Hampshire Green Paper Pathfinder Project Approach

Part of the South East 7 (SE7) SEND Pathfinder group of local authorities

www.nhs.uk

Who are the SE7?The SE7 authorities are:• Brighton and Hove City Council • East Sussex County Council (SE7 lead authority)• Hampshire County Council • Kent County Council • Medway Council • Surrey County Council • West Sussex County Council

The SE7 also includes 4 Health areas:• NHS Kent and Medway • NHS Sussex – covering Brighton and Hove, East Sussex and

West Sussex • Southampton, Hampshire, Isle of Wight and Portsmouth PCT

Cluster • NHS Surrey

Hampshire SEND ApproachHampshire, as part of the SE7 group of authorities, was successful in applying to be a Pathfinder to test the core and optional activities set out within the Green Paper. The activity areas to be tested all have terms of reference developed and are as follows:– Core Activities

• Integrated Assessment and Single Plan • To define and set out the Local Core Offer• To establish a trial for Personal Budgets• Strengthened multi-agency commissioning and collaboration

– Optional Activities• Support to Parents and Carers including support requirements,

key working and mediation/redress• Banded Funding • Age Range and Employment: Transition • Vulnerable (looked after) children

What we aim to do• Test proposals across the age range 0-25 years with

families recruited to participate within the Pathfinder work

• Work across children’s social care, adult social care, education and health services

• Apply sound project management principles (Project Initiation Document, Highlight Reports to the Change Board, Checkpoint Reports, Project Plan, Risk Log etc.)

• Fully involve key stakeholders, from the outset, throughout the different aspects of the Pathfinder work. These particularly include:– Parent/carers– The voluntary and community sector– Schools (mainstream and special) – Health

SEND Pathfinder GovernanceDepartment for Education & Department of Health

Joint Working Group

Council for Disabled Children Strategic VCS Partner for SEND to DfE

Mott McDonaldSupport Agency

SQWEvaluation

SE7 SEND Pathfinder leads

SE7 SEND Regional Steering Group

SE7 SEND Change Board

Hampshire Green Paper Pathfinder

Hampshire Core Project Team

Support Services

Hampshire Wider Project Team

VC

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Hampshire Governance Structure

Hampshire SE7 SEND local multi-agency Change BoardS

trat

egic

Multi-Agency Core Project Team led by the Hampshire Area Pathfinder Lead and

supported by a Project ManagerTac

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Multi-agency workstreams, with an identified working group lead, to undertake and deliver the Pathfinder activity

Hampshire Workstream “Jigsaw”

Support to Parents and Carers

• Defining the key worker role• Resolving differences of opinion

• Improving parental confidence

Vulnerable children

(looked after children)

Local Core OfferFramework of services available, and how to

access them, for children with SEN and/or disabilities

and their families

Personal budgets (self directed

support)Specialist: Most complex needs

Integrated Assessment

and Single PlanSpecialist: Most complex needs

Multi-agency commissioning and delivery

(Health; social care; education)

0 to 25 year age range

Accessib

ilityTra

nsp

aren

cy

Path Plan

Transition to employment for young

adults

&

Who is involved? Local Change Board membership

• Deputy Director Children’s Services (Children and Families)

• Pathfinder Lead/County Services Manager SEN

• Integrated Disability Manager, Children’s Services

• Assistant Director Adult Services LD/MH

• Adult Services Commissioning Manager and Transition Lead

• Educational Psychology Manager

• Early Years Manager • Parent Partnership Officer

• Parent/carer representatives (x2)

• Voluntary and community sector representatives (x2)

• Primary and Secondary mainstream school representative

• Special School representative

• College/FE representative• Assistant Director Child

Health Commissioner, NHS Hampshire

• Community Paediatrician, NHS Hampshire

• Project Manager and Project Support

Key workstreams and recent activity

• Assessment and Single Plan– Draft assessment process and guidance– Draft Single Plan template and guidance– Family recruitment for testing proposals

