Trafford Children and Young People s Short Breaks Duty Statement Complex and Additional Needs Service

Transcription

1 Short Breaks Duty Statement Trafford Children and Young People s Short Breaks Duty Statement Complex and Additional Needs Service 1

2 Contents Introduction-What is this statement for?... p3 Definitions... p3 The range of short breaks available in Trafford... p5 Personal Budgets... p12 Short Breaks Eligibility Criteria... p13 Parent Participation..p14 Summary... p14 Appendix A- CYPS Complex and Additional Needs Service Short Breaks Eligibility Criteria. 2

3 Introduction-What is this Statement for? Trafford has developed this Short Breaks Duty Statement for parents/carers of disabled children in accordance with The Breaks for Carers of Disabled Children Regulations The Regulations state that all Local Authorities must prepare a statement for parents and carers in their area (a short breaks services statement ) setting out details of: (a) the range of services provided; (b) how the range of services is designed to meet the needs of parents and carers in their area; (c) any criteria by which eligibility for those services will be assessed. Types of services which must be provided Local Authorities must, so far as is reasonably practicable, provide a range of services sufficient to meet the needs of carers to care, or care more effectively, including: day care in the child s own home and elsewhere; overnight care in the child s own home and elsewhere; educational or leisure activities for children outside their own homes; services in the evenings, at weekends and during school holidays. This statement provides parent and carers with details about Trafford s short break 1 programme. This document is a revised version of the as part of a review that should be done annually. Updates in this document will reflect any changes that have been made for This document will be published on Trafford Council s Website. It will be reviewed by: Parents Forum Network Professionals from CAN Service Commissioning Team These groups have membership from parents, health and local authority professionals. Definitions Children with disabilities Section 17 (11) of the Children ACT 1989 states a child is disabled if he is blind, deaf or dumb, or suffers from mental disorder of any kind, or is substantially and permanently handicapped by illness, injury or congenital deformity 2. In Trafford, Children with disabilities are those children and young people aged 0-18 years whose daily lives are profoundly and substantially affected by one or more of the following: - hearing impairment - A visual impairment - A severe learning disability (a significantly reduced ability to understand new or complex information, to learn new skills (impaired intelligence) with a

4 significantly reduced ability to cope independently (impaired social functioning) with a lasting effect on development). - A physical disability (complex and or multiple physical disabilities, with a substantial impairment). - A chronic/ life threatening physical illness Definition of a Short Break In accordance with the Breaks for Carers of Disabled Children Regulations Local Authorities must provide short breaks and: a) have regard to the needs of those carers who would be unable to continue to provide care unless breaks from caring were given to them; and (b) have regard to the needs of those carers who would be able to provide care for their disabled child more effectively if breaks from caring were given to them to allow them to undertake education, training or any regular leisure activity, meet the needs of other children in the family more effectively, or carry out day to day tasks which they must perform in order to run their household. A short break allows children and young people to access enjoyable experiences away from their primary carers, thereby contributing to their personal and social development and reducing social isolation. In particular, the local authority must provide, as appropriate, a range of (a) day-time care in the homes of disabled children or elsewhere, (b) overnight care in the homes of disabled children or elsewhere, (c) educational or leisure activities for disabled children outside their homes, and (d) services available to assist carers in the evenings, at weekends and during the school holidays. Examples of Short Breaks In Trafford, short breaks provide opportunities for disabled children and young people to spend time away from their primary carers. These can include day, evening, overnight or weekend activities and may take place in the child s own home, the home of an approved carer, or any other community setting. A short break allows parents and carers to have a break from caring which in turn supports them in carrying out their caring role. Short breaks make it possible for parents of disabled children to have space and time that is so important for self-esteem, personal health and well-being, and therefore enables them to continue to carry out their caring role. 4

