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Swindon Local Area Written Statement of Action for Special Educational Needs and Disabilities (SEND) April 2019

1. Purpose of this statementBetween 19 November to 23 November 2018, Ofsted and the Care Quality Commission (CQC) conducted a joint inspection of the local area of Swindon to judge the effectiveness of the area in implementing the special educational needs and disability (SEND) reforms as set out in the Children and Families Act 2014. As a result of the findings of the inspection and in accordance with the Children Act 2004 (Joint Area Reviews) Regulation 2015, Her Majesty’s Chief Inspector (HMCI) has determined that a Written Statement of Action is required because of significant areas of weakness in the local area’s practice. Swindon Borough Council and NHS Swindon Clinical Commissioning Group (CCG) are jointly responsible for submitting the written statement.

The outcomes of the SEND Inspection in Swindon were consistent with the partnership’s self-evaluation and the inspectors acknowledged the right areas for improvement had been identified by partners. Swindon Borough Council and Swindon CCG have continued to work together with services and stakeholders since the inspection to fully understand the actions we need to take to embed improvements. Parent/carer representatives, children and young people with SEND, employees, schools and colleges, Schools Forum, Swindon Public Health, health care providers and voluntary and community sector organisations have worked together to develop our statement of action. Our statement of action sets out:

Our vision for improvement and the values that will drive the required change The governance structure to provide strategic oversight of improvements The priority actions we will take to address the weaknesses identified by inspectors and to support our journey of continuous improvement Our framework to measure how well we are doing against our statement of action.

2. Our vision and principlesOur vision is for that everyone in Swindon lives a healthy, safe, fulfilling and independent life and is supported by thriving and connected communities (Joint Health and Wellbeing Strategy 2017-2022)

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The new SEND Code of Practice 2014 sets out a vision for children and young people with SEND to achieve well in their early years, at school and in college, and lead happy and fulfilled lives. Partners across Swindon are committed to raising expectations and aspirations of all children and young people with SEND aged 0-25 years so they can:

We recognise the need for better engagement with children, young people and their families to set out Swindon’s vision and strategic priorities. The Local Area is committed to joint working across all partners to implement the reforms. Within the context of the current economic climate and increasing demand in both numbers and complexity of need, we recognise there is a need to re-design services and review working practices as well as develop our workforce. Our WSOA sets out our key priorities for addressing the significant weaknesses identified by the SEND Inspection in the short term, however, we plan to review our SEND strategy in the coming months to provide the longer term vision and direction of travel for the next 5 years.

Our commitment is to:

Collaborate and engage a wide group including families, children and young people with SEND in planning and evaluating our services Embed a consistent and person-centred assessment and planning process for children, young people and their families Create and maintain a strong performance culture where information drives planning and improvements in services and practices

Work in partnership to integrate services to meet the needs of children, young people and their families within their local communities

We aim to:

1. Establish and embed co-production to improve outcomes2. Ensure governance are effective in holding leaders to account through challenge and robust performance management to improve outcomes and

ensure safety3. Have an effective designated medical/clinical officer to oversee and quality assure health services4. Provide consistently good quality EHCPs which include health and care contributions when appropriate5. Ensure concerns raised by parents and young people (assessment, communication, quality of provision) are addressed through effective communication

and engagement, co-production and joint commissioning6. Provide a quicker and more flexible response to meet needs especially ASD, ADHD, MH7. Reduce persistent absence and fixed term exclusions for children and young people with SEND especially in the secondary phase8. Have a Local Offer which is up to date, easily accessible and is effective in signposting people to the information they need

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3. Actions to date

Following the inspection, we set out on our improvement journey immediately and have already made significant progress in a number of areas:

Audited 359 EHCPs for quality of plans and have identified areas for focussed improvement to inform our QA framework RSC office now a member of Swindon Local Offer SEND board QA framework approved by SEND Board and is now being rolled out across the partnership Co-produced with parents/carers, SENCOs, Advisory Services, Early Years, Schools and colleges our graduated response to SEND Strengthened management grip and oversight of the statutory services team - appointed 3 additional senior case workers and an additional manager. Introduced weekly emergency planning meetings to address any current or emerging issues e.g. Key Stage Transfers, Tribunals and conversions Revised the terms of reference and membership for the SEND Strategic Board and introduced monthly meetings Met with NASEN (DfE contract) to support school review – 7 SENCOs & LA staff attended training in March 2019 DCS and Head of Education have met on three occasions with parents and carers to address concerns and issues Local Offer Big Day held March 12th to publicise local offer (30 voluntary sector/council/community stalls) plus workshops to co-produce WSOA with

parent/carers and professionals Consulted with SEND young people on WSOA on 16th March 2019 Held a 2 day course with DfE Behaviour Tsar for 27 school leaders on March 4th & 5th with SEND as a focus with two follow up days planned Funding for full time DMO and DCO sourced and posts currently being advertised Begun mobilising the Mental Health Trailblazer Bid Children’s Scrutiny and Health & Wellbeing Board have agreed to monitor progress against the WSOA as part of the annual work programme Social Care training plan in place on SEND to ensure clear understanding amongst social workers and Early Help of their SEND responsibilities. Rolled out the Sunflower Lanyard Scheme to primary care to improve the support for children and young people with autism Swindon Families Voice now members of Swindon CCG Public Patient Engagement Forum

We will recognise and build on good practice:

I can't thank the children's unit today enough for the support and kindness they gave to my son today. A big shout out to Claire the play specialist. She was brilliant and had so much time for us. My son had 12 teeth taken out and a bit of an M.O.T. The hospitals are getting more and more aware of children with disabilities. It's brilliant to not be looked down at and have support and GWH children's unit were fab. Well done staff you were all great. We planned the operation in a couple of months ago. The children's unit gave me pictures, a mask, a blood pressure cuff and two hats for my son to be familiar with at home. He's non- verbal and severely autistic and has ADHD, so everything was planned and Claire was brilliant. So, all went well and it's such an achievement when something goes good."(Comment from parent February 2019)

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4. Governance

The Health and Wellbeing Board is chaired by the Leader of the Council, provides strategic leadership for health and wellbeing across Swindon, ensuring integration and partnership work between Swindon Borough Council, Public Health and Swindon Clinical Commissioning Group. The H&W Board will ensure that action is taken to deliver the WSOA plan.

Senior Leaders and Members will be held to account for progress against the WSOA by the Council’s Children's Health, Social Care and Education Overview and Scrutiny Committee, Adults' Health, Adults' Care and Housing Overview and Scrutiny Committee, Joint Commissioning Group (CCG and SBC membership to manage joint commissioning and Section 75 funding), Swindon’s Clinical Commissioning Governing Board and Swindon’s Safeguarding Partnership Boards

SEND Strategic Board – chaired by Swindon Head of Education, is responsible for implementing the SEND reforms and delivering the required improvements set out in the WSOA. The Board has representation from Education, Health, Children’s and Adults Social Care, parent/carers and young people. The Cabinet Member for Children’s Services and School Attainment, Director of Children’s Services (DCS) and Executive Nurse (CCG) are members of the Board to provide scrutiny and challenge and hold the Board to account for performance and improvement.

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5. Linked Programmes

The Early Help Improvement Programme is focussing on making sure families have access to the right support at an early stage to prevent their needs escalating and therefore reducing the need for higher level or more specialist support further down the line.

The Mental Health Trailblazer Programme aims to provide mental health support teams in 41 schools from December 2019 for children aged 5 to 17 years with mild to moderate needs.

The annual Local Transformation Plan for mental health identifies local key priorities for building resilience and promoting good mental health and wellbeing, prevention and early intervention for Swindon over next 12 months.

Patient and Public Engagement Forum meets four times a year (January, April, July and October) on the fourth Thursday of the month. During the intervening months, the Forum meets to take part in deep-dive sessions, in which members discuss, scrutinise and learn more about a specific area of healthcare. Anybody using Swindon and Shrivenham Health services can get involved.

Transforming Care Partnership Board will be continued and led across the BSW footprint to oversee the implementation of the transformation plan to enable people with learning disability and/or autism to lead active lives in the community and live in their own homes in Swindon with the right community based services to support them. The aim is to give people more choice as well as control over their own health and care services through the expansion of personal budgets and personal health budgets.

Autism Partnership Board oversees the development and implementation of the Adult Autism Strategy to improve the health and wellbeing of adults with autism living in Swindon.

Learning Disability Board ensures that the voice of people with a learning disability living in Swindon is heard and promotes choice and control in their everyday lives. There are 3 full Board meetings attended by an invited membership and 3 Forums which are open to all adults with a learning disability, their carers and professionals who support adults with a learning disability.

