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Venue: Civic Centre, High Road, Wood Green, N22 8LE. View directions
\n\t\tContact: Sharon Miller \n\t\t\n\t\t
\n\t\t\n\t\tItems\n\t\t\n\n\t\t\tNo.\n\t\t\tItem\n\t\t\n\n\t\t\n\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\tApologies
\n\nITEMS OF URGENT BUSINESS
\n\nThe Chair\nwill consider the admission of any late items of urgent business.\nWhere the item is already included on the agenda, it will appear\nunder that item but new items of urgent business will be dealt with\nat item 6.
\nMinutes:
There were no items of urgent business.
\nDECLARATION OF INTERESTS
\n\n\nA member with a personal interest in a matter who attends a\nmeeting of the authority at which the matter is considered must\ndisclose to that meeting the existence and nature of that interest\nat the commencement of that consideration, or when the interest\nbecomes apparent.
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\n\nA member with a personal interest in a matter also\nhas a prejudicial interest in that matter if the interest is one\nwhich a member of the public with knowledge of the relevant facts\nwould reasonably regard as so significant that it is likely to\nprejudice the member's judgment of the public interest and\nif this interest affects their financial position or the financial\nposition of a person or body as described in paragraph 8 of the\nCode of Conduct and/or if it relates to the\ndetermining of any approval, consent, licence, permission or\nregistration in relation to them or any person or body described in\nparagraph 8 of the Code of Conduct.
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Minutes:
None notified.
\nSCOPING REPORT AND TERMS OF REFERENCE PDF 515 KB
\n\nFor the Scrutiny Panel to consider and approve\nthe scope and terms of reference for the scrutiny review of\nTransition of Young People from Children’s Services to Adult\nServices in Haringey.
\nMinutes:
9.1 \nThe Panel considered the scoping report and terms of reference for\nthe review. With\nregards to the scoping report, the panel’s attention was\ndrawn to the Council’s local response to government’s\ninitiatives “Valuing People” (2001) and “Valuing\nPeople Now” (2007) which required services to be planned to\nenable people with learning disabilities to lead full and\npurposeful lives. Other\ninitiatives include:
\n\n
\n\n· \nLocal\ncommitments to developing services which are geared towards\nmaintaining People’s independence stemming from Our Health\nOur Care Our Say (2006);
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\n\n· \nChildren\nand Young People’s Service Plan 2009-12 priories the need for\nan integrated approach to transition for vulnerable young people\nand those with learning difficulties and disabilities including\nmental health;
\n\n
\n\n· \nThe\nHaringey Youth Strategy identifies the need to support young people\nwith disabilities in transition;
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\n\n· \nNational\nTransition Support Programme (2008) has been established by the\nGovernment to raise the standards of transition in all local areas;\nand
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\n\n· \nAiming\nHigh: Better Support for Disabled Children and their Families (May\n2007) is the Government’s transformation programme for\ndisabled children services. Transition support is one of the\nidentified work streams in the programme and emphasises the\nimportance of joined up working and services centred on children\nand their families.
\n\n
9.2 \nThere were some overlap with similar objectives, however the\nquality of outcomes was the most significant issue, some services\nwere provided through adult services and others through children\nservices; it was important to ensure that vulnerable children did\nnot fall through the gaps.
\n\n
9.3 \nIn response to a question regarding pooled budgets, it was noted\nthat currently there were no joint arrangements for children with\nphysical disabilities and mental health issues. There was joint procurement for\nthe Primary Care Trust and the Mental Health Trust. Clients were identified at age 16\nto ensure early identification of transition issues, consider\noptions for meeting the needs of the client and also to ensure\nvalue for money in service provision.
\n\n
\n9.4 It\nwas noted that the Audit Commission viewed Haringey as a high\nspending borough on commissioning and in response to a question on\nthe strategies taken by the Children & Young People Service\n(the Service) to address this, the panel learned that the Service\nused a method called the Funding Calculator tool and were\nconsidering a Pan-London approach as a further possible tool to\nassist in proactively managing the Learning Disabilities market.\nHaringey have also been successfully working with a company called\nOLM to help review some of its expensive Learning Disability\nplacements and reduce costs.
\n\n
\n\n9.5 It\nwas agreed that this issue would be discussed in more detail at a\nfuture meeting of the panel when budgets and value for money issues\nwould be discussed. Further details of the Funding Calculator can\nbe found at: www.southeastiep.gov.uk/
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\n9.6 Due\nto increasing demand and budget constraints there was a need to\nplan services effectively to ensure value for money.
