Children and families bill send provision countdown to change
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Children and Families Bill SEND provision - Countdown to Change. Helen Wheatley Assistant Director Council for Disabled Children 18 th September 2013. What Bill? The bigger picture. Children and Families Bill Care (and Support) Bill Safeguarding guidance update

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Children and families bill send provision countdown to change

Children and Families Bill SEND provision - Countdown to Change

Helen Wheatley

Assistant Director

Council for Disabled Children

18th September 2013


What bill the bigger picture

What Bill? The bigger picture

  • Children and Families Bill

  • Care (and Support) Bill

  • Safeguarding guidance update

  • School and college funding arrangements

  • NHS changes from 1st April

  • Welfare reforms - ongoing

  • Local authority cuts


Children and families bill

Children and Families Bill

4 February 2013

The Bill covers the following areas:

  • Adoption

  • Looked after children

  • Family Justice

  • SEN

  • Childcare

  • Office of the Children’s Commissioner

  • Shared parental pay and leave

  • Right to request flexible working


Countdown to change

Countdown to change

Autumn 2013

  • Code of practice and regulations draft

    Autumn 2013

  • Bill to Lords; committee and report

    Spring 2014

  • Royal assent

    September 2014

  • Implementation of Children and Families Act

    From now until Enactment:

  • 1996 Education Act and current Code of Practice still applies


What the bill says about sen the highlights

What the bill says about SEN –the highlights

  • Local offer – local support

  • Saying what you want (once?) – a plan

  • Co ordinated support – joint commissioning

  • Consistency – monitoring

  • Academies, Free Schools, Further Education and Sixth Form colleges to have the same SEN duties as maintained schools.

  • Potential for further improvement before enactment


Local offer clause 30

Local offer [clause 30]

  • Information on the education, health and care services a local authority expects to be available

  • Includes services available outside the local area

  • Regulations set out:

    • what the local offer should include

    • who should be consulted

    • Complaints mechanism


Local offer

Local offer

Indicative code of practice 4.1

  • ‘the process of developing the local offer is intended to help local authorities to improve provision. The local offer should not simply be a directory of existing services.’


Education health and care assessment plans

Education, health and care assessment plans

  • Education, Health and Care Plan which could go from ages 0-25

  • Look at current needs and future aspirations – focus on outcomes

  • Replacing current system of Statements and Learning Difficulty Assessments

    What we need to prepare for:

  • Links into social care and safeguarding process

  • Who will get a plan and what if you don’t?

  • Supporting staff from a range of agencies to work in new system

  • Impact of significant culture change


Co ordinated support joint commissioning

Co ordinated supportJoint commissioning

Joint commissioning by Local Authorities and Clinical Commissioning Groups [26]

  • Put in place joint commissioning arrangements

  • Including for securing provision in EHC plans

  • Arrangements for resolving disputes between parties

    Planning of individual support

  • Assessment process, with children, young people and families at the centre which integrates education, health and care services.

  • Option of personal budget for families and young people with a plan


  • Health duty

    Health duty

    Amended at Committee stage to introduce new duty on the health service.

    In particular, the Bill has been amended to state that:

    “if the plan specifies health care provision, the responsible commissioning body must arrange the specified health care provision for the child young person”.

    This means

    • there is a direct duty on health services to deliver the provision set out in a plan.

    • These new duties will be debated more fully as the Bill progresses through Parliament, currently not quite as good as it sounds

    • Looking at reciprocal duties on Education


    Health strategic focus on children

    Health – Strategic Focus on Children

    In response to Report of Children and Young People’s

    Outcomes Forum:

    • Defining and agreeing national leadership and accountability for children’s health in Children and Young People's Health Outcomes Board led by the Chief Medical Officer

    • New Children’s Partnership

    • New Children and Young People's Health Outcomes  Forum co-chaired by Christine Lenehan, CDC

    • Pledge to provide better care for children and young people with long term condition and disability and increase life expectancy of those with life limiting conditions

