Highlight Report 19 September 2013 SE7 SEND Change Board Hampshire Green Paper Pathfinder
Reporting period 10 July 2013 to 19 Sept 2013 Project name SE7 Special Educational Needs and Project start date September Disability Hampshire Green Paper 2011 Pathfinder
Programme SE7 SEND Green Paper Pathfinder Baseline end 31 March 2013 date Author/project Lynn Mead, Project Manager Forecast end 30 September manager date 2014 Fliss Dickinson, SE7 SEND Hampshire Area Lead Officer Executive Steve Crocker, Deputy Director Current status Amber (Children and Families) Children’s Services
1 Delivery history Phase 1 September 2011 to March 2013 Phase 2 April 2013 to September 2014 2 2 2 3 3 3 2 2 2 3 3 3 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 2 2 2 2 2 2 2 2 2 2 2 2
l l t t r i y v y v y n n l r u p p a a o a o a a J u p e e J J M J N N M M A S S
Budget Status G G G G G G G A A A A Schedule Status A A A A A A A A A A A Overall Project G A A A A A A A A A A Status
Red Serious problems and out of tolerance Key Amber Significant problems but PM has containment plan Green No problem or minor issues
Page 1 of 25 Highlight Report 19 September 2013 SE7 SEND Change Board Hampshire Green Paper Pathfinder
2 Table of Contents
1 Delivery history...... 1 2 Table of Contents...... 2 3 Management summary...... 3 4 Hampshire Pathfinder Project Management...... 4 5 Individual workstream reports...... 6 6 Key Risks and Issues...... 6 7 SE7 Regional Steering Group Update – 16 July 2013 meeting...... 7 8 Action required by the Change Board...... 12
Workstream and key stakeholder updates:
Annex 1 Local Offer Annex 2 EHC Assessment and Plan Annex 3 Personal Budgets Annex 4 Health Annex 5 Adult Services Annex 6 Milestone Project Plan (separate PDF paper)
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3 Management summary
3.1 Overall Hampshire area activity The main activity between July and September has been on preparing for scaling up and implementation of the EHC Assessment and Plan and the Local Offer. Work is on-going trialling the use of Personal Budgets in children’s social care, moving to a second cohort of family testing shortly. Key activities have been: EHCP trial readiness for 2 September – preparing all relevant materials, de-briefing and preparing SEN staff and partners. This will enable all new requests for a statutory assessment to be offered the opportunity to complete an EHCP in the 4-11 and 16-19 age ranges. Exploring the conversion from producing a s139a Learning Difficulty Assessment to the continuation of the EHCP at Year 11 with SEN Personal Advisors and Team Leaders. It is anticipated that this will occur as an amendment to the EHCP in place at the relevant Annual Review point. The initial Hampshire Local Offer holding pages have been published. Work is now on-going regarding partner engagement, provision of information, parental journey work and analysing what makes a ‘good’ Local Offer to demonstrate best practice. www.hampshirelocaloffer.info Establishing a Communications sub-group to cover the Local Offer and broader Pathfinder requirements. This is being led by Corporate Communications. An updated Communications Plan with associated Action Plan of activities forms part of this Change Board agenda. Production of an Outcomes discussion paper. Further refinement is required with it anticipated to be brought to the November Change Board meeting. Business Innovation work in progress with an update on the Change Board agenda. This explores data and metrics including geography, throughput and capacity; desk top research with other local authorities and commissioning an IT led project exploring the potential for enabling the EHCP and SEN processes through IT. Health Development Day exploring the EHCP and Local Offer for Health stakeholders and establishing regular Health Pathfinder meetings.
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Discussions with Adult Services on the implications for the department arising from the Children and Families Bill and implementation of the EHCP and Local Offer from the age of 19-25.