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9.7 \nDefinition\nof transition
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9,8\n \n“The \n[1] [transition] process must be\nindividual to the needs and aspirations of each young person. It is\na fluid process, spread out over a number of years, and often local\noptions for young people are limited and support can be patchy and\ninconsistent. These challenges are compounded by young\npeople’s moves from one service to another at different ages.\nFor example a disabled young person may move from paediatric to\nadult health care services at 16, then at 18 moves from\nchildren’s to adult social care. This is alongside the\ntransition stages in their education. Each of these transitions is\nlikely to occur independently of each other, which means that young\npeople and their families may repeatedly have to deal with new\nagencies and professionals, re-telling their story each\ntime.”
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9.9 \nYoung people\nwho received children’s services may continue to need\nservices when they are adults. This will involve transferring\nresponsibility for assessing needs and providing services from\nchildren’s to adults’ services. The process of\n transfer is\nreferred to as 'transition'.
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9.10 It was important that\ntransition was viewed as a process and not just a single event.\nImplementing improved transition involves: recognition of the\nimportance of the process; adequate consultation with professionals\nand users, flexibility in timing of transition; a period of\npreparation for the young person and family; information transfer;\nmonitoring of attendance until the young person is established in\nthe appropriate adult oriented service.
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9.11 The Panel learned that\nnationally young people with complex disability present particular\nchallenges because often there is no equivalent adult service able\nor willing to take on their long-term health care and medical\nsupervision. There is a need to develop\nand ensure that a holistic approach to the transition of young\npeople. However, there\nwas recognition that sometimes they may fall through the\n \nnet. The ADS Steering\ngroup were looking at developing a corporate model to address\nthis.
\n\n
\n\n9.12 Personalisation\nagenda
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9.13 \nPersonalisation of services was defined as ‘the way in which\nservices are tailored to the needs and preferences of\ncitizens’ the overall vision is that the state should empower\ncitizens to shape their own lives and the services they\nreceive. This\ntransformation in the way that services are shaped and provided is\nbeing compared with the changes which occurred with the\nintroduction of the NHS Community Care Act 1990.
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9.14 \nPersonalisation varies from area to area but has the potential for\nservices to solve problems together; this service could have a\nmajor impact on quality outcome for the individuals.
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\n\n9.15There has\nbeen a significant amount of national research carried out on\nTransition and this showed that the barriers to good transition\noutcomes included:
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\n\n· \nDelays\nbecause of transitional worker capacity and slow allocation to\nteams.
\n\n\n· \nLimited\nmonitoring and tracking
\n\n\n· \nInsufficient\nstrategic planning
\n\n\n· \nParents/carers\nfeeling they have little information
\n\n\n· \nThe need\nfor transition reviews and plans to be person centred.
\n\n\n· \nOut of\narea placements
\n\n\n· \nLack of\nsupported employment service and
\n\n\n· \nDifficulties\naccessing activities.
\n\n\n· \nDifficulties\naround funding.
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9.16 \nConsultation with young people nationally shows that they\nwant:
\n\n
\n\n· \nA\njob
\n\n\n· \nTo go to\ncollege
\n\n\n· \nMore\nindependent living including housing, shopping, cooking
\n\n\n· \nManaging\nmoney
\n\n\n· \nMaking\nfriends through normal channels
\n\n\n· \nA\nboyfriend/girlfriend
\n\n\n· \nTo be\nsafe
\n\n\n· \nTo be in\ncontrol
\n\n\n· \nEmotional\nsupport
\n\n\n· \nTo be\nable to go out locally
\n\n\n· \nTo have\nsome choices and
\n\n\n· \nTo know\nearly what they need to do to achieve their goals.
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9.17 Local Context –\nSummary of Transition Planning:
\n\n
9.18 The panel was informed\nthat children with Statements of Special Educational Needs (SEN),\non School Action Plus and School Action, have their statements\nreviewed annually. The\nfirst annual review meeting focussing on transition planning\noccurred when the young person was in year 9 (14 years old). There\nwere approximately 1,200 young people with statements. There was a good group of Special\nEducational Needs Co-ordinators (SENCOs) in the\nborough. 372 young\npeople have a Transition Plan.
\n\n
9.19 \nThere are currently 92 young people with statements in the 14\n– 19 yrs age range who have been identified as requiring\nadult services. \nThe table below shows how clients are categorised.
\n\n\n\n\n
Total who may need\nadult services: 92
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Numbers likely to\nrequire Adult Services
\n\n\nNumbers likely to\nrequire Mental Health Services/CAMHS
\n\n\nJoint\nReferrals (children who may\nrequire Mental Health and/or Adult Services)
\n\n\n\n\n\n\n\n
Year 10
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Year 11
\n\n\n13
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Year 12
\n\n\n31
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1
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Year 13
\n\n\n32
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Year 14
\n\n\n8
\n\n\n3
\n\n\n4
\n\n\n\n\n\n\n\n
Total
\n\n\n84
\n\n\n3
\n\n\n5
\n\n\n\n\n\n\n
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\n9.20 \nMembers commented on the relatively small numbers of young people\nlikely to require mental Health Services and were informed that\nwhilst the numbers of young people diagnosed with mental health and\nlikely to require mental health services are very small their needs\nare complex in addition, this group were likely to be diagnosed at\na later stage.