5 The range of short breaks available in Trafford. Types of Short Breaks There are a range of short breaks across different levels of need and these are outlined in Trafford s CYPS Complex and Additional Needs Service Short Breaks Eligibility Criteria. The Levels of need range from Level 1 Universal- Level 4 Specialist. Level 1 Universal - child/young person requires no additional support to access provision. Examples of universal provision include: Children s centres Leisure Centres Sports Clubs Drama Clubs Inclusive Play Schemes For full details of universal provision in Trafford go to Trafford s Service Directory website or call the Family Information Service on Level 2 Targeted: Child/young person requires more targeted support to enable them to access a short break. These services are targeted solely to Children and Young People with a disability. Examples of targeted provision include: Specialist Youth groups Play sessions Buddying/mentoring schemes Holiday Clubs Weekend Activity Breaks. Level 3 Targeted/Specialist: Child/young person requires specialist short break support identified through social care assessment and or health care assessment. Examples of targeted/specialist provision includes: Trained Carers Home from Home Care Access to Personal Budgets Level 4 Specialist: Child/young person requires specialist short break support identified through social care assessment and or health care assessment. These are higher level short breaks than level 3 as they could include residential placements and overnight provision. An example of specialist provision might include overnight short breaks in a residential unit or a longer term residential placement. It is envisaged that the wider population of children and young people with a disability will access short break provision within levels one and two. A much smaller group will need to access levels three and four. The child and family will require a social worker to access services at this level. Provision in Trafford All of the short break provision available in Trafford is listed on Trafford s Service Directory as part of the local offer. This document will outline the targeted level 2 to specialist level 4 short break provision available for children with complex and additional needs and their families in Trafford. These short breaks are outlined in the two tables on the following pages. They are separated into targeted provision and specialist provision (highest level of support). These short breaks can also be accessed through a personal budget. 5

6 What is the local offer? Every local authority must identify education, health and social care services in their local area provided for children, young people and families who have SEN or who are disabled. These services must be included in an information directory called the local offer. Our local offer includes many different types of services that children and young people may need, including support services in school, short breaks, health services, leisure activities, travelling to school or college, training for work and help for young people to move towards independence in adulthood. Our local offer is published on the Trafford Service Directory. With your help, we have developed this directory to make it as easy as possible for you to find what you are looking for and to make sure our information is accurate and up to date. You can look at information in our local offer by category. As we continue to develop our information, you will be able to look at it in different ways, such as by age and by need. Publishing our local offer helps us to see where the gaps in provision are. We include information about services provided outside our local area that local people are likely to use. Local services should reflect what local people need. We must ask children, parents and young people what your think the local offer should include, and how you think people should be able to access it. We have worked with lots of parents, young people, service providers and partner organisations such as Trafford Parent Forum to develop our local offer. We have to publish what children, young people and parents tell us about our local offer and say clearly what we will do about the comments we receive. 6

7 Targeted Provision-Tier 2 All Targeted Provision referrals will be through a professional or self-referral however if a child/young person is accessing a personal budget this must be part of their allocation of support and not an addition. Name of Short Break Outdoor Youth Group- Stockport CP in Trafford. Inte Great Overnight Weekend Breaks Type of Short Break Group based activity. Group based overnight. Appropriate age range/how many children/young people years 7 Children per group 8-18 years 7 children per break. How accessed Professional Referral/ Self-referral Professional Referral/ Self-referral When does it take place? Term-time every Wednesday 1 session per week from 6pm-9pm for up to 7 CYP. Participants are collected from Stretford Mall and then taken to participate in a range of outdoor pursuits accessed through mainstream leisure venues. Weekend Breaks we will deliver 2 separate residential weekend breaks (each up to 2 nights) Saturday Play Sessions at Delamere School- Stockport CP Holiday Club- Stockport CP Holiday Club- Stockport CP Group based activity. Group based activity. Group based activity. Under 5-7 s first session. 7-11years second session. 7 per group 5-11 year olds for 6 children and young people each day year olds for 6 children and young Professional referral/self- Referral Professional referral/self- Referral Professional referral/self- Delamere Play Club 2 sessions) each Saturday term-time at Delamere School, (one for 5-7 years from 10am till 12 and one for 7-11 years from 12.30pm till 2.30pm.) This will be extended to three hours from September Holiday Club for 5-11 year olds based at Delamere School (5 hours per day). Key holidays included as follows: Summer, October, February, Easter and Whit. Holiday Scheme offer 11+ (5 hours per day) holiday care. The group size will consist of 7

