Change that leads to better lives

Learning from the reviews….

NDTi, with partners In Control, recently piloted a review of commissioning arrangements of services for children and young people with learning disabilities and/or autism who challenge services.

Although a small sample, the project highlighted a number of key issues that resonate amongst services on a much wider scale. So what can we learn?

We know that children and young people with learning disabilities and/or autism are still ending up in in-patient services. The 2015 learning disability census showed that there were 165 children under the age of 18 in specialist in-patient services. 60 of those children were more than 100k from home.

Following consultation with young people and families, we piloted the review in five local areas. The learning from the development and piloting of the review is published in the summary report along with some examples of good practice from the sites.

Amongst the 7 areas of key findings from the review there are 3 that could have a profound effect on a young person’s life:

  • The Transforming Care Programme has led to some confusion, often having an adult focus with children's services being included as an afterthought.
  • There needed to be more focus on Preparing for Adulthood (PfA) from children’s services.
  • There are still big gaps in support for families.

As well as suggestions on how to overcome these issues, the most consistent message from the review was to ensure that local services are working together with a whole life perspective and a shared understanding as this crucial to the future life course of young people and their families.

This external review was particularly useful to the areas involved in the project as it gave them the opportunity to think about commissioning services differently whilst they were focussing on how to make improvements.

“The review was helpful as an external validation of our own assessment, and there was learning from good practice in other areas which was suggested in our local report – particularly where this was an area that we needed to improve. It was also helpful to be recognised for our own good practice as this is valuable for using in communications to staff and children, young people, parents and carers as recognition and to celebrate our achievements” Children and Young People’s Services, Cheshire East

“A confirmation of our areas of good practice was very helpful. It was also a great opportunity to articulate the strategic view that we are attempting to put in place, and to check on how far the strategic vision had been embedded.” Children and Young People’s Services, Rotherham

To share the learning from this project, NDTi will be publishing a short commissioning guide in the Autumn and are continuing to offer the two day review to other areas that were not able to be part of the project.

To read the full report click here.

To download a copy of the Commissioners guide click here.

The two day review….

The review involves meeting with commissioners, managers, clinicians, care managers, education providers, family carers and others who can help the NDTi team get an overall view of commissioning and provision. Initial findings will be checked with the commissioners, and feedback will be given at the end of the two day process. The commissioners will receive a report setting out findings and recommendations.

To find out more about the NDTi two day review and get a quote on costs contact 01225 255 268

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