Autism Strategy Action plan - Bath and North East Somerset Council

Report
Autism Strategy Action plan
A B&NES plan for 2013/14
what we are doing to implement the
Autism strategy
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We have been asked to let people know what
are the 5 most important things we will do this
year to improve services for adults with autism.
This plan also tells you about the other things
the Autism Partnership group will be doing in
2013/14, based around the 5 themes of the
Bath and North East Somerset Autism strategy
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Top priorities for this year.
We will…
Set up a local assessment and diagnostic service and
make it easier for people living in B&NES to access this
Provide a range of local training to help develop local
awareness, knowledge and skills to support people with
autism
Set up an Information and Advice service for adults with
autism and those who support them
Increase the amount of social work time available to
support adults with autism
Reduce isolation for adults with autism
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Improve information
about the population of
people with autism in
B&NES
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We need to be sure that we know
who has autism in B&NES, and
make sure that this information is
accurately recorded
We will continue to do this using
Council records
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We need to identify children with autism
who have complex needs (including
behaviour that may challenge services)
and are likely to need support from social
services (adult care) in the future
We will record via Statement of Need and
complete annual audit in Sept 2013 with
representatives of children’s and adult
care
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We need to ensure that young people
moving into adulthood have personcentred transition plans
We are implementing a B&NES transition
pathway including use of one page
profiles and My Future My Choice – we
will check this is being used for young
people with Autism
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Increasing awareness
and understanding
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We need to develop training for
professionals that will be appropriate and
proportionate dependent on their level of
responsibility
We will commission specialist training and
supervision from the Bristol Autism
Spectrum Service (BASS) and check who
attends
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Develop a clear,
consistent pathway for
diagnosis across Bath
and North East Somerset
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We need to provide a full diagnostic and
assessment service that people can access
locally and quickly
We will commission a local service for
residents of Bath and North East Somerset
from BASS - to commence in September
2013- and make sure this is well
publicised
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We need to ensure that all adults with a
diagnosis of autism have prompt access to
a community care assessment
We will set up protocols for joint working
between BASS and Sirona Autism social
workers by October 2013
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We need to develop and/or adopt a
model referral and care pathway for local
commissioners /providers
A Sirona specification for provision of an
Autism Social Work service is in place
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We need to improve how we provide
information to adults with autism and
their family or carers at the point of
diagnosis and after
We will commission B&NES Autism
Information and Advice service from BASS
and make sure this is well publicised
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Improving access for
adults with autism to the
services and support they need
to live independently within
the community
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We need to ensure that everyone who
has the potential to live more
independently is given the chance to do
so
This is ongoing through existing model of
assessment. We will identify those young
people moving into adulthood who
require residential support in the future
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We need to continue to review people’s
care (often for complex needs and/or
requiring a secure facility) in out of county
residential placements with a view to
understanding whether more local
services can be (jointly) commissioned to
meet their needs
We will do this via the annual review
process
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We need to work with local and national
providers, and with families and people
with autism, to develop a range of
housing options
We will meet regularly with
providers and the Council Housing
team to ensure access to housing;
and we will support people with
autism to use the Council
Homesearch register
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We need to support people to use
personal budgets, and to have the right
information about how to get the services
they want and need
Any adult who is receiving social services
and not living in registered care will
receive a personal budget. Adults with
autism are supported by Sirona Autism
Service social workers who will provide
information and advice about using a
personal budget
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We need to make sure that people
understand and use the Mental Capacity
Act properly for people who may lack
capacity to make a decision, considering
best interests decision making and
appointment of an Independent Mental
Capacity Advocate (IMCA)
We check this during annual
reviews and provide training
to all staff
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Helping adults with
autism into work
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We need to collect local information that
shows how many people with autism are,
or would like to be, in paid or voluntary
work
We will collect via Council review
processes and work on a local
employment plan to be ready by April
2014
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Enabling local partners to plan
and develop appropriate
services for adults with autism
to meet identified needs and
priorities
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We need to ensure that the Joint
Strategic Needs Assessment (JSNA)
includes information on the needs of
people with autism
The current JSNA includes information
about the needs of people with Autism,
and we will review and update the JSNA
before end 2013/14
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Advocacy
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We need to better understand how
people with autism can access advocacy
services
We will map demand for advocacy service
amongst people with autism during
2013/14
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Criminal Justice System
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We need to ensure adults with autism
have access to an ‘appropriate adult’ to
facilitate communication and
understanding between the person with
autism and police. This will protect the
