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The SE7 Regional SEND Pathfinder Evaluation: Emerging findings Presentation to the Steering Group Graham Thom, Meera Prabhakar and Rhian Johnson 29 th May 2012

The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

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The SE7 Regional SEND Pathfinder Evaluation: Emerging findings. Presentation to the Steering Group Graham Thom, Meera Prabhakar and Rhian Johnson 29 th May 2012. Outline. Introduction The regional evaluation Objectives Our approach Scene setting - PowerPoint PPT Presentation

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Page 1: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

The SE7 Regional SEND Pathfinder Evaluation:Emerging findings

Presentation to the Steering Group

Graham Thom, Meera Prabhakar and Rhian Johnson

29th May 2012

Page 2: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

2

Outline

Introduction The regional evaluation

> Objectives> Our approach

Scene setting> SE7 Pathfinder regional aims and objectives> The existing systems

Progress made to date Theme 1: Organisational engagement and cultural change Theme 2: Engaging and involving families Theme 3: Setting up the infrastructure Theme 4: Safeguarding and risk management

Conclusions and final thoughts

Page 3: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

An introduction to the evaluation and scene setting

Page 4: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Regional evaluation objectives

Building on the objectives of the National Evaluation…

Establish the impact of the SE7 pathfinders

Compare and assess the effectiveness of the models developed and used by the SE7 pathfinders to identify key similarities and differences in approach

Undertake comparative cost-effectiveness analysis across the SE7

Establish the barriers to delivery across the 7 areas and how these have been addressed

Identify and draw out the implications and actions that the SE7 will need to consider to enable the successful implementation of a new assessment and single plan

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Page 5: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Our approach to the regional evaluation

Dynamic regional evaluation that will provide real-time evidence from the regional and national Programme

Tailored the national tools (where possible) to meet the needs of the regional evaluation Evaluation framework – set of SE7 questions added to reflect regional

nature of the Pathfinder Monitoring data – local analysis to be undertaken to reflect position of

the SE7 and individual areas Family survey – local analysis of the survey data to be undertaken to

reflect the experiences of SE7 families Staff work and satisfaction survey – set of questions added to

understand joint-working across the SE7 Case studies – 5 case studies to be undertaken in Kent, Medway, B&H,

Surrey and W Sussex> Which will complement the E Sussex and Hamps national case studies

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Page 6: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Scene setting: SE7 Regional Pathfinder aims & objectives

Pathfinder to build on SE7 SEN existing intentions Existing arrangement between SEN leads since 2010

Creation of shared direction of travel for SEN Consideration of structural and commissioning arrangements and

portability across the area

Intention to develop broad high level thinking with operation subject to local interpretation

Provision of opportunity to share learning and influence the national agenda

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Page 7: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Scene setting – the existing system

Different starting points Size and nature of area Historical developments

Majority felt existing operating systems sound but varying levels and types of integration between services

Some movement towards use of personalised approaches

Varying levels of parent/carer involvement

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Page 8: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Theme A: Organisational engagement and cultural change

1. Engagement of relevant stakeholders

2. Recruitment of designated staff

3. Change management

4. Market development and the local offer

Page 9: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

1. Engagement of relevant stakeholders: governance and commitments the regional picture

Regional Steering Group set up to steer the Pathfinder Good representation from all relevant parties

> Includes reps from all 7 areas, the 4 PCT clusters, the SHA, national and local VCS, 2 parent/carers and an independent parent/carer advisor

Established ToR including local requirement to set up a Local Change Board Feedback showed group was useful, albeit a bit ‘unwieldy’ as a result of its size

Regional Parent Carer Participation sub group set up Provides a strong influence for similar local engagement Co-production was felt to have been effective

Regional sub group of Pathfinder Leads meet on a regular basis Some concern that operational decision were being made without sufficient

representation from other parties

Regional arrangements were viewed positively across the areas Provide useful form of accountability for local areas Forum to share what’s working and what is not Has enabled provision of support and inputs from external organisations

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Page 10: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

1. Engagement of relevant stakeholders: development of objectives and work-streams the regional picture

Development of SE7 core commitments

Original intention to develop four regional frameworks to be operationalised at the local level Two developed