    • New Outcome indicators for children and young people


    Children and families bill send provision countdown to change

    Independent bodies providing expertise, challenge, advice, recommendations

    Organisations accountable for policy, commissioning and delivery

    Partnership for policy, commissioning and delivery

    Children and Young People’s Health Outcomes Board

    LGA

    ADCS

    Health Transition Task Group

    NHS Contribution to Public Heath Senior Oversight Group

    ADPH

    secretariat

    SOLACE

    HWE

    Chair, Chief Executive

    secretariat

    secretariat

    Children and Young People’s Health Outcomes Forum

    • Children’s Health and Wellbeing Partnership

    DH

    Ministers

    DfE

    Ministers

    Sub Groups / Task & Finish Groups

    Themed Groups

    NHS England

    Chair, Chief Executive

    NHS Clinical Commissioners

    Chair, Chief Executive

    PHE

    Chair, Chief Executive

    HEE

    Chair, Chief Executive


    National health leadership bodies

    National Health Leadership Bodies

    • Department of Health: Stewardship and guardianship. Secretary of State retains ultimate responsibility for NHS

    • NHS England: National commissioning body and system manager

    • Public Health England: provide information and intelligence to support local public health services and lead on national public health campaigns

    • Clinical Networks: bring together experts on particular conditions and service areas


    Local health bodies

    Local Health Bodies

    • Clinical Commissioning Groups: Led by GP Practices with secondary specialists. Will commissioning local NHS services and will set out their strategy for local health services in annual commissioning plans

    • Local Authority Directors of Public Health:lead on local authorities’ new public health commissioning functions.

    • Health and Wellbeing Boards: bring local partners together in each local authority will to plan health, social care and public health services

    • Clinical Senates: Hosted by NHS England, give expert advice to the NHS Commissioning Board and CCGs in each area of the country


    Children and families bill send provision countdown to change

    The new health system


    Pathfinders

    Pathfinders

    • Evaluation report June13

    • EHCP pathway

    • All pathfinders developing their local offer

    • Families and co production

    • Use of person centred approaches

    • Testing personal budgets

    • Multi agency working


    Information who knows what

    Information – Who knows what

    • Local areas existing practice

    • Pathfinder Champions and pathfinders

      • North East (NE): Hartlepool

      • Regional events

    • Delivery partners and contract holders (eg Achievement for All and Preparing for Adulthood)

      +

    • Grant holders – 72 grants to 64 organisations

      +

    • Evidence, resources and activity from wide range of agencies


    Cdc strategic reform partner

    CDC - Strategic Reform Partner

    • Partnership with agencies like ADCS to promote information on change and highlight areas of support. Gather evidence on existing effective practice and potential challenges

    • VCSE Innovation and Sustainability programme with a particular focus on new commissioning arrangements and reform implementation

    • An offer with ‘delivery partners’ and other DfE funded organisations to local areas on supporting the development of local reform pathways


    Expertise priorities

    Expertise - priorities

    • CoP revisions; ongoing issues from sector on Bill content; providing evidence from members and networks

    • Promoting existing evidence from range of agencies; identifying and sourcing evidence where needed

    • Building on resources base to support implementation

      • Principles table


    Information co ordination

    Information – co ordination

    Working across DfE funded agencies to map available and potential support to:

    • agree who needs resources (training; information)

    • review planned and emerging products - duplication/gaps

    • agree quality assurance with partners

    • Events map!!

    • Link across with wider organisations (eg ADCS; RCPCH) and ensure work included and activity promoted.


    Support practical

    Support – practical

    • Partnership with agencies like LGA to cross promote information on change and highlight areas of support. Gather evidence on existing effective practice and potential challenges

    • VCSE Innovation and Sustainability programme with a particular focus on new commissioning arrangements and reform implementation

    • An offer with delivery partners and other DfE funded organisations to local areas on supporting the development of local reform pathways


    Local action

    Local action

    Local areas are looking at:

    • Local offer – parents and young people involvement

    • Preparing for plans – who; when; how/how many?

    • Are staff supported – across services

    • Who needs to know this is coming

    • Who knows what support is available (evidence/expertise)

    • Strategic plan – who is the lead?

    • Local Healthwatch and health and well being board

      • Health and Wellbeing Boards

        • Joint Strategic Needs Assessment

        • Joint Health and Wellbeing StrategyAssessments

      • Clinical Commissioning Groups


    Children and families bill send provision countdown to change

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