3.2 Summary Pathfinder workstream progress The table below sets out the summary progress status for the Phase 2 Pathfinder workstreams. Detail on each is set out within this report. There is no change in status from the last meeting. Table 1: Summary progress of the SE7 SEND Hampshire area Phase 2 workstreams
Workstream Hampshire Area RAG RAG Reason for RAG Lead status status status change May July 2013 2013 EHC needs Hilary Robbins, Ready to assessment and County Services commence trial Amber Green plan Manager HCC activity for Sept 2013 Personal Budgets Kieran Lyons, Integrated Disability Amber Amber Manager, HCC Local Offer Tesni Mason, Parent (Parent Partnership Partnership Service, Amber Amber Service lead) HCC
4 Hampshire Pathfinder Project Management
Completed this period Overall work to maintain momentum across the Pathfinder areas of activity. On-going liaison and planning with workstream, Health leads and Chair of the Hampshire Parent/Carer Network (HPCN). Regular forward planning and 1:1 meetings with Pathfinder Lead, including the management and planning of agendas to maintain Pathfinder momentum for the Workstream Leads, Core Project Team and Change Board meetings. Production of Mott MacDonald case study on the EHCP end to end process. Planning and facilitating workshops and producing associated presentations/briefing papers with the Pathfinder Lead for: oSEN PAs on the transition to EHCP from s139a’s (2 August, 10 September).
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o Isle of Wight Champion day 2 September. o Health Development Day 24 July. o Children and Families Select Committee for 3 October. o Health meeting 14 August (postponed). o Adult Services meeting 29 August. Represented the Pathfinder Lead at the Regional Steering Group and Pathfinder Leads meeting at Gatwick 16 July Updating and finalising the EHCP end to end business process map for use with the September trial. Producing two versions of an Outcomes Discussion Paper to work towards an agreed structure and approach for defining outcomes across Hampshire. Co-ordinating the provision of data from workstream leads and completing evaluation returns for: o SQW quarterly monitoring return for Q1 2013/14. oMott MacDonald (July and August) and publishing these as “Factsheets” on the Hampshire Pathfinder web pages. Update of Hampshire Pathfinder web pages for the workstreams and associated material. Change Board papers need to be updated. Supporting the resolution of resourcing issues where they arise, for example Communications lead, Local Offer. Attending the Communications sub-group providing the holistic Pathfinder overview. Meeting with the Troubled Families Project Manager to discuss cross over with the Pathfinder work. Producing relevant papers for meetings such as the Highlight Report for Change Board, CPT notes, Business Innovation update. Setting up the areas of activity for the Business Innovation work – data/metrics, desk top research with other local authorities, IT enablement and HR/workforce development liaison. A progress update is provided to this Change Board meeting.
Planned for completion next period On-going project management, liaison with key leads, planning and facilitating meetings/workshops as required. Producing presentations as required supporting Pathfinder activity.
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On-going completion of evaluation requirements. Further development of the Outcomes discussion paper using trial cases to test and develop the approach. Completing the business innovation work and reporting to the November Change Board. This includes one hour telephone interviews with potentially eight other local authorities, typing up responses and assimilating and analysing the findings; co-ordinating the data/metrics and analysing findings; holding a couple of workshops to assess the findings and develop options for the way forward; produce a case for change report. Attending the Children and Families Select Committee for the Pathfinder input 3 October. Attending the Health workshop 2 October. Attending a LO workshop developing the structure and input for the wider Pathfinder. Initiating and planning work on Joint Commissioning examining the following: o Mapping out current joint commissioning arrangements for SEN/EHCP across the agencies. o Understanding how joint commissioning operates currently. o Considering how and where integration and joint commissioning should operate for the EHCP across all agencies (including Adult Services). o Determining appropriate EHCP governance to support the principles of integration and service planning. Attending any other Pathfinder related meetings/workshops as relevant and required to support the on-going development and implementation of Pathfinder activity.
5 Individual workstream reports For clarity and ease of reference each workstream update, plus the two other key stakeholders of Health and Adult Services, are now shown at the end of the Highlight Report in separate annexes as follows: Annex 1 Local Offer Annex 2 EHC Assessment and Plan Annex 3 Personal Budgets Annex 4 Health Annex 5 Adult Services
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6 Key Risks and Issues Risks and issues are being managed by the workstream leads. These will reported to the January Change Board meeting looking at the forward risks running in to go-live at September 2014 when the legislation comes in to effect.
