Outcomes Framework

Overview

Bedford Borough’s local area inspection

1

An outcomes framework

2

Workshops to understand what our priorities are and measure how we are doing

3

What happens next?

4

Local Area Inspection

In February 2018, Bedford Borough had its local area SEND inspection. The

inspectors issued a Written Statement Of Action. They highlighted five areas:

There are no co-ordinated priorities, strategies or accountabilities between

the services to ensure that joint commissioning is undertaken

effectively.

BCCG has only very recently carried out its self evaluation to identify

progress and barriers to implementing the reforms. At the time of the

inspection, there was no robust plan in place to deliver the necessary

actions to ensure that outcomes for children improve.

Leaders have not ensured that the local offer provides clear,

comprehensive accessible and up to date information about the available

provision and how to access it…

Leaders have not ensured collectively that EHC plans identify the range of needs for children and young people beyond diagnosis or a multi-agency

approach to meeting needs effectively including subsequent signposting and guidance around personal budgets.

There are weaknesses in provision across the borough for young people who have emerging SEND including SEMH and more complex needs such as ASD to live successful lives where they participate positively in wider borough life and engage successfully in education, training and transition

to adulthood.

Outcomes To create “co-ordinated priorities, strategies [and] accountabilities” we need

a shared approach

We need to agree the outcomes that we must deliver.

We have adapted Hertfordshire’s work and grouped our outcomes into 5 different areas:

Be happy Be healthy Be ambitious

Be independent

Be heard

What is an outcomes framework?

An outcomes framework describes the things that children and young people

with SEND and their families want for them.

The outcomes people want

What does this mean for children, young people and

families?

What support and services do we need to deliver

this?

How do we measure this?

Examples of the outcomes framework

Outcome What does this

mean?

What services and

support are

needed?

How do we

measure this

Be independent I can make choices

about my own life

and I am

supported to plan

what I want to do

Flexible personal

budgets that enable me

to plan and do what I

want to

The number and

percentage of SEND

families eligible for a

personal budget / direct

payments who have one

Be independent I can go where I

want to, when I

want to

Safe, quality assured

and risk assessed

transport services are

accessible and transport

training is available

where required

The number and

percentage of CYP who

have been transport

trained.

The number of bus

drivers and taxi drivers

that have had disability

awareness training.

Workshops:

What do

families want?

A survey to ask them how we are currently doing

against our outcomes

What is currently working well and what changes

to services would make a difference to families?

The outcomes people want

What does this mean for

children, young people and families?

What support and services do we need to deliver

this?

How do we measure this?

Survey - United Nations Convention on

the rights of the Child (UNCRC)

Our survey is based on the UN convention on the human rights of the child

We do not include all of the articles because not all of them are relevant for

children with SEND in the UK (for example child labour or child soldiers)

We believe that all children should have these rights and that children and

young people with SEND are no different

Outcomes survey

Do you think you are supported to provide a standard of living that meets your child's physical and social needs?

Do you think your child is protected from bad treatment, violence abuse or neglect?

Is your child enabled to have friends and participate in groups that they chose?

Do you think your child is able to play, relax and take part in leisure, cultural or physical and social needs?

Is your child’s supported to be as healthy as possible, including education about how to stay healthy?

Do you think your child is enabled to reach their full potential?

Does your child have access to education?

Is your child’s education developing them to their full potential – their personality, their talents and their abilities?

Do you think you child's privacy is protected?

Is your child able to freely learn about their culture, language and religion?

Do you think your child is supported to live an independently as possible and be active in their community?

Do you think as a parent you are respected to act in the best interests of your child, including them in decisions where appropriate?

Do you think your child's best interests are always the top priority in decisions about them?

Do you think your child is supported to express their views about anything that effects them (this could include your decisions as a parent)?

Do you and / or your child understand what rights they have?

Does your child have a good quality of life?

Does they child have a good social life?

Do they feel like they belong in their community?

Do they feel their life has meaning?

What sorts of things are working and / or would make a difference? For example

Personalised support that meets your child’s needs

Flexible personalised short breaks for you and your child

Flexible personal budgets

Support for carers and siblings

Local facilities (e.g. shops, cinema, leisure centres, buses, taxis) are

welcoming and accessible

Local community groups (schools, clubs, religious groups are welcoming and

accessible

Be happy

Is your child physically, mentally and emotionally

happy?

Do they have access to the medical services they

need?

What sorts of things are working and / or would make a difference? For example

Can your child access to the right community medical services?

Does your child’s GP provide the right support?

Can your child access the right hospital based or specialist health services?

Do your child have clear pathways for the medical services they need? Do they

know how to get the services you need?

Would personal health budgets make a difference?

Does your child have the right information about a healthy diet and lifestyle?

Does your child get what they need to have a healthy diet and lifestyle?

Be healthy

Does your child get they support they need to

perform to the best of their ability?

Do people focus on their potential?

Do they have the right opportunities to learn and

develop?

What sorts of things are working and / or would make a difference? For example

Does your child’s educational setting (e.g. nursery, school, college) enable

your child to access all of the curriculum?

Are the right adjustments made to ensure that your child’s school is inclusive

for your child?

Do your school leaders (e.g. heads, deputy heads, governors) understand what

they can (and must) do to support your child?

Does your SENCo support you and are they properly supported?

Does every teacher understand SEND?

Is everyone ambitious about what your child could do after they leave

education?

Be ambitious

Can your child make choices about their own life?

Are they given the support to look after themselves?

Do they have access to further education and

employment?

Do they have somewhere they can live?

What sorts of things are working and / or would make a difference? For example

Does your child have access to someone they trust who can help them make

choices for themselves (it could be you!)?

Does your child have flexible personal budgets that enable you to plan and so

what you want to?

Can your child get around on your own?

Does your child have the right employment and further education

opportunities?

Does your child have good community activities?

Does your child have somewhere they could live independently with the right

support?

Be independent

Does your child have a say in all the important

decisions about their life?

Does your child know what their rights are?

Does everyone treat you and your child’s views with respect and take them

into consideration?

Do you and your child have the right information to make good decisions?

Is the local offer useful?

Does your child have someone they trust to give them advice or advocate on

their behalf?

Does your child have the communication support they need to be heard?

Does your child feel they have a say in how strategic services are planned and

delivered?

Be heard

What happens next?

We are conducting a series of these workshops between September and

November. The results will be published in December.

They will be used to inform the plans the council and the CCG make to

address the significant weaknesses highlighted by the inspection

These plans will be reviewed by the Department for Education and NHS

England and the Minister for Children and Families will write to Council and

CCG to tell them what he things.

The regulators will re-visit Bedford Borough to ensure enough progress is

being made.