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Autistic Spectrum Disorder Action Plan in Conwy Alexandra Fryer/Ramona Murray (V5) May 2012

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Autistic Spectrum Disorder Action Plan in Conwy

Alexandra Fryer/Ramona Murray (V5) May 2012

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1. Introduction

1.1 This revised action plan replaces the initial Conwy & Denbighshire Action Plan prepared and submitted to the WAG in April 2009.

1.2 The revised action plan has been drawn together by the Lead Officer for ASD

in Conwy and representatives of the Conwy Autism Stakeholder group following consultation undertaken with people with ASD, parents and carers of children and adults who have ASD and professionals working within statutory, independent and voluntary organisations.

1.3 This Action Plan should be read in conjunction with the document ‘Closing the

Gap’ a report on consultation on autism services in Conwy prepared on behalf of the Conwy ASD Stakeholder Group by the independent charity Conwy Connect for Learning Disabilities.

1.4 The action plan continues to take account of the cross boundary working that

has developed between Conwy/Denbighshire but also includes the regional perspective.

2. References

2.1 This Action Plan has focused on:

‘Closing the Gap’ a report on consultation on autism services in Conwy The Welsh Assembly Government ASD Strategic Action Plan

The Welsh Assembly – ‘A Report produced by the Adult task and finish

group’ October 2009

WAG commissioned research by Bangor and Glamorgan Universities ‘The Circumstances and support needs of older people with ASD’

2.2. The Conwy ASD action plan and aims to set out key tasks that will deliver services that will meet the needs of children/young people, adults with an Autistic Spectrum Disorder (ASD) and their families ; carers.

2.3. Many areas of good practice in the field of autism spectrum disorder already

exist in Conwy. The action plan will pull together and further develop, existing good practice in this area, it will use local expertise and knowledge in developing a ‘joined up’ seamless and co-ordinated approach in delivering services for all age groups with an ASD and those with related social and communication disorders.

2.4. There are a number of definitions of ASD, however Conwy will adopt the

definition used in the Strategic Action Plan for Wales:

“The term autism spectrum disorders (ASD) is used to describe the group of pervasive developmental disorders characterised by qualitative abnormalities in reciprocal social interactions and in patterns of communication and by a restricted, stereotyped, repetitive, repertoires, interests and activities”.

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3. Conwy Autism Stakeholder Group

3.1 Mission Statement

The aim of the Conwy Autistic Spectrum Disorder Stakeholder group is to take the lead role in supporting the implementation of the ASD Strategic Action Plan for Wales across the authority. The group will support an agreed cross-agency approach to strategic planning for and commissioning of services for people with ASD. The group will inform the CYPP, Local Heath Board, Social Care and well being Strategic Partnerships in relation to ASD issues across Conwy.

3.2 Terms of Reference

(a) To ensure that Conwy ASD Stakeholder group is recognised by the CYPP, Local Health Board, Social Care and Well Being Strategic Partnership as taking the lead role in supporting the implementation of the ASD Strategic Action Plan for Wales across the authority.

(b) To ensure that the group will have representation across all agencies,

voluntary organisations, services and relevant parents; carers. (c) To support the development, provision, and delivery of services for all

children, young people and adults with Autistic Spectrum Disorders. (d) To ensure that provision and service delivery does not discriminate on the

grounds of ethnic origin, cultural and linguistic diversity, gender, age, disability or sexual orientation.

(e) To prepare reports and proposals to go to Agency Commissioners and

service providers and from there to regional and national decision making processes.

(f) Terms of Reference to be reviewed on an annual basis.

3.3 Frequency of Meetings

Conwy Autistic Spectrum Disorder Stakeholder Group will meet on a monthly basis.

3.4 Membership of the Conwy Stakeholder Group

A young person with ASD An adult with ASD A parent of a child with ASD A parent of an adult with ASD/LD Key representatives from the following services CAMHS Child Development Team Adult Mental Health Adult Psychology Adult Psychiatry Adult Learning Disability Nursing Team Therapy Services – SALT/OT Betsi Cadwaladr University Health Board

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Social Services – Adults Social Services – Children Local Education Authority Careers Wales National Autistic Society Autism Cymru Police Housing Youth Offending Team Disability Employment Advisor Community Development Services (Leisure etc) Cllr for Carers } Councillors will liaise Cllr for Health and Social Care } to ensure at least Cllr for Education & Lifelong Learning } one is in attendance Additionally Lead Officer for ASD for Conwy ASD Needs Analyst ASD co-ordinator Education

Current consistent attendees are highlighted. Other representatives attend on an ad hoc basis e.g. Autism Cymru. The North Wales Regional Support Officer acts as liaison between the local stakeholder groups, the North Wales Lead Officer group and the BCUHB ASD Project Board. Those individuals not paid to attend will be offered reimbursement of expenses from the grant. The arrangements of meetings will facilitate parent representative attendance and the attendance of the young person with Aspergers. Meetings will therefore be held over lunchtime. The North Wales Regional Support Officer receives a standing invitation to attend the Stakeholder Group to report on their role to members and act in advisory capacity. See Appendix for full Terms of Reference

4. Conwy & Denbighshire Stakeholder Group

4.1 Conwy and Denbighshire Local Authorities and the Health Trust started an ASD group around 10 years ago and this has been the vehicle that has enabled both Local Authorities and Health to achieve what is currently available across both authorities for children who are Autistic

4.2 In response to the Welsh Assembly Government ASD Strategic Action Plan

both Conwy and Denbighshire set up separate stakeholder groups to enable them to focus on their own local priorities.

4.3 In order to maintain cross boundary collaboration both Lead Officers and ASD

Needs Analyst Officers meet on a regular basis and have a standing invitation to attend the stakeholder group in the other authority. At the present time this way of working has assisted in identifying joint funding opportunities.

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4.4 Recent discussion has taken place as regards re-establishing an overarching Conwy & Denbighshire ASD Stakeholder Group. The drive for this is a result of the intention for Children Health Services within the new BCUHB to work across Conwy & Denbighshire i.e. Flint, Wrexham, Denbigh, Conwy, Gwynedd, Mon and more recently the proposal that Conwy and Denbighshire Children Services may merge.

5. North Wales Regional Group

5.1. The issues that are raised at the Conwy Stakeholder group will be reported via the Conwy Lead Officer to the North Wales Regional Group.

5.2 It is hoped that the North Wales Regional group will in future be attended by

the lead commissioning managers for adult and children services across North Wales, the ASD Lead Officers and BCUHB commissioners. This group would then take forward those actions required to deliver joined up and consistent services for children and adults with ASD and their carers across North Wales.

6. ASD Regional Support Team

6.1 The ASD Regional Support Team is based in the Social Services Improvement Agency in the Welsh Local Government Association.

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Health, Social Care & Well Being Strategic

Partnership A member of the ASD

stakeholder group reports back to the HSCWBSP

Regional Groups Commissioning managers & ASD lead officers attend the group. Chaired by

the Regional Support Officer. Key actions required regionally to support

the delivery of effective and consistent service are implemented.

Regional Support Officer

WAG ASD Strategic Action Plan Implementation Manager

Local ASD Stakeholder Group

Membership includes service users, carers and professionals. The group will support the delivery

of the Local Action Plan. The Regional Support Officer for ASD will report

to the group on regional and national actions.

Children & Young Peoples Partnership A member of the ASD

Stakeholder group reports back to the

CYPP

Coordinator / ASD Regional Support Team

All Wales Lead Officer Meeting

Attended by the WAG implementation Manager, the ASD support Team and Lead

Officers

Welsh Assembly / Assembly Member ASD Strategic Action Plan

INDEX

Strategic Actions Page 8 Social Care – Children Services Page 17 Social Care – Adult Services Page 22 Health Page 28 Education Page 34 Transition Page 40 FE/Higher Education Page 44 Employment / Benefits Page 45 Housing Page 47 Community Development Page 49 Cultural Diversity Page 52 Criminal Justice System Page 53 (YOTS, Police, Probation, Courts) Emergency Services Page 55 Communication/Information Page 56 Parents / Carers / Siblings Page 58

Work done

Work ongoing

Work to be done

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Autistic Spectrum Disorder (ASD) ACTION PLAN

2009 – 2011

PRIORITY Strategic Planning

LEADING North Wales Regional Support Officer / Conwy ASD Lead Officer and Members of Stakeholder Group

Aims / Outcomes

Actions

Action By / Responsibility

Start

Finish

Financial and other Resource implications

Arrangements for monitoring and evaluating

success An established and consistently attended ASD Stakeholder Group that informs and supports cross agency approaches to strategic planning for and commissioning of services for individuals with ASD across the authority.