7 SE7 Regional Steering Group Update – 16 July 2013 meeting
Matters arising (not on the agenda) Equipment Project Funds: Brighton Parent Carer Council Connect group meet bi-monthly – their next meeting has Equipment & Wheelchairs as their topic and would be a useful group for this project. SQW SE7 Evaluation: the RSG expressed their disappointment that detailed feedback regarding SE7 level information was not going to be available until October meeting. They requested that the information be shared earlier than that in order to use the learning for moving forward with implementation and scaling up. KIDS DVD: the RSG members asked that the link to the young people’s engagement group film be made available for use on area websites.
Champion role 18th June – initial meeting with 11 non pathfinder authorities held in London. Good representation from areas (including Wandsworth one of the London Boroughs who could not make the LB meeting). 25th June – initial meeting with London Boroughs, hosted by Bromley & Bexley - change of areas for 1:1 support days being discussed this morning 9th July Conference – huge thanks to everyone who supported the day – evaluation feedback will be available soon. A decision is still to be made as to whether all the support will be provided via workshops as some areas may decide to pool their support and work in a different way. However, the first 3 workshops will proceed as below: o 12 September: Assessment and Planning o 23 October: Personal Budgets o 20 November: Local Offer
Issues: Pathfinder mis-information
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Situation evolving and goal posts moving making events and role challenging – speed of change a challenge for everyone.
SE7 Local Offer Framework Final Framework being branded and available imminently (this has now been published) Two leaflets are being produced one general leaflet and one for schools – a little more work is needed but these should be available soon (these have now been received). Jean is contacting the DfE for advice re part of the regulations regarding where LA delivers services e.g. EPS and whether information regarding these services should be delivered in line with the information delivered by schools Little progress has been made with the Area Wide Offer for Education. At the moment consideration being given to abandoning the current framework format and using headings instead in order to make it more meaningful Feedback on how the framework is being used locally. Medway had an event attended by SENCOs and Headteachers. At the start everyone was very anxious about the piece of work. Concrete examples were given and positive discussions led to some schools completing their information on the day and the remainder all had a draft within a few days
Discussion: Hampshire (Parent Partnership and parents carers) Parental Journey work highlighted, with report due September. Kent has carried out a baseline survey (243 responses) with families who went through the statutory assessment process in 2012. This will be repeated after publication of the local offer to see what difference it has made. The new school funding arrangements has made the local offer completion a challenge as schools are not secure in their funding arrangements and are therefore not in a place to discuss how to spend their funding. Extensive consultation is needed with schools. Schools also want to see what the LA is saying before completing their information. The Parent Carer representatives had been informed that some areas might be requesting the Local Offer work be carried out by the Parent Forum and expressed their concern at this. Ensuring correct information within the Local Offer requires resources and long term monitoring plans.
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It has been agreed that the SE7 Champion Thematic Workshop in November covers the Local Offer. The Local Offer Steering Group will lead on the arrangements for this workshop. There is no SE7 IT solution to the Local Offer but all agreed it would be good practice to share research and templates. Southampton has produced a Local Offer Icon. East Sussex is also producing an icon which will be on any documentation/web information to show the work has been coproduced. Hopeful that schools will adopt this as well. JC is happy to share the design with SE7. It was also agreed that examples of school information should be sent to Tracy for inclusion on the SE7 website.
Co-production The Parent Carers will continue to support the Champion workshops to demonstrate good co-production The SE7 PACC group have requested each area let them know if they are looking LAC/Vulnerable Groups and to share any feedback. They also requested information as to when areas are carrying out conversion work (Hampshire late September; Surrey October; East Sussex will be doing this with the older cohort in the autumn; Medway Year 10 young people in a special school via their person centred reviews from September; Brighton from September; West Sussex September conversion of LDA assessments; Kent LDA assessments from September) The forums are struggling with the workload but will continue to support the pathfinder work as best they can.
