Preparing for adulthood, preparing for life

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Preparing for adulthood, preparing for life
NCAS conference October 2014 Julie Hicklin,
Manchester City Council Nicola Gitsham, NDTi
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Case for change young people and families

• Too many families have to battle to find out what
  support is available and in getting the help they
  need from education, health and social care
  services
• Young people with SEND do less well than their
  peers at school and college and are more likely
  to be out of education, training and employment
  at 18. Also more likely to have poor outcomes in
  housing, health and be socially isolated
• Lack of joined up working across agencies and
  planning ahead
• Low aspirations throughout the system
• Cliff edge at 19

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What do young people and their families have to
say?

• Young people overwhelmingly have a poor
  experience of transition, both in terms of
  services and in terms of having the level of
  autonomy and control they desire (Public Service
  Works, 2011)

The main thing I would change is making it so
that when you move on from childrens services it
doesnt feel as though you have disappeared off
the face of the earth
Everybody seems to want to do the right thing,
but there seems to be a missing link. No one
seems to work together
I have the same aspirations for my son as I do
for my other boys, to have friends, meet someone,
be happy and hopefully get a job, I just have no
faith that the system can deliver it so I ask for
what I think is the best it can offer
Parent from Getting a Life
My son has been getting ready to be 18 for 17
years and we still dont know what is available
after school. Parent from Aspirations for
Life
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Case for change health

• Poor transition can lead to frankly disastrous
  health outcomes for both physical and mental
  health.at its worse poor transition leads to
  drop out from medical care for those with a long
  term condition, and deterioration in those with
  disabilities - both leading to unnecessary,
  costly and often distressing hospital admissions
  
• Children and Young Peoples Health Outcomes Forum
  2012

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Case for change local authorities

• Rising demand
• Reducing budgets
• Difficulties predicting demand
• High expectations
• Challenge of getting joined up vision, processes
  and pathways 0-25 and across all agencies

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Time for a new approach



.
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Wind is blowing in the right direction

• Children and Families Act and Care Act

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Children and Families Act 2014 key points

• A comprehensive, birth to 25 SEND system, giving
  new rights and protections to 16-25 year olds in
  further education and training.
• Children, young people and their families must be
  involved in discussions and decisions about their
  individual support and local provision.
• The right to make requests and decisions under
  the Children and Families Act will apply directly
  to disabled young people and those with SEN, over
  compulsory school age (the end of the academic
  year in which they turn 16) rather than to their
  parents.
• New 0 to 25 Education, Health and Care Plans,
  replacing the current system of Statements and
  Learning Difficulty Assessments, which reflects
  the child or young persons aspirations for the
  future, as well as their current needs.

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Children and Families Act key points

• Personal Budgets young people have the right to
  request a personal budget as part of the EHC
  planning process.
• Local Offer must include support available to
  children and young people to help them to prepare
  for adulthood
• Joint Commissioning must integrate education,
  health and care to promote well-being and must
  put in place joint commissioning arrangements
  including securing provision set out in EHC
  plans.
• The Children and Families Act applies to children
  and young people aged 0 25 which means this
  also includes integration of childrens and
  adults services.

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http//www.preparingforadulthood.org.uk/resources/
pfa-resources/delivering-support-and-aspiration
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Care Act 2014 In force from April 2015

• Wellbeing principle
• Including particular focus on key outcomes
  (employment, health, suitable accommodation and
  community participation)
• Child and Carers Needs Assessment
• Duty to carry out if likely need and
  significant benefit conditions apply
• Personal Budgets
• Adult care and support plans will all include a
  personal budget
• Information Advice Service
• Duty to establish and maintain a service for
  individuals and their carers
• Joint commissioning Market development
• Duty to ensure the integration of care and
  support with health provision and health-related
  provision
• Duty to ensure co-operation between childrens
  and adults services to promote the integration
  of care and support with health services, so that
  young adults are not left without care and
  support as they make the transition between child
  and adult social care
• Duty to promote the efficient and effective
  operation for a market in services for meeting
  care and support needs

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New legislative framework for transition to
adulthood

• Common areas
• Outcomes
• Assessment and planning
• Joint Commissioning and personal budgets
• Information, Advice and Support
• http//www.preparingforadulthood.org.uk/resources/
  pfa-resources/factsheet-the-children-and-families-
  act-and-the-care-act

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Preparation for adulthood outcomes and key themes
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Changing the conversation

• Developing relationships between young people,
  families professionals and community based on
  openness and trust
• Workforce development for early years and health
  staff
• Asset based approaches to planning
• Helping families think about the future and learn
  what is possible and what works
• Positive employment strategies

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Employment

• What works
• Raising aspirations from early on
• Meaningful work experience from Year 10 including
  Saturday and holiday jobs
• Families who believe employment is positive and
  possible
• Person centred outcome focused planning that
  includes employment
• Employment focused cirriculum including travel
  training
• Vocational profiling
• Post 16 provision that does what works (supported
  internships, traineeships, apprenticeships, self
  employment)
• Supported employment whilst at school or college