Stakeholder Group Meetings organised on a monthly basis at times that will enable the attendance of volunteer representatives. Clear terms of Reference for the group (see attached) Stakeholder Group lead officers in respect of service areas will be identified. They will report back to the Stakeholder Group on progress within their respective service areas.

Lucy Smith – ASD Needs Analyst Stakeholder Group Stakeholder Group members

June 2009

Ongoing Reimbursement of expenses to volunteer representatives (ASD Grant). Input of identified officers/clinicians from the following services and orgs, Social Services, Education, BCU Health Board, Voluntary Organisations, NW Police, Housing, Community Development Services, Employment Services, (inc Careers Wales) and DWP

Review of Action Plan to be undertaken in the autumn of 2010, views of 2009 consultation participants to be actively sought. Reporting to the local CYPP and HSCWB SP via ASD Lead Officer; Children Service Commissioning Manager Reporting to the Director of Social Services via ASD Lead Officer Bench marking against other Welsh Authorities via NW Co-ordinator; All Wales Regional Manger

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The ASD Local Action Plan is developed, monitored and reviewed in partnership with local stakeholders, including parents/carers, professionals and service providers.

Provide copy of Consultation Report to participants. Publish Consultation Report on the Conwy public Web site (see Closing the Gap) and the CYPP web page in an accessible format for young people. Draft local Action Plan re-write circulated to consultation participants for comment. Undertake further consultation with young people who have ASD Undertake further consultation with adults who have ASD following publication of the Adult ASD Task and Finish Report

Conwy Connect for Learning Disabilities – Consultation re ASD Lucy Smith – Needs Analyst, Katherine Owen – Information Officer, Adult LD Ramona Murray, Conwy Connect for Learning Disabilities CYPP – Deborah Job - Participation Team Manager. Conwy ASD stakeholder group, ALENCOS, Ramona Murray, Lucy Smith Ramona Murray

September 2009

June 2010

June 2010

January 2010

July 2010

July 2010

Consultation funded via ASD Grant ASD Needs Analyst – ASD grant funded post ASD Lead Officer time – ASD grant part funded

ASD Stakeholder Group NW ASD Regional Support Officer CYPP/HSCWB Group Feedback from Consultation participants on Report and Draft Action Plan Review of Local Action Plan Autumn 2010 (see above)

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Publish Local Action plan and Implementation Plan on the Conwy web site

Ramona Murray, Lucy Smith

An awareness of the All Wales ASD Strategic Action Plan and local priorities at SSD cabinet level.

One Cllr to attend Stakeholder Group meeting, attendance co-ordinated by the 2 cabinet representatives and 1 Councillor. Presentation to Council Members

Cllr Liz Roberts – Lead for Social Care, Cllr. Wyn Ellis Jones – Lead for Education/ Lifelong Learning, Cllr Cheryl Carlisle – lead for Carers Ramona Murray – Conwy ASD Lead Officer

September 2009

To be confirmed

Ongoing

Input of Council Members ASD Lead Officer (ASD Grant)

ASD Stakeholder Group Review of Local Action Plan Autumn 2010 (see above)

An awareness of the All Wales ASD Strategic Action Plan across all Local Authority Head’s of Service and Senior Managers in Health.

Raising awareness around the strategic requirements of the ASD Action Plan provided to all Heads of Service within the Local Authority & Health.

Ramona Murray, Sharon Walters, Members of Conwy Senior management Team, in particularly - Byron Davies - Chief Exec, Ken Finch - Resources, Sarah Ecob - Theatres & Conference Centre, Geraint Edwards - Environment, Joanna Griffiths - SSD, Marianne Jackson - Comm Development Services, Geraint James - Education Services, Sue Maskell - Services to Children, Janet Morgan - Provider Services, Eryl Rowlands -

January 2010

December 2010

ASD Lead Officer (ASD grant) Head Of Service; Business Managers time WAG – Regional Support Officer

ASD Stakeholder Group CYPP/HSCWB Group

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Operational plans support the commissioning, development and delivery of services required to meet the needs of children, young people and adults with ASD

Review of Strategies and Operational Plans to ensure that they take account of the needs of the population within Conwy who have an ASD Consider ways of increasing involvement of people with ASD, their parents and carers in contributing to strategic planning Progress reports to the HSCWB partnership group Annual Progress reports to the CYPP group

Revenues & Benefits Assess. Services, Dilwyn Price - School Improvement Svcs All Local Authority Heads of Service NHS Lead Clinicians Pauline Roberts, Libby Evans – HSCWB Partnership Manager Pauline Roberts, David Lewis – Planning & Dev. Officer/Svcs to Children, Helen Gregson – Holmes Children & Young Peoples Co- ordinator

January 2010

January 2010

January 2010

Ongoing

Ongoing

Ongoing

An Authority wide awareness of ASD that informs the delivery of LA and Health Services to the community

Establish ASD Training sub group to develop Training Strategy

Ramona Murray, Lucy Smith, Pauline Roberts, Jan Ellard, Lesley Wilson, Helen Fitzpatrick - Link with BCUHB Proj Board training work stream

March 2010

Ongoing

Training (ASD Grant)

ASD Stakeholder Group Training evaluation forms

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Identify staff groups within the Local Authority for whom ASD awareness raising should be mandatory Service Provider questionnaire circulated to all internal and external agencies including social workers, voluntary organisations and charities working in Conwy to establish training needs.

As above Lucy Smith – Needs Analyst

January 2010

March 2010

ASD Lead Officer; Needs Analyst (ASD Grant)

Feedback from people with ASD, their families and carers on the level of awareness locally – 2010 review with consultation participants

Data base re training Establish an ASD professional; provider forum for sharing ideas and good practice. Ensure local services, practitioners are aware of the development of the public website ASD Matters (on HOWIS)

Lucy Smith – Needs Analyst ASD Stakeholder Group, Sharon Walters Lucy Smith – Needs Analyst ASD Stakeholder Group

April 2010

To be

confirmed 2010

Autumn 2010

Ongoing

Ongoing

Reliable information in relation to the number of children and adults known to the local authority with ASD.

Interim action for SSD - to add ASD diagnosis types to client information system (PARIS) – adult and children services

Lucy Smith – Needs Analyst Robert Owen – Dev. Officer (Adult Services) Annie Evershed – ICS Practice Developer

2010

Ongoing

ASD Needs Analyst Social Services (ASD Grant)

Progress reports provided to ASD Stakeholder Group meetings. Data re prevalence of ASD locally informs strategic commissioning plans of the local authority.

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Reliable information in relation to the number of children and adults known to Health Teams with ASD in Conwy Information re prevalence is accessible to partner agencies in order to inform strategic planning

Seek advice re data protection in relation to information sharing (WASPI). Ongoing update of LEA database Work to explore establishment of ASD Register across North Wales. SSD agree data fields that will be provided to partners by SSD, Health and the LEA.

Lucy Smith – Needs Analyst Derek O’Connor – Info. Regulations Off Bangor University and Welsh Autism Research Centre – Dr Dawn Wimpory, Dr Elin Walker Jones Assistant Psychologist, Dr Mike Jackson – Information Services SSD/LEA/BCUHB

February 2010

March 2010

March 2010

February 2011

WAG funded Conwy & Denbighshire Assistant Psychologist post to be employed within BCUHB Central area 2010-2011 (ASD grant Conwy & Denbighshire)

Partnership working with the voluntary sector is clearly established in relation to ASD and directed at meeting the gap in service for those whose needs do not meet the LA’s eligibility criteria.

Ensure Conwy Voluntary Service Council (CVSC) is aware of the ASD Strategic Action Plan and Conwy priorities. Voluntary Sector membership of the ASD Stakeholder Group (NAS, Autism Cymru, CVSC, CFIS)

Ramona Murray, Pauline Roberts – NAS, Maggie Bowen – Autism Cymru, Anne Westmoreland CVSC Ramona Murray

2010

January 2010

Ongoing

Ongoing

ASD Lead Officer and Needs Analyst (ASD Grant) Voluntary Sector staff time

ASD Stakeholder Group Progress reports provided to ASD Stakeholder Group meetings.