rights, welfare and safeguarding of the
person with autism who may be
vulnerable
We will review local application of
appropriate adult procedures with
representatives of the criminal justice
system
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We need to invite representation from
the criminal justice system on to the
Autism Partnership group
We will do this by the
autumn of 2013
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We need to find ways to collect
information about the number and needs
of people with autism in contact with the
criminal justice system
We will build on existing similar system for
adults with LD - establish protocol with
forensic locality team, Court Assessment
and Referral service and others
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We need to operate within the regional
framework of the Specialised Services
Commissioning group for people who
need specialised (Tier 40 services)
This is ongoing
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Health and wellbeing
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We need to ensure health professionals
have a better awareness of people with
autism
We will promote access to training
commissioned from BASS
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We need to ensure reasonable
adjustments are made to improve patient
experience in primary and secondary care
settings
We will review current practices within
the RUH and a sample of primary care
services. We will find ways of collecting
feedback from patients with autism who
are admitted to hospital
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We need to develop and expand the
capacity of local services to understand
and respond to the needs of people with
challenging behaviour
We have service agreements in place with
the Sirona complex health needs team
and with AWP
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We need to ensure that any restrictions
or restraints are compliant with the
Mental Capacity Act and if these amount
to a Deprivation of a person’s liberty, then
consideration of DOLS (Deprivation of
Liberty Safeguards) authorisation needs to
be evidenced
We have ongoing application of local
protocols for MCA, DOLS and Best Interest
Decisions and we check how these are
used
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Personalisation and
self-directed support
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We need to ensure person-centred planning
is at the heart of all services, when
individual strengths, hopes and dreams are
recognised to participate successfully in
meaningful activities and relationships
We will make sure that every person
with autism has person-centred plans,
prioritising young people in transition
and people with complex needs, and
people living at home with elderly
carers. This intention includes the need
to develop ‘emergency and contingency
plans’ when appropriate.
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We need to continue to work with children’s
services so that person-centred planning starts when
the person is a child and is built upon through
transition and into adulthood. This intention includes
the need to continue to develop protocols, systems
or better joined up working between children and
adult services to ensure that workers in adults’
teams can access appropriate records from previous
assessments
We will ensure implementation of the
BANES 'Transition Pathway' applies to
young people with Autism. We will
develop local strategy for implementing
SEN reforms that promote person centred
approaches
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Physical and sensory issues
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We need to raise awareness of physical
and sensory issues for people with autism
through the training highlighted above
We will promote access to training
commissioned from BASS
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Relationships
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We need to work with people with autism and
carers to explore ideas to overcome barriers and
address ways to promote and support
relationships. Discussions could be focused on
support to build social skills; develop practical
strategies and understanding; or tools to enable
and give people the opportunity to meet and
form relationships with others
The B&NES Autism Partnership Group will
consult with people with autism during
2013/14 to hear people’s thoughts and
ideas about how to reduce social
isolation.
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Support for carers
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We need to ensure carers are aware of
their entitlement to have a carer’s
assessment of their needs
This is ongoing through Council's
assessment and review processes. We will
collect information before the end of the
year so that we know how many carers
who support someone with autism have
had a carer’s assessment
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We need to ensure carers have easy
access to information and advice
We will commission Autism Information
and Advice service from BASS. We will
establish information and advice resource
on Council webpage
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We need to develop ways of seeking
feedback from carers, including
information collected from the Social Care
Survey
We will review and discuss this within the
BANES Autism Partnership Group
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Transitions
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We need to map all young people with
SEN and autism and identify those at risk
of not meeting eligibility criteria within
adult social care
We will record via SEN statement of need
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We need to develop protocols to ensure
that young people with autism can be
appropriately signposted to other sources
of support as an adult, if they will not be
eligible for social services
We will be developing local protocols for
all young people who will not be eligible
for social services as an adult during
2013/14
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We need to ensure people with any autism
spectrum condition are included in the multiagency protocol that supports the transition
process for young people.. This will ensure better
person-centred support planning for young
people with autism and their families, while
enabling the council to develop a commissioning
and financial impact plan
This is ongoing - Bath and North East
Somerset is implementing a revised
Transitions Pathway for young people,
emphasising person centred approaches
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We need to actively encourage and
promote young people with autism in
mainstream schools to create personcentred plans, identifying future needs in
all areas including employment,
education, social care, health and housing
This is ongoing - Bath and North East
Somerset is implementing a revised
Transitions Pathway for young people,
emphasising person centred approaches
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The End
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