• Personal Budgets– Work plan developed– Unit costing and resource allocation system under

development

• Local Core Offer– Regional framework being developed by Parent

Partnership Services and Parent/carer Network for local population Autumn 2012

Key workstreams and recent activity

• Support to Parents and Carers– Workplan developed– Key worker desk top research and development – Mediation and redress desk top research

• Age Range and Employment: Transition– Workplan developed for pathways to employment

• Looked after Children (LAC)– Regional co-ordination of work programme and

testing cohort of LAC

Assessment and Single Plan: SE7 Regional Family Led Principles

Child centred‘my child is at the centre of the

process and it takes full account of his/her views and

wishes’

Child and family led‘the process is led by us and we

own and hold the information and the plan. Our contributions are

valued and respected’

Creative solutions‘the process allows my family

and our practitioners to be creative and not just restricted

by what is available now’

Family resilience‘the plan will help my family to manage our day to day lives,

building on our own knowledge, skills and expertise’

Empowered practitioners and parent carers‘the system will trust practitioners to make

responsible decisions with us’

Holistic‘our child is seen as a whole

person and all of his/her needs are considered’

Transparent‘we understand the process

and how decisions are made’

Clear‘everything is in plain

language and we understand it’

Prioritised‘we will agree together the

priority order of the outcomes and the plan will be the road

map to achieving these.’

Responsibilities‘we know who should do what and when and this is set out in

the plan’Time specific‘we know what will happen

when’

Outcomes focused‘the process will be based on

long term and shorter term aspirations for our child’

The Family Led Principles

will describe the child’s

and family's experience

Assessment and Single Plan: SE7 Regional Framework

Child and Family centred

The Family Led Principleswill describe the child’sand family's experience

Listenand

understand

Agreeand

allocate

Plan

Reviewand

learn

First contactNeeding help and support/join the

pathfinder

Collect information, collate knowledge, identify gaps in understanding, explore and identify the wider resources available (family, VCS and statutory and other). Additional expert assessment commissioned if needed. Decide whether a plan is required.

Agree action, signpost to services, and targeted resources. Identify practitioner to be involved in first TAC. Identify and agree desired outcomes and their priority. Allocate resource and/or personal budget, set up planning meeting.

Family and key worker develop child and family centred plan, including input from identified experts, building on all resources using the personal budget to make best use of these and to put in place additional support to needed to achieve agreed individual outcomes.

Family and key worker undertake child/family centred review of outcomes, to include audit of any direct payments and personal budget. Learn. Identify next steps and amend plan if necessary. Set date for next review

First contactNeeding help or

support

Listenand

understand

Agreeand

allocate

Plan

Reviewand

learn

A family or practitioner who identifies that the child or young person has additional needs and may benefit from a single assessment and plan will inform a single contact who will arrange for a key worker to make contact with the parent carers.

The key worker will contact the family will help them to collate all the current assessment information. Any additional assessment information needed will be sought. All assessment information will be held jointly by the parent carer and the key worker.

The parent carers, key worker with other relevant practitioners will agree the strengths, weaknesses and needs of the child or young person. Together they will agree the desired individual outcomes for the child and agree a priority for these. This information will provide the basis for the allocation of a personal budget, if appropriate.

The parent carers, key worker and relevant practitioners develop a plan for the support that will be needed for the child or young person and their family to achieve the identified outcomes. The plan will set out accountabilities and time-scales. It will be held jointly by the parent carer and the key worker. If a personal budget has been allocated the plan will set out how this will be used to add to the resources being used to support the child.

The parent carers, key worker and relevant practitioners will agree how often the plan should be reviewed. It will be reviewed when there are any significant changes to the child or young person’s or their family’s situation. The review will inform the development of an updated plan based on revised resource allocation as appropriate. If a personal budget is being used then review will include audit.

