Delivering the SEND Reforms in Nottinghamshire: Assessing Impact 23/02/2016 Delivering the SEND Reforms in Nottinghamshire: Assessing Impact Colin Pettigrew Corporate Director Children, Families & Cultural Services

Objectives for this session 23/02/2016 Objectives for this session To consider: What has led us to this point? What is the context we’re working in? Where are we in terms of implementation? What is planned for the future?

Background September 2014 – the Children and Families Act became law 23/02/2016 Background September 2014 – the Children and Families Act became law Billed as the most radical reform of the SEN system for 30 years A catalyst for the new legislation was the Lamb Inquiry, which sought public opinion about the effectiveness of the previous SEN arrangements

Key elements of the reform 23/02/2016 Key elements of the reform Education, Health and Care Plans Working together across education, health and care for joint outcomes Personal Budgets Local Offer Impartial information, advice and support Access to independent disagreement resolution and mediation service

Before After Done to Co-produced and person centred 3 to 19 years Timeline 26 weeks Timeline 20 weeks Paper process Use of multimedia Local Authority resourced Personal Budgets Various sources of information Local Offer (a one-stop shop for information about the services & provision available in the local area) Separate commissioning arrangements Joint commissioning (across education, health & social care) 23/02/2016

Nottinghamshire’s Context 23/02/2016 Nottinghamshire’s Context There are approx. 235,000 children & young people aged 0 – 25 in the county. More than 1 in 6 Nottinghamshire pupils have some kind of SEN and 1.3% has a statement or EHC Plan (compared with 2.8% nationally). Nottinghamshire currently maintains 253 schools including 9 special schools. There are 83 academy schools and 2 special academy schools. There are 840 children looked after by the LA (as at March 2015) an increase of 5.6% since 2012. There are 3 specialist short break units, but children & young people are increasingly being supported in their communities using personal budgets and Private, Voluntary & Independent (PVI) providers

Nottinghamshire’s Context continued… There are 6 clinical commissioning groups who pool and coordinate resources for commissioning children’s services across the County. There are approx. 13,000 children & young people in Nottinghamshire with emotional, conduct, hyperactivity and other mental disorders. Poor health outcomes for children and young people include emotional health and well-being, risky behaviours, obesity, tobacco/ substance abuse, teenage pregnancy, oral health, alcohol and accidents. Hospital admissions cause by unintentional and deliberate injuries in 0-14 year olds in Nottinghamshire equate to 89.3 per 10,000 (national = 112.2 per 10,000)

23/02/2016 Why getting the changes right are important – what parents have told us. “It was just so encouraging to see all the key players for C finally around one table and looking cohesively at the future direction of how best she can be helped”. “We are really pleased with the EHC Plan and the way in which the whole process has been accessible and positive.” Mum gave very positive feedback about M’s personal budget used for horse riding; it has improved her confidence and her muscle tone. 41 Nottinghamshire parents completed the 2014/15 POET survey – at least two thirds reported that personal budgets had made things better or a lot better in 5 of the 6 areas they were asked about.

Overview of implementation 23/02/2016 Overview of implementation Arrangements in place 9 families with an EHC Plan have a combined direct payment 722 transfers completed (as at 31.10.15) Local Offer Independent information and advice service SEN Support arrangements Personal Budgets Transfer arrangements 62 plans completed from 01/09/2014 – 31/10/2015 Arrangements in place and published on the Local Offer Education, Health & Care plans Dispute Resolution and Mediation Joint Commissioning Engagement of children, young people and parent Preparation for adulthood

Identified areas for development across the local area 23/02/2016 Identified areas for development across the local area Expand and improve transition pathways, particularly into adulthood Continuing to review and enhance the Local Offer Ensuring appropriate links are made with Care Act requirements Extending the use of personal budgets in education (building on the experiences of social care and health) Reviewing and revising the EHC Plan Pathway Engaging parents and young people in co-producing support, services and provision Embedding joint commissioning arrangements

Improving outcomes for children and young people with disabilities 23/02/2016 Improving outcomes for children and young people with disabilities A project designed: To establish an integrated disability service for children and young people with a disability (age 0-25 years) that is high quality and value for money. To identify areas for joint working/integration within the Children’s Disability Service (CDS), SEND Policy and Provision and Health Disability Services to: reduce duplication improve the service user journey and experience share resources identify efficiencies To initially focus on areas within SEND and CDS, and evaluate the potential for joint working with Health Services via the Integrated Community Children and Young People’s Healthcare Programme (ICCYPH). To act as an enabler to fulfilling the objectives of the longer term integration strategy within the Nottinghamshire Children and Young People’s (aged 0-25) Special Education Needs and Disability Integrated Commissioning Strategy (2015-17).

23/02/2016 To Conclude We need to: Be aware of our individual and shared responsibilities for supporting the needs of children and young people with SEND Be able to tell our story What are we doing and why? How do we know it is having the desired impact? How do we know if parents, children and young people are satisfied with what we’re doing? What areas require further development and by when – how will we ensure this happens? See today as part of the process which will enable us to achieve the above & ensure we deliver the best outcomes for our children and young people.