Voluntary and Community Sector A paper was tabled giving background to the conversation the VCS representatives wanted to have today. The role of the representatives was understood to be to make VCS colleagues and organisations aware of the pathfinder and its objectives. To assist with this 3 conferences have been held. There is a lack of capacity within VCS representatives and are trying to ensure there is always representation at Local Change Boards, Regional Steering Group, Champion events but want to ensure that their participation is used for the best return. Discussion took place regarding local VCS representation and involvement. The group felt that Short Breaks/Personal Budgets areas are those most closely aligned with an impact for the VCS. All felt that it
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was very difficult for VCS representatives on LCBs to represent the whole of the VCS in each area and was a similar difficulty for the national/regional representatives. It was agreed that information for VCS organisations regarding scaling up and some ground rules to help them prepare would be very useful. Budget query: There is £20,000 shown in the SE7 Budget for Parent and VCS Engagement - the VCS representatives requested if this could be split and shown as separate amounts.
Agreement: The Pathfinder Leads would take the paper from today back to their local areas and discuss and report back to Laura/Rachel/Rosie (Agenda item on Hampshire Change Board).
Personal Budgets – Accelerated Personal Budgets work Update on Accelerated Personal Budgets work. Confidential slides distributed for information. General updates provided, but not a lot of progress. Transport seems to be an area of development. Struggling with what funding is available within schools, particularly special schools. Early lessons are that PBs are much more about choice and personalisation rather than large sums of money. Issue in secondary schools as SENCos are not privy to budget detail which makes it hard for them to make a plan. Personal budgets is high risk as the evidence is still not available – far more potential within the early years.
Pathfinder areas updates regarding scaling up
Surrey: Two trial areas Had to renegotiate DfE targets for September Vision Management training for schools Draft business process
Hampshire: Focussing on process Trial September two age ranges, then all from January
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20 week process starting in September means targets not attainable Project work on delivering person centred process within current resources – HR and IT implications
Brighton: 35 plans at end of June 20 week timescale impacting on target – as for other areas Issue re reduced timescale but current consultation times in draft Code of Practice Change of leadership at Brighton as Jacqueline is finishing at the end of term and Regan Delf will take over pathfinder role, alongside her Head of SEN tasks
West Sussex: Service redesign in process New SEND Project Implementation Group put in place Reviewing all SEND infrastructure; workforce development, reorganisation and change is not just for LA but schools, VCS, FE) 9 workstreams: 5 enabling, 4 delivery From September in a 1/3 of the county – all new statutory assessment requests and S139as will be via the new process. From January it is hoped this will apply to the whole county
Kent: Prototype plan shared at an event to gain feedback and inform colleagues how they will contribute to a plan Tools and protocols produced 19 week process drafted Section in plan re what the CCG will provide – this will help influence future joint commissioning plans Will meet September target Whole SEN Service development day planned
Medway: Happy with plans
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Health & therapy input via joint working has been excellent Meeting with Paediatricians to redesign their section to make it more outcome focused From September all early years referrals will use new process Conversion of Year 10 cohort in special school Workforce reform ongoing
East Sussex: Workstreams continue to progress Additional capacity agreed for IT Project Manager to support the change agenda. High level sign up to service redesign Redesign of single plan following a lot of learning/feedback Secure about 20 week pathway School based plan for the single category – matches ECHP Productive integrated therapy team discussions September all new pre school referrals will follow new process Conversion of LDAs Won’t hit September target, but will exceed target by the end of programme.
Date of next RSG meeting: 22 October 2013 10-12.30 at Gatwick Hilton.