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6. Action Plan to address the areas of weakness identified during the inspectionThis section details the priority actions we will take to address the areas of significant weaknesses identified during the inspection

Priority 1 : Co-production with education, health and care is weak and is not shared and owned by children, young people, their families and professionals to ensure that children and young people’s outcomes and lives are improved

Lead: Roz Pither, Strategic Commissioner Special Educational Needs and Disability (SEND)

Outcomes we are aiming to achieve:

(i) Co-production will be a strong across education, health and care with partners working with children, young people and their families to plan and shape services.(ii) Joint working will be embedded in the local area’s approach to identification and meeting of needs which will improve the quality of provision and outcomes for children and young people with SEND.

Ref Action Lead Progress Action trackerSeptember 2019 RAG January 2020 RAG May 2020 RAG October 2020 RAG

1.1 Strengthen a whole Roz Co-design with Establish parent skills Coproduce a Co-produce ansystem approach to Pither Swindon Families and interest register programme of annual conferencecapture the voice of Voice and launch the to capture workshops to improve for children andall children and young Engagement and opportunities for co- communication, young people withpeople with SEND and Participation production and participation and co- SEND, parent/carerstheir families to charter/standards to participation production practices and professionalsinform strategic and embed co-production (parents/carers/ to drive improved from across the SENDoperational across the SEND young people - we outcomes. system to celebrate,developments system. have the skills to help share good practice

Establish baseline for the local area with…., and promotecurrent participation local area - we need participation modelexperience using your help with …) of working togetherparticipation ladder

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and patient engagement levels

Claire Smith

Establish SEND Young Peoples forum.Ensure appropriate representation at key decision making groups.

Develop and coproduce a training and support programme for young people with SEND to actively engage andparticipate.

Evaluate children, young people experience of SEND, information, advice and support through engagement eventsand surveys.

Review of local approach to working together with young people.

Roz Pither

Continue to support the development of Swindon Families Voice so that they can support and challenge on behalf of their members. Establish a programme of regular meetings with senior leaders.Ensure appropriate representation at keydecision making groups.

Review partnership agreement with Swindon Families Voice, CCG and SBC

Jointly review the membership, representation and participation in relation to locality, age, needs and diversity.

Evaluate impact on progress towards developing more effective participation practice and outcomes for children and young people.

Caroline Kelly

Establish an expectation and a process to ensure that parents/carers/young people are routinely involved in the fullcommissioning cycle

Implement this approach for all new commissioning cycles related to SEND. Provide support for parent/ carers/ youngpeople to enable

Review impact on service delivery and commissioning decisions.

Embed this approach across all SEND services.

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(planning, reviewing, contract monitoring, procurement andtending)

them to fully participate in the commission work.

1.2 Strengthen the whole system approach to embed strong joint working between educational settings, health and care professionals across the local area

Liz Fewings

Establish personalisation and co-production good practice expectations for SEND across educational, health and social care with a particular focus on person centred approach.

Baseline current person centred approach and co- production practice across all agencies, identify gaps and training or support needs.Ensure person centred approach is a generic requirements across all services andall members of staff.

Embed the personalisation and co-production principles across the SEND system.Develop specific support packages for educational providers and services.

Evaluated impact of personalisation and co-production by seeking the views of children, young people and their families (what is different?)

1.3 Deliver a coproduced communication and engagement plan to ensure that all partners including parents and young people can be fully aware and informed of progress with ourWSOA

Ruth Aktins

Establish multi-agency task group including communication officers from the local authority, health CCG, parent carer forum and SEND Young Inspectors will design and monitor a WSOAcommunication plan.

Review and update WSOA communication plan and report to leaders and partners including parents and young people.

The impact of the changes to the communication plan will be tracked and reported

Summary report on communication plan written and shared with partners including parents and carers and informs forward planning for business as usual

1.4 Co-construct an annual survey for parents, young peopleand practitioners

Roz Pither

Young People and Practitioner research what “good” looks likeis fed back to senior

The first Swindon annual SEND survey for parents, youngpeople and

Survey results shared with partners including parents andyoung people.

The second survey and supporting communication planwill be co-designed

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leaders and informs the structure of the annual SEN survey.

practitioners has been published and has attracted at least1000 returns

WSOA leads have reviewed implications for their work

and ready for use as an annual survey format in October2020.

Methodology andsurvey coproduced and ready for use.

1.4 Co-develop workforce Roz Co-review existing Pilot informs final Targeted training and Annual survey resultstraining and support Pither participation and toolkit and workforce peer support on co- reviewed for co-programme on feedback information audit production and productionparticipation from stakeholders. Toolkit launched at participation in information

Develop and promote December conference response to skills Summary report forresources toolkit for and process audit. forward planningarea wide use. Pilot of established for Workforce trainingtoolkit underway nominating good programme delivered

practice for mentoring and evaluation reportsupport shared. Mentoring

scheme establishedusing the skills of‘good practice’nominees

1.5 SEND Strategic Board Roz Pither SEND Board draft Report on the reach Review impact of Final report andbecomes a champion Championing strategy of parent carer forum Championing Strategy recommendations onfor young people and and action plan and young person’s the Championingparent active network Strategyinvolvement in Championing strategystrategic governance finalised andand decision making approved

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IMPACT MEASURES

1. Almost all (90%) of parent/carers and young people responding to the annual survey tell us that they were listened to and that their feedback to and about services was valued and acted upon

2. Membership of parent carer forum and use of forum social media continues to increase the number of parents participating in forum activities.3. There is evidence of a person-centred approach in every school which is captured in school SEND reports on the school websites and reflected in assessments and

annual reviews through the feedback cards.4. Services can evidence how children, young people with SEND and their parents have shaped pathways and service design/delivery5. Evidence that parents and young people are fully involved in the commissioning cycle for all SEND services (including contract meetings, drawing up specifications)

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Priority 2:Governance arrangements in place in the local area are not effective in holding leaders to account sufficiently to improve the outcomes for children and young people with SEND and to ensure that they are safe

Leaders: David Haley, Corporate Director – Children Services (DCS), Gill May, Executive Nurse, CCG


(i) Governance arrangements across the local area will be clear and transparent and commissioners and providers will be able to evidence they are scrutinised and held to account.

(ii) Leaders across the local area will have robust performance and quality assurance systems in place to check the quality and impact of services commissioned. Reports will evidence the themes and trends identified of any performance concerns, including complaints and serious incidents.

(iii) Continuous quality improvement will be an embedded culture of working practice with a particular focus on leadership, management and workforce development.

(iv) Joint commissioning in Swindon will be well developed with service specifications setting out outcome measures.


2.1 Drive a strong evidence David Haley

Membership and ToR Quarterly monitoring Quarterly monitoring Review Governance

based performance of existing governing of governing groups of governing groups arrangements andculture across SEND groups (including demonstrate good demonstrate good where necessaryservice to deliver the SEND Board and joint participation, clear participation, clear agree and implementprinciples of the SEND funding panels) forward plans and forward plans and changesCode of Practice by active reviewed in co- positive impact on positive impact onleadership, visible across production with improvements improvementsthe SEND service and Swindon Families evidenced through evidenced throughengaged with all Voice and other minutes and feedback minutes and feedbackstakeholders. stakeholders to from chairs and from chairs and

strengthen leadership attendees attendeesand challenge andhold the Board to

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account for performance andimprovement.Programme of monitoring and evaluation in place to track improvements. Data dashboard including targets, trends and benchmarking data reported monthly at SEND Board meetings to track and challenge performance against WSOA, statutory indicators, QA process and feedback from parents/youngpeople.

Ongoing monitoring through monthly performance reporting to SEND Board and six monthly reporting to Cabinet, Health and Wellbeing Board, Council Scrutiny Committee Meetings, CCG Governing Body and CCG Performance Assurance Committee evidence improvements

Ongoing monitoring through monthly performance reporting to SEND Board and six monthly reporting to Cabinet, Health and Wellbeing Board, Council Scrutiny Committee Meetings CCG Governing Body and CCG Performance Assurance Committee evidence improvements.

Ongoing monitoring through monthly performance reporting to SEND Board and six monthly reporting to Cabinet, Health and Wellbeing Board, Council Scrutiny Committee Meetings CCG Governing Body and CCG Performance Assurance Committee evidence improvements

2.2 Review and update the Education, Health and Care Joint Strategy for Better Outcomes for children and young people with SEND and ensure strategic links with the Sustainable Transformation Partners (STP) and HealthEducation England.

Roz Pither

Draft strategy coproduced and published for public consultation, priorities aligned with otherrelevant strategies

Final strategy agreed and published and 3 year plan developed to deliver the SEND strategy

Regular monitoring of the implementation via the SEND Board in place

Annual evaluation of the impact of strategy to confirm direction of travel and areas for further development

Gill May

CCG working with SFV and partners to complete a review of acute and communitypaediatric services.

The review of urgent and outpatient services for children and young peoplecompleted and a

Monitoring of the implementation plan and impact on frequency and process

Evaluation of the impact of the effectiveness of the implementation plan

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Imperial College to comprehensive of cancelledsupport the implementation plan appointments.transformation of developed andpaediatric services. approved by HealthThis will provide and Wellbeing Boardinsight into the and SEND Board.frequency and processof cancelled paediatricappointments toinform plans tomitigate cancellationsgoing forward.