> Assessment and Planning

> Parent Participation

Two in development> Personal Budgets

> The Local Offer

Each area leading development of different strands PBs – West Sussex LACs – Kent and Surrey Local Offer – Parent Partnerships Support to parent/carers – Hampshire

and Brighton & Hove Age range and employment – Surrey

and Medway Banded Funding – Hampshire Low incidence needs – East Sussex

…Some strands progressing effectively, whilst others had stalled

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Page 11: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Summary of progress made against elements 1 & 211

Page 12: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

1. Engagement of relevant stakeholders: governance and commitments the local picture

Good levels of strategic engagement from across most parties Challenge will be to gain buy-in from

operational staff to support delivery

Challenges arisen as a result of restructuring and job losses Causing discontinuities and delays in

development in some cases

Exceptions in some cases include limited engagement from health and schools – similar to national picture Due to capacity and resource issues

Willingness to contribute staff time but limited funding committed for both development and service provision to date

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Page 13: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Recruitment of designated staff (element 2)

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Page 14: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

1. Engagement of relevant stakeholders: development of objectives and work-streams the local picture

Common local objectives relate to: Creating more holistic parent and family focused system – with agenda driven by

families Improving joined up working between agencies Improving outcomes for children Increase parental understanding and influence on the system Less bureaucratic and adversarial system

…and therefore align well with those in the SEND Green Paper

Areas are developing activities in different ways: Most sites established formal working groups Commonly included a Personal Budgets group, assessment and planning group

and cohort specific groups Early stages but attendance tends to be good Clear process and timescales for reporting back important

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Page 15: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

1. Engagement of relevant stakeholders: parent/carers, children and young people and the VCS

Strong intention to involve parent/carers Parental presence on all Local Project/Change Boards and in various

working groups Most felt that key parental involvement was a strength

No engagement of children and young people in development of the Pathfinder to date Have commissioned KIDS to set up a regional group to effectively

engage children and young people Regional expectation that local areas will put in place additional

engagement measures…but not evident as yet

VCS engagement from both national and local organisations VCS involved in development at both regional and local levels Unclear at present on remit of their role in delivery of the Pathfinder

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Page 16: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Pause for thought…

Should we be concerned about the lack of agreed staff engagement? What are the implications if this isn’t agreed? What needs to be achieved over Summer 2012? What support are you likely to require to achieve the required

buy-in?

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Page 17: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Summary of progress made against elements 3 & 417

Page 18: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

3. Change management

Although all areas recognised importance of change management, consideration of how and when to be delivered was limited

Limited delivery to date Initial focus in majority of the areas on introducing the Pathfinder to strategic

leads/senior staff and informal development for those involved in the work-streams/project boards

Some early intro Pathfinder workshops for families and operational practitioners

Two broad approaches Exposing as many staff a possible to the new approach as it develops

> Intro sessions with staff and issuing an invitation to a personalisation workshop for each participating family

Focus on offering training to only those directly involved due to resource issues> Issued invitations to schools/SENCOs to engage, with offer of support to those who

volunteer (and possibly some funding)> Joint training for parents and professionals to get all thinking and working together to

facilitate co-production

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Page 19: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

4. Market development and the local offer

Regional framework being developed by all Parent Partnerships Development subject to initial delay as took time to identify relevant

representatives from each area Have developed a set of draft principles which are currently out for

consultation Will subsequently be operationalised at the local level

Limited thinking undertaken at the local level to date

Important to tie in developments into expectations set out in Next Steps

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Page 20: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Pause for thought…

Change management can take some time When does this need to start to align to family recruitment? Working back, when do you need to have agreed the approach

and the content? Is there any scope to join up some of this activity at the regional

level?

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Page 21: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Theme B: Engaging and involving families

5. Awareness raising with families

6. Peer support

Page 22: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Summary of progress made against Theme B22

Page 23: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Engaging and involving families: recruitment to date

Recruited as of the 25th of May 2012 Number of Pathfinder families

Brighton and Hove 0

East Sussex 57

Hampshire 0

Kent 0

Medway 0

Surrey 0

West Sussex 0

Total SE7 57

Total National 114Total no of sites begun recruitment 9 sites

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Page 24: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Engaging and involving families: raising awareness and recruitment intentions

Most age groups to be targeted Unclear about 19+ years

Some Pathfinders still defining/refining target groups Partly the result of internal restructuring Next Steps

Lack of clarity of recruitment timescales and numbers across some areas Scale of recruitment sometimes small Completed plans by Oct 2012 to feed into Evaluation

Majority of Pathfinder families to be identified by professionals Majority of families are existing service users Is this the group you have most problems with or who you think it would

be most likely to work for?