8 Action required by the Change Board There are no significant actions required by the Change Board beyond noting the content for the Pathfinder as a whole, including the Regional Steering Group activity. This Change Board agenda includes specific items to discuss further: The Local Offer (Louise Clarke) The EHC Assessment and Plan (Hilary Robbins) Personal Budgets trial update (Kieran Lyons) Health update (Angela Murphy/Suzy Dobson) Business Innovation update (Lynn Mead)
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VCS - discussion of the paper presented to the RSG (Heather Aspinall/Bridget Bevis) Communications Plan (Jane Vidler) Date of next meeting: 27 November 2013 (Mountbatten Room, EII Podium, Winchester)
Page 13 of 25 Annex 1 Hampshire Local Offer workstream update
Lead: Tesni Mason, Parent Partnership Officer
Summary of progress since last Change Board
Regional The SE7Local Offer framework and leaflets have been finalised and published. This is on the Hampshire SEND Pathfinder web pages (under Work in Hampshire, Local Offer). A date has been set ( 20 November ) for anSE7 Local Offer Champion Event. Two regional Preparation for Adulthood workshops have been held and Hampshire reps have attended these. Hampshire The Local Offer holding pages have been published www.hampshirelocaloffer.info The parental journey interviews have been completed and the analysis is under way. Templates have been prepared and circulated to the subgroup leads so that , when completed , they will help the development of the structure of the website and search facility. Preparing for Adulthood workstream now has a lead and first meeting scheduled so all sub groups are in place and functioning. A children and young person’s event is planned for 29 November in the Ashburton Hall. We are reviewing the implementation plan for the local offer in the light of the pilot questions, the IT requirements and the scope of the project .A need for project management support for the next stage has been identified in order to meet the delivery times and prioritise.
Activities completed during this period Each of the education, health and social care sub-groups have mapped what will need to be included in their areas of information based on the regional framework (regional framework is based on the legislation, regulations CoP and parent feedback). Adult Services Local Offer workshop held 19 July. Presentation on the LO and mapping of information that will need to be included in this section. Action point from this meeting is for the reconvened transition board to provide YP feedback into the LO. Page 14 of 25 Annex 1 Hampshire Local Offer workstream update
Towards Adulthood lead has been established and first sub-group meeting planned. Education, Social Care and Health sub-groups have raised awareness of the LO in different ways in their areas. Lead and Louise Clarke attended Health Pathfinder event and presented on Local Offer. Communication group have mapped and drawn up a draft Commications Plan (Change Board agenda item). Parental Journey interviews with families have been carried out and the results are being analysed. Work is being coordinated by Louise Clarke. Case Study about the Parental Journey work has been prepared by Louise Clarke and is being included in the Mott Macdonald September Information Pack. Parent led Advisory group has met. IT group has met and identified key areas that need to be considered. Meetings have taken place with Lee Culhane to plan an event on 29 November for Young People to focus on the LO. This will build on existing participation work. Sub-groups have started to develop individual action plans. The next step is to bring this together as an overall action plan. July workstream leads meeting focussed on the information that was needed from the sub-group leads in order for the IT development to progress. A template has been developed by Louise Clarke and circulated to leads to be completed by 17 September (next sub-group leads meeting).. A calendar of meetings was circulated for sub-group leads to add to so that we can have a clearer cycle of meetings which fit in with decision making. We have launched the LO holding page www.hampshirelocaloffer.info A meeting with Bordering LA’s has been planned to take place in October to discuss what approach they will be taking to the LO. This will help us plan our IT development. Analysis of some of the draft local offers was carried out at a meeting in August to decide “What is a good Local Offer “. This will feed into the development of the guidance (it was clear that the prompts in the framework were not sufficient) and will be discussed on the 17 September. Work has started on developing the guidance for services to complete the LO questions.
Page 15 of 25 Annex 1 Hampshire Local Offer workstream update
Lead, Louise Clarke, Kay Chapman and Lynn Mead have met to review progress, consider the scale of the task and the need for project management support. Lead has had meetings with Fliss Dickinson and Martin Goff to review the statutory information that needs to be included in the next Grant Condition deadline at the end of September. Input about LO provided at a Champion support meeting with the Isle of Wight 2 September. Meeting with Adult Services and Hampshire Autistic Society to consider links between the LO and the Local Autism directory. Meeting with Jayne Shelbourne Barrow to discuss the LO work to date and the Early Help work.