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Service mapping to identify those voluntary organisations in Conwy currently supporting people with ASD. Analysis of service mapping – focus of support; identify expertise or gaps in knowledge and skills in relation to ASD Establish links with Conwy Community Directory – CFIS (Conwy Family Information Sharing) and CVSC (Conwy Voluntary Service Council)

Lucy Smith – Needs Analyst Rhian Williams – Section Head – Culture and Info. Community Dev, Service Ramona Murray, Lucy Smith Lucy Smith – Needs Analyst

Ongoing

Ongoing

Ongoing

Ongoing

Ongoing

Ongoing

Information regarding ASD and service responses to needs from birth to the grave and across the spectrum, including the needs of parents is easily accessible.

Person centred needs pathway developed for a) child with ASD b) child with ASD/LD c) Adult with ASD d) Adult with ASD/LD e) Carers. This links in with the Directory in relation to service responses. Directory of information regarding specialist and generic services in Conwy is created – electronic, booklet and accessible

Lucy Smith – Needs Analyst Mark Kristian – Substance Misuse Service NHS Helen Jones -Clinical Nurse Manager LD Dr Helen Fitzpatrick – CAMHS, Dr Elin Walker Jones- Child LD Judith Holliman – Parent Lucy Smith, Ramona Murray

September 2009

September 2009

August 2010

August 2010

ASD Lead Officer / ASD Needs Analyst (ASD Grant) Printing, distribution of service mapping questionnaire Printing and other accessible formats for the Pathway booklet and Directory Web page creation and Ongoing hosting, maintenance costs.

ASD Stakeholder Group Review of Local Action Plan (2010) Link on Web page to customer satisfaction

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formats, easy read, jargon free. Pathway and Directory available on a Conwy ASD web site. Directory information is maintained up to date. CYPP web site used to publish relevant and accessible information for young people with ASD

Lucy Smith, - Needs Analyst Dawn Meek - Adult Service Office Mgr Simon Jones - Web site Manager Lucy Smith – Needs Analyst Sheila Jackson Young Conwy Website - coordinator, Lucy Smith Ramona Murray

August 2009

Ongoing

Ongoing

August 2010

Ongoing

Ongoing

Conwy Web Team Ongoing costs of maintaining the web page and information Ongoing costs of maintaining the Directory ASD Lead Officer; ASD Needs Analyst, YCW co-ordinator time

Conwy CBC represents local needs at a Regional Network or Commissioning Board that supports collaborative commissioning around the delivery of specialist services for ASD across North Wales.

Establish a Regional Network/Commissioning Board for ASD Secure attendance of key individuals within the Local Authority and within the BCUHB Develop a Regional Action Plan and a commissioning strategy for the commissioning and delivery of specialist services

Sharon Waters, NW Regional Support Officer North Wales Local Authorities ASD Lead Officers BCUHB rep To include Commissioning Managers for SSD, Education and Health

September 2009

2010 Conwy ASD Lead Officer time Conwy Commissioning Managers time – Adults/ Children Services

Monitored and evaluated by the ASD Support team reporting to WAG

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Share best practice and ensure consistency across the region in relation to service responsiveness to the needs of children and adults with ASD e.g. CWDT eligibility criteria

Assessment, treatment and service provision takes full account of the language and cultural needs of children, young people and adults with ASD.

Service deficiencies are identified and highlighted

Stakeholder group BCUHB LA’s LEA’s

Ongoing Ongoing

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PRIORITY Social Care – Children Services LEADING Planning & Development Officer Children Services / Conwy ASD Lead Officer and Members of Stakeholder Group

Aims / Outcomes

Actions Action By /

Responsibility

Start

Finish Financial and other

Resource implications

Arrangements for monitoring and

evaluating success Children/Young People with an Autistic Spectrum Disorder are able to access support from the Children with Disabilities Team.

Meet with the North Wales Heads of Service to highlight the fact that some children; young people with ASD are not eligible for support from CWD due to the current eligibility criteria. Provide supporting evidence across North Wales regarding the number of children/young people with ASD/Case Examples who are not able to access support. Consider need to review the Eligibility Criteria. To include a statement that where a child or young person has an ASD which significantly impacts on their education and socialisation and without support services there may be a breakdown in family life, the child would be eligible for support from the CWDT.

NW ASD Regional Support officer ASD Lead Officer David Lewis Planning & Development Officer Children Services

2010 Possible Implications regarding the number of referrals for CWDT services.

ASD Stakeholder Group Feedback from Children & Families.

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Social care staff from the Duty and Assessment Team and the Supporting Children Team working with children; young people with ASD have access to training. Social Care Staff from DAT & SCT are able to identify appropriate resource provision. Greater knowledge of service provision for Children/ young people with Aspergers Syndrome

See Strategic Actions re training Identify which DAT & SCT staff members have received no training on ASD. WAG awareness raising agenda – on-line, CD, booklet packages aimed at family support practitioners Social Work Teams to access information from the ASD directory on line. Training strategy

Children Services training Department. Lucy Smith, David Lewis WAG ASD Needs analyst

January 2010

Autumn 10

Ongoing

Ongoing

August 2010

Planning & Development Officer time / Needs Analyst (ASD Grant)

Information available from the Trent system regarding list of staff who have accessed ASD training

Resources Teams (CST/ PST and DARRT) have access to a wide range of specialised tools to support staff members

Funding has been agreed for the Resources team to purchase training materials. Meet with LD Services, CDT and CAMHS team in relation to setting up process for appropriate professional advice and training to support community interventions.

ASD Stakeholder Group Wendy Bleach (Resources Principal Practitioner) Wendy Lemon PP Family and Community Res; Dr Elin Walker Jones, Dr Helen Fitzpatrick, Dr Nia Pickering

January 2010

January 2010

Ongoing

Ongoing

ASD Grant (09/10) Staff time

Feedback from Children & Families regarding services provided

More Children/Young People with ASD to participate at their Child in Need; Looked after Children reviews

Current levels of children/ young people with ASD attending CIN/LAC meetings are low. The Independent Reviewing Officers have identified the need to ensure that a range

Children with Disabilities Team Simon Capstick - (Unit Manager Tir Na Nog) Independent Reviewing Officers

April 2010

Ongoing Feedback from Children/young people regarding service provision. IRO to provide an annual report in relation to the

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of communication aids; PCP tools/greater use of advocates are available to ensure that the child/young person’s views are expressed. Explore involvement of Conwy Connect in providing PCP awareness around appropriate tools to engage children in their reviews.

Tros Gynnal Advocacy Service Ramona Murray John Fozzard Conwy Connect

number of children; young people who attend their reviews. The number of referrals made to Tros Gynnal for advocacy services.

All children and young people with ASD currently placed at an out of county residential provision to be reviewed under the Auspices of the Out of County review meeting and also via LAC reviews.

The ‘Out of County’ review meeting to consider if it is possible to return children/ young people back to provision within the authority, if appropriate.

Complex Case Panel Members

February 2010

Ongoing

Reduce the number of out of county placements if appropriate

There is an improved range of services, including short breaks, for children & young people with ASD

To ensure that the ASD service mapping process/ analysis and data collection link into children services commissioning strategy.

CWD Resource Co-ordinator

Ongoing Ongoing Cymorth Funding Review of Action Plan to be undertaken in the autumn of 2010, views of 2009 consultation participants to be actively sought.

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WD resource coordinator to report back to Cymorth steering group regarding targeted services for Children/Young people with ASD

David Lewis ASD service mapping; Needs analysis to be reflected in the Children services commissioning strategy.

