The document outlines a strategic framework for transforming care for children and young people with learning disabilities and autism, focusing on preventing unnecessary hospital admissions and improving support to families. It emphasizes collaborative efforts among various stakeholders to co-produce local care plans, while addressing challenges and lessons learned from real-life cases. The aim is to implement a comprehensive service model that caters to the educational and healthcare needs of these individuals as they transition to adulthood.

1. Making Sure We Transform
Care for Children,
Young People and Their
Families.

2. Introductions
• Cindy Gordillo- Regional Strategic Case Manager South Children
Young people Learning Disability Work stream.
• Sue North- Social Care & Education Adviser Transforming Care
• Janette Buckland- Children’s and LD Commissioner, Lancashire
North CCG
• Kath Bromfield- Expert By Experience
• David Gill- Learning Disability Advisor
• Phil Brayshaw - Service Model Lead CYP

3. Children and Young People Work
Stream

4. Aims of the children and young people
work stream
• To prevent unnecessary admission to hospital and avoid lengthy stays
• Supporting people to remain with or near to family and get the support they need
• •To ensure that children and young people with LD and/or autism leave school
with a good education, health and care plan that supports their transition to
adulthood leading to better outcomes for them and their families.
• •To encourage innovative ideas to be tested/evaluated of supporting children,
young people and families through a grants process
• •To ensure children, young people and their parent carers participate and co-
produce their local Transforming Care plans.

5. What is a
Care and
Treatment Review?

6. Other Work
• Ensuring all identified young people are on
the at risk of admission register.
• SEND reforms.
• 52 weeks School Audit
• Grants Programme.

7. Policy Guidance

8. Building the Right Support and the
National Service Model

9. • Every Transforming Care Partnership should have a
lead for Children and Young People
• Clear links between Transforming Care Planning,
work around the Special Educational Needs and/ or
Disability (SEND) Reforms and CAMHS
transformation programme
• Local areas should understand legislative framework
• Service Model should be implemented from the
point of view of Children and Young People (and
their commissioning needs)
Supplement to the Service Model for
Children, Young People and their
Families

10. Child, Young
Person and
Family/
Parent Carers
I have an enjoyable
and interesting life
My care and support
is well planned
I have choice and
control about my care
and support
My family and paid staff
get the help they need
to support me to live in
the community
I have a choice about
where I live and who I
live with
I get good care and
support from
mainstream health
services
I get expert health and
social care support in the
community if I need it
I get help to stay out
of trouble with the
law if I need it
If I need to stay in
hospital because of my
mental health or
behaviour it is good
quality
The 9 Principles of the Service
Model

11. Learning From Local Areas

12. EHCP and CTR
Bringing Things Together
Janette Buckland, LD and Autism Commissioner,
Lancashire North CCG
Kath Bromfield, Expert by Experience

13. Our Journey so far…
• Wed pm – Telephone call received by CCG
Blue light protocol telephone discussion later that day
Multi-professionals and mum participated
Immediate arrangements put in place
• Fri a.m – Follow up Multi-disciplinary meeting
Arrangements for the weekend confirmed
• Weekly x 5 – Up-date multi-agency teleconference
• Full Community CTR 28.09.16

14. Lessons learned
What Went Well:
• Hospital admission avoided. CYP remains at home and parents feel supported
• MDT coming together immediately and real willingness to find creative solutions
• Person-centred and family-centred approach by most people involved
• Adjusting the current CTR process to meet the needs of the CYP in a community
setting
• Engagement of SEND colleagues – local authority and special school

15. Lessons learned
Challenges
• Enabling providers to respond rapidly and flexibly at times of crisis
• Engaging CWD social worker and school staff in the process- training need?
• Being child centred NOT process centred - ASSUME NOTHING!
• Current CTR process – including the voice of the young person, accessing
information, the CTR form!! etc
• Linking the CTR process and the EHCP review

16. Next Steps
This Case
• Commissioners to attend the EHCP review in Nov
• Work together to bring process together locally
• Inform the Pan lancs process
Pan Lancashire
• LD commissioners, CYP commissioners (8 CCG’s) and local authority members of
the SEND project Board working together.
• Aim to have a Pan Lancs approach for combining CTR for young people with the
EHCP process
• Development of common pathway, information sharing agreement and training
for all staff.

17. Thank you for listening