Actual or potential problems/issues or deviation from project timeline and how these are proposed to be resolved The complexity and scale of the work means that the grant condition deadlines are unachievable if we are to develop the LO as we envisaged. This was identified at the start and alternatives were put forward which were rejected by Mott MacDonald. A decision needs to be made about which deadlines we work towards – Motts or the original Hampshire proposed deadlines. This forms an agenda item at this Change Board meeting. As we continue to develop the LO work the complexity of the task grows. Although we have expanded the workstream, and have increased parental involvement and support, all involved are working at full capacity and we need additional project support in order for us to be able to meet deadlines and prioritise activity. The Project Initiation Document for the IT development needs to be re-visited and expanded to encompass the overall Hampshire Local Offer implementation. The IT is a key enabler for the Local Offer and therefore needs to sit within a clear agreement of the way forward for delivering the Local Offer in Hampshire. This needs to clearly define the scope, roles and responsibilities, objectives and deliverables between Parent Voice and the County Council. This is critical to ensure momentum is maintained and that the good working relationships continue through a well agreed structure.
Work planned for next period (including any deadlines)
Page 16 of 25 Annex 1 Hampshire Local Offer workstream update
Continued review of the LO work, through the sub-group leads meetings and with the Pathfinder Project Manager, to include: Revision of the original IT PID By Kay Chapman Development of a LO Project plan Review of the workstream deadlines Drawing up of a complete risks and issues log All LO sub-groups have scheduled meetings. Workshop to review and update mapping of information and also to develop IT structure 25 September. Long Term Governance for LO to be discussed and Joint Child Health Commissioning Board 30 September. Identity for LO website to be agreed. IT templates to be completed to aid development of structure. Completion of Guidance for completing LO information. Preparation to include Statutory Information on the LO pages. Further meeting of Parent Led Advisory Group. Work with Border Authorities. Presentation / activity at Governors Conference 26 September. Preparing information for Comms delivery to schools. Complete the draft report on Parental Journey research. Briefings to schools. Health Pathfinder Event. Preparation for Adulthood regional support events. LO Champion Event for LO work. Children and Young Person’s event 29 November. There will be an update on children and young people’s participation, including feedback on this event, at the November Change Board.
Page 17 of 25 Annex 2 Education, Health and Social Care Assessment and Plan workstream update
Joint Leads: Hilary Robbins, County Services Manager (Educational Psychology), and Liz Flaherty, Education Officer, Special Educational Needs, Hampshire County Council
Summary of progress since last Change Board Arrangements are now in place for the next phase of the trial whereby all new requests for statutory assessments where the child is aged 4-11 or 16-19 will be offered the option of trialling the revised process alongside the current statutory framework. Both the local and national evaluation arrangements are in place. There continues to be concern within SE7 of the proposed approach to evaluation in relation to comparator families in SQW on behalf of the DfE who have requested the names and contract details of all families in the age range of the targeted groups. This has not yet been resolved. Work is underway to bring the Learning Difficulty Assessment section 139a assessment process in line with the expected EHCP arrangements. It is intended that all new section 139a assessments will follow the revised EHCP requirements. There continues to be slow progress in bringing Adult Services in to the project but contacts have now been established and personnel identified. Links have been made with our non-pathfinder authorities for whom we operate as a Pathfinder Champion. Activities completed during this period All documentation revised for the trial of the EHCP offer to all new requests for statutory assessment for children 4-11, including: Letters to parents. Letters to professionals. Our story and My story formats. Bank of standard letters amended for those opting in to the trial. Information leaflet prepared to inform parents/carers and professionals of the trial. SEN officers and caseworkers have been briefed and are clear about the revised process, including a one page clear map of the trial process requirements. Evaluation processes are in place to register families taking part in the trial and maintain the data on the SQW evaluation database. Adult services have attended a meeting and have identified key personnel to work with Children’s Services to develop structures and processes that offer a clear pathway.