2.3 Establish joint Roz Update and publish Joint commissioning Draft pooled budgets Full pooled budgetscommissioning intentions Pither the comprehensive strategy co-produced agreed in principle establishedthat align with the revised needs assessment for with Swindon FamiliesSEND strategy and the SEND for planning, Voice and partnersNHS Long Term Plan. capacity and demand across health, care,

forecasting with SFV education and theand to inform the voluntary sector hasjoint commissioning been approvedintentions betweenCCG, public healthand Local Authority

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2.4 Improve skills and practice through workforce development to ensure all staff are skilled and knowledgeable in continuing to support the delivery of the SEND Reforms.

Di Walsh

Workforce skills audit completed by all health, education and care managers and plan developed to address audit findings

SEND Training and development programme established for health, education and care staff

Embed the actions identified from the national consultation on training for Learning Disability and Autism for health staff into the training and development programme

Evaluation to assess impact of training and review additional training needs across health, education and care

Louise McGinty

Programme developed to harness opportunities to share expertise across the SENCO network and SENCO Champions.Termly SEND briefing for head teacher associations, SENCOs and SEN governors inplace.

SENCO network meetings in place and planned for academic year.SENCO Champions engaged in school to school support (see peer review network)

SENCO network meetings in place. SENCO annual conference has taken place including an overview of WSOA and progress made

Review of SENCO network (2019/20) to inform meetings planned for 2020/21 Planning in place for conference in spring 2021.

Louise McGinty

Training for SENCO Champions to support school to school peer review provided by NASEN with cascademodel to SENCOs

Peer reviews set up with initially three schools for pilot project

Pilot evaluated with rolling programme of peer reviews – three schools a term initially

Peer reviews continue with evaluation to take place at the end of the academic year 2020.

2.7 Learning from SEND related death reviews (LeDer) will be shared to inform improvements andfurther evidence to

Lynette Glass

A report will be presented to SEND Board sharing all the learning from thedeaths of anyone with

Quarterly reporting and QA framework reviewed to embed learning



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support change in care SEND from acrossdelivery. Banes, Wiltshire and

Swindon (STPfootprint) andlearning embeddedinto QA framework

IMPACT MEASURES

1. Both SBC and the CCG will have joint governance arrangements in place, with alignment to the development of Integrated Care Systems and evidence challenge and scrutiny.

2. Evidence that board members take an active role in driving and promoting strategic developments and improving outcomes.3. Regular, good attendance by all partners at SEND Board.4. QA reporting to the Board show strong progress across all priorities identified by Ofsted and strategic aims of the SEND strategy.5. Regular skills audits show staff are confident, skilled and knowledgeable to effectively embed the SEND Reforms.

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Priority 3: The lack of a Designated Medical Officer and Designated Clinical Officer

Lead: Esther Schmidt, Children's Services Commissioning Lead CCG

Outcomes we are aiming to achieve: PLEASE NOTE ACTIVITES AND MILESTONES TO DELIVER THESE OUTCOMES ARE EMBEDDED WITHIN PRIORITES 1 to 8.

(i) The DMO and DCO will have oversight across all health professionals for the care provided to children and young people with SEND supporting early identification.

(ii) The Local Offer will have clear information on health services for children and young people with SEND, including referral pathways for assessment.(iii) There will be improved attendance across educational settings for children with medical needs(iv) There will be clear processes for joint mediation for the health element of the Education Health Care Plans.(v) There will be better co-ordination of health care assessments and medical input for Looked After Children (in and out of borough) and children with

Continuing Health Care needs(vi) There will be an increase in the offer and uptake of Personal Health Budgets.(vii) Stronger joint commissioning will be in place to further integrate health, education and care services to improve outcomes based on the development of

Integrated Care Systems and Primary Care Networks.(viii) Parents, children and young people will have more positive experiences in their dealings with health colleagues through person centred practice and outcome

focussed plans.(ix) The DMO/DCO will implement the SEND quality assurance framework and strengthen clinical governance arrangements across the system.


3.1 To have a named Esther DMO and DCO The SEND board will Minutes of the SEND Swindon SEND familyPaediatric Consultant who Schmidt appointed and receive a report board will evidence voices and CCGis the Designated Medical inducted. evidencing how the DMO and DCO Children’sOfficer and appoint a DMO and DCO are attendance and commissionerDesignated Clinical fulfilling their roles contribution to the evaluate the impact ofOfficer. which will include key SEND improvement the DMO and DCO on

recommendations plan. outcomes for SENDthey have identified. children and young

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DMO will provide an people. This willThe DMO and DCO annual report inform futurewill be known and detailing health trends planning.recognised across the and themes inpartnership including Swindon in relation toSwindon Families SEND to inform futureVoice and children plans andand young people. commissioning

intentions orcontractualperformance actionsto be taken.

IMPACT MEASURES (note impact measures for DMO/DCO are embedded within priorities 1-8)

1. 100% (currently 30%) of EHCPs have relevant high quality health information recorded which is person-centred, outcome focussed and jargon free2. 100% of children eligible for continuing care funding have a holistic transition plan in place post 16 years to identify how they will transition into relevant adult

services, including mental health and Continuing Healthcare.3. 100% of families eligible for Continuing Care are offered a personal health budget.

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Priority 4: The quality of EHC plans is too variable. Too often, there is limited or no contribution included from health and care professionals.

Lead: Roz Pither, Strategic Commissioner Special Educational Needs and Disability (SEND)

Improvements we are aiming to achieve:

(i) Leaders will have assured themselves that EHC plans are of a consistent high quality and support children and young people to achieve strong outcomes and keep them safe.

(ii) Parental and young person’s experience of the assessment process and views on the quality of the EHCPs indicates person centred approach embedded across all services

(iii) EHC plans will reflect children’s changing needs and the provision is kept up to date by timely and good quality annual reviews(iv) The quality of EHC plans will enable the local area to meet the needs of children and young people successfully and improve outcomes.


4.1 Respond to all outstanding emergency issues related to the statutory functions

Liz Fewings

All outstanding conversion cases arecompleted by the end of Spring term 2019.

Jo Godwin

All outstanding tribunals and complaints followed up in a timely manner. Themes reported with recommendations to SEND Strategic Board. The results of National Trial Tribunals informs workforce training.

The LA JADU platform for managing complaints and compliments is operational and ongoing monitoring identifies themes for management action to support improvement. Regularreporting of

Ongoing monitoring of complaint and compliment to drive improvement across the service

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complaints and compliments from LA JARDU system and Patient Advisory Service (PALS) to the SEND Board.

Haylee Shortt

Ensure allocation of places for all Sept 19 key stage transfers. Report to Board on compliance and impact with recommendations for example reinstating of Operational and Strategic Keep in Touch (KIT) meetings. Advice and support available for schools and partners to ensure timely completion of keystage transfers.

Operational and strategic Keep In Touch meetings with special schools and Specialist Resource Provision (SRPs) in place to ensure shared understanding and in provision planning for the local area.SEN team reports on progress with key stage transfer process including timeliness and impact onsufficiency planning.

Review school advice for key stage transfers and effectiveness of the revised process.

SEN team to report to progress with key stage transfer process including timeliness and impact on sufficiency planning.

Haylee Shortt

Review backlog of annual reviews and implement action plan to tackle delays and develop a process for quality assuringreturns and the

Continue to track the quality of annual reviews, attendance and report on progress.

Targeted training to support workforce on key issues identified by annual review quality assurance process.

Report on annual review practice and guidance across Swindon informed by family/young person feedback, QA

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parent/young person experience (coproduced annual review feedbackcards).

processes and outcome trends.

4.2 Review the SEND structures and functions so it is efficient, effective and compliant with the SEND Reforms and consistent practice across statutory processes

Haylee Shortt

Review and strengthen supervision and management oversight of casework. Review the team induction and CPD programme for all SEND staff, implement recommendations.

Develop systems to monitor team performance against the indicators in the new QA framework and introduce regular use of management information across the team

Establish and embed sustainable and effective systems for regular data sharing and performance analysis within SEND team and with stakeholders by using digital performance dashboard.

Review the effectiveness of systems implemented to monitor and review performance

Jo Godwin Implement recommendations from all audits of EHCPs completed in 2017-18 to reinforce legal compliance and good practice across all statutory functions.

Review team and partner training and development needs informed by EHCP and annual review quality assurance and feedback cards.

Develop an on-going skills audit in order to identify training and support needs as early as possible; informed by and including customer experience feedback.

Develop and establish a ‘learning culture’ within the team, promote peer support and peer moderation to secure sustainable improvement.

Roz Pither

Review and implement a new team structure. Ensure team has sufficient capacity to respond to high levelsof demand, clear lines

Review, evaluate the effectiveness of the new structure and implement changes where required.

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of accountability androles andresponsibilities andbusinessinfrastructure todeliver core statutoryfunctions.