Direct Payments are promoted as a way of ensuring choice and control

Awareness raising provided via ASD parent support groups, including In Control /SDS Social Workers provided with Ongoing support and training around the promotion of Direct Payments. Ensure that the Direct Payment support provider is aware of the specific needs of young people with ASD Appropriate ASD Awareness/in depth training available to PA’s (See Strategic Section – Training Strategy)

Alison Thomas – DP Lead Officer The Rowan Ramona Murray Alison Thomas ASD Training sub group

June 2010

Ongoing

January 2010

Ongoing

Ongoing

Ongoing

Ongoing

Ongoing

ASD Lead (ASD Grant)

Direct Payments Steering Group/ASD Stakeholder Group/quarterly reporting from Direct Payments Support provider

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The development of a Multi Agency Integrated Children with Disability service

Project Proposal is in place for the development of the Integrated Children with Disability Services. Project Team to start work with in 2010. The Child Development Centre is already established at Nant y Gammar Road and provides multi agency support to children and families under % years. Further discussion needed to develop multi agency working for children and young people with LD and ASD between the ages of 5 and 18 years.

Strategic Development and Commissioning Manager

January 2010

Ongoing Clear advantages for families of children with ASD to have combined assessments, plans and reviews. Service user feedback

The ASD Action plan is reflected in the Children and Young People Partnership Plan

ASD stakeholder chair reports back to core aim group 3.

Pauline Roberts Core Aim group 3 members

Ongoing CYPP plan acknowledges the ASD action plan

Specialist Advocacy is available to children and young people with ASD

Additional training provided to Tros Gynnal advocates (See Strategic Section – Training Strategy )

Ramona Murray David Lewis Tros Gynnal ASD training sub group

April 2010

Ongoing Feedback from young people with ASD

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PRIORITY Social Care – Adult Services LEADING Operational Manager Adult Services / Conwy ASD Lead Officer and Members of Stakeholder Group

Aims / Outcomes

Actions Action By /

Responsibility

Start

Finish Financial and other

resource implications Arrangements for

monitoring and evaluating success

Adults with ASD (and no other presenting disability i.e. LD) are able to access appropriate assessment and support via Adult Services

Agreement with Adult Commissioners as to which service will undertake the assessment of need for adults with ASD who do not have additional learning or physical disability. Awareness raising to Customer Care Officers (See Strategic Actions re Training) Liaison with BCUHB Project Board in relation to the impact of increased diagnosis and the development of a multi agency approach Liaison with BCUHB re ASD work streams

Joanna Griffiths – Statutory Head SSD Adult Service Operational Managers Ramona Murray ASD Training Sub Group Joanna Griffiths – Statutory Head SSD NWSIC Dr Peter Woods – work stream 4 Mike Jackson – BCUHB West Clinical Programme Group – adults Ramona Murray

To be confirmed

To be confirmed

To be confirmed

May 2010

June 2010

Implications regarding the number of referrals for Adult services following increased access to diagnosis ASD Grant

ASD Stakeholder Group HSCWB Group Customer satisfaction surveys

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Nominated Social Worker or Social Workers who are appropriately trained to work with adults who have an ASD (including welsh speaker)

Undertake review of existing Adult service clients (LD/PDSI/OP) who have a) diagnosis of ASD/hf

Aspergers b) no formal diagnosis but

with ASD Traits Consider the creation of a Specialist Social Worker from within existing staffing resource Awareness raising to Social Workers within adult services focussing on ensuring assessment takes account of ASD needs within the process and in meeting eligible needs Identify specialist training needs e.g. ADOS (See Strategic Section, Training Strategy)

Lucy Smith Tesni Hadwin - PDSI Marian Hankin - OP Sue Adams – MH Ramona Murray - LD Joanna Griffiths Adults Operational Managers ASD Training Sub Group WAG Regional Project – training in under- taking ASD assessments for professionals As above

To be confirmed

March 2010

To be confirmed

Ongoing

Needs Analyst (ASD Grant)

ASD Stakeholder Group

Increased awareness amongst commissioners and service providers of the support needs of older people who have ASD

Raising awareness amongst commissioners and providers of the recent research in to the ‘Circumstances and Support Needs of Older people with ASD’ including

Ramona Murray Marian Hankin, Operational Manager Older People

July 2010

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proposed links with the NSF for OP in terms of taking forward ASD issues WAG awareness raising agenda – booklets, CD, on-line packages aimed at older people

WAG

Autumn 10

WAG funded

Direct Payments are promoted as a way of ensuring choice and control

Awareness raising provided via ASD parent support groups, including In Control ;SDS Social Workers provided with Ongoing support and training around the promotion of Direct Payments. Ensure the Direct Payment support provider is aware of the specific needs of adults with ASD Appropriate ASD awareness/in depth training available to PA’s (see Strategic Section – Training Strategy)

Alison Thomas – DP Lead Officer The Rowan Ramona Murray Judith Holliman Alison Kristian Alison Thomas – DP Lead Officer, The Rowan Ramona Murray Alison Thomas – The Rowan Ramona Murray Alison Thomas ASD Training sub group

2010

Ongoing

January 2010

April 2010

2010

Ongoing

Ongoing

Ongoing

DP & ASD Lead Officer (ASD Grant)

Direct Payments Steering Group/ASD Stakeholder Group

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Day opportunities; activities are available to meet the specific support needs of adults with ASD and LD

Re-modelling of Conwy provider unit services following the closure of CYO to take account of the needs of people with LD and ASD i.e. further development of the Lle Ni ASD service. WAG awareness raising agenda – booklets , CD’s, on-line packages aimed at day services for adults

Chris Griffiths - Ops Manager Provider Unit, Fiona Jones – Team Leader Provider Unit, Claire Lister - Commissioning Operational Manager WAG

January 2010

Autumn 10

December 2010

WAG

Feedback from service users

The workforce have the necessary skills to meet the support needs of adults who have ASD

Development of the Conwy Autism Service based at Grosvenor Road with specialist support workers providing outreach work. Individualised training is provided by specialist nurses to meet the specific support needs of adults with ASD and LD. Support is provided via Additional Support Team and the Emergency Intervention Service i.e. challenging behaviour, physical intervention strategies, placement breakdown.

Ramona Murray, Adrian Roper – CEO Cartrefi Cymru Marguerite O’Brien – Area Manager Helen Jones – Clinical Nurse Manager, LD Helen Jones – Clinical Nurse Manager, LD/ Paul Baker - AST, Sue Harris - EIS

Ongoing

Ongoing

Ongoing

Ongoing

Ongoing

Ongoing

ASD Lead Officer (ASD Grant) Possible resource implications should the BCUHB decide to locate adults with Aspergers/ASD with LD Nursing As above

Conwy Autism Service Management Group LD MAP Clinical work stream (ASD)

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See strategic actions re Training WAG awareness raising agenda – on-line, CD, booklet packages

WAG Autumn 2010

WAG

The future support needs of adults with ASD living with older parents is planned for.

Identify individuals with ASD and living with parents over 65, over 70 and over 80. Engage individuals in future planning using a range of person centred planning tools. Support provided to Social Workers. Information re future service commissioning needs fed in to strategic planning.

Lucy Smith Ramona Murray Adult Services Op Mgrs Conwy Connect for Learning Disabilities Adult Operational Managers Conwy Connect for Learning Disabilities Adult Service Operational Managers

April 2010

April 2010

April 2010

To be confirmed

To be confirmed

October 2010

ASD Needs Analyst; Lead Officer (ASD grant) LA staff time SLA with Conwy Connect LA staff time

ASD Stakeholder Group LD MAP OP MAP PDSI MAP

Active Support Model is rolled out to all community living projects as appropriate

All Learning Disability Nurses within the Conwy team are trained to provide Active Support training Social Workers are trained to provide Active Support training.

Jason Devereux – Community Learning Disability Nurse Jason Devereux Claire Lister Rwth Roberts ASD Training Sub Group

Ongoing

2010

Ongoing

Ongoing

ASD Stakeholder Group LD MAP Case management reviews Customer feedback Clinical governance

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Adults and young people with ASD have access to support to facilitate social skills and social understanding.

