Joint commissioning brings together education, health and social care, to share understanding of what is needed by young people and families.
Education, health and social care commissioners, use their shared understanding to plan services that will deliver what is needed for children, young people and families. The joint commissioners ask organisations to apply to deliver the services. They then choose the ones that they believe will deliver the best outcomes for children, young people and families at the best price. The commissioners then ask these organisations to do this work with children, young people and families.
Education, health and social care will jointly review the services that have been delivered to young people and families. They will see if the services have improved their outcomes.
Children, young people and families will be asked what is working, and where there are gaps in services to support them. The information they give will be used to help education, health and social care know what needs to be commissioned to improve outcomes.
Feedback about gaps in the SEND Local Offer will help us identify what is missing. This information will be used to develop the shared understanding of education, health and care in the joint commissioning process.
Our draft framework outlines how the joint commissioning of services for children and young people with SEND in Norfolk will be developed and put into place. This is according to the requirements of the Children and Families Act 2014 (please see Appendix A of the framework document).
A review of Speech and Language Therapy (SaLT) needs in Norfolk, was undertaken in April 2015 and reviewed in July 2015. It evidenced the need for the SaLT service to support the proposal to jointly commission, with health partners, a new SaLT service for children and young people in Norfolk.
The consultation, which was a vital element of the analysis, included:
The new speech and language therapy service began on 4 April 2016. It is delivered across Norfolk by East Coast Community Healthcare (ECCH), as a service for children and young people aged 0-19 years-old.
The service is jointly commissioned by us and the Clinical Commissioning Groups (CCGs) for Norwich, North Norfolk, South Norfolk and West Norfolk. This is to ensure that Norfolk’s services meet national legislation, to provide a more joined-up and accessible service.
Children, young people, families and partners were involved in designing the service. It includes a new helpline service for families, with a strong focus on providing support and training to parents and those working with children and young people. This will ensure that everyone is working collectively to support children’s speech and language development, with minimal disruption to their education.
All children and young people that currently benefit from speech and language therapy will continue to do so under the new arrangements. There will be a process to ensure a smooth transition of this service to ECCH, during which referral and contact arrangements will be finalised and communicated.