Jo Develop Capita Publish operational IT Review effectiveness Follow up andGodwin systems /SEND portal procedure and of new IT processes to implement

to manage the guidance manual for improve timely improvements to thestatutory EHC needs officers, covering data delivery on statutory IT processes and theassessment process to entry and requirements. way IT is utilisedensure the availability management of theof appropriate SEND process,management necessary training andinformation to guide support to befuture developments. available.

Haylee Shortt

Review and Review patterns of Evaluate the Review the

implement a new spend on range of effectiveness of the effectiveness of thescheme of delegated needs and types of statutory decision scheme of delegationdecision making for provision 2018-19, making processes and joint commissionstatutory EHC 2019-20 to inform using data relating to decision makingprocesses including sufficiency planning, trend in requests for arrangementspanel and budgetary report to High Needs assessment, refusal toarrangements for Sub group. assess and qualityjointly commissioning assurance of EHCPs.placements or Report to SEND Boardsupport.

Haylee Shortt

Ensure plan in place Report and act on Review INMS cohort Annual review all

for appropriate recommendations of for destination data placements withinrepresentation at the review of INMS and transition INMS with EHCPs

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Annual Review meetings especially for children and young people placed at independent and non- maintained schools (INMS), out of borough and children looked after (links Personal Educational Plans, Individual Health Care Plans and children looked after, child protection and children in Need reviews).

placements. Challenge and support for specific providers supported by leaders in local special schools and resource provision.

planning supported by leaders in local special schools and resource provision, health and care leads and parent carer forum. Include best value review.

including contracts, on-going care and health assessments and destination/transition data, progress and stretch. Key lines of enquiry at all annual reviews informed by INMS review.

Multi-agency commissioning review of all INMSS EHCP placements including contracts and ongoing care and healthassessments.

4.3 Co-produce a Quality Nathan Jones

Coproduce a Monitor the On- going monitoring Review annual results

Assurance Framework customer service implementation and corrective action of feedback to checkacross the partnership charter to implement customer service where required. better communicationthat measures the impact a consistent approach charter and feedback flow and personof service delivery and for regular cards to secure a centred approach is inproactively seeks the communication the positive experience place, identify actionsviews and feedback from for families and young

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service users to assessment and people. If necessary where improvement iscontinuously improve review process. provide additional still needed.outcomes for support and trainingchildren/young peoplewith SEND

Introduce feedbackcards for EHCP

for staff across allagencies (to be

process and annual included to workforcereviews. training plan)

Roz QA framework is QA processes Analyse results from Review QAPither approved and embedded and the QA framework framework- report on

promoted for training materials programme to inform improvement andimplementation developed to share future developments impact of action planacross health, good practice across across health, through WSOAeducation and care the partnership. Joint education and care- communication planand emerging themes multiagency EHCP report to Strategic and Strategic Boardfor improvement are case audits underway Board and action plan report and keyidentified. focusing on the approved including leadership meetings

quality of EHCPs and key success measures across health, carethe quality of and educationprofessionalcontributions. Reportoutcomes to the SENDBoard

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DMO DMO and DCO DMO and DCO roles Ongoing monitoring Ongoing monitoringregularly attend multi- are fully embedded and of the quality of of the quality ofagency EHC Plan and supporting the quality health input to EHCPs health input to EHCPsrelevant meetings and assurance process of and Early Help and Early Helpdrive the quality of EHCPs to drive Assessments to Assessments tohealth input into improvements around support continuous support continuousEHCPs, Early Help timely and quality input improvement. Clear improvement. ClearAssessments, Health from health colleagues. escalation process in escalation process inPlans in education Clear escalation use for non- use for non-settings and SEND process in place for attendance or attendance orsupport plans. non-attendance or contribution to the contribution to the

contribution to the writing of EHCP or writing of EHCP orwriting of EHCP or EHA EHA plan EHA planplan.

IMPACT MEASURES

1. Nearly all (90%) professionals provide timely and good quality contributions to the EHC needs assessment and annual review process.2. Nearly all (90%) parents, carers, children and young people who respond via feedback cards and annual survey report they understand and have had a positive

experience of the EHC assessment and annual reviews, their views were listened to.3. The % of plans issued within 20 weeks will be in line or better than the national benchmark4. Nearly all (90%) annual reviews will be completed on time and processed within 4 weeks of receipt of review documentation in line with the SEND Code of Practice

requirements.5. QA process provides evidence of significant improvement in trends of quality of EHC plans.

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Priority 5:The significant and continued concerns raised by parents and young people at the delays in assessments, lack of communication and quality of provision

Lead: Mark Green, Integrated Service Manager, Children, Families and Community Health.


(i) Parents/ carers and young people feel supported, listened to and will be positive about their experience of assessments and the quality of provision.(ii) Needs will be identified early, accurately and consistently; assessment process will promote ‘tell us once approach’(iii) The educational progress children and young people with SEND at the end of all key stages will improve.(iv) Care and health services provided by the local area will be strong and will provide the necessary support, care and guidance for children and young people with

SEND.(v) Outpatient services will be transformed with children and young people being able to access a range of professionals including their GP and paediatric

consultant, at the same time.(vi) Parents and young people will be offered a range of communication options to ensure they are communicated with in a timely and meaningful way.


5.1 Continue to embed SEND Jane Early help support for Team around the Team around the Team around thepathways and support Griffiths children with SEND schools and Early Help school successfully set school rolled outinto Swindon’s Early Help mapped and hub effectively up in five secondary across the boroughOffer to ensure an published on Local signpost family schools and impacteffective front door to Offer support for children evaluatedearly support and and young peopleidentifier of SEND with SEND and Team

around the schoolconcept successfullyset up in 3 targetedsecondary schools asa pilot

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Early Help assessment adapted for SEND graduated pathway

Early Help assessment pathway for SEND embedded

Review the impact of the adapted Early Help Assessment for professionals, parents, children and youngpeople

Implement any changes necessary

To introduce enhanced focus on language and communication outcomes in early years settings

Early Help focus - 12 Health visitors successfully trained and actively supporting language development for 0-2 year olds funded by£400K government grant

200 parents/carers given support with language development

Evaluation of the impact of the enhanced focus on language and communication on outcomes for the SEN support and SEND cohort

5.2 To implement the High Needs Review and develop more effective strategies to support children and young people with SEND.

Adrian Wells

High Needs Working Group established to co-produce and publish Swindon Core Standards to improve consistency in decision making and advice for Quality First Teaching andeffective SEN support

Training and support programme developed to promote core standards across all partners.

Quarterly monitoring of the implementation of the Core Standards

Evaluation of the impact of the Core Standards on outcomes for children and young people.

Co-produce the Top up allocation methodology to ensure consistent and fair allocation ofresources

Moderation and pilot of top up allocation completed to evidence consistency and equity

Top up methodology implemented

To evaluate the impact of the top up methodology on schools, parents, children and youngpeople and resources

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5.3 Review and revise SEND Pathways of educational provision including Special Resource Provision (SRPs), Support Services, Special schools

Gareth Cheal

Action plan to implement the recommendations following the Specialist ResourceProvision (SRP) review

Consultation on proposed changes to SRPs and review place planning of special school places with allstakeholders

Review consultation and report on next steps for re-shaping SRP and special school provision in theBorough

Implement changes to SRPs

Jo Godwin

Education Psychology Service specification published with robust performance measures and targets to measure performance and impact of EducationalPsychology Service

Quarterly contract management meetings to monitor performance and impact of Educational Psychology Service



Roz Pither

Review undertaken of Education Advisory Services

Re-design of Advisory Services to support the delivery of best value in terms of cost and outcomes

Service specification developed with robust performance measures and targets to measure performance and impact of EducationAdvisory Services

Quarterly contract management meetings to monitor performance, value for money and impact of Education Advisory Services

Peter Nathan

SEND summit held with all stakeholders to review overall approach to SEN and how can mainstream support provision to better meet the needsof SEND pupils

SEND summit recommendations endorsed by SEND Board and Schools Forum and action plan in place to implement changes

Implementation of changes arising from the SEND Summit

Evaluation of the progress and impact of the changes following the SEND summit on cost and outcomes

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5.4 To develop and implement the Personal budget policy, information and systems to increase uptake of personal budgets by families across health and care to support choice and control.

Roz Pither

SEND leads have visited and liaised with local authorities demonstrating good policies and practice in supporting the take up of personal budgets in order to develop good practicelocally

Revise personal Budget policy coproduced and consulted on with all stakeholders

Implementation of revised policy and practice for uptake of personal budgets

Quarterly monitoring of take up and review impact on families

Sharon Pells

Banes, Wiltshire and Swindon (STP) wide policy developed on introducing personal health budgets for children with continuing health careneeds

Staff trained on implementing personal health budget policy and practices and uptake monitored

Auditing and feedback from families on their experience of having a personal health budget to inform policy and practice change

Policy and practice established across Swindon with all eligible families routinely offered a personal health budgets

5.5 Review SEND Transport policy to enable more children and young people with SEND to access independent travel

Gareth Cheal

Independent Travel training further rolled out to schools by Transport Adviser (Trainer)

Regular monitoring of the uptake of independent travel and benefits of independent travel highlighted in case studies on local offer.