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Supported Employment

• Work with the job seeker
• Engagement
• Getting to know you
• Agreeing a plan together
• Work with the employer
• Engagement
• Understanding needs and identifying vacancies
• Getting to know the job
• Job match
• Employers get the right worker and jobseekers get
  the right job
• Arranging the right support
• DEVELOP A CAREER

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Supported Internships

• Study programmes
• Learning Difficulty Assessment, Statement of SEN
  or EHC plan
• Place and train approach to learning
• Based primarily at an employers premises
• Meets the career goals of young people and the
  business need of an employer
• On-the-job training
• Qualifications

http//www.preparingforadulthood.org.uk/supportedi
nternships
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• Employment support and personal budgets

• 4 barriers
• Low expectations
• Commissioner and practitioner attitudes to
  employment
• Personal budget process
• Availability of good evidence based support
• http//www.ndti.org.uk/uploads/files/Insights_21_P
  ersonal_Budgets_and_employment_support.pdf

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The Local Offer and market shaping

• The reforms give us a great opportunity to
  commission for outcomes
• The Local Offer can play a role in shaping the
  market
• Feedback will highlight gaps and whats not
  working
• Providers using with young people and families to
  put together a good week including mix of
  education / employment / volunteering /leisure /
  independent living and travel skills / meeting
  friends

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Planning ahead forecasting demand

• Use of national and local data to forecast demand
• Regular and informal communication with SEN
  team,16-19 commissioner, Children with
  Disabilities team and Adult social care
• Transition database drawing from range of sources
• Transition finance group
• Ability to interpret SEN data against adult
  criteria
• Use of good data analysis to draw from and
  collate multiple datasets
• EHC plans in Year 9 and the Local Offer Annual
  preparing for adulthood reviews that update
  information and predict demand

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Manchesters 7 principles for change
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Manchester All Age Disability Strategy
key themes

1. Health and Well-being
2. Staying Safe
3. Getting off to a Good Start
4. Choice and Control
5. Independence in your Home
6. Community Opportunities
7. Involvement
8. Advocacy

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Housing and support Matthews Story

• Matthews Big Plan.
• High aspirations for an ordinary life.
  Employment, independent living including
  supported living, friends and relationships.
• Work experience from age 11
• Input from Adult Social Care
• Personal Budget? (Enough to pay Job Coach?)
• Link to Housing Association
• Project Search and job coach integrated funding
  from employment, education and social care
• Now Living independently and in a job he loves
• www.media19.co.uk/production/Matthews-story

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Community Inclusion - Eleanors Story

• Outcomes
• Develop friendships
• To be part of her community
• Explore setting up a micro/social enterprise
• Improve expressive communication
• Personalised Post 16 options and support
• Personal budget from post 16 education and social
  care pooled and taken as a direct payment
• Team of personal assistants recruited and
  trained
• Personalised weekly timetable designed to achieve
  outcomes
• Personal assistants can continue to support
  Eleanor when she leaves education and eventually
  moves into supported living.

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Multi agency (education, health and social care)
assessment and planning Hertfordshire

• Developing the workforce in person centred,
  outcome focused planning and PfA outcomes
• 3 way funded transition support workers who
  deliver preparing for adulthood approach
• Changing the conversation Living Live sessions
• Early intervention information from the local
  offer and plans from Year 9 used to inform demand
  commissioning of post 16 options and support.

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Developing local post 16 education and training
providers - Hertfordshire

• Used strategic reform grant to support workforce
  development and partnership
• Supported Employment advisors working in schools
  and colleges
• Joint funded 5 day offer (3 days with college 2
  at schools to encourage moving on)
• Working with housing providers to provide local
  residential/short breaks offer
• Curriculum development project to see how study
  programmes can be developed to prepare for life,
  Job coaching training across 5 colleges

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Support available to local areas - Pathfinder
Champions

• North West
• Wigan, Manchester, Salford Lancashire
• North East
• Darlington and Early Support
• Yorkshire and Humber
• Calderdale and York
• West Midlands
• Consortium of all 14 LAs
• East Midlands
• Leicester and Nottinghamshire

• East of England
• Hertfordshire and Bedford
• London 1
• Bromley, Bexley and Enfield
• London 2
• SE7
• South East
• SE7
• South West 1
• Cornwall
• South West 2
• Southampton and Portsmouth

http//www.sendpathfinder.co.uk/pathfinderchampion
s/
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Support available to local areas delivery
partners
Delivery Partners Preparing for
Adulthood Contact a Family Council for Disabled
Children Early Support Information, Support and
Advice Services Network National Network for
Parent Carer Forums The Communications Trust The
Dyslexia-SpLD Trust Autism Education Trust
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Preparing for Adulthood Programme

• Commissioned by DfE to support the testing and
  implementation of SEND reforms
• Delivered by the NDTi and CDC
• Free training, support and resources
• Contact Information
• www.preparingforadulthood.org.uk
• info_at_preparingforadulthood.org.uk
• www.facebook.com/preparingforadulthood
• Twitter - _at_PfA_Tweets

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Contact Information

• Website www.preparingforadulthood.org.uk
• Facebook www.facebook.com/ndti.org.uk
• Twitter _at_nicolagitsham
• Blog www.ndti.org.uk/blog