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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
slide12

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
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
slide24

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