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Personal budgets – Education, Health and Care

Personal budgets – Education, Health and Care. Sally Smith – SEN Inclusion Advisor Caroline Drysdale – Head of Service – Complex and Additional Needs November 2013. Our Journey.

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Personal budgets – Education, Health and Care

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  1. Personal budgets – Education, Health and Care Sally Smith – SEN Inclusion Advisor Caroline Drysdale – Head of Service – Complex and Additional Needs November 2013

  2. Our Journey • Social Care - Pilot project (35 families) to test personal budgets in social care in January 2012 with full implementation from April 2013 (170 families) • Health - Children’s Continuing care nurse assessor employed in Summer 2012 • Education - Focus on personalising provision,-costing provision- transport, equipment, support and engaging parents & schools to discuss opportunities • £500 trial with 1st 20 EHCPs-pre-payment cards

  3. EHC Personal Budgets Once an LA confirms a plan is necessary, a parent or young person can request an EHC personal budget. This is an amount of money identified to achieve outcomes agreed in an EHC plan. It may be managed in three ways: The local authority manages the funds and commissions the support specified in the EHC plan (sometimes called “notional arrangements”). The funds are paid to a third party to manage on behalf of the parent or young person. The funds are paid to the parent or young person as a direct payment, and they buy the provision specified in the plan. An EHC personal budget should cover only the special individualised provision made available through the EHC plan.

  4. How do personal budgets work?Social Care • The family/ CYP completes a self assessment that highlights the needs of their child and the outcomes identified through the ECH • The self assessment questionnaire generates an indicative budget for the personal budget- this is a resource allocation system (RAS 5 – In Control) • The broker then works with the child or young person and their family to identify what they would like to spend their money on in something called a care support plan. • The care support plan is a person-centred-plan that shows how the needs of the C/YP identified in the self-assessment will be met utilising the personal budget

  5. Pre panel/ panel process • Once agreed, the care plan is revisited by the broker and the family after 6 weeks to check everything is going well. • The care support plan is refreshed on an annual basis and audited every 3 months • This process enables smoother transition into adult social care. • What if families say NO? • The social care assessment and identification of need supported by evidence is critical to this process

  6. Health/Continuing Health Care • Implementation of National Service Framework Continuing Health Care process within 28 days • Health needs and outcomes are identified via the EHC • Recharge from LA to CCG for costs • What if the child does not meet CHC criteria?

  7. Funding EHC Personal Budgets

  8. Education • Base funding, notional SEN budget and high-needs block funding enable schools and colleges to provide teaching and support arrangements for all of their pupils and students. • If individual needs exceed the level of provision the school or college normally provides, additional funds: • can definitely come from funding provided by the LA from their high-needs block & can possibly come from funding managed by a school or college, if the head or principal agrees. • It is normally these additional funds, beyond the normal provision as set out in the local offer, that would be offered as part of an EHC personal budget.

  9. Fragile X syndrome Severe learning disability Communication difficulty ADHD Case study - Trafford

  10. What is important to me Sport – football, basketball, trampoline Making things Listening to and playing music Church TV, iPad, computer Friends Shopping

  11. What is working well? Family time Network of friends at church Access to a range of activity – especially sport What is working well? Family time Network of friends at church Access to a range of activity – especially sport

  12. What’s not working well? Extended family are abroad Difficulty to concentrate/ stay on task Communication and expression is difficult Find it difficult to make and sustain friendship Some challenging behaviour when bored

  13. HOPES AND DREAMS . . . . Progress to move forward Easier to communicate wishes and feelings Improve concentration Be happy in school and reach full educational potential Increase social circle and find it easier to make friends Spend time doing activities he enjoys Cont . . . .

  14. Move onto college in the future Have own place to live Be in a band To work (with the right support) as a carer for children

  15. What I want to spend my money on? My allocation of money is £ 3203.20………………………………..

  16. Case Study – Oldham Early years integrated personal budget • Teenage male in secondary special school-struggling to access community activities and make appropriate peer friendships. • Budget agreed: Social Care and Education elements • Person centred plan created with child/family and school • Two school staff members who know child well recruited. • Plan supports independent skills school. building, both in school and in the community. • Plan for the whole year not just term time. • Budget is managed by the school due to parents’ own needs. • Social care element paid directly to school

  17. Oldham Case Study – Education/ Social Care Personal Budget • Female child, 3 years old, unable to access nursery due to high level of complex health needs. • After discussions with mum regarding her choice of placement for her child, further discussions held with the Education Setting, Early Years Team, Social Work Team, Health Vent Team and Health Commissioner. • Discussions took place with the child and family at the Centre. Agreement was reached to ensure that the child could access the placement with a dedicated 1:1 worker from the Health Team. • Budgets from each element aligned to support this. A slightly smaller package of hours planned to continue through the summer break to provide the family with a short break and to provide consistency for the child. • This case is made even more important due to the fact that the child died a few months after this package had commenced. For a short time the child and her family had a very good experience as she was able to socialise with her peers in a suitable environment and mum could relax knowing quality wrap around support was in place.

  18. Challenges • Personal budget or personalisation? • Pooled vs. aligned budgets • Freeing up resources to create personal budget opportunities • Further engagement and culture change in schools/colleges • RAS vs. Banding- Education funding reform & Special school budgets • Systems to monitor spend

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