Services for Children and Young People with Special Educational Needs and Disabilities. Lancashire s Local Offer. Lancashire s Health Services

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1 Services for Children and Young People with Special Educational Needs and Disabilities Lancashire s Local Offer Lancashire s Health Services 1. Name of the service and what the service provides Lancashire Care NHS Foundation Trust - Children s Integrated Therapy and Nursing Services (CITNs) Physiotherapy (PT) The Children s Physiotherapy Team provides support for children (aged 0-19 years) who have a condition that affects their movement, posture or physical skills development. The service is child and family focused. It aims to promote maximum independence and the ability of the child to participate in family, school and social activities. The overall care pathway for Physiotherapy involves request for involvement diagnostic assessment discussion of short and long term goals with parties involved, where difficulties are identified episodes of physiotherapy intervention with on-going monitoring of progress towards goals reassessment at key times discharge or transition to self-management /other forms of care Children may be supported through a specific, evidence based care pathway according to the outcome. Episodes of physiotherapy intervention may include any of the following direct and/or indirect interventions:- Advice (face to face, telephone or written) - both preventative or therapeutic Direct intervention with the individual - either one to one or in a group, 1

2 Training others to carry out interventions with the individuals, Recommendations for the provision of and specialist advice and training in the use postural management and mobility equipment. Preparation of programmes to be undertaken by appropriately trained people Referral on post discharge e.g. for long term support from the voluntary sector. The aims of advice or interventions will be to: Enable clients to achieve and maintain their maximum gross motor abilities and potential. Maximise the child s/young person s functional movement ability within their environment to enable participation. Empower children/young people, parents and carers by enabling them to understand the movement difficulty and how they can manage this. Facilitate access to education, leisure and if appropriate, employment thus reducing social isolation. Promote wider awareness and understanding of movement and physical skill difficulties and empowering others in how to prevent and/or support these. The service operates according to up to date evidence on therapy approaches, and according to the professional guidelines of the Chartered Society of Physiotherapy Address and contact details and area covered The services are only provided across the localities listed below: Chorley & South Ribble Croston House, Leyland Greater Preston & Longridge Minerva Centre, Preston West Lancashire Daniels Lane, Skelmersdale The service operates between 8.30am and 5.00pm on Monday - Friday (excluding bank holidays), however, where necessary therapists may be able to see clients outside of these times by offering early or late appointments. The service is not commissioned out of hours. 3. The service is for 2

3 The Children s Physiotherapy Team provides support for children (aged 0-19 years) who have a condition that affects their movement, posture or physical skills development. Children will be accepted into the service where the child s difficulties are affecting their social, emotional and educational development and it is felt that support and/or intervention from the service will be able to reduce the impact of the difficulties. The service provides assessment, advice and therapy to children and young people who have a general practitioner within the following CCG areas; Greater Preston, Chorley and South Ribble and West Lancashire. The service also works with parents and carers to provide advice and training enabling them to support their children s gross motor development. The children s service works with universal services to develop staff skills in to support children who have movement difficulties or delay in pre-school gross motor skills. The services are provided within numerous settings such as; school, home and clinics. CITNs work in partnership with hospital paediatric services, schools, social care services and other agencies to deliver effective multi agency care for these children. 4. Accessing the Service There is open access to the service, and anyone can request involvement, including the patient themselves or their carer. Written, verbal and electronic requests are accepted. The service is provided free of charge. Other professionals may request involvement from the service e.g. Health Visitors, learning disability nurses, Speech and Language Therapists, Children s Services, Hospital staff, GPs, Community Paediatricians Children are generally seen in the order in which they are referred; however in line with professional guidance in certain cases where urgent clinical risk is identified a prioritised appointment is given. Where possible children/young people are seen at a time and location of their preference, as 3

4 long as this is appropriate for the intervention being delivered Team working is encouraged to ensure that clients are seen by the therapist with the most appropriate knowledge and skills at the most appropriate time. Families will always know which therapist is responsible for a child/young person s care, though the therapist may change from time to time. The service aims to be child focussed and led. The aims and type of intervention are always discussed with the parents and also the child/young person if appropriate, so that the outcome is one which meets the child and family s needs. Expected Outcomes would include: Shared description and analysis of movement and physical difficulties. Improvement of movement and gross motor abilities where possible. Improved participation at home, school and in leisure activities. Support for the use of mobility and postural management equipment. Prevention of secondary complications. Greater awareness and understanding by parents and other professionals of the nature and implications of a child s movement and physical difficulties, and how they can help. 5. Decision making processes used to determine who is eligible to receive a service. All requests for involvement are considered by experienced therapists to establish what support is being requested and whether the service is the right support. Where requests are not accepted the reason for this is explained to the person who made the request. When it is felt that the service may be able to help, the child/young person will be seen for an assessment. The outcome of the assessment will be discussed with the child/young person and/or their parents and a decision reached as to whether the service can help and if so how. The aims and content of any intervention plan will be discussed and agreed with the child/young person and the family, as will any changes to the plan. 6. Methods of communication with service users/patients and how they are involved in 4

5 decision making/planning. Questionnaires are carried out with service users and patients to explore views around what the service does well and what can be improved. Focus groups, face to face or telephone interviews may also be used. Other methods of communication include: Information leaflets; Customer Care, Sharing Information With us Handouts and leaflets offering advice on how to help children s specific physical and movement needs Feedback forms Information in schools LCFT website The service uses Language Line to communicate with families whose first language is not English, and can also access interpreters where needed. Parents and carers are encouraged to attend therapy sessions if the young person agrees. If the parent does not attend the sessions or if the child is seen in school the therapist will communicate with the parents in line with a pre agreed plan or at times when intervention plans are being reviewed. 7. Service Accessibility. Contacts are carried out in the most appropriate place to provide the support the service user needs which could be patients home, school, respite facility and hospital. All service areas will have been risk assessed to ensure they meet the needs of the service user. All venues are wheelchair accessible and the service is delivered only in sites that provide facilities to meet the needs of the service users. Clinic environments have been adapted and designed to enable the therapists to deliver the service. This service is not commissioned for out of hours. 5

6 8. Workforce Skills and Training All staff have competency based training and will be required to complete mandatory training. Further training would be identified within individual personal development reviews and specialist training provided when needed. This service works very closely with the other therapy and nursing services. 9. Contacts for further information The first point of contact for a parent/carer or young person to discuss something about the care would be the practitioner delivering the care. If this was deemed inappropriate or the service user has urgent worries, all the CITN teams have a team coordinator who would be the next point of contact. The team will assess the referral to understand whether a child would benefit from the service. Similarly, the referrer could also contact the team to enquire about the whether the service would be appropriate. This service is not commissioned out of hours. 10. Feedback If a service user wishes to make a complaint or give a compliment, they can firstly discuss these with the nurse or therapist working with your child. If you felt that this was not appropriate, all the CITN teams have a team coordinator who would be the next point of contact. However, if you wish to make a formal complaint or compliment we advise you to follow the Trust process detailed on the website: The service welcomes feedback regarding your experience. This can be given directly to the nurse or therapist providing the support or to the team coordinator as detailed above. 6

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