1. Integrated systems of care Presented by: Jolanta McCall Head of Paediatric Audiology/NHSP

2. “All children and young people are entitled to an education that enables them to make progress so that they: achieve their best become confident individuals living fulfilling lives, and make a successful transition into adulthood, whether into employment, further or higher education or training.” Special Educational Needs and Disability (SEND) Code of Practice Sept 2014

3. SEND Code of Practice Key Highlights… Themes: Families, parents and young people are at the heart of the changes. Person centred approach; Streamlined, integrated (coordinated) assessment leading to an outcome focused EHCP from 0-25; Services must be commissioned jointly between the LA (education and social care/adults and children's) and health; Local Offer must capture everything that is normally available and what is additional; criteria to access it 0-25 provision with statutory protection and redress to SEND Tribunal; Personal budgets can be requested to extend choice and control; All schools will be included in primary legislation on SEN and MUST comply.

4. SEND Code of Practice What’s NOT new? Children and young people still have a right to be educated in a mainstream school Local authorities must still consider parents’/young people’s preference when naming a place of education on the EHC plan Child’s rights under the Equality Act 2010 Provision must still be as specific and quantified on EHC plans EHC plans must be reviewed at least once a year. Parents /young people right to appeal to the Tribunal* against all statutory decision

5. Local Structure

8. Education Health Care Plan (EHC Plan) Agreed processes and report templates, which include: Diagnosis /current concerns, medical information, cognition and learning, communication and interaction, social, mental and emotional wellbeing, sensory /physical and finally existing intervention /management Desired Outcomes (what this will mean for…………..) What ………needs to support him/her How often this will need to happen and how will it be reviewed Who will provide the support? How will we know if the outcome is being met Focus on needs and outcome

9. Stage 1 Weeks 0-6 A request for an EHC assessment is submitted by educational setting or parents Parent Partnership will contact parents to offer a meeting to explain services available to them including the process and the Local Offer. A Multi Agency Panel will be held to decide if an assessment is needed based on the criteria set by Education, Health and Social Care. If an EHC assessment is not necessary the case will be referred to the Early Help Service. Parents have the right to appeal at this stage. Stage 2 Weeks 6-12 Parents will meet with an SEN Team member who will explain what will happen during the assessment period. Parents will provide written advice which forms part of the assessment process Professionals involved with parents or their child will be identified; this may be done in the meeting and contacted to submit reports. Stage 4 Weeks 16-20 The SEN Team and your Caseworker will work with you to create a final EHC plan. Once Finalised you will be sent a final copy of the EHC plan and all professionals will receive a copy. If you are not in agreement with the EHC Plan you have the right to appeal. The EHC Plan will be reviewed annually. Stage 3 Weeks 12-16 All information collected in stage 2 will be submitted to the Multi Agency Panel. It will be decided if an EHC Plan is necessary: If an EHC Plan is necessary: An EHC Plan production meeting will be arranged to start composing the plan. The plan will be drafted by the SEN Team and your Caseworker working with the parent/young person and the professionals involved. A draft EHC plan will be sent to parents/young person and professionals to check and approve. Parents/young person have the chance to express a school preference at this stage. If an EHC Plan is not necessary: If an EHC Plan is not necessary the case will be referred to the Early Help Service. Parents have the right to appeal at this stage.

10. Local offer… The law calls for all Councils to keep in one place all information that a parent or young person with SEND might need to access/know within the age range of 0-25. Information on all services in the borough and available in neighbouring boroughs. It includes information on health, education and social care. Including activities outside of school, where to access advice, support and guidance. It clearly shows how to access services and how these are funded. It gives information on all of the changes happening locally such as how to apply for an EHC and Personal Budgets. Parents and Young People can provide feedback and help to shape the way we commission services in the council.

11. Southwark local offer Designed, implemented and managed by the councils Parent Partnership Team. This strategic decision facilitates the use of local knowledge about what parents ask for, want and need. All teams and managers have a responsibility to share ownership in the offer and to contribute to ongoing improvements to services. We consider this a ‘web-based’ resource which can be accessed by families and by staff when they are working with families. Increased staff and extended hrs to assist families who require some support to access the offer A simple on line feedback system and termly events at the CDC. Feedback will be given to managers to inform planning and commissioning.

14. What next… Integration of services /pathways across agencies Continue to build up local offer Identifying gaps /actions plan Monitoring performance of services /quality of provision We will continue to be the centre of IDEAS, INNOVATION and INSPIRATION for others

15. Thank you