Making Sure We Transform Care for Children,

Young People and Their Families.

Introductions• Cindy Gordillo- Regional Strategic Case Manager South Children Young

people Learning Disability Work stream.

• Sue North- Social Care & Education Adviser Transforming Care

• Janette Buckland- Children’s and LD Commissioner, Lancashire North CCG

• Kath Bromfield- Expert By Experience

• David Gill- Learning Disability Advisor

• Phil Brayshaw - Service Model Lead CYP

Children and Young People Work Stream

Aims of the children and young people work stream

• To prevent unnecessary admission to hospital and avoid lengthy stays

• Supporting people to remain with or near to family and get the support they need

• •To ensure that children and young people with LD and/or autism leave school with a good education, health and care plan that supports their transition to adulthood leading to better outcomes for them and their families.

• •To encourage innovative ideas to be tested/evaluated of supporting children, young people and families through a grants process

• •To ensure children, young people and their parent carers participate and co-produce their local Transforming Care plans.

What is a Care and Treatment Review?

Other Work

• Ensuring all identified young people are on the at risk of admission register.

• SEND reforms.

• 52 weeks School Audit

• Grants Programme.

Policy Guidance

Building the Right Support and the National Service Model

• Every Transforming Care Partnership should have a lead for Children and Young People

• Clear links between Transforming Care Planning, work around the Special Educational Needs and/ or Disability (SEND) Reforms and CAMHS transformation programme

• Local areas should understand legislative framework• Service Model should be implemented from the point

of view of Children and Young People (and their commissioning needs)

Supplement to the Service Model for Children, Young People and their Families

Child, Young Person and

Family/ Parent Carers

I have an enjoyable and interesting life

My care and support is well planned

I have choice and control about my care

and support

My family and paid staff get the help they need to support me to live in

the community

I have a choice about where I live and who I

live with

I get good care and support from

mainstream health services

I get expert health and social care support in the

community if I need it

I get help to stay out of trouble with the

law if I need it

If I need to stay in hospital because of my

mental health or behaviour it is good

quality

The 9 Principles of the Service Model

Learning From Local Areas

EHCP and CTRBringing Things Together

Janette Buckland, LD and Autism Commissioner,Lancashire North CCG

Kath Bromfield, Expert by Experience

Our Journey so far…

• Wed pm – Telephone call received by CCG Blue light protocol telephone discussion later that day Multi-professionals and mum participated Immediate arrangements put in place

• Fri a.m – Follow up Multi-disciplinary meeting Arrangements for the weekend confirmed

• Weekly x 5 – Up-date multi-agency teleconference

• Full Community CTR 28.09.16

Lessons learned

What Went Well:

• Hospital admission avoided. CYP remains at home and parents feel supported• MDT coming together immediately and real willingness to find creative solutions• Person-centred and family-centred approach by most people involved• Adjusting the current CTR process to meet the needs of the CYP in a community

setting• Engagement of SEND colleagues – local authority and special school

Lessons learned

Challenges

• Enabling providers to respond rapidly and flexibly at times of crisis• Engaging CWD social worker and school staff in the process- training need?• Being child centred NOT process centred - ASSUME NOTHING!• Current CTR process – including the voice of the young person, accessing

information, the CTR form!! etc• Linking the CTR process and the EHCP review

Next Steps

This Case• Commissioners to attend the EHCP review in Nov• Work together to bring process together locally• Inform the Pan lancs process

Pan Lancashire• LD commissioners, CYP commissioners (8 CCG’s) and local authority members of

the SEND project Board working together.• Aim to have a Pan Lancs approach for combining CTR for young people with the

EHCP process• Development of common pathway, information sharing agreement and training

for all staff.

Thank you for listening