multi agency support is required to enable young people to achieve good life outcomes.This includes providing information, advice and support on preparing for adulthood reviews, EHC Plans, what adult social care is, transition assessments (more on those from Angie) Year 9 review should trigger this. Preparing for adulthood annual reviews should focus on planning support for SEN, health and care needs and building on what has already been achieved.The transition assessment should be undertaken as part of one of the annual statutory reviews of the EHC plan, and should inform a plan for the transition from children’s to adult care and support .Local authorities must consider whether education or training outcomes have been achieved before ceasing a planTRANSITION DVD NOW AND THEN ANGIE TO TAKE OVER
13 CARE ACT 2014: TRANSITION ASSESSMENT A local authority has a duty to carry out a transition assessment for a young person, young Carer or adult Carer, in order to help them plan, if they are likely to have needs once they (or the child they care for) turn 18There are 3 groups of people who have a right to a transition assessment:Young people, under 18, with care and support needs who are approaching transition to adulthoodYoung carers, under 18, who are themselves preparing for adulthoodAdult carers of a young person who is preparing for adulthoodAngie D takes over - The emphasis of the Care Act reflects established best practice in relation to preparation for adulthood and joint working between local authorities' adult and children's services departments.Duties in both Acts are on the local authority, not children’s or adult’s services, so various operating models around transitions are possible. We have adopted the nationally recognised Keyworker model that is well regarded by families for our Transition Keyworkers.A key provision of the Act is the duty to carry out a transition assessment for 3 groups of people in order to help them plan if they are likely to have needs once they (or the child they care for) turn 18:young people, under 18, with care and support needs who are approaching transition to adulthoodyoung carers, under 18, who are themselves preparing for adulthoodadult carers of a young person who is preparing for adulthood.In addition, the Act gives local authorities powers to ensure continuity so that where a young person is receiving children's services those services will not stop abruptly when the person turns 18, but must continue until adult services have a plan in placeThe ability to continue children’s services beyond 18, and to join up various assessments across both Acts, should mean a more flexible framework where transition can be a personalised evolving process from
14 TRANSITION ASSESSMENT: SIGNIFICANT BENEFIT If a young person or Carer is likely to have needs when they, or the child they care for, turns 18, the local authority must assess them when it considers there is “significant benefit” to the individual in so doingA transition assessment must be conducted, however, the timing of this assessment will depend on when it is of significant benefit to the young person or CarerThis will generally be at the point when their needs for care and support as an adult can be predicted reasonably confidently, but will also depend on a range of other factorsIn NEL Transition Forecasting commences at Year 8( age 12-13) to identify young people known and those not currently supported by children’s services.NEL has a well established process of early notification and referral to FOCUS (Adult Social Care) at 3 months either side of the young person’s 16th birthday. This is working well.Transition assessments can in themselves be of benefit in preventing, reducing or delaying the development of needs for care and support‘Likely to have needs’. This is highly likely to include young people, young carers and adult carers who are in receipt of children’s services but not exclusively so.Local authorities must carry out a transition assessment of anyone within the three groups where there are likely needs for care and support after turning 18 and when there is significant benefit to the young person , young carer and adult Carer in doing so.‘Significant benefit’ is not related to the level of a young person, young carer or adult carer’s needs, but rather to the timing of the transition assessment (16.10). This will be informed by one or a number of circumstances e.g. upcoming exams, wishes in terms of entering college or work, whether the young person is planning to move out of the family home, planned medical treatment and so on.Every young person and their family are different, and as such, transition assessments should take place when it is most appropriate for them.
15 TRANSITION ASSESSMENT: KEY REQUIREMENTS The assessment process itself must :be person-centred throughoutensure that the wellbeing of each young person or Carer is taken into accountinclude any other person who the young person or Carer wants to involvealways be appropriate and proportionate to the complexity of the person’s needsThe process must establish:current needs and how these impact on wellbeingwhether the young person or carer is likely to have eligible needsthe outcomes the young person or carer wishes to achieveThe focus on this slide is on key ‘musts’ for the local authority (from the guidance). The guidance confirms that the same requirements and principles apply for carrying out transition assessments as for other needs assessments under the adult statute.The process itself must be person-centred. The young person or carer in question (or others they wish to be involved) must be involved in the assessment for it to be person centred and to reflect their views and wishes.The process itself must be appropriate and proportionate to the complexity of the person’s needs. These are both fundamental to good quality assessment practice.All transition assessments must include consideration of the current needs for care and support and how these impact on wellbeing. They must establish whether the young person or carer is likely to have needs for care and support after the young person in question becomes 18 and, if so, what those needs are likely to be, and which are likely to be eligible needs.Transition assessments must also establish the outcomes the young person or carer wishes to achieve in day-to-day life and how care and support (and other matters) can contribute to achieving them.
