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Aiming High - Workshop

Aiming High - Workshop. Thursday 8 th October 2009. Aiming High Meeting 08/10/09. 9:30am Arrival – Coffee/Tea 10:00am Start Introductions ALL Aiming High - Summary Sandy Thomas Phase 1 Update  

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Aiming High - Workshop

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  1. Aiming High - Workshop Thursday 8th October 2009

  2. Aiming High Meeting 08/10/09 9:30am Arrival – Coffee/Tea 10:00am Start Introductions ALL Aiming High - Summary Sandy Thomas Phase 1 Update   10:15am Strategic update – Surrey Alliance Sarah Wood/Janet Lambley 10:30am Commissioning update Sandy Thomas Justine Loggenberg 10:50am Application Process Anna Tobiasz  11:05amBREAK 11:20am Sustainability, Equality & Diversity Alison Russell 11:30am Discussion and Q&A ALL  12:00 pmEND

  3. Aiming High for Disabled ChildrenPhase 1 Update Sandy Thomas Commissioning & Development Manager Surrey County Council

  4. Priority Areas for Aiming High Access and empowerment Responsive services and timely support Improving quality and capacity

  5. Access and Empowerment • ‘Core Offer’ encompassing minimum standards on information, transparency, assessment, participation & feedback • Clarity on what entitlements and services disabled children, young people and their families can expect • Piloting Individual Budgets • Parents Forum development

  6. Responsive Services and Timely Support • New national disabled children indicator NI54 • Focus on early intervention • Improved data collection between LA and PCT (LAIMP) • Roll out of Early Support • Transition Support Programme

  7. Improving Quality and Capacity • Funding to develop increased short break provision • Child care accessibility project • Reform of community equipment and wheelchair provision • Improving skills of the workforce

  8. Priority Groups • Children with Autistic Spectrum Disorders • Children and young people with complex health needs, including children who are technology dependent and those requiring palliative care • Children and young people up to 18 with moving and handling needs • Children and young people with challenging behaviour as a result of their impairment • Severely disabled young people aged 14+

  9. Definition of Short Breaks ‘Opportunities for disabled children and young people to spend time away from their primary carers. These include day, evening, overnight or weekend activities and take place in the child’s own home, the home of an approved carer, or a residential or community setting. DCFS/DoH 2007

  10. Full Service Offer (1) • Based on needs assessment & take into account views of disabled children, young people and families • Offer significantly greater volume of short break provision • Fair, understandable and transparent eligibility criteria • Wide range of provision • Positive experiences

  11. Full Service Offer (2) • Culturally appropriate provision • Available on a planned and regular basis and at the right times – including meeting urgent care requirements • Fit for purpose and age appropriate – ensuring specific groups are not disadvantaged • Skilled and experienced service providers offering high quality services & VFM

  12. Aiming High Data Collection In 2008/09 1,587 children and young people accessed short breaks 22% (345) received overnight short breaks 66% (1047) attended specialist play and leisure services 24% (378) received family based care or community/outreach support Very little inclusive provision SCC & NHS Surrey spent over £8.6m on short breaks

  13. 2009/10 Commissioning Based on Needs Assessment and in consultation with parents access to services without needing a social care assessment more day care, playschemes, after school clubs and leisure activities increased local provision – avoiding long journeys services for young people aged 13+ and support to help develop independence skills Information about Direct Payments

  14. 2009/10 Commissioning Over £1.1m invested in new and additional short break services by SCC & NHS Surrey 46% to the VCFS Play and youth schemes 22% Residential services 17% Direct Payments 15% Domiciliary and community support 13% Transition support 7% After school clubs 5% Family Link 5%

  15. Aiming High 2009/10 • Over £580,000 allocated to Capital Funding projects • Aiming High workstreams are seeking to develop and improve services for disabled children – Full Service Offer, Early Support, Direct Payments, Domiciliary Care, Workforce Development, Participation & Transition • This work will influence Phase 2 commissioning

  16. Surrey Alliance for Children, Young People and Families Sarah Wood Strategy & Commissioning Children, Schools and Families Surrey County Council

  17. Developing the Surrey Alliance • Requirement of Children Act 2004 • Detailed national guidance • Learnt from best practice elsewhere • Built on what was already in place • Final design informed by consultation

  18. Purpose of the Alliance Align priorities and resources to achieve: • Better outcomes for children, young people and families • Better inter-agency targeting • Consistency in access and provision across the County • Better value for money • Joined- up services where it makes sense Because we can achieve more for children through collaboration than we can by acting alone

  19. Membership • Borough and District Councils • Colleges • County Council • NHS Surrey, other Surrey NHS trusts and GPs • Learning and Skills Council • Probation Service • Schools • Surrey Police • Voluntary, Community and Faith sector

  20. Accountability • The Children and Young People’s thematic group of the wider Surrey Strategic Partnership • Each agency holds its own accountability • Accountability only delegated through formal agreement

  21. Resources • The Alliance does not bring with it any growth in funding • Alliance agencies control c.£1.5bn of spend on children and young people • It has responsibility for local Area based Grants for children • All Alliance agencies will likely have to make cuts • It could through joint investment realise better outcomes for less money