8 Name of Short Break Weekend Day Trips-Stockport CP Buddying Scheme for children ASD/Aspergers- NAS/Stockport CP School Holiday Club-Together Trust Manor High Type of Short Break Group based activity. Buddying mentoring one to one with a young volunteer. Group Sessional Appropriate age How accessed When does it take place? range/how many children/young people people each day. Referral up to 6 CYP per day and will give children access to a range of mainstream community based activities and day trips during Summer, October and February holiday 8-18 year olds for 6 children/young people each session. Young people aged with ASD/Aspergers 0-18 years 15 young people per session..professional referral/self- Referral CYPS Professional referral- Reviewed by Panel. periods. Weekend Day Trips we will offer 18 day trips per year during 2014/15 from 9am 5pm. Offer a varied menu of day trips which will include a range of outdoor pursuits (accessing local community resources and leisure venues) and themed day trips etc. Weekly for 2-3 hours /evenings or weekends depending on the preference of the families. Half Day sessions running from 10.00am to 1.00pm and 1.00pm to 4.00pm or full days available for 15 days during the school holidays. Full details of the activities and providers of targeted short break provision are available from Trafford s Service Directory or by calling the Family Information Service on

9 Targeted Provision such as the youth groups, weekend breaks, holiday breaks and play sessions in Trafford will be provided for children and young people whose daily lives are profoundly and substantially affected by one or more of the following: - A severe hearing impairment - A sever visual impairment - A severe learning disability (a significantly reduced ability to understand new or complex information, to learn new skills (impaired intelligence) with a significantly reduced ability to cope independently (impaired social functioning) with a lasting effect on development). - A physical disability (complex and or multiple physical disabilities, with a substantial impairment). - A chronic/ life threatening physical illness Please note if a child/young person meets the criteria this does not guarantee access. The multi-agency Complex and Additional Needs Panel will review requests based on the package of support the child/young person receives. 9

10 Specialist Short Break Provision-Tier 3 Name of Short Break Trained Carers Access to Personal Budgets Overnight provision in residential Home from Home Carers. Day Care in residential setting Type of Short Break One to One Specialist Support at home or in the community. Access to Personal Budget to pay for support for short break support. Higher level over night specialist. Overnight and day care support in approved carers home. Appropriate age range 0-18years 0-18years 0-18years 0-18years How accessed Identified through social care/health assessment. Lead Professional will bring request to multi-agency Complex and Additional Needs Panel. Identified through social care/health assessment. Lead Professional will bring request to multi-agency Complex and Additional Needs Panel. Identified through social care/health assessment. Lead Professional will bring request to multi-agency Complex and Additional Needs (CAN) Panel. Will go through residential short breaks framework to identify placement. Identified through social care/health assessment. Lead Professional will bring request to multi-agency Complex and Additional Needs Panel. Day Care 0-18years Identified through social care/health assessment. Lead Professional will bring When does it take place? Minimum 2 hour sessions, package provided as appropriate. Package provided as appropriate to family s needs through assessment, RAS and agreement at Panel. Please see section on Personal Budgets. Package provided as appropriate to family s needs through assessment and agreement at CAN Resource Panel. Package provided as appropriate to family s needs through assessment and agreement at CAN Resource Panel. Package provided as appropriate to family s needs through assessment and 10

11 Name of Short Break Home Support Service-health trained carers. Type of Short Break Overnight and day care support in family s home where child s need is primarily health based. Appropriate age How accessed range request to multi-agency Complex and Additional Needs Panel years Identified through social care/health assessment. Lead Professional will bring request to multi-agency Complex and Additional Needs Panel. When does it take place? agreement at CAN Resource Panel. Package provided as appropriate to family s needs through assessment and agreement at CAN Resource Panel. Specialist provision such as the Trained Carer service in Trafford will be provided for: - Children and young people with multiple and severe disability (not learning difficulty) - Children and young people with a life-limiting illness - Children and young people with a complex physical disability Please note if a child/young person meets the criteria this does not guarantee access. The multi-agency Complex and Additional Needs Resource Panel will review requests based on the package of support the child/young person receives. 11

