Southampton SEND Pathfinder

Dr Julia Katherine

October 2013

Southampton Pathfinder Approach

Southampton SEND PathfinderGovernance Clinical

Commissioning Group

Southampton City Council

Support from DFE &

delivery partners

Children & Families Bill (SEND)

Implementation Group

Champion role:

shared learning

Workstreams: Joint Commissioning Integrated Assessment Personal Budgets Local Offer Workforce Development

Southampton SEND PathfinderAreas of focus

1. 0-25s Service (CYPDS)

2. Integrated Assessment & EHC Plan

3. Personal Budgets

4. Local Offer

5. Workforce Development

Joint Commissioning

0-25 Service

Children & Young People’s Development Service Where we were…..

Children & Young People’s Development Service

Social Care

Health

Education • New integrated model of working across specialist education, health and care services in Southampton

• Aims to improve outcomes for children/young people and their families with SEND

Children & Young People’s Development Service

CENTRAL ASSESSMENT PROCESS

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TARGETED

STATUTORY INTEGRATED ASSESSMENT

Children & Young People’s Development Service Professionals involved

Includes professionals from Education, Health and Care services

• Clinical Psychologists• Child and Adolescent Mental

Health Service staff• Community Paediatricians• Community Support Workers• Community Children’s Nurses• Educational Psychologists• Early Years Support Teachers• Learning Disability Nurses• Jigsaw

• Occupational Therapists• Physiotherapists• Portage Home Visitors• SEN Officers• SEN Personal Advisers• SEN Coordinators• Social Workers• Specialist Teacher Advisors• Speech and Language

Therapists

Integrated Assessment and Education, Health and Care Plan

Southampton SEND PathfinderIntegrated Model of Assessment and Planning

Phase 1: Preparation and consideration

Phase 2: Listen and understand

Phase 3: Analyse and Synthesize

Phase 4: Agree and Allocate

Phase 5: Monitor and review

Children, young people and families

are central throughout the

process

Southampton SEND PathfinderKey Working: Assessment Co-ordinator

Writes EHC Plan

Co-ordinates assessment

team

Single point of contact

Assessment Co-ordinator

Southampton SEND PathfinderKey Working: Lead Professional

Convenes reviews

Monitors support

Single point of contact

Lead Professional

Southampton SEND PathfinderEHC Plan

• Outcome focused • Plans for

transitions

• Parent-friendly

• Accessible

Personal Budgets

Southampton SEND PathfinderPersonal Budgets

Currently, 42 Personal Budgets in place:

• Short breaks

• Personal Travel Budgets

• SEN Direct Payments

• Continuing Health Care

• Continence & Equipment vouchers

• Personalised timetables in schools

Local Offer

Southampton SEND PathfinderLocal Offer

• Single point of information

• Accessible

• Details eligibility for services

• Links to delegated funding

• Commissioning cycle

Southampton SEND PathfinderLocal Offer Education Pilot

Pilot Education Providers

• 5 Special Schools

• 1 Mainstream Primary

• 1 Mainstream Secondary

• 1 College

• 1 Early Years Setting

Southampton SEND PathfinderLocal Offer Education Pilot

AREA WIDE OFFER (DEVELOPED AND PUBLISHED BY LA IN PARTNERSHIP WITH

PARENTS, CARERS AND EDUCATION PROVIDERS)

INDIVIDUAL SETTING / SCHOOL / COLLEGE SEN INFORMATION (DEVELOPED AND PUBLISHED BY INDIVIDUAL SETTING)

SERVICES EHCPs TRAVEL SUPPORT&

ADVICE

BORDER ISSUES

MOVING AREA

DISPUTE RESO-

LUTION

MEDIAT-ION &

APPEALS

Engagement, Consultation and Participation

Parent & Carers’ leaflets

‘One and Only’

Southampton SEND PathfinderListening to children and young people

Special Schools commissioned to undertake consultation projects e.g. ‘Big Brother’ style film consultation project focusing on Personal Budgets

Mencap commissioned to consult with young adults/service users

Parents hopes for new process•In partnership with them as the experts in their child and their lives•Child and family centred•Clear and transparent•Informative•Smooth•Succinct•Better communication

• For the process to be less; - Stressful - Exhausting - Emotionally draining - Time consuming- Painful

• Better outcomes for their children/young people and family

What parents feel they need from the process•A single point of contact•Professionals working with them to be;

- Approachable- Empathetic- Friendly- Expert/ Knowledgeable - Proactive

•More people, less paper

“ I feel valued as the expert on my child and my families life.”

“ The people making the decisions never even spoke to me or met my child. The new system puts families at the centre and it must make a huge difference!”

“What fight?”

Southampton SEND PathfinderVisions becoming reality

This is Tom, he is 2 ½ years old

He was born prematurely and he has Chromosome deletion resulting in:

•Hearing difficulties•Vision difficulties•Epilepsy•Unsafe swallow•Profound & multiple needs

After he was born he stayed in hospital for 6 months before he was able to come home.

This is Tom’s FamilyThey were very shocked when Tom was born early.

Their primary concerns are:

•Maintaining his gastrostomy tube feed (safety)•Accessing continence resources•Having ideas for play at home•Respite to gain a good night’s sleep•Time for siblings•Thinking about where Tom might go to pre-school•Conflicting appointments•Having to tell services their story over and over again

Eye Unit Community Childrens

Nurse

Continence Nurse

Epilepsy Nurse

Health VisitorNeurology consultant

Respite services

Ophthalmology consultant

Child Development

Unit

Specialist Teachers – Hearing and

Vision

Portage

Social Care

Specialist Teachers – Hearing and

Vision

Therapy Assessments

Health Surveillance

Checks

New-Born Hearing Check

Short Breaks Assessment

Paediatric Assessments

Initial Assessment

CCN Assessments

Core

Assessment

Continence Assessment

Portage Assessments

Southampton SEND PathfinderTom and his EHCP Application made by Community

Paediatrician for an Integrated Assessment

Single point of contact for Tom’s

family during assessment

Professionals co-ordinating

assessments to gain a

comprehensive understanding of

Tom’s needs

Tell us once approach

“One and Only” owned by Tom and his family

Outcome focused

planning in partnership with

Tom and his family

Clear plan of support for Tom in place PRIOR

to entering education

Lead Professional identified to

support Tom and his family

More choice and control for Tom and his family

about the services and how they are

delivered

Key transition points anticipated and planned

for

Timely reviews ensure the plan

continues to meet Tom’s needs