Social eyes Facilitator training commissioned. Establish social group/ network for adults with hf Aspergers currently accessing services via Adult learning Disability Services WAG regional project – development of social networking sites for young people with ASD and parents/carers

Ramona Murray Lucy Smith NAS Ramona Murray Lucy Smith Alexandra Fryer Rhys Jones WAG

April 2010

May 2010

April 2010

March 2010

£3,780 across Conwy/ Denbighshire - 12 participants. Regional Slippage bid

NAS Training and evaluation forms and Local Authority evaluation forms. Feedback to ASD Stakeholder group via follow up consultation Annual reviews

Specialist Advocacy is available to adults with ASD

Additional training provided to NWAAA advocates

Ramona Murray, Bethan R. Jones – Monitoring Manager Caroline Campbell – NWAAA, ASD Training sub group

April 2010

To be confirmed

ASD grant ASD Stakeholder Group SLA with NWAAA

28

PRIORITY Health LEADING BCUHB Project Board – Work Streams / North Wales ASD Support Officer / Conwy ASD Lead Officer and Members of Stakeholder

Group

Aims / Outcomes

Actions

Action By / Responsibility

Start

Finish

Financial and other resource implications

Arrangements for monitoring and

evaluating success There is a multi agency diagnostic team working across North Wales and the pathway for access to assessment and diagnosis is clear and accessible for children, young people and adults.

Collate information about the process of diagnosis in the local health teams

BCUHB Project Board – Mary Burrows, Dr Roger Banks North Wales CAMHS Clinical Strategy Implementation group (ASD work stream)

To be confirmed

C/O BCUHB and specific WAG funding for ASD

Review of Action Plan to be undertaken in the autumn of 2010, views of 2009 consultation participants to be actively sought on Health development Health own monitoring; evaluation processes

CAMHS and Children and Young People’s Learning Disability Services, Child Development Team, determine the agreed standard for assessment, diagnosis and intervention for children and young people with ASD

Agree the range and nature of evidence based interventions which can be offered by CAMHS, LD and Child Development Services. Identify resource requirements for fully comprehensive ASD provision which also address core deficits of ASD

Dr Helen Fitzpatrick, Patrick Howells Dr Steve Boyd, Dr Val Klimach, Dr Elin Walker Jones, Dr Elin Roberts-Puw, other team members

November 2009

September 2010

Partial

29

ADOS (Autism Diagnostic Observation Schedule) training. To improve diagnostic skills and extend capacity for diagnosis within some teams. To standardise diagnostic practice and process across teams.

Dr Dawn Wimpory, Consultant Clinical Psychologist

Regional bid in place for ADOS training for Adult service/CAMHS/ Children Learning Disability Services/ Child Development Team

Complete

Audit of agreed standards of assessment, diagnosis and intervention undertaken in health teams

CAMHS/CYP/Learning Disabilities Services/Child Development – to conduct audit of practice in health teams in the Central area of the Trust

Assistant Psychologist Dr Elin Walker-Jones Dr Helen Fitzpatrick

April 2010

March 2011

Partial

WAG funded – Welsh Autism research Centre and Bangor University – way children and young people are assessed for ASD across Wales

WARC and Bangor University

Timescales for accessing health services, including diagnosis, assessment and treatment for adults are consistent across the region.

BCUHB Project Board

BCUHB – Mary Burrows Sharon Walters – NW ASD Support officer

November 2009

To be confirmed

C/O BCUHB and specific WAG funding for ASD

As above

Gain an accurate picture of timescales for diagnosis, assessment and intervention for the various CAMHS teams across the region

North Wales CAMHS Clinical Strategy Implementation Group (ASD work stream)

March 2010

September 2010

Partial

30

Identify resources required to bring greater consistency in timescales

Dr Helen Fitzpatrick, Patrick Howells, Dr Steven Boyd, Dr Val Klimach, Dr Elin Roberts-Puw, Dr Elin Walker-Jones

Partial

Post diagnostic health services are available based on clinically assessed need e.g. OT, SALT, Psychology

Identify what post diagnostic health services are currently in place and whether they meet the needs of the population Work alongside the Early Support initiative to provide multi agency support and intervention for the child and his/her family

Assistant Psychologist Dr Elin Walker-Jones BCUHB Project Board Assistant Psychologist Dr Elin Walker-Jones, Dr Elin Roberts-Puw, Dr Val Klimach, Dr Steven Boyd, Dr Nia Pickering, Dr Helen Fitzpatrick

April 2010

March 2011

ASD Grant C&D As above

Health Services are provided by staff who have had additional training in ASD and taking in to account the bilingual needs of the local population

BCUHB Project Board

BCUHB – Mary Burrows Sharon Walters – NW ASD Support officer

November 2009

To be confirmed

As above

31

Explore the possibility of a regional bid to fund a specialist SALT to identify the current provision of specialist SALT across CAMHS/CYP LD services/ Child Development Team and Adult services for people with ASD and Aspergers.

Wen Hayton Ramona Murray Michael Duke Dr Elin Walker Jones Helen Fitzpatrick Sharon Walters

January 2010

TBC

Has not happened

Explore training needs of the CAMHS, CYP LD Services and Child Development across the region. Identify priority training needs Identify a specialist OT within the OT service.

North Wales CAMHS Clinical Strategy Implementation Group (ASD Work stream) Dr Helen Fitzpatrick, Patrick Howells, Dr Steven Boyd, Dr Elin Roberts-Puw, Dr Elin Walker Jones, other staff Iain Mitchell, Steve Grayston

March 2010

September 2011

Partial

Partial

General Practitioners/ Health Visitors/Practice Nurses etc have an improved awareness of ASD

WAG awareness raising agenda – booklet, CD, On-line

WAG Autumn 2010 WAG funded

32

Local General practitioners are aware of ASD local support networks and service provision.

Contact LHB re attendance of ASD stakeholder reps at GP prescribing meetings to present information re ASD Local Action Plan and local services

Ramona Murray, Sue Murphy LHB

To be confirmed

March 2011

ASD lead Officer (ASD Grant)

ASD Stakeholder Group

Local Opticians, Optometrists, Dentists and Pharmacists have an awareness of the needs of young people and adults with ASD in accessing their services and treatment; services provided.

WAG funded project looking at the awareness raising needs of the high street outlets

Sharon Walters – Regional Support Officer, Marc Kristian, Pauline Roberts, Conwy ASD Stake- holder Group Reps

September 2009

May 2010

Central ASD grant - WAG funded

Small standards panel WAG

Bilingual post diagnosis information pack provided – including all relevant information re contacts, roles of various professional staff and clinicians, services, and specific information re ASD

BCUHB Project Board See also Strategic Actions – Directory of Information WAG pilot re the development of post diagnostic packs for SE Wales – possible roll out throughout Wales Link with NAS Regional Co-ordinator – NAS resources

BCUHB – Mary Burrows, Sharon Walters – NW ASD Support officer WAG/Regional Support Team Pauline Roberts - NAS Regional Coordinator

Ongoing Ongoing

Ongoing Ongoing

C/O BCUHB and specific WAG funding for ASD Cost of resources

Review of Action Plan to be undertaken in the autumn of 2010, views of 2009 consultation participants to be actively sought on Health development

33

North Wales CAMHS Clinical Strategy Implementation Group (ASD Work stream) CYP LD and Child Development team

Dr Helen Fitzpatrick, Patrick Howells Dr Steven Boyd, Dr Elin Roberts-Puw, Dr Val Klimach Dr Elin Walker Jones

Completed for Specialist CAMHS

34

PRIORITY Education LEADING LEA ASD Coordinator / Conwy ASD Lead Officer and Member of Stakeholder Group

Aims / Outcomes

Actions Action By /

Responsibility

Start

Finish Financial and other

resource implications Arrangements for

monitoring and evaluating success

An Education information pack is available for parents, schools, Pupil Referral Unit’s, governors and other agencies

Develop an Information Pack Pack to include - SEN Code of Practice

(Wales), A description of the

characteristics of ASD and associated conditions.

Contact points for key personal who can offer help, support and advice.

Role and structure of schools and key persons e.g. ALENCO.

A landscape of the available continuum of provision.

Contact details for voluntary agencies and other support agencies i.e. SNAP, NAS, Autism Cymru.

Lesley Wilson

January 2010

July 2010

Printing, publicity, translation. Staff/personnel hours to produce pack

All outcomes of the Conwy Education ASD Action Plan will be monitored through Conwy Education ALN Business Plan

35

Draft to be consulted upon Final document to all schools, parents with a pupil (diagnosed), GPs, Paediatricians, Learning Disabilities Team (Adults/Children’s Services CDC, Libraries WAG awareness raising agenda, primary and secondary school packages – booklets/CD on-line

WAG Autumn 2010

WAG

An extended and refined database of pupils with a diagnosis and/or significant number of key indicators is established and actively maintained. The database includes schools and Pupil Referral Units, is centrally administered by the LEA but with data provided from multi agencies and parents.