0709c65e27497b614e2f4dfa220c9ee7.doc Page 18 of 25 Annex 2 Education, Health and Social Care Assessment and Plan workstream update
Two workshops have been held with SEN Personal Advisers (SENPAs) to revise the process of LDA section 139a assessments, with an intention of bringing new assessments into line with predicted requirements. Hampshire hosted a Pathfinder Champion day for colleagues from the Isle of Wight on 2 September. Meeting with Southampton City Council to discuss the Pathfinder approach and way forward between the two Councils approaches to the EHCP. Actual or potential problems/issues or deviation from project timeline and how these are proposed to be resolved Mott MacDonald/DfE are pushing for an increase in the number of families with a child or young person who is the subject of an EHCP. This is challenging to deliver given that the revised process implemented on 1 September has its own statutory timeline and will take 20 weeks to complete. When phase 2 of the trial is underway from 1 January further consideration will be given to this. However we will continue to hold to the principle of quality not quantity. Work planned for next period (including any deadlines) Operating the trial EHCP process with associated evaluation and feedback on the approach. Input families recruited to the trial on to the SQW tracking database. An officer within the Hampshire Educational Psychology team has been identified to input and manage the evaluation requirements for the trial. Continuation of section 139a transformation in to EHCPs. Respond to the Consultation on the Revised Code of Practice, it is anticipated between early October and mid November 2013. Revise process map in the light of the revised Code of Practice. Further work with Adult Services to develop a transition pathway. On-going work with Health practitioners and commissioners. Further work with Southampton City Council Pathfinder, and potentially Portsmouth City Council and the Isle of Wight as they develop their approaches to the Children and Family Bill requirements. Plan the approach for phase 2 of the trial for all families across the whole 0 to 25 years age range requesting a statutory assessment from 1 January 2014. Planning future communications related activity for the EHCP workstream.
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Risks identified (Please ensure any significant risks and/or issues are captured that could impact on the project timelines as many of the workstreams are inter-related) )
L t
, c a M Containment , p o H ( m
N I (What are you going to
y t k ) Summary of Risk i do to minimise the l s L i i
, b
R impact/likelihood of this a M
b , risk occurring?) o H r ( P Less consultation than would otherwise be 1 Lack of staff capacity H H undertaken due to sparse time and looming deadlines. Understand why and if this Few families opting in can be overcome for 2 M M to the trial further potential trial families.
0709c65e27497b614e2f4dfa220c9ee7.doc Page 20 of 25 Annex 3 Personal Budgets workstream update
Joint Leads: Kieran Lyons, Integrated Disability Manager, Hampshire County Council and Jan Pearson, Team Manager (Basingstoke Area), Children’s Services
Summary of progress since last Change Board Seven families from the original eight have progressed from their assessments to the planning stage. Two of the seven dropped out during the planning stage and these two young people were in transition. Learning from this is that we did not start the planning process early enough for these two young people, both of whom are 17 years of age. There are now five families at the beginning of trialling their plans with their allocated personal budget funding. One Hampshire parent carer, and four workers from the voluntary sector, along with social workers, were involved with the planning with families, and in general this has gone well, with creative and child centred planning taking place. Activities completed during this period Personalised planning training delivered by voluntary sector. Voluntary sector agencies involved with children and families in their support planning. Plans taken to Panel for approval. Actual or potential problems/issues or deviation from project timeline and how these are proposed to be resolved Resources to manage and deliver the personal budgets workstream are incredibly stretched. This is impacting on the time available to dedicate to Pathfinder involvement and activity beyond the immediate small trial process. Resolving the issues with the identified resource allocation system to enable this to produce reliable and appropriate assessed RAS scores relative to the family circumstances. On-going issues in developing personal health budgets in Continuing Health Care. Whilst this is being addressed within health the timescales are becoming incredibly tight to enable a whole health process to be developed and in place for April 2014. Work planned for next period (including any deadlines) Next period will see second cohort of eight families identified and recruited to begin next assessments for personal budgets. Revised assessment and RAS to be developed for use with second cohort of eight people. Financial record/system to be developed for pilot, but also in preparation for 2014, when many more people are likely to request a personal budget.
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No Risks were identified.