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9.21 \nConnexions monitor the destination routes of all young people\nleaving school. Data on those Not In Employment, Education and\nTraining (NEET) is also produced annually and reducing this number\nis a priority for the Council. Data shows that the position of\nyoung people with Learning Difficulties and Disabilities (LDD) is\nimproving.
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\n\n\n\n\n\n\n\n\n\n\nRecent\nrecords show the improving situation in Haringey for young\npeople
\nwith\nLearning Difficulties and Disabilities [LLD]
\n\n
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\n 9.22 Progress to\ndate:
\n\n
With\nregards to progress made to date, the panel heard that Special\nEducational Needs handbook are in all schools this includes\nguidance on transition and sample transition plans including use of\nsymbols to capture young people’s views;
\n\n
\n\n· \nAnnual\ntransition meeting for parents/carers to provide opportunities to\nhear about the process and meet key staff and\nproviders; \nOpportunities fairs centrally and in schools increasingly offer\nmore choices;
\n\n\n· \nAll\nyoung people with statements of SEN have Transition plans which\nidentify key actions, responsibilities and timescales;
\n\n\n· \nAll\nSpecial Schools and Haringey Sixth Form Centre use Person Centre\nPlans;
\n\n\n· \nMonitoring\nof young people’s involvement in reviews shows that the\nmajority of young people attend their annual review. For many this\nrequires significant support leading up to the review to ensure\nthey are able to express their views about the hopes and wishes for\nthe future. Communication aids and video evidence are available for\nyoung people with the most complex needs;
\n\n\n· \nThe\nannual Powerful Voices conferences, Youth Council and targeted\nconsultations with young people all provide opportunities for young\npeople to comment on current processes and policy as it affects\nthem and to influence future planning;
\n\n\n· \nThere is\na meaningful work experience programmes in place in mainstream and\nspecial schools for young people with LDD, including\nMENCAP Pathways , City\nFarm, A music club in\nHackney, Marks and Spencer, The Roundhouse Cafe, a campaign\ngroup office for disabled people’s rights and many others.\nSpecial Schools have used enterprise schemes to provide work\nexperience for young people with complex needs and proceeds in one\nschool are sent to their link schools in Africa.
\n\n\n· \nThere is\ngood up to date data on all young people with LDD from 14 yrs +\nincluding needs, education, health and social care provision and\nthis is shared with adults to inform planning.
\n\n\n· \nThe well\nestablished monthly multi agency 14+ transition panel which\nmonitors and tracks young people in transition also fulfils a\nstrategic role in terms of policy and procedures
\n\n\n· \nJoint\nprotocol in place between Children with Disabilities (CwD) team and\nAdults Learning\nDisability Partnership (LDP)
\n\n\n· \nThe\nrestructuring of staff between CwD team and LDP created a\ntransition team in LDP
\n\n\n· \nHaringey\nSixth Form Centre offer wider range of courses to young people who\ntransfer from special schools and there are currently 20 young\npeople accessing mainstream courses
\n\n\n· \nThere\nare good working relationship between services
\n\n\n· \nPersonalisation\npilot underway in LDP
\n\n\n· \nThe use\nif Individual Budgets is planned for young people in transition\nfrom 2010
\n\n\n· \nPerson\nCentred Planning in place for all young adults in LDP
\n\n\n· \nA Review\nof Partnership Board has been completed
\n\n\n· \nA new\ntransition resource was provided for Adults through Area 51 in\n2009
\n\n\n· \nAn\nAutistic Spectrum Disorder (ASD) Steering Group has been established to consider\nASD specific provision for young adults
\n\n\n· \nTraining\nhas been provided for GPs to support the monitoring of health checks
\n\n\n· \nThere is\nimproved liaison between Adults and acute hospitals.
\n\n
9.23 \nThe panel noted that the Service has identified the need to improve\ntransition for young\npeople with Additional Needs, Learning Difficulties and\nDisabilities, including young people with special educational needs\nbut without a statement, young people with mental health\ndifficulties and young people leaving care. There is also a need to ensure all\nplanning reflected the National Transitional Programme to raise\nstandards and to learn from best practice identified through this\nprocess and also the Personalisation Agenda. Greater emphasis also\nneeds to be placed on the key roles young people and their\nfamilies, separately and jointly have on this agenda.