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Page 25: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Engaging and involving families: peer support

Two sites have begun work to develop peer support to parent/carers participating in the Pathfinder Through workshops and the Parent Carer Forum

Sites have not yet begun to deliver peer support to children/young people

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Page 26: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Pause for thought…

Are you concerned about your pace of recruitment?

Coverage of the 19+ years group?

How and when do you intend to deliver peer support?

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Page 27: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Theme C: Setting up the infrastructure

7. Mapping of the single assessment and plan pathway

8. Development of personal budgets

9. Coordination and delivery of the Pathfinder approach

10. Development of IT resources

Page 28: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Setting up the infrastructure: regional framework

Regional assessment and planning framework developed

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Page 29: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Summary of progress made against Theme C29

Page 30: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

7. Setting up the infrastructure: mapping of a single assessment and plan pathway

Extent of development varied across the areas Development of process pathways Revision of assessment process Development of single

assessment and planning template/guidance

Emerging findings Emergence of different models

> Single and integrated assessments> Single and multiple stage planning

Use of the CAF as basis for single / integrated assessment

Consideration of how to bring professionals together as opposed to creating more paperwork

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Page 31: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

7. Setting up the infrastructure: mapping of a single assessment and plan pathway

The approaches appear to fall out from the particular target groups How can you therefore scale up for the whole 0-25 yrs post the

Pathfinder? How comfortable are you that what you and others are doing will

be portable across the SE7?

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Page 32: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

8. Setting up the infrastructure: personal budgets

Emerging issues and things to consider: Majority focusing on just social care Limited integration of PB and Pathfinder work as felt not feasible in many cases

to trial both together Limited development of resource allocation systems Unclear whether PB families will use different planning structure to Pathfinder

families – or whether single plan will be used across the board

Can PBs be integrated into the Pathfinder process?

Brighton & Hove

East Sussex

Hampshire Kent Medway Surrey West Sussex

Social care tbc tbc

Health ?

Education ? ?

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Page 33: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

9. Setting up the infrastructure: key working

Things to consider: Remit of the role? Involvement of the VCS? Sustainability of the approach over the longer term?

> Scalability> Resource implications

Brighton & Hove

East Sussex

Hampshire Kent Medway Surrey West Sussex

SENCOs tbc tbc

Existing workforce

Designated key workers

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Page 34: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

10. Setting up the infrastructure: information sharing

Importance of information sharing between agencies and with families widely recognised

Limited consideration of this element has been undertaken to date

Things to consider: In the absence of a national solution, how will information be

shared between agencies and with families? Who will ‘own’ the data? How and when will families be asked to provide consent for their

information to be shared?

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Page 35: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Theme D: Safeguarding and risk management

Page 36: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

11. Safeguarding

Limited consideration of this element made to date

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Page 37: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Conclusions

What’s working well… Regional Pathfinder approach

> Setting of overarching principles

> Sharing of ideas and emerging practice

Strategic engagement Parent/carer and VCS

engagement Initial development of activities

and work-streams Development of single

assessment and plan pathway in some areas

Points for development… Developing the infrastructure

> Single assessment and plan pathway (for some areas)

> Personal budgets (for 5 out of 7)

> Information sharing

Moving from design to delivery> Operational engagement

> Change management

> Pace of recruitment of families relative to the national picture

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Page 38: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

Conclusions and final thought…

Common objectives Creating more holistic parent and family focused system – with

agenda driven by families Improving joined up working between agencies Improving outcomes for children Increase parental understanding and influence on the system Less bureaucratic and adversarial system

How will the intended activities achieve the objectives? Will they be less bureaucratic? Will they be less adversarial? Will they help to improve outcomes? Will joined up working be sustained and scalable?

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Page 39: The SE7 Regional SEND Pathfinder Evaluation: Emerging findings

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Contact

Graham Thom

Director

SQW

e. [email protected]

w. www.sqw.co.uk

Meera Prabhakar

Senior Consultant

SQW

e. [email protected]

w. www.sqw.co.uk

Rhian Johnson

Consultant

SQW

e. [email protected]

w. www.sqw.co.uk