16 TRANSITION ASSESSMENT: KEY EXPECTATIONS Be carried out in a reasonable timescalesSupport the young person and their family to plan for the futureConsider short-term outcomes as well as medium and longer-term aspirationsTheyshouldTake place at the right time for the young personThe focus on this slide is on key ‘shoulds’ for the local authority identified within the statutory guidance.The transition assessment should:take place at the right time for the young person or Carer, be proportionate to needbuild on existing information (including an EHC plan if there is one)consider the immediate short-term outcomes that a child or Carer wants to achieve as well as the medium and longer-term aspirations for their life. Outcomes are in both Actsbe carried out within a reasonable timescalesupport the young person and their family to plan for the future providing them with information about what they can expect, be coordinated by a lead or designated person, and involve all relevant partners. The aim here is for the assessment to inform a person-centred transition plan.In addition, assessment and planning processes can be combined where appropriate, provided the people involved agree. For example a transition assessment can be combined with a review or re-assessment by children’s services.NB For children with an EHC assessment there is a clear expectation of combination unless specific circumstances prevent it.Be proportionate to a person’s needsBuild on existing information
17 IDENTIFYING YOUNG PEOPLE AND YOUNG CARERS The provisions in the Care Act relating to transition are not only for those who are already known to the local authority, for example children in need receiving services, but apply to anyone who is likely to have needs for adult care and support after turning 18Local authorities should consider how they can identify young people and carers who are not supported by children’s services but who are likely to have care and support needs as an adultIdentifying children not known to the local authority might include, for example, young people with degenerative conditions or with mental health problems who have not required children’s services but whose needs increase as they approach adulthood.The guidance also makes reference to:young people (for example with autism) whose needs have been largely met by their educational institution, but who once they leave, will require their needs to be met in some other wayyoung people detained in the youth justice system who will move to the adult custodial estateyoung carers whose parents have needs below the local authority’s eligibility threshold but may nevertheless require advice or support to fulfil their potential, for example a child with deaf parents who is undertaking communication support.Local authorities should consider how they can identify young people who are not receiving children’s services but who are likely to have care and support needs as an adult.
18 MEETING THE NEEDS OF CARERS Local authorities must assess the needs of an adult Carer where there is likely need for support after the child turns 18Local authorities must assess the needs of young carers where there is a likely need after 18, and consider how to support young carers to prepare for adulthood and how to raise and fulfill their aspirationsThe power to join up assessments applies so, for example, if an adult is caring for a 17 year old in transition and a 12 year old, the local authority could combine:assessment of the 17 year old under both Actsany assessment of the 12 year old under the Children Actassessment of the adult carer under both Acts Transition assessments for young carers or adult carers must also specifically consider whether the carer:is able to care now and after the child in question turns 18is willing to care now and will continue to after 18works or wishes to do sois or wishes to participate in education, training or recreation (16.25).The power to join up assessments applies so, for example, if an adult is caring for a 17 year old in transition and a 12 year old, the local authority could combine:the transition assessment of the 17 year old under the Care Actany assessment of the 17 year old’s needs under section 17 of the Children Actany assessment of the 12 year old’s needs under section 17 of the Children Actthe carer’s assessment of the adult under the Care Actthe parent carer assessment of the adult under the Children and Families ActA local authority can meet an adult carer’s needs identified through a transition assessment before the child turns 18, having regard to what support they are receiving under children’s legislation.If the local authority decides to meet the adult carer’s needs through adult services, as for anyone else under the adult legislation, the adult carer must receive a support plan and a personal budget if their needs are eligible.However, it may not meet an adult carer’s needs for support under the Care Act by providing care and support to the child cared for – this will always happen under children’s legislation.