\n\n
9.24 \nMy Service at 18
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9.25 \nMy Service at 18 has been established as a joint strategic\ntransition planning group between C&YPS and Adults LP, in the\npast each Directorate had its own strategic group with\nrepresentation from the Directorates on each, the new strategic\ngroup comprises representatives from Statutory and voluntary\nservices, parents and providers. The group had its first away day\nand agreed a joint action and delivery programme comprising of\nshort, medium and long term goals and will report to The\nDisabilities Forum, the Children’s Trust and to the Learning\nDisability Partnership Board also the Well Being Stream Board,\nlinking to the Haringey Strategic Partnership.
\n\n
9.26 \nThe Group also identified the need to review the multi agency\npathways. The revised\npathways include short, medium and long term goals within a two\nyear timeframe. An\nexample is to reframe the fourteen plus panel to the Transition\nSupport Panel and to map out how all the Pathways are\nlinked. Clarification\nof all eligibility criteria and identification of key people in all\nagencies and clear roles and responsibilities would be\nrequired.
\n\n
9.27 \nThe Panel were informed that Children and\nadult services have recognised the
\nneed to further\nreview and develop these services and this work had begun. The\nfirst step was the joining together of two transition steering\ngroups separately located in the CYPS and ACCS. (Adult, Culture and\nCommunity Services). The newly established steering group “my\nservice at 18” quickly identified four work streams;\nfollowing this an away day was organised to agree a \nstrategic plan and delivery programme. The delivery programme\nincludes short\nmedium and long term goals and four work streams namely:
\n\n
\n1. \nNeeds analysis of specific complex needs/mapping of services\n \nin Children’s and Adults.
\n\n2 \nProtocol, procedures and pathways.
\n\n3. \nSocial Inclusion and Personalisation
\n\n4. \nInformation, partnership ad consultation.
\n\n
9.28 The very successful day\nwas attended by over forty stakeholders (see appendix 1 for list of\nattendees). The day was characterised by a commitment to be forward\nlooking.
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9.29 \nTerms of Reference
\n\n
9.30 \nThe Terms of reference were agreed as follows:
\n\n
“To assess the current\ntransition services available to young people moving between\nchildren’s and adult services specifically to provide an\nobjective view of these services and whether they provide value for\nmoney.” This will\ninclude reviewing:
\n\n
\n\n· \n\nHow children with special needs, disabilities and mental health\nissues are transferred from services delivered by children's\nservices to adult services. This will cover planning, consultation\nand the handover of responsibility.
\n\n
\n\n· \n\nWhat is done for those children who do not meet the eligibility for\nadult services but who need some kind of lower-level\nsupport?
\n\n
\n\n\n· \n\nTo consider how the implementation of the National Guidance on\ntransition support programme is ensured in\nHaringey.
\n\n
9.31 \nTimescale
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9.32 \nThe review aims to report to the Overview and Scrutiny Committee by\nMarch 2010. The\nrecommendations will then go to Cabinet and other bodies, for\nexample NHS Haringey, following this.
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9.33 \nEngagement:
\n\n
9.34 The Panel learned that\nyoung people and their families have been consulted about\n \ntheir expectations for their future and what are the barriers and\nwhat would help the transition process. Families have been\nconsulted through the Aiming High programme in addition to the on\ngoing work initiated by the AEN/SEN Parent /carers\nForum.
\n\n
9.35 The ASD steering Group\nis looking at the development of autism specific provision for\nyoung adults post transition was informed by parents carrying out\nsmall group \nand individual discussions on their experiences to date, good\npractice and gaps in the provision.
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9.36 The Learning Disability\nPartnership Board has parent representatives of young people in\ntransition. On 21st October 2009 Haringey Learning\ndisability Partnership hosted an Away Day to enable the Service to\nlook at the work they wished the Partnership board to undertake.\nScott Watkins, co- National Director of the Valuing People Team and\nDebbie Robinson, London Regional lead attended the morning session.\nDiscussion on the day included how to improve service for young\npeople and their families. Representatives of services such as\nhousing and leisure also attended. In addition parents who are also\nmembers of the Partnership Board and other carer forums now lead on\nservice developments and their work with Autistic Spectrum Disorder\nprovision is an example of this outcome.
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9.37 A parent has agreed to\nkeep a transition diary for her 14 year old daughter with Down\nSyndrome. The aim is to recruit other parent and their young people\nto so other diaries.
\n\n
DATE OF NEXT MEETINGS:
\n\n14th January 2010 @ 18:00hrs
\n28th January 2010 @ 18:00hrs
\nMinutes:
10.1 Date of future\nmeetings:
\n\n
\n14 January 2010
\n\n28 January 2010
\n\n
It was noted that the Service was\ndue for inspection end of January 2010. It was agreed that the meeting\nscheduled for 28th January should be deferred until\nFebruary 2010.
\n\n
NEW ITEMS OF URGENT BUSINESS:
\n\nThe Chair will consider new items of urgent\nbusiness notified at item 2.