Establish a database Extend and refine the active database for Early Years, Key Stages 1-4 and Post 16, include school location, provision and intervention offered. Share anonymous data with schools via the ALNCO forums and Head Teacher forums. Enable all multi agency professionals to be aware of the incidence of ASD in Conwy schools

Lesley Wilson Lesley Wilson, TC/GH Lesley Wilson Lesley Wilson

September 2009

Ongoing initially by

August 2010

September 2010

September 2010

Ongoing

December 2010

December 2010

December 2010

Education Officer time Via Conwy Education ALN Business Plan

36

Inform LEA and LA strategic and financial planning. Link with Social Services Dept and Health databases.

Lesley Wilson, REO/AIW Lesley Wilson, Ramona Murray, Lucy Smith, Dr Elin Walker Jones Helen Fitzpatrick

Ongoing August 2010

Ongoing 2010/1

Ongoing

There is an identification process which includes a range of simple tools, (checklists etc) to be used by schools and PRUs to assist in gathering evidence and information to enable identification of pupils who have significant social communication difficulties and who may be on the spectrum.

Identify and produce a range of appropriate checklists, assessment schedules and indicators in conjunction with other professionals. Provide training in use of tools to all schools. Schools to use this process supported by the Education Psychologist Consultation Procedure

Lesley Wilson CW Lesley Wilson CW Education Psychologists

January 2010

September 2010

January

2011

October 2010

Ongoing

Ongoing

Purchase/production of tools ASD Coordinator time Printing materials/EP/ others time

Via Conwy Education ALN Business Plan

A comprehensive Training Strategy for governors, school staff, parents and pupils (where appropriate) is available.

Provide ASD Awareness for Early Years, Key Stages 1-4, Post 16 provision for ALL schools and PRUs

CW Lesley Wilson, ASD Team

Ongoing

Ongoing

Staff replacement costs; ASD Team time

Via Conwy Education ALN Business Plan

37

Provide specific training for identified schools or resource centres at all Key Stages Provide individual pupil focussed training in identified schools

CW Lesley Wilson, ASD Team CW Lesley Wilson, ASD Team

Ongoing

Ongoing

Ongoing

Ongoing

All mainstream schools are provided with support and advice for identified pupils with ASD to facilitate inclusion and curriculum access.

Appoint a Co-ordinator Extend Outreach Team Appoint a Team Leader Identify and update a referral process and criteria for access ASD support service. Offer advice to school staff to support individual pupils in consultation with parents and other professionals Develop with Ysgol y Gogarth (YYG), an outreach capacity in line with ‘Unlocking Potential’ Initiative

REO REO Lesley Wilson Lesley Wilson TC TC ASD Team Jonathan Morgan, Lesley Wilson

) ) September ) 2009

September

2009

Ongoing

March 2010

) ) December ) 2010

Ongoing

Ongoing

To be confirmed

LEA Staffing costs ASD Coordinator time ASD Team staff resource and travel ‘Unlocking Grant’

Via Conwy Education ALN Business Plan

There is a continuum of provision for pupils with ASD in Conwy from pre-school to post 16.

Establish a Child Development Centre (CDC) in county.

AIW

September 2009

Budget provided

Gogarth Governors

38

Develop an early years provision structure via Portage; TAs in nursery/ Foundation Phase, YYG

NH Lesley Wilson, Jonathan Morgan

Ongoing

Ongoing

Education, ALN Business Plan

Develop and extend resource centre provision at Key Stage 1

REO Lesley Wilson

Ongoing Ongoing Budget Provided

Annual Reviews; Monitoring Team

Develop the capacity of all current resourced provision to provide for pupils with ASD via a review of these facilities, consultation process and training.

REO AIW

Ongoing December 2011

Training and replacement costs

Paper to Cabinet if remit of Resource Provision needs to change

Extend the project in Ysgol John Bright (YJB) in conjunction with YYG Development Plan (facilitate re-introduction of pupils from YYG to mainstream) Develop a series of Primary and Secondary resource bases in line with the outcomes of the YJB pilot to facilitate inclusion and curriculum access.

GD Jonathan Morgan Lesley Wilson REO/AIW

September 2010

Post YJB Evaluation

Ongoing

To be confirmed

Within current staff resources

Paper to Cabinet if remit of Resource Provision needs to change Education Management Team

Extend YYG provision for pupils with ASD at all key stages. Achieve NAS Accreditation

Jonathan Morgan

January 2010

September 2012

Ongoing NAS cost to LEA ALN Budget

NAS Accreditation ; Classes established; YYG Governors; Estyn

39

Out of County provision for pupils whose needs cannot be met within Conwy LEAs continuum of provision.

REO/Moderation, Jenny Williams – (Chair) SMAP

September 2009

Ongoing Significant ALN Recoupment budget

REO, AIW, Finance

There is collaborative multi agency working and parental involvement.

Develop via the Communication Forum direct access strategies to enable close working with SALT. Develop working links with parents and voluntary groups to ensure consultation and involvement re services and provision. Develop contact processes to gain advice and input from health professionals e.g. OT/ Therapies/CAMHS/ Paediatricians. Develop contact processes with Transition Team; Careers Wales to facilitate appropriate Transition to Further Education and Adult Services.

CW WH Lesley Wilson, CW, TC CW Lesley Wilson Clive Noble

April 2010

January 2010

Ongoing

Ongoing

Strategic Management Conwy ASD Stakeholder Group Monitoring Team (ALN) Transition Planning Group

40

PRIORITY Transition Service LEADING Commissioning Manager Services to Children / Conwy ASD Lead Officer / Transition Manager and Member of Stakeholder

Group

Aims / Outcomes

Actions

Action By / Responsibility

Start

Finish

Financial and other resource implications

Arrangements for monitoring and evaluating

success The Transition support needs of young children with disabilities in to primary school, juniors and on to secondary education are managed appropriately

LEA Primary/Secondary transition process implemented by schools Teaching staff at Gogarth to be supported to develop use of PCP tools within the school to support planning for young people in Transition 14+ Development of transition protocol for children with disabilities aged 5+

Lesley Wilson – ASD Co-ordinator Ramona Murray, Jonathan Morgan, Clive Noble, Conwy Connect for Learning Disabilities John Fozzard

Ongoing

To be confirmed

Ongoing Staff replacement costs; PCP Awareness raising session costs Bid to WAG for transition key Working and PCP

Individual transitions are monitored and reviewed by schools & the LEA to ensure effectiveness of arrangements and lessons learned inform future service delivery

The Conwy & Denbighshire Transition Protocol takes account of the support needs of young people with ASD 14+ in their transition to adult life

The Transition Protocol to be fully implemented in Conwy The Transition protocol to be available for all post 14 children with disabilities via their Transition school review

Ramona Murray, Conwy ASD Lead Officer Transition Service Manager ALENCO’s

2009

Ongoing

March 2011

Ongoing

Transition Manager – (HWB Grant to March 2011) WAG Transition key Worker bid to be submitted for additional resource.

Via NSF reporting Transition protocol to be reviewed in 12 months time by the Conwy Transition Planning Group ASD Stakeholder Group CYPP ; HSCWB

41

Discussion with CAMHS/ Adult Mental Health Service re extending the Transition Protocol to include young people with severe mental health difficulties and ASD Information about the Transition protocol and service to be made available to those children with ASD and their parents who do not have additional support at school i.e. School Action, School Action Plus or Statement. The Transition protocol to be published on the Conwy ASD web site and CYPP Web Site to include information on referral process.

Ramona Murray Joanna Griffiths Sue Maskell Andy Wilcox Jones Sue Adams Clive Noble ALN Officer – LEA Mainstream ALENCO’s Ramona Murray, Lucy Smith

April 2010

Ongoing

January 2010

To be confirmed

Ongoing

April 2010

Additional funding from MH to support role of Key Worker / or WAG Key Worker bid Possible implications of increased service demand

A young person with ASD who has a need for continuing support in to adult life will be offered a Transition Service from SSD.

Establish a Transition Team working across Children and Adult services.

