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SEN:D Pathfinder and Personalisation in Wigan. Michael Chew Assistant Director: Children’s Commissioning Wigan LA/Wigan Borough Clinical Commissioning Group. SEN:D Green Paper (Sept 2011). Background and Context Low aspirations A flawed system (adversarial) Limited choice and control
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SEN:D Pathfinder and Personalisation in Wigan Michael Chew Assistant Director: Children’s Commissioning Wigan LA/Wigan Borough Clinical Commissioning Group
SEN:D Green Paper (Sept 2011) • Background and Context • Low aspirations • A flawed system (adversarial) • Limited choice and control • Segregated • Difficult to understand/navigate • Bureaucratic
Wigan Context • Integrated commissioning model • Integrated care • Partnership • Care in the community (CHC) • Aiming High legacy (Direct Payments) • Special Schools review
Key areas of development • Education, Health and Care Plans • Integrated pathway and infrastructure • Integrated Personal Budgets • Personalisation (Real Wealth) • Workforce design (modernising services) • Parent Engagement • Local Offer
Achievements in Wigan • 44 EHC Plans with 11 personal budgets (including some with NHS funding) • Positive outcomes for families • PHBs (Continence products and Wheelchairs) • Integrated keyworking offer • Personalisation of NHS services • Restructured parent engagement • Developed a Local Offer
Challenges and Opportunities • Implementing whole system change • A vision for Personal Budgets (what is possible?) • Resource Allocation System • Transparency (a local offer for healthcare) • Sustainability (outcomes and efficiency) • Market development • Engaging stakeholders (families and providers)
Summary • Improved the patient experience • Increased choice, control, empowerment • Personalisation not just PHB • Key contribution from NHS workforce • Requires whole system change
Thank you Questions?