Review of Autumn term uptake of independent travel options taking lessons learned from feedback.Travel training continues on anongoing basis.

Evaluate the impact of independent travel training on the uptake of pupils opting to travel independently from September 2020.

Mileage agreement personalised to individual families forvalue for money

Individual discussion begun around transfer options with Y5/Y6

Individual discussions as part of transfer discussions continue

Evaluate the impact of personalised mileage and transferdiscussions on the

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pupils moving to secondary phase

uptake of pupils opting to travel independently fromSeptember 2020

SEND transport policy changes implemented followingconsultation.

Evaluate the impact of SEND transport policy changes on outcomesand resources

5.6 Swindon Education Challenge Board and additional school improvement work to focus on raising attainment & progress for all pupils including those with SEND

Louise McGinty

Schools and SEN adviser evaluate SEND practice and outcomes based on the whole school SEND reviewer training

Swindon Education Challenge Board review and analyse SEND data and identify the schools for SEND adviser to target to support with curriculum development and provision for SENDpupils

Swindon Education Challenge Board supports a deep dive into SEND outcomes – practice sharing to take place with schools with stronger SEND outcomes (including schools external to Swindon).

Data analysis review at September Swindon Education Challenge Board to review progress in improving outcomes and targeting schools or aspects of support for further improvement anddevelopment

Achievement for All contracted to work with targeted schools to raise achievement for SEND and disadvantaged pupils (to be confirmed dependent on DfEfunding)

Achievement For All (AFA) commissioned and working with targeted schools

Embed the practice and learning from Achievement For All (AFA) within Swindon schools

Evaluate the impact of achievement for All on the progress and achievement for SEND pupils

Review 18/19 Data on SEND achievement toestablish baseline

Data set updated and reviewed againstnational benchmarks

Benchmark and review 19/20 data forSEND achievement

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5.7 Ensure provision for 16- 25 meets needs and achieves the outcomes identified in EHCP/other plans.

Caroline Kelly

Review health, care and education provision against need, identify gaps and confirm where new provision needs to be commissioned/ current provision needs to be re-shaped to achieve desiredoutcomes.

Report findings and recommendations from the review with priority actions to SEND Board

Improve outcomes, attainment and progression for post 16 pupils with EHCP/other plans

Implement actions to re-shape the offer for 16-25 year olds with EHCPs/other plans

Embed the improvements to deliver more responsive services to improve the outcomes and progression for post 16 pupils with EHCP/other plans

Sally Burnett

To identify year 11’s and year 12’s at risk of Not in Employment, Education and Training (NEET) and target for new NEET Programme ‘Get Ahead’. Plans in place for all the NEETs 16- 18 and all those needing supported employment are referred to Building Bridges.

To complete tracking work on 18-25s and set target to 2022. All progression pathways and outcomes for learners have been agreed with providers

Monthly review meetings embedded to track progress.

Review of pathways undertaken based on outcomes with improvements made to Pathways as needed.

5.8 All contributions to EHCP Mark The process for The quality of the care Evidence will Further review of careassessments are Green requesting, tracking contribution is being demonstrate 100% assessments to ensurecompleted within the and quality assuring audited as part of the compliance for the consistency instatutory timeframe, the Social Care SEND QA Framework completion of care approach andinclude jargon free and contribution is to monitor impact for contribution to EHCP’s effective practice.

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age appropriate language, embedded and a the child or young and outcomes areor use of visual aids and performance indicator person. The learning being achieved for theeasy read documents, and established and will be captured and child or young person.are outcome focussed. monitored. This will incorporated into

be reported to the further training forSEND Board. social care staff.

DMO The process for The quality of the Evidence will Further review ofrequesting, tracking health contribution is demonstrate 100% health assessments toand quality assuring being audited as part compliance for the ensure consistency inthe health of the SEND QA completion of health approach andcontribution is Framework to contribution to EHCP’s effective practiceembedded and key monitor impact for and outcomes areperformance the child or young being achieved for theindicators established person. The learning child or young personand monitored. This will be captured andwill be reported to the incorporated intoSEND Board. further training for

health staff.5.9 Transitional arrangements Kay Review of referral In partnership with A co-located health Review new

between children and Reeve pathways including CCG consolidate and and Social care arrangements andAdult Care Services early identification of the Multi-disciplinary CHC/Complex care impact.(including Health those who meet adult Team approach to the Team will beServices) have been services criteria with more complex cases established withreviewed to provide a an agreed timeframe and review all shared pooled shadowmore seamless process for the completion of funding cases in budgetsfor assessment and a Care Act Assessment Childrens Servicessupport in preparation for and Annual Health (start with 16+) toadulthood. Assessment. This will agree an appropriate

be reported to the “review” point – priorSEND Board. to 18 where we can

collectively consider

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Health and Social care activity required in preparation for a change in support andservices from 18.

5.10 The content of any Fiona Social Workers and It will be the Ensure joint process Audit and review toexisting EHCP’s will be Frances IROs check at requirement for all for CP, CIN and CLA ensure the newgiven consideration in all statutory assessments Social Care CIN, CP with EHCPs process forSocial Care statutory and reviews that and LAC meetings to implemented across embedding SENDassessments and review EHCPs are in place be aligned with EHCP the system with needs into statutorymeetings and integrated with annual reviews to regular monitoring at care plans is effective

the PEP and SEN improve multiagency Corporate Parenting and report outcomeAnnual Reviews to contribution to the Board, CP Board and to Corporateimprove multiagency statutory SEN process. by the Head of Virtual Parenting Board, CPcontributions to the This will be monitored School. Board and the Head ofstatutory SEN process. at Corporate Virtual School.This will be monitored Parenting Board, CPby Corporate Board and Head ofParenting Board, CP Virtual SchoolBoard and Head ofVirtual School

5.11 Through the development Louise All GP practices in The register will be The register is being Review the impact ofof the primary care Tapper Swindon will be being used to inform used to improve the the register in relationnetworks, a formal actively developing a the joint strategic uptake of annual to: improving persondisability register will be disability register and needs analysis and health checks for centred health care;established and this will be promoted joint commissioning young people aged providing betterpromoted. on the Local Offer intentions and service 14+ years and to information about the

site. development across support timely health needs; betterhealth, education and transition planning for planning of health andsocial care. young people with care services for

people with

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SEND as they disabilities; betterapproach adulthood. understanding and

integration of needsacross health, care,education andemployment; andbetter transitionplanning for youngpeople approachingadulthood

5.12 All children and young Sally SFV to lead on parent SEND Board will Lanyard Schemepeople with autism will be Smith satisfaction survey in receive a report on rolled out acrossoffered the use of a respect of the the Lanyard Scheme Banes, Wilshire andSunflower Lanyard in Sunflower Lanyard and a training plan is Swindon and impactprimary care and in the Scheme. in place to widen the monitoredhospital identifying lanyard scheme todiscreetly to professionals other health,that they require education and careadditional support, based settingson the national airportapproaches to autism.

IMPACT MEASURES

1. Identification of children at SEN Support is consistent across all educational settings and aligned with national trends.2. Fair and transparent resource allocation across the SEND system.3. Education settings report greater confidence in meeting the needs of children/young people with SEND.4. Parents and carers report greater confidence about their children’s care needs are identified and planned for (referrals, timescales, processes are transparent and

communicated effectively)5. Increase in the number of transitions assessments completed before a young person’s 17th birthday by Adult Social Care, from 2016 baseline

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6. Increase in the number of young people travelling independently following independent travel training7. Increase in post 16 education and training options available to young people with SEN & disabilities8. 100% of young people with EHCP have a good quality transition review in Year 99. The proportion of 19-year-olds with an EHC plan qualified to level 2 and level 3 is stable and in line with the national average.10. Increase in the number of young people with SEND who are in education, employment or training11. Experience of children and young people using Lanyard will be improved within the community and hospital setting

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Priority 6: The long waiting times to meet the needs of children and young people effectively: especially ASD, ADHD and mental health services.

Lead: Esther Schmidt, Children's Services Commissioning Lead CCG


(i) Families, including the children and young people themselves, will have consistently positive experiences of the local area’s arrangements for identifying, assessing and meeting needs.

(ii) Referrals assessment will take place within 18 weeks from the point of referral, and whilst waiting to be seen young people and families will be offered a direct point of contact to seek advice and support.

(iii) Children looked after, who are placed outside of Swindon will have their needs assessed within 20 days of being placed through initial health care assessments (IHAs).

(iv) An effective Neuro development pathway will be in place to assess any child or young person needs assessment this will include ASD and ADHD.(v) Where a child or young person does not meet the referral criteria for the neuro pathway clinic they will be offered alternative support.(vi) Improved access to mental health services including TAMHS and CAMHS.(vii) Health visitors will ensure families who move into or around the Swindon area are identified and their children receive the universal two- to two-and-a-half-

year Healthy Children’s Programme (HCP) as required.(viii) ‘Tell it once’ principle will be consistently followed so that there is improved cohesion between health services.