Ramona Murray

Ongoing

May 2010

Transition Manager – (HWB Grant to March 2011)

An evaluation of effectiveness of the Transition Team to be undertaken by March 2011 Transition protocol to be reviewed in 12 months time by the Conwy Transition Planning Group.

42

This includes an identified Transition key Worker and Person Centred Planning if required

Eligibility criteria for accessing the Transition Service to be clearly defined and linked to the adult Unified Assessment process. There is an inter-organisation system to identify children who will require transition into adult services in the year before their 14th birthday (in year 8.) this informs the strategic planning for all organisations Each child referred to the Transition Service will have an allocated Key Worker from the age of 14 who will co-ordinate the transition plan and will continue to monitor and have contact until the age of 25 years if appropriate. Conwy Connect for Learning Disabilities to offer PCP to children with disabilities aged 16+ at Ysgol Gogarth (will include children with LD and ASD) using appropriate

Ramona Murray Ramona Murray, Clive Noble Ramona Murray Sue Davies Conwy Connect, Simon Ingham Conwy Connect, Jonathan Morgan Ysgol Gogarth, SALT

Ongoing

Ongoing

Ongoing

January 2010

May 2010

Ongoing

Ongoing

March 2010

Transition Key Workers – 2.5 WTE Learning Disability Nurse – Transition 0.5 WTE WAG Transition key Worker bid to be submitted for additional resource. Specialist training

Customer satisfaction Questionnaire to be devised for the Transition Service – liaise with the CYPP Participation Team

43

communication adaptations Additional training/info to be provided to the Transition team in relation to the specific Transition planning needs of young people with ASD. Explore the possibility of a specialist Transition Key Wkr for children with ASD 14+

Ramona Murray Rwth Roberts Ramona Murray, Sally Rees CCNUK

April 2010

April 2010

Ongoing

Cost of individual PCP’s (Big Plan project funded via Cymorth bid)Additional advice of SALT ASD Grant WAG Transition key Working bid

Parents and carers of children in Transition and young people are able to contribute to the development of the service.

The Transition Protocol will be reviewed by the Transition Planning Group including parents and young people. A Transition Service questionnaire will be developed. The Transition Team will support the development of local parent groups; meetings in relation to Transition.

Ramona Murray, Clive Noble Ramona Murray Alex Fryer - Transition Key Wkr Jonathan Morgan – Ysgol Gogarth Head Teacher, LEA Officers

August 2010

2010

Ongoing

October 2010

Ongoing

Transition Team input CYPP Participation Team

Feedback from parents and young people regarding participation

44

Local Transition services in Conwy learn from good practice across North Wales

Transition key Worker forum established

CCNUK – Anne Davies

April 2010

45

PRIORITY Further / Higher Education LEADING TBC / Conwy ASD Lead Officer and Member of Stakeholder Group

Aims / Outcomes

Actions Action By /

Responsibility

Start

Finish Financial and other

resource implications Arrangements for

monitoring and evaluating success

Improved awareness via accessible information for those working in further and higher education

WAG awareness raising agenda – booklets, CD, on-line packages

WAG Autumn 2010

Ongoing WAG

Young people with ASD are able to access higher and further education courses at colleges that take account of their additional needs

Meet with Careers Wales to identify additional training needs/advice/support needs of Careers officers working within the mainstream schools in Conwy

Ramona Murray Bethan Crow – Careers Wales

May 2010

Ongoing

Young people with ASD are able to access additional social support to enable their attendance at college; university

The local further education college is able to meet the needs of young people with ASD

Meet with Llandrillo college to identify key actions required to improve the chances of young people with ASD accessing courses.

Ramona Murray Sam McIlvogue

December 2009

Ongoing

46

The curriculum of relevant courses at the local further education college e.g. social care, Teaching assistants includes an awareness of ASD

Smiles project to create links with the local further education colleges and provide opportunities for students to attend the bi monthly Smiles sessions to meet children with ASD and their parents

Sharon Hadley Bateman (Llandrillo)

Ongoing Ongoing

47

PRIORITY Employment / Benefits LEADING TBC / Conwy ASD Lead Officer and Member of Stakeholder Group

Aims / Outcomes

Actions Action By /

Responsibility

Start

Finish Financial and other

resource implications Arrangements for

monitoring and evaluating success

Improved awareness via accessible information for those working in employment related services

WAG awareness raising agenda – booklets, CD, on-line packages

WAG Autumn 2010

Ongoing WAG

Adults who have ASD are appropriately supported to secure and maintain employment

New Work Connections Business Plan aims to reduce economic inactivity within the most disadvantaged groups locally; this will include people with ASD. See New Work Connection Business Plan for range of activities to include detailed needs assessments, intensive support with job finding, mentoring, monitoring, financial advice, child care and working with potential employers. Additional ASD awareness raising to Job Coaches and potential employers via New Work Connections – matching jobs to peoples skills and knowledge.

Claire Lister Chris Griffiths – (Operational Mgr - Provider Unit) Terry Ducker – (Operational Mgr Children’s Service) Barbara Burchell – Principal European Project Dev. Wkr Claire Lister Chris Griffiths Terry Ducker

April 2010

April 2010

Ongoing 3 years

Ongoing 3 years

ECF ASD grant - ensuring no duplication of funding

The performance of the project, in achieving targets, will be monitored by the Regional Management Team and will be reported to WEFO on a regular basis. Robust systems will be put in place for monitoring progress in a way that is measurable

48

Disability Employment Advisor invited to ASD Stakeholder Group Explore opportunities for people with ASD as employees of CCBC.

Ramona Murray Ramona Murray Chris Griffiths Carol Roberts – (Corp. Personnel)

April 2010

Ongoing

Ongoing

ASD Lead Officer (ASD grant)

There is appropriate support for self employment and franchising opportunities, linking with specialist agencies

Meet with Principal Development Officer; Business and Enterprise to develop local actions. Training to frontline staff working within Business and Enterprise

Ramona Murray Linda Ford – Principal Development Officer

May 2010

ASD Lead Officer (ASD grant)

49

PRIORITY Housing LEADING Head of Housing Strategy / Conwy ASD Lead Officer and Member of Stakeholder Group

Aims / Outcomes

Actions Action By /

Responsibility

Start

Finish Financial and other

resource implications Arrangements for

monitoring and evaluating success

Appropriate accommodation is available for adults with an ASD taking in to account individual needs e.g. sensory issues (ASD Building Bulletin 93)

Meet with Housing Development Manager for Conwy to raise awareness of housing need Undertake consultation with young people who have ASD in Transition to establish their future accommodation needs Accommodation needs of people with ASD is included in the Adult Services Commissioning Strategy The accommodation needs of adults with ASD and LD to form part of the Learning Disability Accommodation Strategy Liaison with specialist ASD provider to act in advisory capacity in relation to housing features helpful to people with ASD

Ramona Murray Ramona Murray Hilary Kewley – Development Off, Pat Williams – Participation Co- ordinator CYPP Ramona Murray Hilary Kewley Penny Garnett (Op Business Mgr) Claire Lister (LD Op. Manager) Hilary Kewley Cartref Ni

To be confirmed

To be confirmed

To be confirmed

Ongoing

To be confirmed

To be confirmed

To be confirmed

ASD Lead Officer (ASD Grant) Participation Team staff resource

ASD Stakeholder group Review of accommodation strategy

50

Information is available regarding the housing options available to people with ASD locally.

Accommodation hand book published.

Hilary Kewley, Development Officer LD

April 2009

Ongoing LD Development Officer

Feedback from service users

Appropriate Housing Support is provided to young people and adults with ASD to maintain their tenancies.

Awareness raising provided to Housing Support Officers working within RSL’s. (See Strategic Actions)

Training Sub Group, RSL’s

April 2010

ASD Lead Officer (ASD Grant)

RSL reviews

51

PRIORITY Community Facilities / Leisure / Libraries / Social Clubs etc LEADING Head of Community Development Services / Conwy ASD Lead Officer and Members of Stakeholder Group

Aims / Outcomes

Actions Action By /

Responsibility

Start

Finish Financial and other

resource implications Arrangements for

monitoring and evaluating success

Children, young people and adults with ASD are able to access the full range of leisure activities available within Conwy

Leisure Services – link with ASD Stakeholder group Key actions identified to improve access to and inclusion in leisure activities for children and young people with ASD Training strategy developed for leisure staff (see strategic actions) ASD Stakeholder Group/ Community Development Services support the development of ‘Smiles’ charitable org supporting children and their families in Conwy & Denbighshire to access leisure activities together.