0709c65e27497b614e2f4dfa220c9ee7.doc Page 22 of 25 Annex 4 Health stakeholder update
Strategic Lead: Angela Murphy, Interim Assistant Director to Children and Maternity, NHS Hampshire Pathfinder Lead: Suzanne Dobson, Joint Child Health Commissioner, NHS Hampshire Summary of progress since last Change Board Drafts of the Local offer have been produced by School Nursing, Health Visiting, children’s therapies, CAMHs. In readiness for the EHCP pilot, draft guidance and a proposed format for the health component of the EHCP has been circulated to our community paediatricians in each of the trusts currently delivering to children with SEN. Activities completed during this period Health Development Day took place on 24th July raising awareness of issues around the Local Offer and the EHCP. Agreed draft guidance and Appendix C format for health component of EHCP. Regular monthly meetings with the Pathfinder Project Manager scheduled. Actual or potential problems/issues or deviation from project timeline and how these are proposed to be resolved Personal Health Budgets for children with a continuing care need are required to be in place by 1 April 2014. Currently there is no clear way forward. Urgent meetings are planned in order to scope the work, set targets for delivery, and detail risks and back up measures should these targets not be met. There are some problems with the capacity of the continuing care service for children in Hampshire, and it is agreed that the Continuing Care Team will be restructured and have several additional nursing posts. Work planned for next period (including any deadlines) Health Development event for clinicians and stakeholders, focussing on transition 2 October 2013 (in particular delivery around challenges of the assessment process for 18-25 cohort). Meetings planned with transition leads in the council and with the Assistant Director of Learning Disability and Physical Disability commissioning with the NHS. These will help to scope this area of work and develop an action plan.
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Strategic Lead: Ruth Dixon, Deputy Director Community Care Services and Commissioning, Adult Services Adults Pathfinder Leads: Lorna Taylor, Director of Business Improvement, Adult Services, plus Learning Disability lead to be advised (interim is Andrea Fawcett, Locality Service Manager). Summary of progress since last Change Board Productive meeting with Pathfinder Lead and Project Manager to go through a range of issues for the Pathfinder and how this is developed within Adult Services. Crucially the Pathfinder Leads representatives have been clarified: o Strategic DMT Lead: Ruth Dixon o Operational Lead: TBA (in process of appointment), with Andrea Fawcett in interim o LD Commissioning Manager: Karen George o Team Manager Transition: Jo Hooper o College and employment opportunities for young people with SEND for the trial and beyond: Jo Olford is the lead on this work for Adult Services. Steve Crocker and Ruth Dixon will be meeting to discuss: o Joint Commissioning as there is no single Board that includes Children’s and Adult local authority and health services; o How can we work effectively to make the best use of public expenditure – local authority block (Adults) and High Needs Block within the Dedicated Schools Grant. o Strategic issue regarding provision and sufficiency – local day and residential. o New Further Education (FE) funding arrangements from 2013 – prescribed hours for courses in FE, including maintained special schools. 540/600 hours per annum = 15 hours per week – 38 weeks per year. Link in with current Adults Commissioning project being led by Karen George. Agreed to develop joint panel formats across Children’s and Adult Services with provision signed off by both departments include supporting documentation. Jo Hooper to be invited to future workshops developing the conversion of s139a LDA in to EHCPs. Agreed that work is required around post 18 educational attainment. Agreed that there is a need to determine consent arrangements for post 18 year olds and sharing the EHCP.
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The relative costs of different types of provision/providers – value for money/efficient use of resources – will be incorporated within the current Transition project being led by Lorna Taylor. EHC assessment and plan – Adult Services contribution and sign off to provision in plan: a. Who do we contact? The current transition social worker will be the first point of contact for any assessment and planning required of Adult Services as now (There are 8 people (6.62 FTE) over 7 areas), with the SENPA being advised of who this is. b. What does the Adults assessment contribution look like? This currently takes the form of a personalised support plan developed in conjunction with the individual. c. How do Adults input to EHC plan? They develop joint personalised plan with education and health colleagues. d. How will assessed Adult care needs and the matched provision be signed off and costed by Adults? It looks like the intention is to include all Adult care provision relevant to the special educational needs of a child or young person. The current process for adults for adults is that each support plan is developed with the individual. It is then costed and the individual’s contribution to the cost is assessed by the Financial Assessment Team. The plan and cost is then agreed via the Panel process in Adult Services. Work planned for next period There are a range of other issues to discuss and agree and a follow on meeting is in the process of being scheduled. Ruth Dixon and Steve Crocker to meet and feedback to the next Change Board. There will be a report to the November Change Board on the Adults Transition project.
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