Working With Health And Developing the Local Offer Council for Disabled Children, May 2014.
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Transcript of Working With Health And Developing the Local Offer Council for Disabled Children, May 2014.
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Working With Health And Developing the Local Offer
Council for Disabled Children, May 2014
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• 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?
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• 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
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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
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• 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
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• 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
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• 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
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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
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• 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
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• 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
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• 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