Transcript Slide 1
Setting the
context
Christine Lenehan
Director CDC
Key policy developments
• Edward Timpson MP appointed Parliamentary
Undersecretary of State (Children and Families);
• Dr Dan Poulter appointed at DH
• Draft legislation published for pre-legislative scrutiny in
September 2012;
• Children and Young People’s Health Outcomes Forum
submitted its recommendations to the Secretary of State
for Health in July (including on children with disabilities and
long term conditions)
• Changes to safeguarding guidance: Department reviewing
responses to consultation on revised statutory guidance
Working Together to Safeguard Children and Managing
Cases: Framework for the Assessment of Children in Need
and their Families.
Draft legislation - key
highlights
• New requirement for local authorities, health and care services to
commission services jointly, to ensure that the needs of disabled
children and young people and those with SEN are met.
• LAs to publish a clear, transparent ‘local offer’ of services, so
parents and young people can understand what is available.
• More streamlined assessment process, which integrates
education, health and care services, and involves children and
young people and their families.
• New 0-25 Education, Health and Care Plan, replacing 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 needs.
• Option of a personal budget for families and young people with a
Plan,
• New statutory protections for young people aged 16-25 in FE and
a stronger focus on preparing for adulthood.
• Academies, Free Schools, Further Education and Sixth Form
colleges to have the same SEN duties as maintained schools.
Timetable for legislative reform
(indicative)
Allows the provisions to
be informed and
improved by the views
and evidence of
stakeholders, and to
continue to learn from
the experience of the
Pathfinders
Early 2013
Draft Regulations
and a Draft Code of
Practice published
for consultation,
informed by
pathfinder learning.
September to
December 2012
Period of prelegislative scrutiny
led by the
Education Select
Committee
Spring 2014
Royal Assent
(subject to
Parliamentary
process)
December 2012
Education Select
Committee
publishes a report
of its findings
September 2014
Implementation of
provisions (meeting
original Green
Paper commitment
to have reforms in
place by 2014)
Early 2013
Children and
Families Bill
introduced into
Parliament.
From now until
Enactment:
• 1996 Education Act
and current Code of
Practice still applies
• Transition
arrangements will be
clarified by DfE
Aligning the legislative
frameworks
Health and
Social Care Act
2012
Integration duty on
NHS CB. CCGs
and Monitor
Care and
Support Bill
Duty on LAs to
ensure integration
of care and support
services with
health services
SEND
provisions
Duty on LAs to ensure
integration of special
educational provision
with health and social
care provision
Enhanced JSNA and new Joint health and wellbeing strategy
Transition clauses
Joint commissioning
arrangements
Pathfinder update: Purpose of the
Pathfinders
The 20 SEND pathfinders (representing 31 LAs and their Health
partners) are working towards the following common objectives:
• Develop a new 0-25 assessment process and a single plan which
bring together the education, health and social care services on
which children and young people who are disabled or have SEN and
their families rely and focuses on improving outcomes;
• Explore how the voluntary and community sector could ensure
access to specialist expertise and introduce more independence to
the process;
• Ensure the full engagement of children, young people and their
parents and families, schools and colleges; and
• Improve choice and control for children, young people and their
families through the use of personal budgets and direct payments.
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Evaluation - early findings
• Good progress has been made in setting up partnerships
and engaging families
• A range of approaches to the single assessment process,
from bringing together the results of specialist, separate
assessments to a single assessment event. The greatest
focus so far has been on a single planning process.
• More family and young person centred processes are in
place, using keyworking to improve communications
• The capacity of health, education and VCS to engage
remains a concern in some areas
• A challenge remains about how to scale up approaches to
a whole area in a sustainable way e.g. key working
Children and young
people’s health
outcomes strategy
• Secretary of State for Health established an
independent Forum to deliver the following key
outputs:
– identification of the health outcomes which matter most
for children and young people,
– how well these are supported by the existing indicators in
the Public Health and NHS Outcomes Frameworks and;
– how the different parts of the health (and wider system)
will contribute and work together in the delivery of those
outcomes.
Children & Young People’s Health
Outcomes Strategy –
Key messages from Children & Young
People
• From the engagement already undertaken with CYP a
number of key issues that they want the Strategy to
address have emerged.
– Better access to child friendly information
– Care by professionals who have had training in working
with CYP
– Care to be in environments which are appropriate to
their age and needs
– Appropriate and efficient system for transfer from child
to adult services
– CYP want to have a say and be listened to in decisions
about their health and take a lead where able
The ambitions behind the
health reforms for children and
young people
– Children, young people and their families are always
involved in decisions about their care.
– Where there is informed, expert, clinical knowledge
underpinning the commissioning of integrated services
across primary, secondary and tertiary care, social care
and wider services.
– Where there is a strong focus on outcomes and reducing
health inequalities.
– Where the focus on promoting good health is of equal
importance to caring for those who are ill.
– Where the use of evidenced based treatment is adopted
across the life course.
Sub Groups
• The Forum set up 4 subgroups.
• One subgroup looked at long term conditions,
disability and palliative care.
• Subgroup co-chairs –
– Colin Green, Director, Children, Learning & Young
People, Coventry City Council
– Gillian Baird OBE, Paeditrician, Guy’s Hospital,
London
Subgroup’s report
• Subgroup report published with Forum report
in July.
• Recommendations include –
New indicators in the NHS Outcome, Public Health and
Commissioning Outcome Frameworks on • the time to receive a definitive diagnosis from
first presentation or contact with NHS services,
• the provision of integrated care for children and
young people with a long-term condition or
disability, and
• ensuring effective and healthy transitions
between child and adult services.
Next Steps
• Forum report being used as a basis for
compiling the Children and Young People’s
Health Outcomes Strategy.
• Discussions under way with organisations that
have an interest in and responsibility for
improved health outcomes for children and
young people on agreeing their commitments
to meeting the Strategy’s objectives.
• Strategy due to published this Autumn.