12 Personal Budgets Since April 2013, it has been council policy to offer personal budgets wherever possible to families requiring additional social care support for complex needs. This is because they are a more efficient and fairer way to spend council money. They help us to make the best use of our budget by allowing you to be more creative in the way your support works. Furthermore, they help us to be sure that families with similar levels of need are treated in the same way. As a result of the Children and Families Act, families will also have the right to request a personal budget to meet the outcomes that are described in an Educational Health and Care Plan (EHC Plan). The EHC plan replaces a statement of SEN from September 2014, and combines Education, Health and Social Care Needs. Local authorities are large organisations that are governed by clear rules and processes for how money can be spent on services. While these rules are very important for helping us to show that we are spending the money we have on the right things, they mean that when we buy in support for complex needs we often end up spending a lot of money on just a few things. These few services are very often okay for nearly everybody, but are hardly ever perfectly suited for anybody. With personal budgets, money is given over to families instead, who are able to choose the support they need without the same restrictions. For this reason, families with personal budgets often feel that the support they receive is more suited to their needs and circumstances. They are free to make reasonable changes to their plan if they find it is not working as expected and are able to try out more imaginative ideas. It is recognised that there are exceptional cases, for example if a child or young person requires full time care, and personalisation will not be appropriate for those families. Such exceptional cases will be managed on a case by case basis outside of the personalisation model. In order to qualify for a personal budget for complex needs, your child needs to be eligible for support under the short breaks criteria. This means that they must be under 18 and their daily lives must be profoundly and substantially affected by one of the following: A severe hearing impairment; A severe visual impairment; A severe learning disability; A physical disability; Or a chronic or life-threatening physical illness. This would qualify your child for an assessment for support from social care, which would always be completed by a social worker. These assessments are required by law and are known as the initial and core assessment. If through this process your social worker establishes that your family requires additional support that cannot be addressed through the provision of universal or targeted services, then your child may be offered a personal budget. In order to assess eligibility for a Personal Budget, Trafford CYPS has adopted the eligibility criteria for access to short breaks as set out in its existing policy attached as appendix A. Please refer to the Personal Budgets Policy and Parents Guide for more information. 12

13 Short Breaks Eligibility Criteria. Trafford s Short Breaks Eligibility Criteria has been developed to ensure that short breaks are fairly allocated and to enable children and young people and their families equal access to short break services. Parents/carers have been consulted on the eligibility criteria. This short breaks statement document should be read alongside the short breaks eligibility criteria so that families are fully aware of what they can access depending on their needs. A copy of the Short Breaks Eligibility Criteria is attached as Appendix A. How does short break provision meet the needs of parents/carers in Trafford? At the beginning of Trafford s short break investment in 2008 a needs assessment was done looking at what families wanted with new investment in short breaks. A series of consultation events/activities were held at the start of the Aiming High Short Break Transformation programme (over 2008/09) to develop a strategic vision for the future of short breaks. Interviews were done with families, one to one interviews and through focus groups in schools; parents were consulted with at parents evenings in special schools. Children/young people were consulted through school councils and disabled youth groups. Siblings of children and young people with a disability were consulted with at school and through the young carers group. In summary, families told us that they wanted more short breaks in general, more specialist activities for children who could not access universal provision, better universal provision through staff training, more trained carers in the home and more family short breaks. Families told us they needed short breaks mostly in the evening, at weekend and in the school holidays. Following this needs assessment a commissioning plan was developed by the Aiming High-Project Manager to fill the gaps in provision. These gaps were identified by looking at what the current provision was and what families had said was needed for short breaks. Throughout the Short Breaks transformation programme (Aiming High) all projects were monitored and each provider had to, as part of their contract, capture feedback from parents/carers, children and young people. There was also feedback given directly to the Short Breaks Coordinator post and through the Trafford Parents Forum. There were some good examples of services changing provision following parental comments. Parent/carer workshops were held to evaluate the bid applications and a parent/carer sat on the evaluation panel for the provider interviews. How does the current provision meet the needs of parents/carers in Trafford? We have taken the lessons learnt from Aiming High and done a full evaluation of what worked well, and what did not work to inform the commissioning of Short Breaks. Parent/carers have been involved in the commissioning of services, and have provided feedback on the delivery of the services and have been involved in the monitoring of services. Parents/carers took part in the evaluation of the applications in 2011/2012 through the Parents Forum and a parent sat on the panel for the presentations done by providers. A full evaluation of the Short Break services of 2011/2012, 2012/2013, 2013/2014 was carried out to inform commissioning for the next year. 13