\nMinutes:
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There were no new items of urgent business
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\n\n\n\n
Cllr Martin Newton
\n\n
Chair
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PDF 51 KB \n\t\t\t PDF 570 KB PDF 107 KB Venue: Civic Centre, High Road, Wood Green, N22 8LE. View directions
\n\t\tContact: Sharon Miller \n\t\t\n\t\t
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| \n\t\t\t\t\n\t\t | \t\t\t\n\t\t\t\t\t ITEMS OF URGENT BUSINESS \n\n
\n \nThe Chair\nwill consider the admission of any late items of urgent business.\nWhere the item is already included on the agenda, it will appear\nunder that item but new items of urgent business will be dealt with\nat item 6. \nMinutes: \n \nThere were no items of urgent business. \n | \n\t\t||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| \n\t\t\t\t\n\t\t | \t\t\t\n\t\t\t\t\t DECLARATION OF INTERESTS \n\n
\n \n\nA member with a personal interest in a matter who attends a\nmeeting of the authority at which the matter is considered must\ndisclose to that meeting the existence and nature of that interest\nat the commencement of that consideration, or when the interest\nbecomes apparent. \n\n \n\nA member with a personal interest in a matter also\nhas a prejudicial interest in that matter if the interest is one\nwhich a member of the public with knowledge of the relevant facts\nwould reasonably regard as so significant that it is likely to\nprejudice the member's judgment of the public interest and\nif this interest affects their financial position or the financial\nposition of a person or body as described in paragraph 8 of the\nCode of Conduct and/or if it relates to the\ndetermining of any approval, consent, licence, permission or\nregistration in relation to them or any person or body described in\nparagraph 8 of the Code of Conduct. \n\n Minutes: \n \nNone notified. \n | \n\t\t||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| \n\t\t\t\t\n\t\t | \t\t\t\n\t\t\n\t\t\t\t\t SCOPING REPORT AND TERMS OF REFERENCE
\n \nFor the Scrutiny Panel to consider and approve\nthe scope and terms of reference for the scrutiny review of\nTransition of Young People from Children’s Services to Adult\nServices in Haringey. \nMinutes: \n \n\n9.1 \nThe Panel considered the scoping report and terms of reference for\nthe review. With\nregards to the scoping report, the panel’s attention was\ndrawn to the Council’s local response to government’s\ninitiatives “Valuing People” (2001) and “Valuing\nPeople Now” (2007) which required services to be planned to\nenable people with learning disabilities to lead full and\npurposeful lives. Other\ninitiatives include: \n\n \n\n· \nLocal\ncommitments to developing services which are geared towards\nmaintaining People’s independence stemming from Our Health\nOur Care Our Say (2006); \n\n \n\n· \nChildren\nand Young People’s Service Plan 2009-12 priories the need for\nan integrated approach to transition for vulnerable young people\nand those with learning difficulties and disabilities including\nmental health; \n\n \n\n· \nThe\nHaringey Youth Strategy identifies the need to support young people\nwith disabilities in transition; \n\n \n\n· \nNational\nTransition Support Programme (2008) has been established by the\nGovernment to raise the standards of transition in all local areas;\nand \n\n \n\n· \nAiming\nHigh: Better Support for Disabled Children and their Families (May\n2007) is the Government’s transformation programme for\ndisabled children services. Transition support is one of the\nidentified work streams in the programme and emphasises the\nimportance of joined up working and services centred on children\nand their families. \n\n\n \n 9.2 \nThere were some overlap with similar objectives, however the\nquality of outcomes was the most significant issue, some services\nwere provided through adult services and others through children\nservices; it was important to ensure that vulnerable children did\nnot fall through the gaps. \n\n 9.3 \nIn response to a question regarding pooled budgets, it was noted\nthat currently there were no joint arrangements for children with\nphysical disabilities and mental health issues. There was joint procurement for\nthe Primary Care Trust and the Mental Health Trust. Clients were identified at age 16\nto ensure early identification of transition issues, consider\noptions for meeting the needs of the client and also to ensure\nvalue for money in service provision. \n\n \n9.4 It\nwas noted that the Audit Commission viewed Haringey as a high\nspending borough on commissioning and in response to a question on\nthe strategies taken by the Children & Young People Service\n(the Service) to address this, the panel learned that the Service\nused a method called the Funding Calculator tool and were\nconsidering a Pan-London approach as a further possible tool to\nassist in proactively managing the Learning Disabilities market.