Assessment and Single Plan: Hampshire testing and families

Test area• One district area within HampshireFirst contactParticipants• 20 children and young people and their parents or carers plus 20 as a

comparison group.Age groups • Five pre-school children (two years before school admission)• Five children in year 4• Five children in year 9• Five young people post 16Characteristics• Children or young people will require services from two out of three of

education, health and social care.• The post-16 group will all be in FE college • Of the remaining participants, at least one child will be in a special

school, one will be a new request for statutory assessment, one will be in care, and most will be due to have an review of an existing statement or plan in the summer term.

Draft Hampshire Assessment Pathway (1)

Each family participating in the trial will be allocated a key worker, who will be responsible for guiding them through the process.

- Pathfinder support workers will visit potential families to ask whether they are willing to participate in the trial. Participation is entirely voluntary, and your statutory entitlements under existing special educational needs legislation will not be affected.

- Once a family has agreed to participate in the pilot, a key worker will be allocated to the family and will arrange an initial meeting.

- The SEN officer will contact the child’s headteacher (if the child is in school) to explain the pathfinder.

- Key worker will meet with parents/carers and the young person if appropriate to discuss the process and the single plan

- The family and key worker will consider any existing assessment information together and will complete the first page of the Single Plan, which includes background information and the child’s medical and other history.

- The family and key worker will discuss the child’s progress and identify whether any further assessments are needed, and who might need to contribute to a single plan covering Health, Social Care and Education.

- The family and key worker will agree next steps and time scales. Timescales will need to be negotiated according to circumstances, but any statutory timescales will stand under the new process.

Draft Hampshire Assessment Pathway (2)

- The key worker will contact the administrative coordinator at Hampshire County Council who will request assessments and further information from other professionals.

- The administrative coordinator will chase contributions as appropriate and will forward any reports or assessments to the key worker and family as they are received.

- The key worker will liaise with the administrative coordinator about progress against timescales and the key worker will keep the family informed.

Draft Hampshire Assessment Pathway (3)

- Once all reports and assessments are in, the family and key worker meet to discuss new information and agree a comprehensive account of the child’s strength and needs across Health, Social Care and Education, which are then drafted onto the single plan.

- The family and key worker discuss who should be at a meeting with them to discuss and agree the draft plan and when and where this should be held.

- The key worker will arrange the meeting.

Draft Hampshire Assessment Pathway (4)

- Meeting to formalise the plan takes place.- Actions, responsibilities and time scales will be agreed and

recorded.- Arrangements for monitoring progress against the plan will

be agreed.- Agreement about who will receive copies of the plan.

- Key worker will make informal contact with parents within two weeks of the planning meeting to review the assessment and single plan process

- Reviews take place as agreed on plan.- Updated plans will be circulated as necessary.

Single Plan Proposed Hampshire Template (1)

Male Female

CHILD/YOUNG PERSON’S PLAN

Name of child/young person

Date of Birth

National Curriculum Year Group

Address

Child’s parent or person responsible

Preschool/ School/ College

Single Plan Proposed Hampshire Template (2)

Key Background Information

Important things about my life now and in the future”

Single Plan Proposed Hampshire Template (3)

Summary of child/young person’s strengths

“Things I am good at”

1.2.3.4.5.6.

Summary of evidence-based needs

As reported by

“Things I think I need help with”

Single Plan Proposed Hampshire Template (3)

Single Plan Proposed Hampshire Action Plan

Date of plan

People involved in planning

Key targets Actions By whom? By when?

Name of planning and monitoring coordinator

Review date

Hampshire Assessment and Single Plan Timescales

• Proposed assessment pathway developed March to May 2012

• Single Plan template and approach developed April/May 2012

• Families identified and recruited May and June 2012• Key worker roles defined, personnel agreed and

training provided June/July 2012• Testing with recruited families July to October 2012• Evolution of proposed process July to October 2012• Evaluation of approach September to December

2012

Hampshire Area Contacts

Felicity Dickinson, Pathfinder Leadchildrens.services.communications@hants.gov.uk

Hampshire area website:

http://www3.hants.gov.uk/childrens-services/specialneeds/se7sendpathfinder.htm

SE7 Public website:

http://www.se7pathfinder.co.uk/