14 This evaluation included feedback from parents/carers, children/young people and professionals working directly with families. Spot checks were also completed. Parents Trafford CYPS s approach to working with parent/carers is supported by the contract for each commissioned service. This includes the requirement for the service provider to regularly seek feedback from the parent/carers, and children and young people using the service and present this in their monitoring reports. A large part of each monitoring meeting is how the feedback from parent/carers and children and young people using the service is influencing the development of the service. Providers of short breaks continuously give feedback, to see what is working and what is not. This helps providers make changes to the short breaks on an ongoing basis to make sure they meet the needs of families. Regular monitoring meetings take place with providers to ensure services are appropriate and meeting expected standards. Social workers and other CYPS staff working directly with families who may access short break will also feedback on how well short break providers are meeting the needs of families. Parent Participation/Trafford s Parents Forum. In 2011/2012, 2012/2013 and 2013/2014 Trafford s Parent Partnership Service received a grant to continue the work done through Aiming High to involve parents in the shaping of services. In 2014/2015 the newly constituted Parents Forum was successful in their bid to be the lead in parent participation as an independent organisation. In Trafford we have the following mechanisms in place for ongoing consultation with parents/carers: Trafford s Parents Forum; Special Parents in Trafford s Facebook page; Information sent out via parent distribution list (held by Parent Forum) Information is sent out regularly through the Link disability newsletter. Find Trafford s Service Directory on Facebook at www. facebook.com/traffordfis or follow on Twitter at Summary Trafford will review this document on an annual basis. It is important that families are kept up to date of any planned changes in short break provision and that their views are taken into account when commissioning short breaks. Commissioning staff will carry out spot checks of services, alongside the feedback collated by the short break providers. Useful Telephone Numbers Trafford s Service Directory is able to offer information on a range of activities and advice. Or you can phone the Family Information Service on

15 CYPS Complex and Additional Needs Service Short Breaks Eligibility Criteria 15

16 Introduction No single agency has the responsibility for the provision of services to Children in Need. In some cases, needs may be met by universal services, whereas others may be met by a single agency service (for example children and young people with a moderate learning disability). There are a number that will require multi-agency services, therefore, in Trafford we are seeking to ensure that all agencies effectively work together in order to ensure the needs of the child and family are met. To ensure that short breaks are fairly allocated and to enable children and young people and their families equal access short break services Trafford must have a transparent eligibility process. The process of allocating resources will separate assessment from resource deployment. This document specifically focuses on short break provision for children and young people with a disability In Trafford. Encompassing those services commissioned and funded through social care services within the Local Authority, health commissioned and delivered packages and those services delivered under the Aiming High agenda. Eligibility criteria should inform users about what sorts of people with what kind of need qualify for what types of service Modernising Social Services DOH 1999 The eligibility criteria for families of children with a disability is to be used as an aid to the fair assessment of need and provision of service. CYPS believe that in order for services to be provided fairly and within an equality framework there must be consistency throughout all Children s Services. Service users need to know what they can expect and if they are refused a service a clear explanation is given as to the reasons why. It is not acceptable for service users within the same assessed needs, who meet the same criteria to be offered different levels of service. The eligibility criteria will be applied to determine: If the child/family are eligible for help The type and level of service to be provided to the child and family The level of service that can be offered from the relevant multidisciplinary services following the DOH guidelines 2000 Framework for the Assessment of Children in Need and their Families. 16