6.1 Secure the timely Katie All families with 0-5 Review of staffing Quarterly monitoring Quarterly monitoringinvolvement of health Currie who have transferred arrangements to demonstrates families demonstrates familiesvisitors, school nurses, into Swindon (and ensure families moving into Swindon moving into SwindonGPs to support registered with GP) to transferring in from are receiving timely 2- are receiving timely 2-assessment and be sent a welcome outside of Swindon 2.5 year contacts 2.5 year contactsidentification of SEND to letter outlining advice receive timely aligned with Healthy aligned with Healthyensure needs are met on child development contact. Child Programme Child Programme

milestones, sources ofadvice and support

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and invited to contactthe health visitingservice if needed.Work with partner Continue to identify Review the impact of Work with partnerorganisations and and implement key the health visitors and organisations andfamilies to begin to local SEND pathways school nurses on early families to embed theidentify key local for health visitors and identification of SEND local SEND pathwaysSEND pathways and school nurses to and protocols forprotocols to support provide ongoing health visitors andearly identification support for early school nursesand review health identificationvisiting and schoolnursing involvement.Individual health care Inclusion of individual Inclusion of individual Inclusion of individualplans completed by health care plans in health care plans in health care plans inschool nurses which EHCP is monitored EHCP is monitored EHCP is monitoredsupport children with though EHCP QA though EHCP QA though EHCP QAhealth care needs in processes and processes. processes.school settings improvement are Improvements are Improvements arecontribute to the EHC made as necessary made as necessary. made as necessary.needs assessmentprocess and plan

Louise Tapper

Development of With SVF the pilot will Embed and roll out All Primary Care

Primary Care Hub be evaluated and across all Primary Networks are(pilot) to establish a findings reported to Care Networks in establishedmulti-disciplinary SEND Board and Joint Swindon and monitorsupport model Commissioning Group impactinvolving families, to agree roll out.children and youngpeople with SEND orEarly Help to discuss

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their needs and support. This will be supported by DMO and DCO. A clear escalation process will be in place to address needs in a timelymanner

6.2 Ensure electively home educated (EHE) children are offered public health school nursing offer (sexual health, healthy eating, sleep, smokingcessation etc.)

Katie Currie

Consult with EHE families on how they would like to receive this support.

Develop offer in line with school nursing health promotion role.

Promote school nursing offer for EHE on local offer and other routes identified through consultation withfamilies.

Evaluate, with families, support from school nursing given to EHE children.

6.3 Improve the waiting times for health occupational therapy assessment to meet the agreed commissioned target Manage waiting times for Physiotherapy, Speech and Language Therapy and Social Care Occupational Therapy to meet commissioned targets and national requirements

Jude Sellers

Develop Waiting list initiative to support reduction of Occupational Therapy waiting time

Recruit to waiting list initiative staffing and maintain at least 80% service staffing within health Occupational Therapy to ensure staffing to manage demand

Progress against improvement plans and performance data is monitored through quarterly contract meetings and information on waiting times is accessible to all SEND managers, caseworkers andfrontline staff

Progress against improvement plans and performance data is monitored through quarterly contract meetings and information on waiting times is accessible to all SEND managers, caseworkers andfrontline staff.

System for receipt and management of referrals from SENATfor EHCP assessment

Establish IT system to be able to accurately measure waitingtimes for therapy

Achieve national waiting times for Occupational TherapyHealth

Maintain access to all four therapy services within nationally

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will have been reviewed and embedded across practice in therapyservices and SENAT

services by need to include EHCP waiting times and ASD waiting times specifically

agreed waiting time targets

Continue to work within and as part of the development of the new Neuro Developmental Condition pathway to ensure therapy input to the identificationand treatment.

Support the implementation of the new NDC pathways

Monitor implementation and impact of the overall effectiveness of the new pathway from the therapy input.

Contribute to the evaluation of the new NDC pathway.

6.4 Improve access to mental health support including TAMHS and CAMHS to meet nationally required standards

Esther Schmidt

Through contractual discussions there will be improvement plans and key performance targets developed for CAMHS and TAMHSservices specifically around SEND which align delivery and response times with the Mental Health Minimum Dataset and national targets and include impactmeasures.

Specifications reflect national standards and targets and include impact measures. Quarterly contract meetings show reduced waiting times and positive impact of the services for children and young people with SEND

Quarterly monitoring of TAMHS and CAMHS access targets through contract meetings show reduced waiting times and positive impact of the services with increased satisfaction for children and young people with SEND

Review and evaluate the TAMHS and CAMHS Services to inform future commissioning intentions for children and young people with SEND

Continue tocommission the ELSA

Quarterly monitoringof ELSA, Kooth, and



39


(Emotional Literacy Support Assistant) programme for schools, Kooth (additional direct online access service to children and young people on the waiting lists) and the Mental Health Liaison post (within GWH for the CAMHS Outreach Service for Children and Adolescents whopresent at GWH).

Mental Health Liaison post to review impact of these services on the wellbeing of children and young people with SEND and effect on waiting lists for CAMHS and TAMHS



CCG working jointly with LA will have undertaken a demand and capacity review to inform future commissioning intentions to meet future demand for SEMH. Report findings and recommendations tothe SEND Board.

Develop follow plans to respond to the capacity review including future commissioning intentions.

Service redesign in line with the recommendations and plans.

6.5 To get a clear trajectory from providers to get reduced waiting times forAutism and ADHD

Amanda Du Cros

CCG have approved investment and additional consultant

New contractual requirements for monitoring autismand ADHD waits

Contract compliance monitored on a bi- monthly basis atPaediatric

Contract compliance monitored on a bi- monthly basis atPaediatric

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diagnosis and where in post to increase agreed and embedded Development Forum Development Forumidentified investment is clinic appointments in the contract and and SEND Board and SEND Boardrequired full business compliancecases will be written for monitored on a bi-consideration by the monthly basis atIntegrated Joint PaediatricCommissioning Group. Development Forum

and SEND BoardAction plan in place to A new neuro referral All clinicians trained Performanceaddress waiting times form and pathway to provide Autism and monitoringand new neuro- established through ADHD diagnosis demonstrates referralpathway mapped and co-production with providing additional form and pathway areco-produced with SEND Families Voice capacity for diagnostic effective, trajectorySwindon Families and key stakeholders clinics leading to on waiting times hasVoice. Autism and with a single point of improved trajectory in improved and levelsADHD diagnosis referral and triage reducing waiting of parentalreferral forms which aligns to the no times satisfaction hasreviewed to ensure wrong front door increased.optimal pre-diagnostic approach embeddedinformation is made in Swindon’s Earlyavailable at point of Help Offer and thereferral Trailblazer Bid.

6.6 Children Looked After out Ann Gray Responsibility for New model for the New model for the Evaluation of theof borough receive timely commissioning health commissioning of commissioning of revised model andhealth checks assessments for health assessments health assessments simplified forms on

children looked after and revised consent and revised consent the timeliness ofout of borough forms embedded forms established health assessmentstransferred from GWH supporting more supporting more for children lookedto the Designated timely and quality timely health after outside theNurse at CCG to health assessments. assessments. borough. Report ofreview the process, Performance Performance findings and

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address late monitored by monitored by recommendations tonotifications of CLA to Corporate Parenting Corporate Parenting Corporate Parentingthe health teams, Board Board Boardensure healthassessments informEHCPs, and reducedelays in gettingconsent from parents.Agreed data sharing Ongoing monitoring Ongoing monitoring Evaluate impact onprotocol between SBC of the timeliness of and review timeliness ofand CCG established notifications to health effectiveness of new notification andand process in place teams of children protocols. Issues health assessmentsfor notification of a looked after and escalated to JCG and for CLA outside thehealth assessments quality of health Corporate Parenting borough. Report offor CLA outside of the assessments with Board for resolution findings andBorough. issues escalated to recommendations toBaseline and Joint Commissioning JCG and Corporatetrajectories Group (JCG) and Parenting Boardestablished to Corporate Parentingmonitor notification Board for resolutionby social care

6.7 ‘Tell it once’ principle is Steve Mapleston

Pilot in place as part Review pilot to assess To embed the whole Whole system data

embedded and improving of the integrated Care impact of shared system of data sharing sharing is establishedcohesion between health Agenda for effective records for both the by joining up health with embedded dataand social care services sharing of medical care and outcomes for and care records sharing agreements

records across health children, young across Swindon across providers andand social care people with SEND to improving care andpartners to gain a inform further roll out outcomes for childrenholistic view from and findings shared and young peopleacross the system with SEND Board with SEND.

