Sheffield Short Breaks and Respite Services Consultation

Welcome from

Cllr Jackie DraytonElected Member for Children and Families

Jayne LudlamExecutive Director for Children, Young People and Families

Simon MorrittChief Executive of Sheffield Children’s NHS FT

Today ...

Welcome and introductions Where are we now? Our Short Break and Respite Services Your chance to tell us what you think:

Table discussions on each services area to consider:

What works well? What could be better? How it might be done differently? Any ideas for the future?

Looking ahead - What next?

Why are we here?

We all know that SCC face financial challenges ahead

We have the new The Children and Families Act 2014

We are seeing shifts in demands for services And also know services do not always meet

parents and carers needs

We need and want to ensure that the thoughts of parents and carers are heard in planning our future provision and taking theses issues forwards

Health Context

Health does not have the scale of savings that Sheffield City Council face

Wants to work in partnership across NHS and SCC We think there are opportunities to improve respite

care for children with complex health needs– For example we have developed our community

nursing team over the past 3 years to provide more care at home

We are keen to hear from parents what they value in terms of health respite provision so we can consider if there are other changes we can make

2011/12 2012/13 2013/14 2014/150

5

10

15

20

25

30

35

40

Grant Loss/Pressures

Cash Limit Reductions

2011/12 2012/13 2013/14 2014/15Cash Limit Reductions 17 8 6 11Grant Loss/Pressures 21 10 8 3

LA Context

£84m reduction over 4 years

Cash Limit; 71

Education Services; 6

Public Health; 11 Other Grants; 13

Income; 16

Centrally Retained DSG; 28

Individual Schools Budget; 230

Academies Budget; 105

Pupil Premium; 16

EFA; 6 PFI charges; 24

Total Budget £524m

Financial Context (£m)

6

Schools Funding£408m

Schools Traded Income £6.2

Short Breaks - Local Authority Duties

Short Breaks and Respite

To provide a range of services which is sufficient to assist carers to continue to provide care, or do so more efficiently, in particular a range of:

Day care Overnight in the home or elsewhere Education or leisure breaks out of the home Services in the evenings, weekends and during school

holidays

Short Break Statement The range of services provided; criteria and eligibility;

how services are designed to meet the needs of carers

Childcare - Current Local Authority Duties

To secure sufficient childcare for working parents, or parents who are studying or training for employment, as far as is reasonably practical 0 -18 disabled children

To fund Early Years provision 15 hours free of charge for some 2 year olds and all 3 and 4 year olds

To assess the sufficiency of childcare provision every 3 years

To provide information, advice and assistance to parents and prospective parents on the provision of childcare in their area

Change in duty: local authorities need to understand the market and report on the sufficiency of childcare annually, the prescriptive nature of reporting has ceased

The Children and Families Act 2014

The Local Offer – in one place clear, comprehensive and accessible information,

co-produced with parents and carers Education, Health and Care Plans (EHCP) –

single assessment process 0 – 25 year olds New duty: education, social care and health

services in new assessment process and EHC plan

Right to request a Personal Budget - the Regulations will provide further clarity

Targeted / Specialist provision

Univer

sal,

Incl

usive

short

break

s

Sheffield’s Service Delivery 2012/2013

Social work assessm

ent

MAST / SNIPs / Grant assessment

Capital investmentParks

SIVClubs

Advice, Guidance & support to remove barriers to access

Grant payments to universal clubs to support staff ratio.

£100K267ch

Short breaks grant.£580k

1458 C&YP

Targeted contracted clubs

£450k656 C&YP

Direct payments in lieu of a

service£800k

205 C&YP

Foster care overnight and day

care.£69k

33 C&YP

Overnight social care education and health

respiteSC £2.5m 87C&YPEd £700k 65 C&YP,

Healtk £850k38 C&YP

 2012/13 LA Spend No of children

Funding

Universal Clubs – grants for staff 267 £100,000

Short Breaks Grant 1,458 £583,000

Specialist Contracted Clubs 656 £450,000

Direct Payments 205 £800,000

Foster Care Overnight / Day  33  £69,000

Overnight education (T/T only, 4 nights) 65 £700,000

Overnight Social Care Residential 87 £2,500,000

Health Respite 38 800,000

Transport 35 £19,000

Total £6,121,000This does not include the SCC staffing, ie SNIPS, Commissioning, Management, and capital expenditure

2009/10 2010/11 2011/12 2012/13 2013/140

50

100

150

200

250

46 57

88

108

157

77

57

37

1425

213 204

222

Direct Payment Overnight Sat. Hol. Clubs (SNIPs)

Trends in Requests for Social Care and Education Short Breaks/Respite

Additional Information

Piloted and implementing behaviour management for parents and carers

Inclusion Team - mentor and support short break providers, moving to work on a more localised basis

No contribution or charging policy for standard offer Short Break Grant, up and above service provision Project to develop Personal Assistants Expansion in Community Nursing Improved outcomes based approach to Short

Breaks

What do we know• Direct Payments – processes and time• Difficulty finding Personal Assistants• Saturday/Holiday Specialist are at full capacity; are

they easily reachable and do we have equity of access

• Occasional difficulties in identifying services to meet specific complex needs

• Shifts in demand for types of services• Quality of assessment and review• Different contribution policies across the country• Increasing population• Children and Families Act 2014 and Transition

What do families tell us ….• Some Universal services less able to welcome

disabled children• Young people want to do non specialist activities, go

and see a film, go to Scouts / cubs, etc. Some families would like to hold their own funding

for Saturday / Holiday clubs and arrange own bookings

That they want more flexibility in services That the pathway and infrastructure is not meeting

your needs Childcare – is there enough and can it be easily

accessed

What’s happening in other areas

On the whole the types of services are very similar Social Care residential offer varies across the country Some areas are introducing flexible booking up to a

maximum number of nights Not all cities have health residential respite Day care short breaks offer also varies across the

country Some areas offer a voucher scheme to enable families

to buy their own activities Contribution policies Few areas offer Short Breaks Grant

What next

• Stage One Seeking the Views– Consultation– On-line Survey for families who could not attend– Consultation with Children and Young People– Consultation / Liaison with Providers and staff groups– Work with parent representatives to ensure we have captured a

wide range of parental views– Focus Group Discussions– Collation and capture of all information

• Stage Two Further Consultation and Feedback– With all parents and carers who receive short break and respite

services on the outcome of stage one recommendations for change

Table Discussions • Short Break Grants

– Led by: Liz Roe• Developing access to Universal Services

– Led by Helen Cooper and / or MAST • Saturday, school holiday and after school Short Breaks clubs

– Led by Lorraine Hall• Health Short Breaks/Respite Care

• Out of Home Overnight / Respite Care – Led by Sue Hatton and Liz Spaven

• Direct Payments / Personal Budgets / Personal Assistants – Led by Amanda Hill and Pete Mitchell

• Disabled Children’s Childcare for working parents or those in training– Led by Linda Wright / Jen Richardson / Yolande Tose

Members of the Parent Carer Forum are here to support your participation in the table discussions

Thank you for giving your time to take part in this consultation