Archived decisions

1. Respondent

Sue Smith

Janet Davies

Debbie Webber

Helen Gabriel

Amala Menon

Emma Morrey

1. Designation

1. Organisation

Blackwater Valley and Hart

North Hants Hospital Trust

Southampton PCT

Winchester & Eastleigh Healthcare Trust

Portsmouth PCT

Salisbury Healthcare NHS Trust

2.1 Children's speech & language therapy services are managed by

Primary Care Trust

Acute Trust

Primary Care Trust

Acute Trust

Primary Care Trust

Acute Trust

2.2 Specify if other

2.3 Which PCTs commission S&LT services

BV&H PCT, Guildford and Woking PCTs

North Hants PCT

Southampton City Primary Care Trust

New Forest Primary Care Trust

Southampton University Hospitals Trust

Eastleigh Test Valley South PCT

Mid-Hants, Eastleigh & Test Valley South (Eastleigh North)

Portsmouth City Teaching PCT

South Wiltshire PCT (Covers Fordingbridge and Ringwood area

3.1 Which education authority does your service cover

Hants and Surrey

North Hampshire

Southampton City/Hampshire

Hampshire

Hampshire and Portsmouth City

Hampshire, South Wilts and East Dorset

3.2 What is the child population 0-19 for your PCT area

57000

Soton City PCT: 49312, New Forest PCT:27106, Eastleigh Test Valley South PCT 15803

86000

119597

5,580 (hants)

3.3 a) Qualified therapist staffing levels

9,85

5.41

12.4 wte

6.7 wte

7.39

2.6

b) Assistant staffing levels

0, planned post via skill mix 5

N/a

0.8 wte

None

0.45

c) Qualified therapists (fixed funding)

0

3

1 wte - 6 months

2 wte - 11 months

7.39

d) Admin support adequate

No

No

No

No

No

No

e) comments

Increased requests for reports has placed secretarial support under pressure

Shared help with other colleagues means time delays can happen

Supports from admin is mostly for typing the reports / letters etc

3.4 a) Qualified therapists vacancies

1.5 wte

None

1 wte

0.3

None

None

b) assistant vacancies

None

None

c) Qualified therapists (fixed funding) vacancies

2 wte

None

None

d) comments

One qualified post likely to be partly skill mixed to give more assistant time to support programmes in special schools

No vacancy at present

3.5 Where is the service delivered

See Below

See Below

See Below

See Below

See below

3.6 How is the level of service to these localities delivered

See Below

See Below

See Below

See Below

See below

3.5 Comments

Referrals prioritised on to 3 lists - urgent, routine and DCD

Mainstream inclusion has had a significant impact on the service. We have had a closed waiting list for mainstream school since August 2002 and are only now coming to the end of the children waiting from that time

No funding for work in respite centres but do for those children who attend the local special schools

3.7 a. Groups of children you are not able to provide a service to

Children with emotional disorders

Looked after children.

Children with MLD

Children with autistic spectrum disorder

Children with MLD, Children with EBD, Children of secondary school age

Looked after children, children with dysphagia, Children with EBD, Children with autistic spectrum disorder

Looked after children, children with dysphagia, Children with MLD, Children with EBD, Autistic spectrum, Secondary age

3.7 b. Comments

EBD not requested

We provide a service of assessment to all the above groups but cannot provide ongoing to treatment as a general rule to children to secondary school age.

Limited service to MLD and secondary age, unhappy with service that autistic children receive

3.8 a. Training to which education staff in last 2 years

SENcos

Learning Support assistants

SENcos

Learning support assistants

On topics - DCD/Dyspraxia, Alert Programme/S.I., C.P. Movement disorders

SENcos

Learning support assistants

On topics -

DCD, Handwriting, Sensory modulation

SENcos

Learning support assistants

On topics - occupational therapy, handwriting, Gross and fine motor development, HDYER

SENcos

Learning support assistants

On topics -

Co-ordination difficulties, physical disability

3.8 b. Comments

We offer training to those involved with individual children. No formal training package

4.1 Do you have written criteria for entry to your service

Yes

Yes

Yes

Yes

Yes

Yes

5.1 a)waiting times for assessment of urgent referral

Urgent - 0-4 weeks

Routine - 9-12 months

Urgent - 0-4 weeks (acute), 1-2 years (DCD)

Routine - 6-12 weeks, 1-2 years

Urgent - 0-4 weeks, 6-12 weeks

Routine - 6-12 weeks

Urgent - 0-4 wks

Routine - 1-2 yrs

Urgent - 0-4 wks, 6-12 wks

Routine - 3-6 months, 6-9 months

Urgent - 0-4 wks, Priority 1 - 3-6 months

Routine - over a year

5.2 following assessment is there a waiting time for treatment

No

Yes

No

Variable depending on the setting that staff work in.

