have your say on short break activities for disabled ...€¦ · • and explain why you could not...

Have your say on Short Break Activities for Disabled Children in Hampshire

Easy Read Survey

Hampshire County Council wants you to have your say about:

short break activities

Please read the Easy Read Information Pack before you complete this Easy Read Survey.

If you would like help to complete this survey, please call 0300 555 1384 or email [email protected]

mailto:[email protected]

Keeping information about you safe

Everything you tell us is completely private.

Everything you tell us in this survey is collected and looked at by Hampshire County Council.

We will keep the information we collect safe and secure.

And we will shred this information after one year.

Under the Data Protection Act the information in this survey cannot be used for anything else.

We will not share the information in this survey with anyone else.

From 25 May 2018 you have new rights to see any information we keep about you. .

Find out more

If you would like to find out how your details will be used or stored, please email the Data Protection Team at [email protected]

If you are worried about how we collect information about you, you should contact the Council first.

You can also contact the Information Commissioner’s Office at https://ico.org.uk/concerns


https://ico.org.uk/concerns

About this survey This survey has 4 sections.

It should take about 30 minutes to complete this survey.

Section 1 About you Are you completing this survey:

• for yourself?

☐

• for an organisation?

☐

☒ Please choose one box

I am a parent or carer of a child or young person with Special Educational Needs or a disability

☐

I am a parent or carer of an adult ☐

My family includes a child or young person with Special Educational Needs or a disability.

☐

I am a child or young person that currently uses short break activities.

☐

I am an adult who has used short break activities.

☐

I work for a short break activity provider

☐

I am a paid support worker for a family or a child with Special Educational Needs or disabilities

☐

√

I am an unpaid support worker for a family or a child with Special Educational Needs or disabilities

☐

I am a member of the general public.

☐

Other If you choose this box, please give more information in the box below:

☐

How old is the child or young person that you care for?


Aged 0 to 5 years old ☐



Aged 16 to 17 years old

☐


Aged 26 years old above ☐

Not applicable ☐

What is your postcode?

You do not have to provide your full postcode. You only need to tell us the first 4 digits. For example, PO1 2.

If you give us your full postcode you agree for the Council to use this information

to understand the views of people about short break activities in different parts of Hampshire.

Please enter your postcode in the box below:

Are you completing this survey for an organisation?

If you are, please tell us more about your organisation.

What is your name? Please write your name in the box below.

What is the name of your organisation? Please write the name of your organisation in the box below.

What is your job in the organisation? Please write your job title in the box below.

What is the address of your organisation? Please write the address in the box below.

What type of organisation do you work for?


Charity ☐

School or college

☐

County Council For example, Hampshire County Council or Surrey County Council

☐

A local public organisation. For example, emergency services or health services.

☐

Parish or Town Council For example, Ringwood Town Council or Hook Parish Council. ☐

Local business

☐

Social enterprise A social enterprise is a business that puts any profits they make back into the business or the local community.

☐

Any other organisation. if you choose this box please write more information in the box below.

☐

Which type of activities does your organisation or group provide?


Short break activities only for children or young people with Special Educational Needs or a disability

☐

Short break activities for all children including those with Special Educational Needs or a disability

☐

Activities and services for adults and children

☐

None of the above ☐

Section 2 Suggestions about changing short break activities

Possible changes to who can use short break activities in Hampshire

Do you agree or disagree that we should ask a panel of parents and carers about short break activities that the Council should fund?

Agree ☐

Not Sure ☐

Disagree ☐

Don’t Know ☐

If you are from an organisation, please answer this question.

If you are not from an organisation, please go to the next question.

If we did ask a panel of parents and carers about the short break activities the Council should fund, how would this affect your organisation?

Please write your comments in the box below.

Which short breaks have you used?

☒ ☒ ☒ Please choose any number of boxes

Swimming ☐

Climbing ☐

Play schemes ☐

Family holiday or family activity day

☐

After school clubs

☐

Specialist activities for disabled children or young people with complex needs

☐

Weekend clubs

☐

Scouts or Brownies ☐

Sports clubs ☐

Youth clubs

☐

Horse riding ☐

Community Buddy ☐

Other. If you chose ‘Other’, please write more information in the box below

☐

None of the above ☐

Are there any short break activities you have tried to use, but could not use?

