Southampton SEND Pathfinder

Dr Julia Katherine October 2013

Southampton
Pathfinder Approach

Southampton SEND Pathfinder Governance Clinical

Commissioning Group Support from DFE & delivery partners Southampton City Council

Children & Families Bill (SEND) Implementation Group

Champion role: shared learning

Workstreams: Joint Commissioning Integrated Assessment Personal Budgets Local Offer Workforce Development

Southampton SEND Pathfinder Areas of focus

1. 0-25s Service (CYPDS) 2. Integrated Assessment & EHC Plan

3. Personal Budgets
4. Local Offer 5. Workforce Development

Joint Commissioning

0-25 Service

Children & Young Peoples Development Service Where we were..

Children & Young Peoples Development Service

Education
New integrated model of working across specialist education, health and care services in Southampton Aims to improve outcomes for children/young people and their families with SEND

Health

Social Care

Children & Young Peoples Development Service

CENTRAL ASSESSMENT PROCESS FLEXIBILITY TO MOVE ACROSS SERVICES AS APPROPRIATE

STATUTORY INTEGRATED ASSESSMENT

TARGETED

UNIVERSAL

Children & Young Peoples Development Service Professionals involved

Includes professionals from Education, Health and Care services

Clinical Psychologists Child and Adolescent Mental Health Service staff Community Paediatricians Community Support Workers Community Childrens Nurses Educational Psychologists Early Years Support Teachers Learning Disability Nurses Jigsaw

Occupational Therapists Physiotherapists Portage Home Visitors SEN Officers SEN Personal Advisers SEN Coordinators Social Workers Specialist Teacher Advisors Speech and Language Therapists

Integrated Assessment and Education, Health and Care Plan

Southampton SEND Pathfinder

Integrated Model of Assessment and Planning
Phase 1: Preparation and consideration Phase 2: Listen and understand

Phase 5: Monitor and review

Children, young people and families are central throughout the process

Phase 3: Analyse and Synthesize

Phase 4: Agree and Allocate

Southampton SEND Pathfinder Key Working: Assessment Co-ordinator

Single point of contact

Assessment Co-ordinator Writes EHC Plan Co-ordinates assessment team

Southampton SEND Pathfinder Key Working: Lead Professional

Single point of contact

Lead Professional Convenes reviews Monitors support

Southampton SEND Pathfinder EHC Plan

Outcome focused Plans for transitions Parent-friendly Accessible

Personal Budgets

Southampton SEND Pathfinder Personal Budgets

Currently, 42 Personal Budgets in place:

Short breaks Personal Travel Budgets SEN Direct Payments Continuing Health Care Continence & Equipment vouchers Personalised timetables in schools

Local Offer

Southampton SEND Pathfinder Local Offer

Single point of information Accessible Details eligibility for services

Links to delegated funding

Commissioning cycle

Southampton SEND Pathfinder Local Offer Education Pilot

Pilot Education Providers
Empowering

5 Special Schools
Informative Accessible

1 Mainstream Primary 1 Mainstream Secondary 1 College 1 Early Years Setting

Sustainable and sustained Transparency Realistic

Coproduced
Holistic

Southampton SEND Pathfinder Local Offer Education Pilot

AREA WIDE OFFER (DEVELOPED AND PUBLISHED BY LA IN PARTNERSHIP WITH PARENTS, CARERS AND EDUCATION PROVIDERS) INDIVIDUAL SETTING / SCHOOL / COLLEGE SEN INFORMATION (DEVELOPED AND PUBLISHED BY INDIVIDUAL SETTING)

SERVICES

EHCPs

TRAVEL

SUPPORT & ADVICE

BORDER

ISSUES

MOVING AREA

DISPUTE RESOLUTION

MEDIATION &

APPEALS

Engagement, Consultation and Participation

Parent & Carers leaflets

One and Only

Southampton SEND Pathfinder Listening to children and young people

Special Schools commissioned to undertake consultation projects e.g. Big Brother style film consultation project focusing on Personal Budgets

Mencap commissioned to consult with young adults/service users

Parents hopes for new process

In partnership with them as the experts in their child and their lives Child and family centred Clear and transparent Informative Smooth Succinct Better communication

 For the process to be less;

Stressful Exhausting Emotionally draining Time consuming Painful

Better outcomes for their children/young people and family

What parents feel they need from the process

A single point of contact Professionals working with them to be; - Approachable - Empathetic - Friendly - Expert/ Knowledgeable - Proactive More people, less paper

 I feel valued as the expert on my child and my families life. The people making the decisions never even spoke to me or met my child. The new system puts families at the centre and it must make a huge difference! What fight?

Southampton SEND Pathfinder Visions becoming reality

This is Tom, he is 2 years old
Eye Unit

This is Toms Family

They were very shocked when Tom was born early. Their primary concerns are:

Community He was born prematurely and he has Childrens Health Maintaining his gastrostomy tube feed (safety) Chromosome deletion resulting Nurse SurveillanceAccessing continence resources in:

Hearing difficulties Vision difficulties Continence Epilepsy Nurse Unsafe swallow New-Born Profound & multiple needs After he was born he stayed in hospital for 6 months before he was able to come home.
Hearing Check

Therapy Assessments

Checks

Having ideas for play at home Respite to gain a good nights sleep Time for siblings Epilepsy Thinking about where Tom might go to pre-school Nurse Short Breaks Conflicting appointments Assessment Having to tell services their story over and over again Initial Assessment Ophthalmology Neurology consultant consultant CCN Assessments Respite services Specialist Teachers Continence Hearing and Assessment Vision Specialist Social Care

Health Visitor

Paediatric Assessments

Teachers Core Hearing and Child Assessment Vision Development Portage Unit Portage Assessments

Southampton SEND Pathfinder Application made by Community Tom and his EHCP Paediatrician for an Integrated
Assessment
Single point of contact for Toms family during assessment Professionals coordinating assessments to gain a comprehensive understanding of Toms needs Timely reviews ensure the plan continues to meet Toms needs Key transition points anticipated and planned for

More choice and control for Tom and his family about the services and how they are delivered

Tell us once approach One and Only owned by Tom and his family

Outcome focused planning in partnership with Tom and his family

Clear plan of support for Tom in place PRIOR to entering education

Lead Professional identified to support Tom and his family