1. Commissioning in a Fragmented Environment
Children’s Joint Commissioning Team
Hammersmith & Fulham, Kensington & Chelsea and Westminster

2. Where to start…… Department of Health NHS England
NHS E (Specialist Commissioning)
New Born Screening
Child Dev. Teams
Audiology
Transition
Clinical Commissioning Groups
Department of Education
Local Authorities
SEN Departments
Automous Academies & Schools
Further Education
Employment & Training

3. But…drivers for change
Clinical Commissioning Groups 2012
Children & Family Act 2014
Future in Mind 2015
Five Year Forward View………

4. C&F Act SEN ‘D’ Code of Practice
Joint commissioning arrangements must cover the services for 0-25 year old children and young people with SEN or disabilities, both with and without EHC plans.
Services will include specialist support and therapies, such as clinical treatments and delivery of medications, speech and language therapy, assistive technology, personal care (or access to it), Child and Adolescent Mental Health Services (CAMHS) support, occupational therapy, habilitation training, physiotherapy, a range of nursing support, specialist equipment, wheelchairs and continence supplies and also emergency provision.
They could include highly specialist services needed by only a small number of children

5. Commissioning landscape
New Born Screening – NHS England
Paediatric Audiology – CCGs
Teachers of the Deaf – LA Special Educ. Needs
Child Development Teams - CCGs
Speech and Language – LA SEN, Early Years & CCG
Adult Health and Social Care Services – Local Authorities, CCGs and in some cases, NHS E (Specialist Commissioning)

6. A ‘local’ work in progress
Education, Health & Care Plans…outcomes
Local Offer….
Joint Commissioning Group
Commissioning for complex needs
Joint Commissioning strategy
NW London commissioners…complex needs
Health & Well Being Strategies
NW London Sustainability & Transformation Plans (STP)
Joint strategic Needs Assessment

7. Speech & Language Review
Joint investment
Demand: new schools, EHCPs, medical improvements, parental expectations
18 to 25 years VS
LA reductions in funding
Finite NHS budgets
Commissioning cycle: Analyse, Plan, Do & Review
Service re-design

8. ndcs Next steps Consultation vs. Co-Production Parents & Young People
Integration……..Transformation
Options: LA/SEN/Health, Integrated Family Support, Externalised Services, Integrated Care Partnerships……….
ndcs