\nHaringey have also been successfully working with a company called\nOLM to help review some of its expensive Learning Disability\nplacements and reduce costs. \n\n \n\n9.5 It\nwas agreed that this issue would be discussed in more detail at a\nfuture meeting of the panel when budgets and value for money issues\nwould be discussed. Further details of the Funding Calculator can\nbe found at: www.southeastiep.gov.uk/ \n\n \n9.6 Due\nto increasing demand and budget constraints there was a need to\nplan services effectively to ensure value for money. \n\n 9.7 \nDefinition\nof transition \n\n 9,8\n \n“The \n[1] [transition] process must be\nindividual to the needs and aspirations of each young person. It is\na fluid process, spread out over a number of years, and often local\noptions for young people are limited and support can be patchy and\ninconsistent. These challenges are compounded by young\npeople’s moves from one service to another at different ages.\nFor example a disabled young person may move from paediatric to\nadult health care services at 16, then at 18 moves from\nchildren’s to adult social care. This is alongside the\ntransition stages in their education. Each of these transitions is\nlikely to occur independently of each other, which means that young\npeople and their families may repeatedly have to deal with new\nagencies and professionals, re-telling their story each\ntime.” \n\n 9.9 \nYoung people\nwho received children’s services may continue to need\nservices when they are adults. This will involve transferring\nresponsibility for assessing needs and providing services from\nchildren’s to adults’ services. The process of\n transfer is\nreferred to as 'transition'. \n\n 9.10 It was important that\ntransition was viewed as a process and not just a single event.\nImplementing improved transition involves: recognition of the\nimportance of the process; adequate consultation with professionals\nand users, flexibility in timing of transition; a period of\npreparation for the young person and family; information transfer;\nmonitoring of attendance until the young person is established in\nthe appropriate adult oriented service. \n\n 9.11 The Panel learned that\nnationally young people with complex disability present particular\nchallenges because often there is no equivalent adult service able\nor willing to take on their long-term health care and medical\nsupervision. There is a need to develop\nand ensure that a holistic approach to the transition of young\npeople. However, there\nwas recognition that sometimes they may fall through the\n \nnet. The ADS Steering\ngroup were looking at developing a corporate model to address\nthis. \n\n \n\n9.12 Personalisation\nagenda \n\n 9.13 \nPersonalisation of services was defined as ‘the way in which\nservices are tailored to the needs and preferences of\ncitizens’ the overall vision is that the state should empower\ncitizens to shape their own lives and the services they\nreceive. This\ntransformation in the way that services are shaped and provided is\nbeing compared with the changes which occurred with the\nintroduction of the NHS Community Care Act 1990. \n\n 9.14 \nPersonalisation varies from area to area but has the potential for\nservices to solve problems together; this service could have a\nmajor impact on quality outcome for the individuals. \n\n \n\n9.15There has\nbeen a significant amount of national research carried out on\nTransition and this showed that the barriers to good transition\noutcomes included: \n\n \n\n· \nDelays\nbecause of transitional worker capacity and slow allocation to\nteams. \n\n\n· \nLimited\nmonitoring and tracking \n\n\n· \nInsufficient\nstrategic planning \n\n\n· \nParents/carers\nfeeling they have little information \n\n\n· \nThe need\nfor transition reviews and plans to be person centred. \n\n\n· \nOut of\narea placements \n\n\n· \nLack of\nsupported employment service and \n\n\n· \nDifficulties\naccessing activities. \n\n\n· \nDifficulties\naround funding. \n\n 9.16 \nConsultation with young people nationally shows that they\nwant: \n\n \n\n· \nA\njob \n\n\n· \nTo go to\ncollege \n\n\n· \nMore\nindependent living including housing, shopping, cooking \n\n\n· \nManaging\nmoney \n\n\n· \nMaking\nfriends through normal channels \n\n\n· \nA\nboyfriend/girlfriend \n\n\n· \nTo be\nsafe \n\n\n· \nTo be in\ncontrol \n\n\n· \nEmotional\nsupport \n\n\n· \nTo be\nable to go out locally \n\n\n· \nTo have\nsome choices and \n\n\n· \nTo know\nearly what they need to do to achieve their goals. \n\n 9.17 Local Context –\nSummary of Transition Planning: \n\n 9.18 The panel was informed\nthat children with Statements of Special Educational Needs (SEN),\non School Action Plus and School Action, have their statements\nreviewed annually. The\nfirst annual review meeting focussing on transition planning\noccurred when the young person was in year 9 (14 years old). There\nwere approximately 1,200 young people with statements. There was a good group of Special\nEducational Needs Co-ordinators (SENCOs) in the\nborough. 372 young\npeople have a Transition Plan. \n\n 9.19 \nThere are currently 92 young people with statements in the 14\n– 19 yrs age range who have been identified as requiring\nadult services. \nThe table below shows how clients are categorised. \n\n