No

No

6.1 a)Successful funding bid in last 2 years

Funding source: Health Authority/PCT.

Fixed term. 36 hrs

Funding source: Health Authority/PCT

Permanent -feeding

0.4 wte

Health Authority/PCT

Permanent

2.5 wte

None

Wiltshire Health authority / PCT, fixed term, permanent. 14 hours a week

b) comments

Funding promised via PEC but offer withdrawn due to overspend

Looked After Children's Post & CAMHS link

Difficulty accessing standards fund or Children's Fund - enquiries made re both and bid put in 2x for standards fund

This was for special school and a PD class within a mainstream school

7 Barriers impacting service delivery

Staffing levels

Delay in building Aldershot centre for health which will house Children's services

Lack of treatment areas

Lack of student practice availability

Education initiatives which impact on us which they expect Health to fund. Hugely increased demand with no money to the PCT to find. New initiatives in CAMHS, Sure Start, etc which impact on our service with no funding

Service has to be continually reviewed and restricted to priority client groups - not equitable for all children. This is due to insufficient posts to meet needs of population

No office base in some areas and no proper room given by education in special school or mainstream school

At Salisbury we deal with 3 different Social Services and Education Departments, none coterminous with health

8 Any other comments

Inclusion has meant resources spread and have to liaise with more SENcos, LSAs and Head teachers. We have to compete for treatment space at each site - dilution to resources.

Funding for equipment for Hants children is limited compared to Surrey. Funding from health has been tortuous recently.

There has been a lot of work on initiatives on new ways of working, particularly in mainstream schools, which, if we had the resources, we could take forward and which would have a considerable impact on a large number of children.

The Children's NSF must not be left off this Agenda.

-Providing children's equipment

- increase in pressure around taking students, both from O.T. and new courses

Occupational therapy should be considered, in some instances, to be an educational provision

All OTs and teacher / SENCO from education should have better communication. The SENCO / Assistants can also carry out simple programmes on their own an don't refer to OT's for simple handwriting / [illegible] difficulties.

Help getting more staff from education authority to Health to work with children

Should our service no longer be hosted by the acute trust but PCT, there will need to be some negotiations about funding for Ringwood/Fordingbridge area..

Trying to encourage Wilts Education to fund OT from NHS to work in their schools. Maybe this could also be initiated in Hants

3.5 Where is the service delivered

3.6 How is the level of service to these localities allocated

Service Level Agreement

Individual Clients/ Client groups, with special needs

Rationalised through use of clinical priorities

Historical levels of service

Acute Hospital

2, 3, 4, 6

3

2, 3, 5

2, 3

2, 3, 4

Regional Centre

3

3

3

1, 3

1, 3

Out patient Clinics

1, 2, 3, 6

3

2, 3

1, 3

3, 5

Child Development Centre

1, 3

3

3

1, 3

1, 3

General Practices

Early Years Centres

1, 4

4

Play Groups/ Nurseries

1, 2, 3, 4, 6

3

3, 4, 5

1, 3

3

Sure Start

Education Action Zones

Health Action Zones

Specialist pre-school units

1, 2, 4

5

1, 4

Special Schools

1, 2, 3, 4, 6

3

3

1, 3, 4

3, 5

Mainstream Schools

1, 2, 3, 4, 6

3, 4

3, 4

1, 3

3, 5

Mainstream Specialist unit

1, 2, 4, 6

4

5

Respite Facility

1, 2, 4, 6

4

Patient's Home

2, 3, 4, 6

3

3, 4

1, 3

5

Other

3, 4

3, 4

3

3

3