17 TRAFFORD ELIGIBILITY CRITERIA 1. Background 1.1 There are currently children and young people aged between 0 18 in Trafford. Of those children, 3782 (7.92 %) are known to be disabled. Of these, 468 children (0.98% of total number of children) are known to be severely disabled. Traditionally children and young people accessing short breaks in Trafford have accessed services via a social worker and the children with disabilities team. In order to meet the demand and need for short breaks provision, eligibility criteria should be developed that can be supported by a lead professional and which allows families to access short break provision without a social worker. 1.2 In Trafford short breaks provide opportunities for disabled children and young people to spend time away from their primary carers. These include day, evening, overnight or weekend activities and take place in the child s own home, the home of an approved carer, or any other community setting. The provision of short breaks in Trafford should be based on an assessment of the whole family (the term family is used in its broadest senses to reflect the variety of arrangements in which children are brought up) addressing both their personal and social needs. They occur on a regular and planned basis and should be part of an integrated programme of support which is regularly reviewed. No short break should exceed 28 days continuous care. 2. Decision making 2.1 Decision making and the process will include developing the current assessments undertaken by staff and include reviews of: A) The child/young person and their family s preferences and or views B) Holistic child/young person and family centred assessments including assessment of the carer support needs in terms of having a life, other family needs and health and well being of all stakeholders C) The collation of existing reports and review information including risk assessments from multi-disciplinary teams D) Summarising the outcomes using a version of the Children's continuation of care decision support tool to provide information to the resource allocation decision-making panel thereby separating the assessment from decision making in line with the Islington ruling 17

18 2.2 The resource panel will be multi-agency and will be composed of the members of the current children with disabilities resource panel but will meet formally monthly to consider cases. 2.3 Eligibility criteria should be used to ensure that the largest number of disabled children and young people are able to access short breaks, despite limitations on the budget. To do this we must work in partnership with providers and families to try to meet the targets of the commissioning plan and ensure a variety of services are available year round. Trafford will endeavour to use a creative approach and look for examples of best practice which will suit the families need. 2.4 Each child/ families needs will be considered on it s own merits and resources allocated accordingly. 3. Eligibility criteria In order to assess eligibility for a personal budget, Trafford CYPS has adopted the eligibility criteria for access to short breaks CYPS Complex and Additional Needs Service Short Breaks Eligibility Criteria as follows:- 3.1 Children and young people with disabilities are defined as those aged 0-18 whose daily lives are profoundly and substantially affected by one or more of the following: - A severe hearing impairment - A severe visual impairment - A severe learning disability (a significantly reduced ability to understand new or complex information, to learn new skills (impaired intelligence) with a significantly reduced ability to cope independently (impaired social functioning) with a lasting effect on development). - A physical disability (complex and or multiple physical disabilities, with a substantial impairment). - A chronic/ life threatening physical illness 3.2 Substantial impairment is defined as lasting more than 6 months - permanent. 18

19 3.3 Children with disabilities who are profoundly affected as described in 3.1 are entitled to a professional assessment of their needs. 3.4 Children and young people may be additionally disabled because of other factors such as their environment, other people s attitudes, financial limitations and social exclusion but these factors alone are not criteria for assessment under the eligibility criteria policy. 3.5 Services for children with disabilities with less complex needs may be accessed from universal services or from community based organisations, either directly or through the process initiated by the Common Assessment Framework, or following an initial social care assessment. 3.6 Specialist short break services in Trafford will be provided for: - Children and young people with multiple and severe disability (not learning difficulty) - Children and young people with a life-limiting illness - Children and young people with a complex physical disability 3.7 There are some factors that are recognised as placing additional stresses on families, and it is expected that, for provision to be appropriate, some or all of the following factors would be present in the family requesting a service: - Family breakdown, either imminent or likely in the future, which is due to additional stresses caused by bringing up a child with a disability, which would be eased by the provision of short breaks 19

20 - Severe challenging behaviour from the child with a disability beyond that which it would be reasonable to expect from a young person of that age - Complex medical needs requiring a significant level of care beyond that which it would be reasonable to expect from a young person of that age. - Single carer, particularly if there are other children in the household - Poverty, poor or inadequate housing and/or neighbourhood difficulties - No or limited extended family network - Social exclusion because of the young person s ability to have a new experience and/or to have acquaintances outside the professional arena is limited - Opportunities for a young person to gain skills and experience to support independence appropriate to their ability are not available. - Discrimination due to disability - More than one child or young person in the same family/ household with a disability 4. Types of Service 4.1 Range of short break provision: As differing children and young people with a disability have varying needs and family settings, there must be a wide range of short break provisions to meet those needs. Appendix A outlines examples of types of activities and desired outcomes. 4.2 The Overarching Eligibility Framework: The model below (fig. 1) gives an overview of the spectrum of short break provision from universal service provision (which can be accessed by any child or young person) to specialist services for those children and young people with more complex needs and who cannot access universal service provision. It is envisaged that the wider population of children and young people with a disability will access short break provision within levels one and two. A much smaller group will need to access levels three and four. The child and family will require a social worker to access services at this level. 20