\n \n9.20 \nMembers commented on the relatively small numbers of young people\nlikely to require mental Health Services and were informed that\nwhilst the numbers of young people diagnosed with mental health and\nlikely to require mental health services are very small their needs\nare complex in addition, this group were likely to be diagnosed at\na later stage. \n\n 9.21 \nConnexions monitor the destination routes of all young people\nleaving school. Data on those Not In Employment, Education and\nTraining (NEET) is also produced annually and reducing this number\nis a priority for the Council. Data shows that the position of\nyoung people with Learning Difficulties and Disabilities (LDD) is\nimproving. \n\n \n
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\n\n \n \n \n \n 9.22 Progress to\ndate: \n\n With\nregards to progress made to date, the panel heard that Special\nEducational Needs handbook are in all schools this includes\nguidance on transition and sample transition plans including use of\nsymbols to capture young people’s views; \n\n \n\n· \nAnnual\ntransition meeting for parents/carers to provide opportunities to\nhear about the process and meet key staff and\nproviders; \nOpportunities fairs centrally and in schools increasingly offer\nmore choices; \n\n\n· \nAll\nyoung people with statements of SEN have Transition plans which\nidentify key actions, responsibilities and timescales; \n\n\n· \nAll\nSpecial Schools and Haringey Sixth Form Centre use Person Centre\nPlans; \n\n\n· \nMonitoring\nof young people’s involvement in reviews shows that the\nmajority of young people attend their annual review. For many this\nrequires significant support leading up to the review to ensure\nthey are able to express their views about the hopes and wishes for\nthe future. Communication aids and video evidence are available for\nyoung people with the most complex needs; \n\n\n· \nThe\nannual Powerful Voices conferences, Youth Council and targeted\nconsultations with young people all provide opportunities for young\npeople to comment on current processes and policy as it affects\nthem and to influence future planning; \n\n\n· \nThere is\na meaningful work experience programmes in place in mainstream and\nspecial schools for young people with LDD, including\nMENCAP Pathways , City\nFarm, A music club in\nHackney, Marks and Spencer, The Roundhouse Cafe, a campaign\ngroup office for disabled people’s rights and many others.\nSpecial Schools have used enterprise schemes to provide work\nexperience for young people with complex needs and proceeds in one\nschool are sent to their link schools in Africa. \n\n\n· \nThere is\ngood up to date data on all young people with LDD from 14 yrs +\nincluding needs, education, health and social care provision and\nthis is shared with adults to inform planning. \n\n\n· \nThe well\nestablished monthly multi agency 14+ transition panel which\nmonitors and tracks young people in transition also fulfils a\nstrategic role in terms of policy and procedures \n\n\n· \nJoint\nprotocol in place between Children with Disabilities (CwD) team and\nAdults Learning\nDisability Partnership (LDP) \n\n\n· \nThe\nrestructuring of staff between CwD team and LDP created a\ntransition team in LDP \n\n\n· \nHaringey\nSixth Form Centre offer wider range of courses to young people who\ntransfer from special schools and there are currently 20 young\npeople accessing mainstream courses \n\n\n· \nThere\nare good working relationship between services \n\n\n· \nPersonalisation\npilot underway in LDP \n\n\n· \nThe use\nif Individual Budgets is planned for young people in transition\nfrom 2010 \n\n\n· \nPerson\nCentred Planning in place for all young adults in LDP \n\n\n· \nA Review\nof Partnership Board has been completed \n\n\n· \nA new\ntransition resource was provided for Adults through Area 51 in\n2009 \n\n\n· \nAn\nAutistic Spectrum Disorder (ASD) Steering Group has been established to consider\nASD specific provision for young adults \n\n\n· \nTraining\nhas been provided for GPs to support the monitoring of health checks \n\n\n· \nThere is\nimproved liaison between Adults and acute hospitals. \n\n 9.23 \nThe panel noted that the Service has identified the need to improve\ntransition for young\npeople with Additional Needs, Learning Difficulties and\nDisabilities, including young people with special educational needs\nbut without a statement, young people with mental health\ndifficulties and young people leaving care. There is also a need to ensure all\nplanning reflected the National Transitional Programme to raise\nstandards and to learn from best practice identified through this\nprocess and also the Personalisation Agenda. Greater emphasis also\nneeds to be placed on the key roles young people and their\nfamilies, separately and jointly have on this agenda. \n\n 9.24 \nMy Service at 18 \n\n 9.25 \nMy Service at 18 has been established as a joint strategic\ntransition planning group between C&YPS and Adults LP, in the\npast each Directorate had its own strategic group with\nrepresentation from the Directorates on each, the new strategic\ngroup comprises representatives from Statutory and voluntary\nservices, parents and providers. The group had its first away day\nand agreed a joint action and delivery programme comprising of\nshort, medium and long term goals and will report to