Yes

☐

No ☐

If you chose ‘Yes’ please write in the box below • the activities you could not use • and explain why you could not use

the activities.

Thinking about the short break activities you do, what is most important to you?

☒ ☒ ☒ Please choose any number of boxes

How close is the activity to your home?

☐

How close is the activity to where your family live?

☐

How close is the activity to leisure services, such as a gym or swimming pool?

☐

How close is the activity to your nursery, school or college?

☐

How close is the activity to other places you go to, such as the local supermarket?

☐

How close is the activity is to other places in Hampshire that you go to?

☐

I do not take part in any short break activities

☐

Any other reasons? Please write your comments in the box below.

☐

When do you like to take part in a short break activity?

Please write 1, 2 and 3 in the boxes below. 1 for your favourite time 2 for your next favourite time 3 for your least favourite time

During a school holiday, including: • Half term • Easter • Christmas • Summer holidays

☐

At the weekend. ☐

Monday to Friday, during the school term.

☐

Thinking about your child’s needs now, what is the best time of the day for them to take part in short break activities?


Morning Between 8am and 12pm ☐

Afternoon Between 12pm and 4pm ☐

Early evening Between 4pm and 7pm ☐

Evening Between 7pm and 10pm

☐

Don’t’ know ☐

Does not apply ☐

Please select your favourite area of Hampshire for going on a short break activity.


Basingstoke and Deane ☐

East Hampshire ☐

Eastleigh ☐

Fareham ☐

Gosport

☐

Hart ☐

Havant ☐

New Forest

☐

Rushmoor

☐

Test Valley

☐

Winchester

☐

Southampton ☐

Portsmouth ☐

Map of Hampshire

Changes to who can use short break activities Do you agree or disagree with these suggestions?

Short break activity organisations should take payments from parents and carers before the activity starts.

Agree ☐

Not Sure ☐

Disagree ☐

Don’t Know ☐

Fees for short break activities should be the same for everyone. This could mean fees for some activities are higher.

Agree ☐

Not Sure ☐

Disagree ☐

Don’t Know ☐

If the fees were the same for all short break activities, please tell us how much you would pay for one session.

Half day holiday club

Full day holiday club

Youth Club

After school club

Weekend Club

£

£

£

£

£

Sports Club that includes • martial arts • football • golf • trampolining

Activity Clubs that include: • sensory sessions • music, arts and drama clubs • arts and crafts

• bowling and • cookery.

1-hour long Activity Club


£

£

£

£


Half day Activity Club

Whole day Activity Club

£

£

£

If you are from an organisation, please answer this question.

If you are not from an organisation, please go to the next question.

How would it affect your organisation if: • parents had to pay in advance • everyone paid the same fee

for short break activities.

Please write your comments in the box below

Gateway cards

Currently Gateway Cards are available to children or young people:

• aged between 0 and 19 years old

• who have a disability

• who need support to take part in a leisure activity

• who go to school in the Hampshire County Council area

• who live in Hampshire

When a family has a Gateway Card they can take part in any short break activity.

For more information go to www.hants.gov.uk and search for ‘Gateway card’

Do you agree or disagree? We should bring in a new Gateway Card.

Agree ☐

Not Sure ☐

Disagree ☐

Don’t Know ☐

http://www.hants.gov.uk/

How would you prefer to get your new Gateway Card?


As an online barcode sent to your email address.

☐

A card that you can print at home from the Council’s website ☐

A plastic card sent to your home address

☐

Other. If you chose ‘Other’, please write more information in the box below

☐

Do you agree or disagree? Everyone should provide proof of their disability to get a new Gateway Card.

Agree ☐

Not Sure ☐

Disagree ☐

Don’t Know ☐

What is the best proof of disability to provide when you apply for your new Gateway Card?


A letter from your family doctor or health visitor

☐

A letter from a teacher or Special Educational Needs Co-ordinator ☐

Proof that you get Disability Living Allowance (DLA). ☐

Proof that you have an Education, Health and Care Plan (EHCP)

☐

A letter from a health or social care professional that supports your family

☐

Don’t know

☐

None of the above

☐

Other. If you chose ‘Other’, please write more information in the box below.