21 Overarching Eligibility Framework Figure 1 gives an overview of the different levels of short break provision Universal Provision accessible to all Universal Require no additional support Local community facilities, training can be provided where necessary. Single agency intervention. Local youth clubs Children's centres After school clubs Extended school activities Sessional clubs Sport clubs Drama clubs Targeted training of staff in these settings may need to be provided 2 3 Targeted Intervention and Support Require more targeted support to enable them to access short break The below services are targeted solely to Children and Young People with a disability Direct payments Group based specialist activities- Stockport CP- To Be Determined Speech Language and Communication Needs, Physio etc (See appendix re services) Require specialist short break support identified though social care assessment and or health care assessment Outreach support within home, other settings or in the local community Home from Home services and Support workers via Social worker support Access to direct payments/individual budgets Provision with specialist support in place 1 4 Specialist Level 1 Level 2 Level 3 Level 4 Require specialist short break support identified though social care assessment and or health care assessment Intensive outreach support within home, other settings or in the local community Overnight provision within foster carers home, child's own home or other residential setting. Access to direct payments Can access universal service provision with minimal support Any child or young person with a disability can access provision with the same level of support as any other child/young person. Venues should meet needs relating to physical access. Needs more targeted programmes to meet need or dedicated support to access universal services These services are provided for children and young people with a disability who cannot access level one services alone. Young people who need level ¾ services should also be able to access level 2 services as part of a package of short break activities. You don't need a social worker to access services at level 2. Specialist support to meet needs of children and young people with complex disability Level 3 support is provided in addition to level 2 support where needs are identified through social care assessment and/or health care assessment that meet the threshold for a package of short breaks and/or outreach support Specialist support to meet needs of children and young people with complex disability Level 4 support is provided in addition to level 3 support where needs are identified through social care assessment and/or health care assessment that meet the threshold for a package of overnight short breaks and/or outreach support 21

22 Pathways to Access Short Break Provision Figure two (Fig. 2) gives a simplified overview of how children and young people can access the different types of short break provision dependant on need and levels of support Self referral Parent / Carer Young person self refer No assessment necessary Access will depend on capacity of short break and needs of child / young person Referral on Family Common Assessment Framework Referral via CYPS professional or Family Information Service and resource panel Family CAF submitted to identify needs and/ or families self-refer Social Care / Health Referral Referral via Multi agency referral and assessment service Social worker support Already known to social care / health or new referral Assessment undertaken by social care and/or health. Resource Allocation panel to consider joint funded cases. Level One Level Two Level Three Level Four Universal Services Targeted Services Specialist Services Specialist Services 22

23 5. Service package reviews 5.1 Services have to target resources to those families in greatest need or at greatest risk of breakdown. It is therefore necessary to review the services offered to children and families on a regular basis. Services delivered in level two provision will be monitored and evaluated on an ongoing basis to ensure they are still meeting the needs of children and young people and providing best value for money in the services they deliver. 5.2 When a child or young person is receiving a short break package within level three and four, this must be regularly reviewed on a 6 monthly or 12 monthly basis to ensure that the needs of the child and family are being met and that the package of care provided remains appropriate to the needs of the particular child/family. 5.3 In relation to packages of care provided within levels three and four, if any changes in the provision of the package of care are requested either by the child/young person, family or professionals this may be agreed at the review meetings. However, if the change in the package is an increase in the provision provided then the issue needs to be represented to the complex and additional needs resource panel accompanied by a report/assessment for the panel to consider the allocation/increase of appropriate resources. 5.4 Those children with disabilities in a long term placement or receiving short breaks over 90 overnights per annum will be subject to full looked after children procedures as the local authority has a statutory duty to carry this out. 23