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6.9 Educate and inform all health professionals on the services and support available for children and young people with SEND including short breaks

Louise Tapper

Menu of services and support available for children, young people and families with SEND is available on Mydos system forGPs

Review and update menu of services and support available for children, young people and families with SEND on Mydossystem for GPs



Hold a series of events to educate and inform all health professionals on services and support for children and young people with SEND (via twitter, Facebook and websites and part of induction programme for new staff)

Repeat series of events to educate and inform all health professionals on services and support for children and young people with SEND shared via twitter, Facebook, websites and part of induction programme for newstaff

IMPACT MEASURES

1. Achieve 90% of specific therapy EHCP assessment requests within 6 weeks of request for assessment being received2. Achieve 100% of offer of first assessment for Physiotherapy, Occupational Therapy Health and Speech and Language Therapy within 18 weeks3. Achieve 90% of offer of first assessment Occupational Therapy Social Care within 12 weeks4. Achieve 100% requests for support from CAMHS and TAMHS met within nationally required standard of 18 weeks.5. Autism and ADHD Diagnosis are showing an improved trajectory to meeting the 18 week timescale with the aspiration of achieving compliance with NICE Guidance6. Reduction in urgent referrals for specialist CAMHS services as a result of early intervention7. 100% of Children Looked After have health checks within 20 days of being placed.

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Priority 7: Persistent absence and fixed term exclusions are high, especially in mainstream secondary schools

Lead: Marie Houghton (SBC) and Jon Oliver/Steve Colledge (Schools)


(i) Attendance for children and young people with SEND will significantly improve including persistent absenteeism(ii) Fixed-term exclusions are in line with national figures for children and young people with SEND, especially in secondary schools.

Ref Intervention Lead Progress Action trackerSeptember 2019 RAG January 2020 RAG May 2020 RAG October 2020 RAG

7.1 The Behaviour and Nigel The Behaviour and System and dataset is Peer review model School Advisers toAttendance Group to Pickering Attendance Group embedded to established with visit individual schoolsreview practice and with members across routinely collate, Behaviour and and / or to invitedevelop a more education, Early Help analyse and report Attendance leads schools and governorsconsistent approach to and care has termly attendance undertaking termly to SBC Schoolexclusions and identified and and exclusions at peer reviews to Performance Reviewattendance management developed an borough and school support and develop meetings whereparticularly for accurate data set for level to Scrutiny, LSCB practice in schools exclusions andvulnerable learners and reporting exclusions and Council Members with high levels of absence were high toCYP with SEND. and attendance at for oversight and exclusions and review impact of the

borough level and challenge persistent absence for Behaviour andschool level with a This data is used to pupils with SEND. Attendance group andbaseline for inform the schools identify areas formonitoring causing concern improvementimprovement. The process and maybaseline is shared result in schoolwith schools and leaders and governorsgovernors. SEND being invited toAttendance,

44


exclusions and part- time timetables is a standing agenda item at formal schoolreview meetings.

formal school review meetings.

7.2 Undertake a deep dive to gain insight from quantitative and qualitative information on exclusions and persistent absence in co- production with parents/carers, children with SEND and young people and schools to identify the key hotspots for targeted intervention

Louise McGinty

Deep dive has identified the themes and underlying causes of SEND learners with multiple exclusions, persistent absence and part-time timetables from case studies

Work to support the development of a ‘ Team round the school model (Early Help, Nursing, TAMHS, CAMHS, SENSchool Improvement Adviser, Educational Psychology Service, SEN Support Services, Mental Health Trailblazer provision) to identify interventions to support secondary schools with the highest levels of exclusions rates, persistent absence and part-timetimetables

Embed the ‘team around the school’ model.

Review the impact of the ‘team around the school’ model and review impact on exclusions, attendance and part- time timetables

Marie Horton

DfE Behaviour Tsar Tom Bennett to hold a 4 day course with school leaders with aSEND focus.

Schools that attended the training have reviewed behaviour and attendance policyand practice following

Embed revised school behaviour and attendance polices and practice withinschools available on

School behaviour and Attendance Leads review the impact of the revised policiesand practice on

45


Behaviour and Attendance Conference has been held (June 2019) with outcomes informing school development plans.

Behaviour Tsar Training and

school web sites and impact shared at B & A Group.

attendance and exclusions (including SEND pupils) and identify areas for improvement.This review will be subject to externalvalidation.

Nigel Pickering

Behaviour policies and practices and Fair Access Process reviewed at Behaviour and Attendance conference (June 2019) and themes identified to inform a strategy for providing consistent high quality support for SEND and vulnerable learners

Consult and develop in co-production with Swindon Families Voice a strategy for supporting vulnerable learners to reduce exclusions, part time tables and persistent absence.This learning to be shared with SASH, EOTAS and B and A leads to inform strategy and impact evaluation in 2020.

Implementation of the strategy to support vulnerable learners.

Review the impact of the strategy for reducing exclusions, part time timetables and persistent absence

This review will be subject to external validation.

7.3 Provide governor training Louise Scope and develop Governors’ knowledge Governors involved in Review impact ofon the SEN and inclusion McGinty Governor training and and understanding of the school peer Governors trainingagenda to ensure a briefings to include statutory duties reviews providing and briefings onwhole school approach to focus on governor surrounding independent exclusion, part timeinclusion is adopted and responsibilities in exclusions and challenge for support timetables andexclusion hearings are terms of exclusions attendance is to vulnerable learners attendance rates formanaged effectively and improving embedded. Governors including SEND pupils vulnerable learners

feel equipped to

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attendance for vulnerable groups

support and challenge senior leaders of their settings in making decisions about attendance and exclusions ofvulnerable learners.

.

7.4 Secondary SENCOs group to re-evaluate strategies to tackle rise in fixed term and permanent exclusionsAnnual reviews take into account the risk of exclusion and address issues relating to low attendance as appropriate

Louise McGinty

Membership of SENCO group reviewed and includes representation from social care and health

Work underway to support those schools not initiating and following formal review processes for SEN pupils at risk of exclusions and persistent absence to update and improve their behaviour policies, clarifyingexpectations

Termly SENCOs meeting include a standing item focus on exclusions and attendance and follow up meetings with individual schools with high levels of exclusions and/or low attendance.

Termly SENCOs meeting include a standing item focus on exclusions and attendance and follow up meetings with individual schools with high levels of exclusions and/or low attendance.

Best practice in developing provision and curriculum for effectively engaging learners with SEND particularly SEMH is shared and plans established for implementing inschools

Strategies for encouraging positive behaviours for learners shared with schools and resource packs available to reduce risks of exclusions and persistent absenceavailable for schools

Review the impact of the positive behaviour strategies and resource packs with schools

Revise and embed behaviour strategies and resource packs with schools

7.5 Ensure that schools andpartners consistently

SharrenPells

Review compliance oflocal systems,

Update andimplement revised

Monitor timelinessand effectiveness of

Embed new localpathways for

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comply with the protocols and practice protocols for revised systems for supporting childrenstatutory guidance on with the national supporting children supporting children with medical needs tomeeting the needs of guidance on with medical needs with medical needs to promote schoolchildren with medical supporting children and deliver training as ensure good attendance across allneeds with a particular with medical needs. required. attendance. educational settings.focus on promoting All children not in Ongoing monitoring Ongoing monitoring Ongoing monitoringschool attendance. school due to medical and reviewing of care and reviewing of care and reviewing of care

needs have been plans and support plans and support plans and supportidentified, their needs packages in place to packages in place to packages in place toreviewed, care plans ensure good school ensure good school ensure good schoolupdated and training attendance attendance attendancedelivered to enablestaff to support themin education settings

IMPACT MEASURES

1. No permanent exclusions for children with EHCPs2. 50% reduction in permanent exclusions for children with SEN support (Sept 2018 baseline)3. 50% reduction in fixed term exclusions for children with EHCPs (Sept 2018 baseline)4. 50% reduction in fixed term exclusions for children with SEN support (Sept 2018 baseline)5. 50% reduction in persistent absence for children with EHCPs (Sept 2018 baseline)6. 50% reduction in persistent absence for children with SEN support (Sept 2018 baseline)7. 20% reduction in children with EHCPs and SEN support opting for home education8. 75% school uptake of school governor on school governor training relating to Exclusions and SEND.9. No absence from school due to lack of care and training provision for medical needs10. All schools to have SEND Governor11. 70% school governors trained in the Whole School SEND review training.

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Priority 8: The Local Offer is not up to date and does not effectively signpost parents to high quality provision

Lead: Jo Godwin, SEND Reform Implementation Manager


(i) The Local Offer will be co-produced, accessible and easy to navigate and meets the SEND Reform requirements(ii) All commissioners, with involvement from SFV will put in place a quality schedule detailing quality indicators that need to be met to ensure provision is

of high quality(iii) The local offer, will be well known and used by parent, carers, young people, professionals and the wider community.(iv) Local Offer will be clear about the provision available for children, young people and their families including short breaks(v) Feedback about the Local Offer will be used to inform commissioning decisions and decisions about the specific nature and type of provision that

local families want.