☐

If we decide that everyone should provide proof for a Gateway Card, how often should they apply?


Every year

☐

Every three years ☐

Every five years

☐

Every seven years ☐

Every nine years ☐

Don’t know ☐

Never ☐

Do you agree or disagree? Funding of short break activities should end on 1 April 2019 for disabled children and young people who are 18 or over.

Agree ☐

Not Sure ☐

Disagree ☐

Don’t Know ☐

Do you agree or disagree? Short break activities should only be available to disabled children and young people who live in the Hampshire County Council area.

Agree ☐

Not Sure ☐

Disagree ☐

Don’t Know ☐

As a parent or carer please describe your ideal short break activity.


Do you agree or disagree? Only short break activities that allow parents or carers to leave their child may get funding.

Agree ☐

Not Sure ☐

Disagree ☐

Don’t Know ☐

If you are a parent or carer of a child under 5 years old, how would this affect you?


Do you agree or disagree? Swimming lessons should not be funded as a short break activity.

Agree ☐

Not Sure ☐

Disagree ☐

Don’t Know ☐

Have you had a swimming lesson as a short break activity in the last year?


Yes

No

Do you agree or disagree? Swimming lessons give parents and carers the chance to have a break.

Agree ☐

Not Sure ☐

Disagree ☐

Don’t Know ☐

If you are from an organisation, please answer the next 2 questions.

If you are not from an organisation, please go to Section 3 on Page 52.

Does your organisation provide swimming lessons as a short break activity?


Yes ☐

No ☐

Don’t know ☐

If your organisation does provide swimming lessons as a short break activity, how would this affect your organisation?


Section 3 More comments Please tell us, in your own

words, how the suggestions in this survey could affect your family.


Do you have any other ideas about how the Council could save £1m on its short break activities budget?


Section 4 More information about you

If you have completed this survey for yourself, please tell us a bit more about you.

How old are you?


Under 16 years old

☐

16 to 24 years old

☐

25 to 34 years old

☐

35 to 44 years old

☐

45 to 54 years old

☐

55 to 64 years old

☐

65 to 74 years old

☐

75 to 84 years old

☐

85 years old or over

☐

Prefer not to say ☐

What is your ethnic group? ☒ Please choose one box

White English or Welsh or Scottish or Northern Irish or British

☐ Irish ☐ Gypsy or Irish Traveller ☐ Any other white background ☐

Asian or Asian British Indian ☐ Pakistani ☐ Bangladeshi ☐ Nepalese ☐

Chinese ☐

Any other Asian background

☐

Black or African or Caribbean or Black British

African ☐ Caribbean ☐ Any other black background ☐

Mixed or Multiple Ethnic Group

White and Black Caribbean ☐ White and Black African ☐ White and Asian ☐ Any other mixed background ☐

Other Ethnic Group

Arab

☐

Any other ethnic group ☐

Prefer not to say

☐

Do you have a health problem or disability which has lasted for more than 12 months?


Yes ☐

No ☐

Prefer Not to Say ☐

Do any children or young people aged up to 18 years old live in your household?


Yes – aged 0 to 4 years old ☐



Yes – aged 12 to 15 years old

☐


No – no-one under 18 years old lives in my household.

☐

Do you know the total income of your household?

If you do, please write the amount in the box below.

Do not know ☐

Prefer not to say

☐

£

Finally, to help us with other surveys, where did you first hear about this survey?


On the internet ☐

Someone told me about it ☐

On social media. For example, Facebook or Twitter ☐

I heard about it on the radio ☐

I read about it in a local newspaper

☐

I read about it on a postcard about this survey.

☐

Other ☐

If you found out about this survey: • on the internet

• on social media

• on the radio

• in a newspaper.

Please write the name of the website, social media, radio station or newspaper in the box below.

Thanks for completing the survey!

This survey is open until Sunday 3rd June 2018.

The final report will be ready later in 2018.

The report will be presented to Councillor Keith Mans, who is in charge of Children’s Services.

The report will help the Council to make decisions about short break activities.

If you would like help to complete this survey, please call 0300 555 1384 or email [email protected]


have your say on short break activities for disabled ...€¦ · • and explain why you could not...

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