19 ISSUES OF CONSENT AND CAPACITY A young person, young Carer or adult Carer, or someone acting on their behalf, has the right to request a transition assessmentThe young person, young Carer or adult Carer must agree to the assessment where they have mental capacity and are competent to agreeWhere there is a lack of capacity the local authority must be satisfied that an assessment is in their (young person or Carer) best interestsEveryone has the right to refuse a transition assessment unless the local authority suspects a child is experiencing or at risk of abuse or neglectLocal authorities have a duty to provide independent advocacy where the person would experience substantial difficulty in being involved in the assessment process and there is no appropriate individual to facilitate their involvementA young person or Carer, or someone acting on their behalf, has the right to request a transition assessment. The Act does not say that the child or young person has to be a certain age to be able to ask for an assessment.In all cases, the young person or Carer in question must agree to the assessment where they have mental capacity and are competent to agree.The local authority is not required to carry out assessment where a person refuses one, but this can be overridden where they:lack capacity to take that decision and an assessment would be in their best interests.Where there is a lack of capacity the local authority must be satisfied that an assessment is in their (young person or Carer) best interests.Everyone has the right to refuse a transition assessment unless the Local Authority suspect they are experiencing, or at risk of abuse or neglect .- Local authorities have a duty to provide independent advocacy where the person would experience substantial difficulty in being involved in the assessment process and there is no ‘appropriate individual’ to facilitate their involvement. This duty applies regardless of whether they lack mental capacity as defined under the MCA.
20 CO-OPERATION BETWEEN PROFESSIONALS AND ORGANISATIONS For a successful transition to adult care and support, the young person, their family and professionals need to work togetherThe Act gives local authorities a legal responsibility to cooperate both internally and externally “to ensure a smooth transition” i.e. that all the correct people work together to get the transition rightThere is a reciprocal duty of cooperation by relevant partners of the local authorityEvidence confirms the value of key-worker or ‘lead professional’ arrangements in promoting the quality of care co-ordinationThere is an explicit requirement that children and adult services must cooperate for the purposes of transition to adult care and support.Professionals from different agencies, families, friends and the wider community should work together in a coordinated manner around each young person or Carer to help raise their aspirations and achieve the outcomes that matter to them (16.4).Avoiding duplication of effort. The SEN Code of Practice highlights the importance of the ‘tell us once’ approach to gathering information for assessments.The scope of cooperation. The Care Act sets out five aims of co-operation between partners which are relevant to care and support…One of these is concerned specifically with smoothing the transition from children’s to adults’ services. The guidance states that “co-operation between partners should be a general principle for all those concerned, and all should understand the reasons why cooperation is important for those people involved. (15.16).Relevant partners include: other LA, NHS bodies, DWP (such as Job Centre Plus), police services in the local authority areas prisons and probation.In addition to Transition Keyworkers to coordinate transition assessment and planning across different agencies, Young Carers, Care leavers and Young Offenders will be supported by Personal Advisers providing advice or signposting the young person to services and sources of support.
21 CONTINUITY OF CARE AFTER THE AGE OF 18 Where someone has been supported by children’s services, if adult care and support is not in place on a young person’s 18th birthday and there is no transition assessment, the local authority must continue providing services until the relevant steps have been takenThis provision will continue throughout the assessment process until adult care and support is in place or until assessment indicates that adult care and support does not need to be providedThese changes will mean there is no “cliff-edge” where someone reaching the age of 18 who is already receiving support will suddenly find themselves without the care and support they need at the point of becoming an adultLocal authorities can also make an active decision to continue children’s services beyond 18, but this must be on the basis of a transition assessmentReceiving services under children’s legislation refers specifically to section 17 of the Children Act 1989 or section 2 of the Chronically Sick and Disabled Persons Act 1970 or section 2 of the Carers and Disabled Children Act 2000.The ‘relevant steps’ are if the local authority:concludes that the person does not have needs for adult care and support; orconcludes that the person does have such needs and begins to meet some or all of them (the local authority will not always meet all of a person’s needs – certain needs are sometimes met by carers or other organisations); orconcludes that the person does have such needs but decides they are not going to meet any of those needs (for instance, because their needs do not meet the eligibility threshold under the Care Act).In order to reach such a conclusion, the local authority must have conducted a transition assessment (or equivalent adult needs or carer’s assessment under the adult statute). Key learning pointThe local authority must continue providing services until the relevant steps have been taken.