8.1 Review Local Offer website with Swindon Families Voices, children and young people and key stakeholders to ensure it is appropriate and easy to read

Jo Godwin

Recruit local offer development officer

Review the capacity arrangements for the ongoing maintenance and development ofthe local offer

Jo Godwin

Complete an annual compliance audit of the local offer with the DMO (musts, should’s)

Follow up on outcome of the local offer compliance audit, take actions as necessary to addressany areas of concern identified via audit

Complete an annual compliance audit of the local offer (musts, should’s)

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Jo Godwin

Identify Local Offer Champions across service areas to review content of information and inform Local Offer and Early Help Development Officer of changes.

Implement a cycle of quarterly meetings with the Champions and key SEND Colleagues including parents carer and young people to discuss effectiveness of the local offer and review/update the content (on recommendations put forward by LOChampions)

The cycle of quarterly meetings will be well established to review and update content.

The local offer will inform service design and planning to address gaps and unmet need to inform the annual commissioning intentions

DMO Identify Local Offer Champions across health services to review content of information and inform Local Offer and Early Help Development Officer of changes.

The DMO and DCO will have reviewed the Local Offer to ensure the health information is up to date and accurately reflects available services

The Local Offer has accurate and high quality, easily accessible health information and advice on available health services for children and young people with SEND, their parents and those who may care for them or want toaccess help.

The DMO and DCO will use the local offer for service design and planning to address gaps and unmet need to inform the annual commissioning intentions

8.2 User feedback informs Local Offer developments to improve accessibilityand use of the Local Offer

Jo Godwin

Establish focus groups to co-produce platform design andlaunch a competition

Complete platform redesign, engage with groups to test

Launch of new local offer platform MyLife

Engagement group to review accessibility of the new site

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for young people to accessibility of thedevelop new siteimages/multimediafor the local offer

Jo Publish Annual Report Develop annual Review the Local Offer Publish Annual ReportGodwin using a ‘You said, we survey for parents and feedback approach. using a ‘You said, we

did’ model. young people did’ model.Jo Hold the Local Offer Develop and action Follow up to secure Annual local offerGodwin Big Day: March plan for Local Offer effective event to provide

SENDsation to provide development and implementation of the opportunities to shareopportunities to share improvements action plan the breath of the Localthe breath of the Local following Local Offer Offer with users andOffer with users and Big Day gather feedback ongather feedback on effectiveness ofeffectiveness of servicesservices

Jo Consult with children Develop accessibility Implement and Review user feedbackGodwin and young people plan to address issues embed alternative on the use of

with SEND on their highlighted during the ways to access alternative ways toideas and preferences consultation process information and access informationfor communication support which will and supportchannels include a citizen

account on the LocalOffer

Jo Evaluate the use of Develop alternative Implement and Review alternativeGodwin the local offer by ways of publishing embed alternative ways of publishing

children and young local offer developed ways of publishing local offerpeople with SEND and e.g. leaflet local offertheir families of SBC’sand CCG’scommunication

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channels includingFacebook and Twitteraccounts

Jo Ensure links to theGodwin local offer via all

electronic signaturesacross healtheducational and care

IMPACT MEASURES

1. Annual reports published in August using a ‘you said, we did’ model.2. Increase in user numbers, usage and dwell time on individual pages increases by 50% with a reduction of the bounce rate by half to 32%3. Increased feedback mechanisms on the Local Offer using a variety of channels with the main channel being the Local Offer itself.4. Evidence based on surveys provide data confirming high levels of awareness of the Local Offer5. Evidence based on surveys provide data confirming high levels of satisfaction with accessibility and content of the Local Offer.

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Data dashboard for regular reporting at SEND Board– DRAFT Subject to SEND Board agreement in April 2019

No. Measure definitionKPI Number and % of EHCPs over 20 week statutory target in last 12 monthsKP2 Number and % of new EHCPs requested and completed on timeKP3 Advice is received on time for new EHCPs :

1. Health2. Care3. Education

KP4 Number and % of Annual Reviews completed on time and processed within 4 weeksKP5 Number and % of outstanding Key Stage TransfersKP6 Number and % of first assessments for physiotherapy, occupational health and speech & language therapy received within 18 weeksKP7 Number and % of Occupational Therapy Social Care received within 12 weeksKP8 Number and % of referrals to TAMHS and CAMHS therapies seen within 18 weeksKP9 % of children and young people diagnosed with Autism or ADHD within 18 weeks of their referral

KP10 Reducing the number and % of exclusions for those with SEN Support and EHCP across Swindon1. Permanent exclusions for EHCP2. Permanent exclusions for SEN Support3. Fixed Term exclusions for EHCP4. Fixed Term exclusions for SEN Support

KP11 Reducing the number and % of absence across Swindon for those children and young people with:1. SEN Support2. EHCP

KP12 Reducing the number and % of children and young people on part-time timetables with:1. SEN Support2. EHCP

KP13 Reducing the number of children and young people opting for home education with:1. SEN Support2. EHCP

KP14 Improving achievement at end of key stage assessments for those with:1. SEN Support2. EHCP

KP15 Number and % of 2.5 year developmental checks undertaken on timeKP16 Number of children with complex health needs not in an education setting

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No. Measure definitionKP17 Increased use and awareness of the Local OfferKP18 Number and % of families with personal budgets including health budgetsKP19 Number and % of transition assessments completed at year 9KP20 Number of children with EHCPs travelling independentlyKP21 Number and % of young people with SEN support and EHCP that are EET at 16+ yearsKP22 Number and % of Children looked after out of borough having a health assessment within 20 daysKP23 Number and % of complaints upheld across health, education and social careKP24 Number and % of tribunals upheld across health, education and social careKP25 Number of successful mediations across health, education and social careKP26 Number and % of parents and children/young people reporting satisfaction with EHCP process for assessment and reviews

(Listening Cards and annual survey)

Council LeadsSally Burnett Head of Skills, Employment & Lifelong LearningGareth Cheal Commissioner - Education Place Planning and AdmissionsKatie Currie Principal Officer – Health and Wellbeing (Registered CQC Manager for Children’s Community Services)Liz Fewings High Needs Implementation ManagerFiona Frances Service Manager, Quality Assurance ＆ ReviewJo Godwin SEND Reform Implementation ManagerMark Green Integrated Service Manager Children, Families and Community HealthJane Griffiths Service Manager for Early HelpDavid Haley Corporate Director Children’s Services (DCS)Marie Horton Education CommissionerLouise McGinty SEND AdviserPeter Nathan Head of EducationMike Plummer Interim SEN Assessment Team ManagerNigel Pickering Additional Provision and Reintegration ManagerRoz Pither Strategic Commissioner Special Educational Needs and Disability (SEND)Kay Reeve Head of TransitionJude Sellers Specialist Community Health Services ManagerClaire Smith Acting Strategic Commissioner - Voluntary and Third Sector CommissioningCaroline Kelly Strategic Commissioner Vulnerable Children and Young People including SEMH and SEND

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CCG LeadsRuth Atkins Head of CommunicationsAmanda Du Cros Head of Project Management Office (PMO)Anne Gray Designated NurseLynette Glass Quality Learning Disability LeadKate Liddington Associate Director for Primary CareGill May Director of Nursing and TransformationSharren Pells Associate Director for Quality and Patient SafetyEsther Schmidt Children’s Services Commissioning LeadSally Smith Project ManagerLouise Tapper Primary Care TransformationDi Walsh Workforce LeadSam Wheeler Assistant Director of Information and AnalyticsTBC DMOWider PartnershipHealthwatchBob Linnegar Head of Commonweal SchoolSwindon Families Voice(SFV)STEP Swindon

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Glossary of TermsAbbreviation Description Abbreviation Description

ADHD Attention deficit hyperactivity Disorder IRO Independent Reviewing OfficerAFA Achievement for All KIT Keep In TouchASD Autism Spectrum Disorder NDC Neuro Development ConditionCAMHS Child and Adolescent Mental Health Service LA Local AuthorityCCG Clinical Commissioning Group MH Mental HealthCIN Children in Need NEET Not in Education, Employment or TrainingCLA Children Looked After PEP Personal Education PlanCPD Continuing Professional Development QA Quality AssuranceDCO Designated Clinical Officer SASH Swindon Association of Secondary Head teachersDfE Department for Education SBC Swindon Borough CouncilDMO Designated Medical Officer SEMH Social Emotional Mental HealthEET Education, Employment or Training SEN Special Educational NeedsEHA Early Help Assessment SENCO Special Educational Needs CoordinatorEHCP Education, Health and Care Plan SEND Special Educational Needs and DisabilitiesEHE Electively Home Educated SFV Swindon Families Voice – Parent Carer ForumELSA Emotional Literacy Support Assistant STP Sustainability and Transformation PlansEOTAS Education Other Than At School TAMHS Targeted Adolescent Mental Health ServiceGP General Practitioner ToR Terms of ReferenceGWH Great Western Hospital VFM Value for moneyHCP Healthy Child Programme WSOA Written Statement of ActionINMS Independent and non-maintained schools

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