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Transition Scrutiny 13 th January 2011 Key Issues and Emerging Tensions & Challenges. Emerging Tensions & Challenges CSF and ACS Transition Team Development Opportunities John Short – Aiming High Transition Development Officer. Hertfordshire County Council www.hertsdirect.org.

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Transition Scrutiny 13th January 2011Key Issues and Emerging Tensions & Challenges


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Emerging Tensions & ChallengesCSF and ACS Transition Team Development OpportunitiesJohn Short – Aiming High Transition Development Officer


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Hertfordshire County Council

www.hertsdirect.org

Integrated Transition Issues - 1

  • Improving forward planning – support to the Disabled Children’s Team’s – pre-transition planning (checklist tools)

  • Information for young people, staff and carers

  • Consistent planning - disabled children/young people – allocated to CLA, Area and Children with Disability Teams

  • Children and young people who have ‘borderline’ needs - delayed maturity or cognitive disability

  • Improving knowledge of A.C.S. and Health within C.S.F.

  • Improving understanding of the ‘Fair Access To Care Criteria’


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Hertfordshire County Council

www.hertsdirect.org

Integrated Transition Issues - 2

  • Disabled children and young people with multiple service needs and entitlements, leaving care, offending, UASC, health

  • Mental health and mental well-being – CAMHS - CMHT

  • Accommodation and placement planning

  • Placements post 18 (foster care, adult placements and residential placements)

  • Maximising income, improving financial and benefit planning - DLA, Employment and Support Allowance, Housing Benefit

  • Out of area placements – capacity and ordinary residence - who’s responsibility?


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Emerging Tensions & ChallengesServices for Young PeopleLearning Difficulties and/or Disabilities Team 16-25Patricia Halliday, LDD Strategy Manager


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Emerging Tensions & ChallengesServices for Young People 16-25Learning for Living and Work Pathways

To manage demand and supply to achieve young people’s full potential across a wide range of learning difficulties and/or disabilities:

  • Offer robust and accessible Information, Advice and Guidance – ensure continuity of support 14-25

  • Offer a single multi-agency assessment – every young person have access to a Person Centred Transition Plan

  • A need for a flexible approach & provision 16-25

  • Broader range of educational provision/learning/curriculum 16-25


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Emerging Tensions & ChallengesServices for Young People 16-25Learning for Living and Work Pathways

To manage demand and supply to achieve young people’s full potential across a wide range of learning difficulties and/or disabilities:

  • Improve links to employment & independent living: prepare young people for adult life not adult care – meaningful progression

  • Keep it local!

  • Ensure resources & budgets achieve the right outcomes

  • Give young people and parent/carers a voice to inform service development


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Emerging Tensions & ChallengesHealth and Social Care Transitions Team for Young People withLearning Disabilities and/or Disabilities Sue Gale, Head of Learning Disabilities ServiceAndrew Lawrence, Area Manager


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Emerging Tensions & ChallengesHealth and Social Care Transitions Team What we’ve achieved so far…………

  • 493 Cases (296 Active)

  • 168 people now know their Personal Budget for Care and Support

  • 24 Carers Assessments (5 with contingency plans?)

  • 26 young people Safeguarded from harm, abuse or exploitation

  • 20 Compliments from satisfied families


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Emerging Tensions & ChallengesHealth and Social Care Transitions Team Challenges to respond to…………

  • Managing Expectations of Young People and Families

  • Increased Demography / Complexity of Needs

  • Sustaining team performance and skill levels

  • Access to Resources (CHC / PCT) for those with complex needs

  • Accessible, value for money local services for people with complex needs


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Emerging Tensions & ChallengesHealth and Social Care Transitions Team Solutions to achieve success…………

  • Better partnerships, focussed on community solutions, locally

  • Prevention by delivering information advice and self directed support. Enablement focussed services to maximise potential for independence

  • Integrated Referral Pathway / Team & Individual Learning and Development

  • Transition Strategic Group / LDPB Sub Group / Recruitment (Citizen reps)

  • Partnership commissioning ACS/CSF