22 TRANSITION FROM CHILDREN’S TO ADULT NHS CONTINUING HEALTH CARE Clinical Commissioning Groups (CCG) should use the National Framework for NHS Continuing Healthcare and supporting guidance and tools to determine what on-going care services people aged 18 years or over should receiveThe framework sets out that CCGs should ensure that adult NHS continuing healthcare is appropriately represented at all transition planning meetings to do with individual young people whose needs suggest that there may be potential eligibilityNotesThe framework sets out best practice for the timing of transition steps as follows.Children’s services should identify young people with likely needs for NHS Continuing HealthCare (CHC) and notify the relevant Clinical Commissioning Groups when such a young person turns 14. This work is undertaken by the Transition Manager and included in the CCG Transition ForecastThe Transition Keyworkers are now completing the NHS CHC ChecklistThere should be a formal referral for adult NHS CHC screening at 16. It will be agreed by those involved who is best placed to complete this, sometimes it is undertaken jointly by the School Nurse or Social Worker and the Transition KeyworkerThere should be a decision in principle at 17 so that a package of care can be in place once the person turns 18 (or later if agreed more appropriate). This is undertaken by the NHS CHC lead.
23 JOINT LEGISLATIVE FRAMEWORK Together the Children and Families Act 2014 and the Care Act create a new comprehensive legislative framework for transition:Focus on personalised, outcome-based approachesNew focus on carers across both Acts - families transition rather than just the young personDuties in both Acts are on the local authority:a variety of operating modelsjoined up information and advice serviceThe EHC plan requirement for preparation for adulthood to begin at 14 is a good default position for transition planning generallyA flexible framework where transition can be a personalised evolution from with no need for a "cliff-edge" transition at 18The national Preparing for Adulthood programme has developed a factsheet that sets out the links between the two reformsWe saw earlier how the Care Act 2014 and Children and Families Act 2014 provide a single legislative framework for transition to adulthood, with a focus on personalised outcome-based approaches and carers.People working across education, health and social care need to understand both Acts and how they work together. Local authorities can achieve more by implementing the two acts together. The two Acts can be used to design local pathways to adulthood that lead to better outcomes and more efficient use of resources..Duties in both Acts are on the local authority, not children's or adult's services, so a variety of operating models around transition are possible (e.g team).Another example is the overlap of information and advice duties in both Acts. The Children and Families Act 2014 requires local authorities to publish a local offer, which includes provision of information and advice for children’s social care in their local area. The Care Act places a similar duty on local authorities to provide information and advice about adult care and support.The EHC plan requirement for preparation for adulthood to begin at 14 is a good default position for transition planning generally and highlights the importance of building towards adulthood over time, which is particularly important for developing skills in independent living.The ability to continue children's services beyond 18, and join up various assessments across both Acts, means a more flexible framework where transition can be a personalised evolution from with no need for a "cliff-edge" transition at 18. The national Preparing for Adulthood programme has developed a factsheet that sets out the links between the two reforms
24 SUMMARYIf a young person or young Carer is likely to have needs when they turn 18, the local authority must assess them when it considers there is “significant benefit” to the individual in so doingFor young people with SEND, preparation for adulthood must begin from year 9, with a clear focus on life outcomesLocal authorities should consider how they can identify young people who will need an assessment but are not receiving children’s servicesLocal authorities must assess the needs of an adult Carer where there is likely to be a need for support after the young person in question turns 18Local authorities have a legal responsibility to cooperate both internally and externally to get transition right, this can include joint commissioning, planning or assessment where appropriateQuote from young person“Planning what’s going to happen in the future is very important to me.So you know and you’re ready ...So you know what to expect and you feel very calm about it.”The implementation of both Acts requires whole systems change and underpinning this is a need for cultural change We have being working in partnership over the last two years to plan services in a person centred way in transition. We would like to show you a video of an young man who we supported in a person centred way so he could remain within NE Lincs.We hope this seminar has supported you to understand and identify what you MUST and MAY need to change to implement both Acts successfully.Please leave your if you would like the presentation and further information sendingQuestions - Thinking about what you have learnt about transition to adulthoodHow might the necessary changes impact on your current arrangements?What might the key challenges be?What are your top three priorities in relation to transition to adulthood?
25 Presented by: Angie Dyson Service Lead Disability and Mental Health, Care and Independence (NELCCG) Angie Kershaw Transition Strategy Co-ordinator (NELC) For further comments / queries: