Working With Health And Developing the Local Offer

Council for Disabled Children, May 2014

• Local Authorities and Health Commissioners working more closely together to deliver better outcomes for children and young people with Special Educational Needs and Disability (SEND)

• Current system not always worked as well as it should, not always delivered for children and families.

• Children & Families Act is a new opportunity to build on what has worked and change what hasn’t

• Importance of building shared vision across education, health and social care for children and young people with SEND – vision shared with children and young people and their parents

Children and Families Act 2014: Why?

• Everyone Counts – Planning for Patients 2014/15-2018/19• Government’s response to the Children and Young People’s

Health Outcomes Report• Revised NHS Constitution – increased focus on integration• Updated Mandate includes the Better Health Outcomes for

Children and Young People pledge, again a focus on integration• Healthy Child Programme• Care Bill• Revised NHS and Public Health Outcomes Framework• COBIC or other outcomes based commissioning approaches• Children a current policy priority

Overlapping strategies for improvement

Children and young people’s health outcomes are not as good as they should be…We know this because of:

• The Kennedy Review: Getting it right for Children and Young People

• Children and Young People’s Health Outcomes Forum Report

• Better Health Outcomes for Children and Young People: A system wide response

• Chief Medical Officer's annual report 2012: Our Children Deserve Better: Prevention Pays

• Winterbourne View Inquiry Report

Children and Young People’s Outcomes

• Children and Families Act applies new legal duties to CCGs and NHS England

• CCGs and NHS England must have regard to the SEN and Disability Code of Practice when carrying out these duties

• New legislation comes into force from September 2014

Children and Families Act 2014

• The importance of the voice of children and young people and their families

• A focus on outcomes

• Joint working between LAs and health, including the integration of services in order to promote wellbeing

• SEN and disability

Key Principles

• Duty to bring children to the local authorities attention

• Duty to cooperate generally with the local authority – applies to CCGs and NHS England

• Duty to cooperate in specific circumstances

New legal duties on health services

Local authorities and their partner commissioning bodies (CCGs and NHS England) must put in place joint commissioning arrangements which set out:

• What EHC provision is needed by local children and young people, what will be commissioned and by whom

• Processes for improved identification and information sharing by health of children identified as having SEN and disability

• A process for agreeing health content in EHC plans

• Clear governance arrangements with shared accountability

Duty to put in place joint commissioning

• Sets out the Education Health and Care services that the Local Authority expects to be available locally

• Developed by local authorities in partnership with children, young people and their families

• Health partners must cooperate to ensure health services are reflected within the local offer

• Important tool to improve provision and meet the outcomes set out by the joint commissioning arrangements - feedback from the local authorities should be used to inform future commissioning decisions

Local Offer

• Assessment by Local Authority - must seek advice of relevant health professional

• Strengthens the integrated approach

• There must be agreement between CCGs and LAs on the health provision in EHC plans

• Any health provision in EHC plans must be commissioned by health

Education Health and Care Plans

• Consultation on guidance to replace the Managing Medicines in Schools and Early Years guidance as part of Children and Families Act

• Sets out statutory duties on School Governing Bodies to meet pupil’s medical needs and ensure they are included in school all activities

• Provides guidance on school policies and minimum standards

• Schools can develop Individual Healthcare Plans to help manage individual pupil’s health conditions

• The duty is on governing bodies but staff, school nurses, health professionals and providers have an important role to play

• How will this link to in school SEN provision

Supporting pupils at school with medical conditions