  22. Governance • Alliance Strategic Forum – sets priorities and monitors progress • Alliance Assembly – sounding board of wider stakeholders including children • Alliance Commissioning Executive – Joint decision making by commissioners • Area Alliances – local delivery

  23. Area Alliances X 4

  24. Area Alliances X 4 • Implements Alliance strategy and priorities at the local level • Coordinates local arrangements for joint working, eg. Common Assessment Framework • Local problem solving • Targeting joint action to best effect • Prevention and early intervention

  25. Children & Young People’s Plan 2009-10 Priorities • Reduce health inequality and make healthy choices easier • Improve family safety, child protection and prevention • Improve education, training and employment outcomes, especially for lowest achievers • Develop things to do and places to go, targeting the vulnerable and disadvantaged • Improving behaviour at home, at school and on the streets Themes Right services at the right time in the right place Achieving better outcomes by working together

  26. Joint Commissioning Developments Dr Janet Lambley Public Health Consultant NHS Surrey

  27. Surrey Alliance Strategy for Children with Complex Needs Aims to • improve outcomes for children and young people with complex needs • ensure children and young people’s needs are met within Surrey wherever possible • ensure a joint approach to planning and delivery of services • prevent duplication of services, make better use of resources and provide value for money • ensure decision making takes into account the budgetary position of partner organisations

  28. Plans for Joint Working • Aiming High for Disabled children and Transition • Early Years • Prevention • Parenting • Special Educational Needs / LDD and Inclusion • Palliative Care • Domiciliary Care • CAMHS

  29. Aiming High for Disabled ChildrenPhase 2 Commissioning Sandy Thomas Commissioning & Development Manager Surrey County Council

  30. Priority Areas for Phase 2 Access to community based activities Focus on inclusion Disabled children and young people’s participation Improving data collection to support planning & development Early Support Meeting the Full Service Offer

  31. Parent’s Views (1) • 517 questionnaires returned by parents -issues raised: • Insufficient places at playschemes to meet demand • Difficult to access information about services • Parents of children with high medical needs and children on the autistic spectrum prefer specialist schemes • Age appropriate services with 1-1 care available where necessary

  32. Parent’s Views (2) • Local services were preferred as lack of transport may be a barrier • Cost of schemes may be an issue for some families • Lack of youth schemes for older children & young people • Limited opportunities for children to develop their own leisure interests • More sports activities and clubs such as swimming or riding for the disabled

  33. Parent’s Views (3) • Services which siblings can attend as well • Inclusive activities such as Brownies and Cubs • More after school clubs and opportunities to develop friendships closer to home • Overnight breaks and activity holidays for older young people • Trained and experienced carers, particularly in mainstream settings

  34. Access to Services (1) Universal Ensuring access to universal services for all disabled children and young people – up to 7597 children and young people, 5380 who are in receipt of Disability Living Allowance. Mainstream play and leisure services Child care Sports and activity clubs Extended school provision

  35. Access to Services (2) Targeted Accessed by referral or directly by parents – between 2020 and 3000 children and young people who have severe disabilities Specialist playschemes, after school, weekend & holiday clubs Youth and sports schemes for disabled children Specialist child care, child minders or nursery provision Additional support in universal provision Support to develop independence skills at transition Specialist residential holidays Domiciliary care

  36. Access to Services (3) Specialist Access to specialist service provision through individual needs assessment by the Children with Disabilities team or Complex Needs Nursing Team – approximately 950 children and young people.   Overnight residential short breaks Day care in residential or group based settings Home support services (domiciliary care and support provided in the child or young person’s home or out in the community) Family Link carers Direct Payments and Individual Budgets

  37. 2010/11 Commissioning Priorities Children & young people’s participation Buddy scheme Sitting service Domiciliary care and outreach support Improved data collection - updating the children’s disability register Increased opportunities for inclusion Increased range of play, leisure and sports activities – disabled children having ‘ordinary lives’

  38. Capital Funding • £1.4m available in 2010/11 to support the development of short breaks and improve services • No roll over beyond March 2011 - all projects must be completed by then • Separate application & panel process • Building work, adaptations, play equipment, Disabled Living Equipment, transport • Contact the Aiming High Team to discuss

  39. Children and Young People’s Participation About the participation • Parents/ carers and children had the option to opt out • 453 children and young people were approached across 17 settings • 237 children and young people chose to participate Communicated through: • conversation • drawing pictures • making collages • completing questionnaires • and using talking mats

  40. Children and Young People’s Participation

  41. Children and Young People’s Participation

  42. Children and Young People’s Participation

  43. Children and Young People’s Participation

  44. Children and Young People’s Participation • Questions broken into 3 areas:

  45. Children and Young People’s Participation Sports • Swimming: • Most popular across all age groups, disability groups and areas • Trampolining • Bowling

  46. Children and Young People’s Participation Activities • Art and craft • Any activity related to music • Listening to music • Playing music • Dancing

  47. Children and Young People’s Participation • Outings: • Going to the cinema • Eating Out • Shopping • Going to the seaside

  48. Children and Young People’s Participation • Graphs: • Overall Surrey data • Breakdown for each area of Surrey

  49. Application Process Anna Tobiasz Category Specialist Procurement and Shared Services Surrey County Council

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