The\nDisabilities Forum, the Children’s Trust and to the Learning\nDisability Partnership Board also the Well Being Stream Board,\nlinking to the Haringey Strategic Partnership. \n\n 9.26 \nThe Group also identified the need to review the multi agency\npathways. The revised\npathways include short, medium and long term goals within a two\nyear timeframe. An\nexample is to reframe the fourteen plus panel to the Transition\nSupport Panel and to map out how all the Pathways are\nlinked. Clarification\nof all eligibility criteria and identification of key people in all\nagencies and clear roles and responsibilities would be\nrequired. \n\n 9.27 \nThe Panel were informed that Children and\nadult services have recognised the \nneed to further\nreview and develop these services and this work had begun. The\nfirst step was the joining together of two transition steering\ngroups separately located in the CYPS and ACCS. (Adult, Culture and\nCommunity Services). The newly established steering group “my\nservice at 18” quickly identified four work streams;\nfollowing this an away day was organised to agree a \nstrategic plan and delivery programme. The delivery programme\nincludes short\nmedium and long term goals and four work streams namely: \n\n \n1. \nNeeds analysis of specific complex needs/mapping of services\n \nin Children’s and Adults. \n\n2 \nProtocol, procedures and pathways. \n\n3. \nSocial Inclusion and Personalisation \n\n4. \nInformation, partnership ad consultation. \n\n 9.28 The very successful day\nwas attended by over forty stakeholders (see appendix 1 for list of\nattendees). The day was characterised by a commitment to be forward\nlooking. \n\n 9.29 \nTerms of Reference \n\n 9.30 \nThe Terms of reference were agreed as follows: \n\n “To assess the current\ntransition services available to young people moving between\nchildren’s and adult services specifically to provide an\nobjective view of these services and whether they provide value for\nmoney.” This will\ninclude reviewing: \n\n \n\n· \n\nHow children with special needs, disabilities and mental health\nissues are transferred from services delivered by children's\nservices to adult services. This will cover planning, consultation\nand the handover of responsibility. \n\n \n\n· \n\nWhat is done for those children who do not meet the eligibility for\nadult services but who need some kind of lower-level\nsupport? \n\n \n\n\n· \n\nTo consider how the implementation of the National Guidance on\ntransition support programme is ensured in\nHaringey. \n\n 9.31 \nTimescale \n\n 9.32 \nThe review aims to report to the Overview and Scrutiny Committee by\nMarch 2010. The\nrecommendations will then go to Cabinet and other bodies, for\nexample NHS Haringey, following this. \n\n \n
\n 9.33 \nEngagement: \n\n 9.34 The Panel learned that\nyoung people and their families have been consulted about\n \ntheir expectations for their future and what are the barriers and\nwhat would help the transition process. Families have been\nconsulted through the Aiming High programme in addition to the on\ngoing work initiated by the AEN/SEN Parent /carers\nForum. \n\n\n \n 9.35 The ASD steering Group\nis looking at the development of autism specific provision for\nyoung adults post transition was informed by parents carrying out\nsmall group \nand individual discussions on their experiences to date, good\npractice and gaps in the provision. \n\n 9.36 The Learning Disability\nPartnership Board has parent representatives of young people in\ntransition. On 21st October 2009 Haringey Learning\ndisability Partnership hosted an Away Day to enable the Service to\nlook at the work they wished the Partnership board to undertake.\nScott Watkins, co- National Director of the Valuing People Team and\nDebbie Robinson, London Regional lead attended the morning session.\nDiscussion on the day included how to improve service for young\npeople and their families. Representatives of services such as\nhousing and leisure also attended. In addition parents who are also\nmembers of the Partnership Board and other carer forums now lead on\nservice developments and their work with Autistic Spectrum Disorder\nprovision is an example of this outcome. \n\n 9.37 A parent has agreed to\nkeep a transition diary for her 14 year old daughter with Down\nSyndrome. The aim is to recruit other parent and their young people\nto so other diaries. \n\n | \n\t\t||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| \n\t\t\t\t\n\t\t | \t\t\t\n\t\t\t\t\t DATE OF NEXT MEETINGS: \n\n
\n \n14th January 2010 @ 18:00hrs \n28th January 2010 @ 18:00hrs \nMinutes: \n \n10.1 Date of future\nmeetings: \n\n \n14 January 2010 \n\n28 January 2010 \n\n It was noted that the Service was\ndue for inspection end of January 2010. It was agreed that the meeting\nscheduled for 28th January should be deferred until\nFebruary 2010. \n\n | \n\t\t||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| \n\t\t\t\t\n\t\t | \t\t\t\n\t\t\t\t\t NEW ITEMS OF URGENT BUSINESS: \n\n
\n \nThe Chair will consider new items of urgent\nbusiness notified at item 2. \nMinutes: \n \n\n There were no new items of urgent business \n\n \n
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