Preparing for Adulthood Social Care Context By Maria Kelly and Lyndsey Constance

1. Preparing for Adulthood Social Care Context By Maria Kelly and Lyndsey Constance

2. Background Number of policy changes that has affected the lives of disabled young people, those with SEN and their families. Two pieces of legislation that will have greatest influence on support for disabled young people are • part 3 of the Children & Families Act 2014 • Part 1 of the Care Act 2014 Children & Families Act 2014 introduced a system of support which extends from birth to 25, while the Care Act 2014 deals with adult social care for anyone over the age of 18. There is now a group of young people aged 18-25 who are entitled to support through both pieces of legislation. Two acts have the same emphasis on outcomes; personalisation, integration of services and both of these Acts are being joined up at local level

3. What you need to know Part 3 of the Children & Families Act 2014 transforms the system for disabled children and YP, so services consistently support the best outcomes for them. Now a system from 0-25 through the development of an Education Health Care Plan. Reforms focus on the following themes; • Working towards clearly defined outcomes • Engagement and participation of parents and young people • Joint Commissioning and developing a Local Offer of support • Coordinated assessments and EHC Plans • Personalisation and personal budgets Preparation for adulthood is a key element of the reforms that cuts across all of these themes. Transformation of the system was necessary to ensure services support best outcomes, parents/young people have choice and control in decisions.

4. Children and Families Act 2014: An Overview New requirement for LAs, health and care services to commission services jointly for SEN and disability. LA’s to publish a clear, transparent ‘local offer’ of services. Streamlined assessment process, coordinated across education, health and care. Education, Health and Care Plans (EHCP’s) for those with more complex needs (0-25). Statutory protections for young people aged 16-25 in Further Education A duty on health commissioners to deliver the agreed health elements of EHC plans; The option of a personal budget for families and young people with an EHC plan. Local Offer – to be transparent and co-produced with young people and their parents/carers.

5. Care Act 2014: An Overview Care Act 2014; places statutory duties on Local Authorities to which they must adhere. Introduces a national eligibility criteria, and places a duty on Local Authorities to assess the needs of carers to support them in their caring role. Complete asset based assessment, adopting a strengths based approach, remaining person centered at all times. Early transition planning is key; Liverpool Adult Social Care aims to have an overview of all young people from the age of 14 who are likely to have care and support needs as an adult. Complete a Self-Supported Assessment (Care Act 2014) at the age of 17, though this may start earlier if required.

6. Integration with Health Care Act 2014 Guidance - 15.1 - For people to receive high quality health, care and support, local organisations need to work in a more joined-up way, to eliminate the disjointed care that is a source of frustration to people and staff, and which often results in poor care, with a negative impact on health and wellbeing. The vision is for integrated care and support that is person-centred, tailored to the needs and preferences of those needing care and support, carers and families. Case Example; Young lady, 22 years old, placed in an out of city secure hospital. Initially competed an assessment under the Care Act 2014. Liaised directly with Merseycare Adult Learning Disabilities Community Team. Psychiatrist, Psychology, Community LD Nursing, Named Social Worker, and care provider developed a robust plan that would provide the treatment being received in the hospital at home. Facilitate discharge in a timely manner.

7. Named Social Worker Pilot Department of Health funded initiative to assess the impact a named social worker on individuals. Initially working alongside the transforming care agenda, the pilot in Liverpool expanded to include young people of transition age placed out of the city. The aim was to work with young people aged 14 and above, to identify need early, promoting early transition planning • 14+ pen picture of possible needs • 16+ early Care Act assessment Allowed early identification of support needs, and commission new services if required. More collaborative working with health colleagues, planning a holistic approach to transition. Improved outcomes for young people and their parents/carers. No more awaiting allocation – everybody will have a named social worker

8. JOURNEY FROM CHILDRENS SERVICES TO ADULT SERVICES PARENTS/SELF HEALTH EDUCATION COMPLEX CARE TRANSITION TEAM CAMHS CSS ADULT SOCIAL CARE AND HEALTH

9. Preparing for Adulthood

10. Next Steps Currently in the process of working collaboratively to produce a Liverpool Preparing for Adulthood Policy and Protocol – a shared vision. Develop a lifespan approach to outcomes. Developing joint commissioning processes between Children’s and Adults Social Care, and Health to develop personalised post 16 options and support that leads to better outcomes for young people. Updating the Local Offer in partnership with young people, parents/carers, and professionals. Continuing to improve the process for Adults Needs Assessment and Care and Support plan for young people post 18, aligned to the assessment and planning process for the care element for an EHC plan. Most importantly, we are listening to our young people, and their aspirations for their future.