1. The role of Health within the EHC Plan Pathway and Transfer Reviews and Personal Budgets
Alison Holloway
Team Manager - SEND Commissioning
Paula Vyze
Assessment and Commissioning Manager

2. Aims of the session To understand the role of Health:
in the context of the new SEND reforms, and the Education, Health and Care (EHC) Plan Pathway
within the Transfer Review Process
in relation to Personal Budgets.

3. Before After Done to 3 to19 Education Timeline 26 weeks Paper process
Local Authority resourced
Various sources of information
Separate commissioning arrangements
Co-produced & person centred
0 to 25
Education, Health and Care
Timeline 20 weeks
Use of multimedia
Personal budget
Local offer
Joint commissioning

4. Nottinghamshire’s pathway6 4 4

5. Pathway animation

6. Eligibility criteria
An integrated assessment and Education, Health and Care (EHC) plan may be required for children and young people with SEND aged 0 to 25 years if the following apply:
The child or young person has severe and/or complex long term needs that affect everyday life and functioning
The child/ young person requires provision and resources that are not normally available
Intensive help and support is required from more than one agency
There is evidence of a graduated response from the school and other agencies involved in supporting the child/ young person
Despite high levels of support, the child/ young person is making limited or no progress.

7. EHC Commissioning Hub

8. EHC Plan Teams

9. Who to contact for EHC needs assessment
If all other levels of support have been accessed by partners and the child/young person’s education is still being effected, then you can make a referral for an EHC needs assessment by contacting:
Casework Support
Tel:

10. Referral process
Health professional identifies a child/young person with severe and complex needs
Health professional should consider the Local Offer and eligibility criteria for an EHC plan
If you feel the criteria for an EHC plan are met, consider a co-ordinated referral with the cursery/school or any other relevant professionals e.g. social worker
Obtain parent/carer/young person’s consent before submitting the referral
Submit the referral on the referral form together with the consent form
Further advice can be obtained from Nicola Hodson (Designated Clinical Officer) or Paula Vyze (SEND Health Commissioner).

11. Health responsibilities on Providers and Clinicians
Support identification of children and young people with SEN and disability
Respond to requests for advice for an EHC needs assessment, plans and transfer reviews within required timescales
Make available health care provision specified in EHC plans (in line with the commissioned service)
Contribute to regular reviews of children and young people with an EHC plan where relevant.

12. Overview of Transfer Review Process
Evolving Process
Requires completion within 14 weeks
Health to submit professional contribution in 6 weeks
Schools to complete the summary documentation within 9 weeks from setting the date of the meeting
Local Authority to complete the process and issue the final EHC plan.

13. Transfer Review Process
The new EHC process is co-ordinated by SEND policy and provision at County Hall
Transfer review are co-ordinated by Schools, mainly Special Schools
Approximately 2,000 statements have to be converted by 2018 (1,500 are in Special Schools and about 500 in mainstream schools).

14. Supporting Pupils with Medical Conditions September 2014
Pupils at school should be properly supported so that they have full access to education, school trips and physical education.
Governing bodies must ensure that arrangements are in place in schools to support pupils with medical conditions including ensuring staff are appropriately trained.
Governing bodies should ensure that school leaders consult health and social care professionals, pupils and parents to ensure that the needs of children with medical conditions are effectively supported.

15. Personal Budgets Policy and leaflet published on Local Offer Education
Health
Social Care

16. Key point in the SEND Code of Practice
Parents and young people have the right to request a Personal Budget when the Local Authority has completed a EHC assessment and plan 16

17. There are four ways to have a Personal Budget
Direct payments - where individuals receive the funds to contract, purchase and manage services themselves.
An organised arrangement – where Nottinghamshire County Council, school, college or health services hold the funds and commissions the support specified in the EHC plan. (These are sometimes called notional or indicative budgets)
Third party arrangements – where funds are paid to and managed by a charity or another organisation on behalf of the child’s parent or the young person. The third party assumes responsibility for all the financial arrangements this can be the parent on the child's behalf
A combination of the above

18. Personal Health Budget
Child has to meet Continuing Care eligibility (about 70 children in the County)
From April 2015 Long Term Conditions(LTC)s what they include is yet to be announced
April 2014 right to ask, October 2014 right to have
Some families have had a joint package with social care for several years

19. Questions?