I have just spent the last two hours ploughing through "Support and Aspiration" the government's green paper on special educational needs and disability. I am now a wee bit cross-eyed and needing large quantities of sugar/chocolate to recover.
However here are a few initial thoughts.
Biggest changes proposed
a) The introduction of a single assessment- pilots starting in September with legislation taking changes forward in May 2012. Increased use of the voluntary sector in this area (although unclear if this is around assessment or co-ordinating provision of services)
b) The legal right to a personal budget from 2014.
c) A single health and social care plan lasting from birth to 25- this will also include the support to be provided from education as well.
d) Mediation pushed as first option when appealing- working out how parents can make disability discrimination claims as they will no longer get legal aid to appeal to the first tier tribunal.
e) Reducing the assessment process from 26 to 20 weeks (actual assessment to take no more than 9 weeks)
f) A modernised and improved SEN code of practice, with other guidance will be withdrawn
g) Targeted government funding for the voluntary sector- the DfE will shortly publish a prospectus setting out the key areas in which they will make funding available.
h) Investigating feasibility of getting GPs to give disabled children over the age of 16 annual health checks and health visitors to give all 2 year olds health and development reviews.
(I have my doubts given my knowledge of GP resistance to taking on extra work and the difficulties govt face in recruting enough health visitors!)
i) Investigating the feasibility of a national banded framework for funding provision
j) Investigating the use of community budgets and other pooled budget mechanisms in this area
The glaringly obvious issues and gaps for me are:
a) What is the role of social workers in all of this? The issue has always been that parents have felt there was a conflict of interest between councils providing services and also making assessments. How that tension will be resolved is by no means clearer to me after reading the green paper. Will social workers still be doing the assessments? If so will they still be employed by councils or by the voluntary sector?
The green paper talks of councils becoming commissioning and monitoring bodies and freeing up frontline professionals but what does this actually mean on the ground? Are they expecting social workers to form their own social work practice pilots and become independent assessment agencies in their own right?
It highlights the importance of the key worker role (previously undertaken by social workers or health visitors in those councils which use it) and states that this is something the voluntary sector could provide. But, it seems to suggest, there is no reason why this role needs to be a social worker and it could in fact be undertaken by a cheaper and less skilled worker.
b) The plans for a single assessment and care plan appear to be no more than vague ambitions at the moment. There is nothing concrete about how this might actually work on the ground.
The government seems to be relying heavily on the pilots starting in September to provide all of the answers within quite a limited time frame (end of 2011). I have my doubts as to how feasible this is. In my limited knowledge the most successful pilots are usually those that have a very specific intervention which allows outcomes to be clearly evaluated. In these pilots they will be trying to resolve issues that haven't been resolved in decades of trying- ie how do you co-ordinate several different agencies and their budgets and make sure they all live up to their promises?
d) Local government cuts vs personal budgets; local government cuts vs greater support for SEN and disabled children in schools.
Cuts, we know, are already biting deep. In adults there is some doubt about how personalisation can actually continue to work given the scale of the funding cuts some councils are inflicting on adult social care. My concern is that this will mean widespread personalisation for disabled children will struggle to get off the ground.
Councils are also cutting heavily the amount of support they provide within schools on the grounds that schools can fund these services themselves with their protected budgets. Will they?
e) What difference will a national banded framework make? I'm very hazy on why the government wants to do this. Is it just to work as a guide for parents? There seems to be no plans to enforce it on councils and an acknowledgement that to do so would interfere with the localism agenda and the freedom to spend on local priorities.
More questions than answers at the moment.
(pic credit: net_efect on flickr)