1. Southampton SEND Pathfinder
Dr Julia Katherine
Principal Educational Psychologist and joint SEND Pathfinder Lead 1

2. Southampton SEND Pathfinder Governance Structure
Solent NHS Trust
Business Development &
Innovation Committee
NHS Southampton City
Maternity & Child
Health QIPP board
Southampton City Council
Children’s Services
& Learning Senior
Management Board
Links and shared
learning with other
local forums
Links and shared
learning with
National Pathfinder
(SQW & MM)
SEND Pathfinder
Steering Group
Representation from
Education, Health,
Social Care,
and Parents
CYPDS Operational
Management Board
Representation from
Education, Health and
Social Care
Task & Finish Groups:
Integrated Assessment and Single Plan
Personal Budgets
Vulnerable Children
Local Offer 2

3. Southampton SEND Pathfinder Workstreams
Integrated Assessment and Single Education Health and Care Plan (0-25 process)
Personal Budgets
Vulnerable Children
Local Offer
Workforce Development

4. Southampton SEND Pathfinder How do we currently support C/YP with SEN & Disabilities?

5. Southampton SEND Pathfinder Children and Young People’s Development Service
New integrated model of working across specialist education, health and care services in Southampton
A single point of entry for children and young people - CYPDS Decision Panel meeting once a week to agree Integrated Assessments
Virtual service with a ‘Team around the child’ approach to deliver Education, Health and Care Plans
Health and social care currently jointly commissioned – plans to include education from April 2013
Education
Social
Care
Health

6. Southampton SEND Pathfinder Children and Young People’s Development Service
Includes professionals from education, health, and care services
Clinical Psychologists
Child and Adolescent Mental Health Service staff
Community Paediatricians
Community Support Workers
Community Children’s Nurses
Educational Psychologists
Early Years Support Teachers
Learning Disability Nurses
Jigsaw
Occupational Therapists
Physiotherapists
Portage Home Visitors
SEN Officers
SEN Personal Advisers
SEN Coordinators
Social Workers
Specialist Teacher Advisers
Speech and Language Therapists

7. Southampton SEND Pathfinder Children and Young People’s Development Service
The following groups of children/young people will be eligible for an integrated assessment and an Education, Health and Care Plan:
Children and young people who are currently eligible for a statement of SEN
Children who are not yet of school age, but who are likely to be eligible for a statement of SEN once they reach school age
Children and young people who have both complex health needs and complex social care needs

8. Southampton SEND Pathfinder Relationship with universal, targeted and specialist services
CENTRAL ASSESSMENT PROCESS
One central assessment process
Child/young person/family at the centre
Single suite of assessment documents common to education, health and care services
All assessments resulting in EHC Plan
FLEXIBILITY TO MOVE ACROSS SERVICES AS APPROPRIATE
STATUTORY
CYPDS INTEGRATED ASSESSMENT
TARGETED
UNIVERSAL PLUS
UNIVERSAL

9. Southampton SEND Pathfinder Integrated model of assessment and planning
Phase 1: Preparation and consideration
(e.g. First assessment team meeting)
Phase 2: Listen and understand
(e.g. Home visits, classroom observation)
Children, young people and families are central throughout the process
Phase 5: Monitor and review
(e.g. First review meeting)
Phase 3: Analyse and Synthesize
(e.g. Final assessment team meeting)
Phase 4: Agree and Allocate
(e.g. Bring EHC plan back to Decision Panel) 9

10. Southampton SEND Pathfinder Key roles in the process
Assessment Co-ordinators (SEN Officers, Senior Practioners, Learning Disability Nurses)
Single point of contact for families throughout assessment process
Co-ordinate Assessment Team timetable
Convene Assessment Team meetings
Lead Professionals (A wide range of professions, someone known to the family)
Single point of contact for families for the duration of their EHC Plan
Co-ordinate support on EHC Plan
Convene EHC Plan reviews

11. Southampton SEND Pathfinder Integrated Assessment of Need (IAN)
‘One and only’ (family-owned record)
Universal
Record
Universal Plus
Targeted Assessment
Statutory Assessments
Education Health and Care Plan

12. Southampton SEND Pathfinder Education, Health and Care Plan
Child/Young Person
Name:
Address:
Contact number:
DOB:
Setting/school/college:
Date of Completion:
Date of first EHC Plan:
NHS No:
PARIS No:
Parent/Carer
Who has parental responsibility:
Assessment Coordinator/Lead professional (name, job title, location and contact number)

13. Support for Children & Young People with Special Educational Needs
and Disabilities in Southampton

14. Southampton SEND Pathfinder Visions becoming reality - Tom and his family
This is Tom, he is 2 ½ years old
Due to a premature birth he has
Chromosome deletion resulting
in:
Hearing difficulties
Vision difficulties
Epilepsy
Unsafe swallow
Profound & multiple needs
After he was born he stayed in
hospital for 6 months before
he was able to come home.
This is Tom’s Family
They were very shocked when Tom was born early. Their primary concerns are:
Maintaining his gastrostomy tube feed (safety)
Accessing continence resources
Having ideas for play at home
Respite to gain a good night’s sleep
Time for siblings
Thinking about where Tom might go to pre-school
Conflicting appointments
Having to tell services their story over and over again
Eye Unit
Community Childrens Nurse
Health Surveillance Checks
Therapy Assessments
Epilepsy Nurse
Continence Nurse
Short Breaks Assessment
New-Born Hearing Check
Initial Assessment
Health Visitor
Neurology consultant
Ophthalmology consultant
Continence Assessment
Paediatric Assessments
CCN Assessments
Specialist Teachers – Hearing and Vision
Social Care
Core Assessment
Respite services
Child Development Unit
Portage Assessments
Portage
Community Paediatrician

15. Southampton SEND Pathfinder Tom and his EHC Plan
Application made by Community Paediatrician for an Integrated Assessment and EHC Plan
Timely reviews ensure the EHC plan continues to meet Tom’s needs
Key transition points anticipated and planned for
(for example; when Tom starts pre-school)
Single point of contact for Tom’s family during assessment stage
More choice and control for Tom and his family about the services and how they are delivered (for example; Direct Payments)
Health, Education and Social Care Professionals co-ordinating assessments to gain a better, holistic understanding of Tom’s needs
Tell us once approach
“All about me” owned by Tom and his family
Outcome focused planning in partnership with Tom and his family
Clear EHC plan of support for Tom in place PRIOR to entering education
Lead Professional role identified to support Tom and his family for the duration of his EHC plan

16. Southampton SEND Pathfinder What has gone well?
Sustainable model
Builds on current good practice
Builds on current workforce
Model can be scaled up
Good buy-in from all agencies
Qualitatively different to previous way of working
Shifted focus on partnership working with families
Will enable wider whole system change

17. Southampton SEND Pathfinder What has not gone as well?
Capacity within the workforce
People unlearning current practice
Restrictions of the current financial climate
Understanding the task and ensuring our joint commissioning reflects this

18. Southampton SEND Pathfinder