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Update: HCAN and RS Policy Committees - December 2017

Heath, Care & Additional Needs and Resources & Sustainability Policy Committees

The two committees came together on 3 November in Manchester. The group was joined by representatives from ISOS to discuss the work they have been doing with a number of local authorities to review local SEND strategy and provision. Many LAs are facing the same challenges but do not necessarily have the levers to address these. Local systems are responding to these challenges in different ways and the committees were keen to pull this all together, providing a clear overview of the implementation of the SEND reforms.

A rep from NHS England then joined the group to discuss mental health and wellbeing. NHS England has a wide-ranging programme of work linked to the priorities detailed in Future in Mind including: roll out of CYP IAPT; development of a generic CYP mental health pathway; and, testing new models of crisis care. A review of tier 4 services has also been conducted.

Finally, the group received an update from the HCAN Chair on the Transforming Care Programme. The programme is going well in adult services where NHS England is working closely with ADASS. The work is not as well advanced in children’s services and will come to an end in March 2019, therefore, NSH England are looking for increased engagement with ADCS to help shape the agenda. The committee raised concerns about capacity and funding;.

Outside of the committee meeting, the HCAN Chair has written to the DfE outlining concerns regarding the introduction of a national trial of the single route of redress for the First-tier Tribunal SEND. This will expand the powers of the First-tier Tribunal SEND to enable it to make non-binding recommendations on the health and social care aspects of Education, Health and Care Plans alongside the educational aspects. Concerns include: the limited funding available to LAs and CCG; the links with already established routes of redress and the role of the Local Government Ombudsman; managing the expectations of children, young people and families; the capacity of the tribunal system to deal with issues of health and social care; and, workforce development. An initial discussion has taken place and a further meeting will take place in December.

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