Marianne Jackson - HOS CDS, John Hardy – Section Head – Active & Creative Lifestyles Ramona Murray, Julie S Williams – Children’s Activity Workforce Dev Mgr Richard Hughes – NW Outdoor Partnership Outdoor Dev. Officer Mark Richards – Disability Sports Wales Dev. Officer ASD Stakeholder Group, John Hardy - Section Head Active & Creative Lifestyles

February 2010

April 2010

Ongoing

April 2010

Ongoing

AD lead Office (ASD Grant) Training (ASD Grant) North Wales Regional slippage bid Conwy/ Denbighshire

Training evaluation forms Feedback from people with ASD, their families and carers on the level of awareness – 2010 review with consultation participants ‘Smiles’ - Board of Trustees. Feedback to ASD Stakeholder group re progress of ‘Smiles’

52

Children, young people and adults are able to access a range of social activities within Conwy (see also actions re Social group SSD section)

Meet with Section Head, Youth Service to identify key actions to improve access to and inclusion for young people with ASD to youth service activities (age 11 to 25) Training strategy to be developed for Youth Service staff Include Youth Service rep no Training sub group Awareness raising with the Urdd, Youth Clubs, Rainbows, Brownies, Girl Guiding, Scouts, etc See strategic actions re training Explore possibility of linking Youth Service workers with LEA ASD Outreach service for advice/support

Ramona Murray Jane Williams – Section Head Conwy Youth Service Jane Williams, Anne D Smith, Ramona Murray, Pauline Roberts Ramona Murray, Anne D Smith As above Ramona Murray, Lesley Wilson, Jane Williams

April 2010

June 2010

June 2010

To be

confirmed

To be confirmed

ASD Lead Officer (ASD Grant) Training (ASD Grant) NAS resources

Feedback from people with ASD, their families and carers on the level of awareness – 2010 review with consultation participants

Children, young people and adults can gain access to library services appropriate

Meet the Section Head to develop key actions in terms of ASD awareness

Ramona Murray, CDW representatives to be confirmed

To be confirmed

53

to their needs. Library resources for ASD are co-ordinated and accessible to people with ASD and their carers

within Conwy library services. Discuss possibility of developing an ASD resource within a library in Conwy linking to the resource at the NAS office and elsewhere in Conwy

Ramona Murray, CDW representative to be confirmed Pauline Roberts, Jonathan Morgan

To be confirmed

54

PRIORITY Cultural Diversity LEADING Conwy ASD Lead Officer and Members of Stakeholder Group

Aims / Outcomes

Actions Action By /

Responsibility

Start

Finish Financial and other

resource implications Arrangements for

monitoring and evaluating success

There are a range of support services for young people and adults with ASD and their families, from different cultural and ethnic backgrounds.

Contact the North Wales Race Equality Network for support and advice in developing specific local actions. See previous sections in relation to bilingual needs e.g. therapy services SSD workforce development strategy takes account of the specific needs of young people and adults with ASD for services provided in the language of their choice

Ramona Murray, Manu Patiar Corp. Personnel, Ramona Murray

April 2010

ASD Lead Officer (ASD Grant) Resources

ASD Stakeholder group

55

Materials, resources, training and information are available bilingually and with consideration to other cultural and linguistic backgrounds.

Ensure that the Welsh Language Policy is adhered to – ASD action Plan documents available bilingually/appropriate workers/translation services available. Contact North Wales Race Equality network for support and advice.

Ramona Murray, Translation Services Ramona Murray

Ongoing

To be confirmed

Ongoing Cost of translation – Closing the Gap, questionnaires, Action Plan - ASD grant

ASD Stakeholder Group

56

PRIORITY Criminal Justice System (YOTS, Police, Probation, Courts) LEADING Conwy ASD Lead Officer and Member of Stakeholder Group

Aims / Outcomes

Actions Action By /

Responsibility

Start

Finish Financial and other resource implications

Arrangements for monitoring and evaluating

success The additional needs of young people and adults with ASD are recognised and addressed by those working in the criminal justice system locally

See Strategic actions re Training Commission training to develop awareness amongst staff in YOTs, Probation service and the Police. Promote the widespread use of identification cards (produced by Autism Cymru and North Wales Police). Explore possibility of introducing ID cards to young people with ASD via schools (ALENCO’s) Disseminate and promote the use of ‘autism at a glance, guide for criminal justice professionals’

Ramona Murray North Wales Police, ALENCO’s, Social Workers etc Ramona Murray, Clive Noble, Lesley Wilson To be confirmed

April 2010

Ongoing

April 2010

To be confirmed

To be confirmed

Ongoing

ASD Lead Officer & Training (ASD Grant)

Via NAS

57

WAG awareness raising agenda – booklets, on-line and CD packages targeting the Criminal Justice System

WAG Autumn 2010

WAG

Special measure available to vulnerable witnesses are made available to young people and adults with ASD including use of specialist SALT intermediaries wherever appropriate.

Awareness raising amongst criminal justice staff and SSD staff.

To be confirmed To be confirmed

Professionals working within the adult commissioning teams are able to undertake HCR (Historical Clinical Risk Management) and SCR (Sexual Violence Risk Management) assessments

Undertake a review of the vulnerable adults known to the service who have ASD and who offend Provide training in SCR and HCR to Social Workers within SSD

Ramona Murray Jason Devereux Ramona Murray Rwth Roberts Training Officer SSD

To be confirmed

April 2010

To be confirmed

April 2010

ASD Grant SCUDWP

58

PRIORITY Emergency Services LEADING Conwy ASD Lead Officer and Member of Stakeholder Group

Aims / Outcomes

Actions Action By /

Responsibility

Start

Finish Financial and other

resource implications Arrangements for

monitoring and evaluating success

Local Emergency services have an appropriate awareness of the needs of people with ASD

Representative from NW Fire and Rescue Service to be invited to attend Stakeholder Group meeting to explore possible actions e.g. awareness raising,

Ramona Murray, Pauline Roberts, Angela Michelmore

To be confirmed

59

PRIORITY Communication; Information; Awareness Raising - in the community LEADING Conwy ASD Lead Officer and Member of Stakeholder Group

Aims / Outcomes

Actions Action By /

Responsibility

Start

Finish Financial and other

resource implications Arrangements for

monitoring and evaluating success

There is improved access to and quality of local information and support available to children, young people, and adults with ASD and their carers and families.

See strategic actions re Service Directory, web page development, and links with CYP website.

Lucy Smith, Ramona Murray

Ongoing August 2010

See strategic actions Review of Action Plan to be undertaken in the autumn of 2010, views of 2009 consultation participants to be actively sought

There is a Conwy ASD Face Book Group/Page that provides information/links/ events, is able to gauge views of people with ASD/ other interested individuals e.g. parents/carers/ professional and offers the facility for like minded people to communicate re ASD issues

Paper to Director of Social Services outlining proposal and monitoring arrangements Feedback from WAG regional projects – development of social networking sites

Lucy Smith – Needs Analyst Ramona Murray – Lead ASD WAG

March 2010

August 2010

ASD Needs Analyst – monitoring site Ongoing cost of monitoring

As above

60

Public awareness of ASD is improved via poster campaigns, leaflets on ASD in public places, use of local media, an annual Autism Awareness week

ASD Stakeholder Group and parents group collect positive ‘stories’ for Autism week Work with voluntary organisations e.g. NAS to improve the information available locally Liaise with Cartrefi Conwy; NAS re conference style event

ASD Stakeholder Group Lucy Smith Ramona Murray Corp Info Team Ramona Murray Pauline Roberts Ramona Murray Adrian Roper – CEO Cartrefi Cymru

Ongoing

Ongoing

February 2010

Ongoing

August 2010

ASD Lead Officer Needs Analyst Resources ASD Grant ASD Lead Officer Needs Analyst Resources ASD Grant

As above

Bilingual resources are available and accessible to parents, carers, professionals and providers, as well as in other languages where possible

C-SAW, NAS information resource/library accessible and publicised across Conwy and Denbighshire.

Ramona Murray Lucy Smith

February 2010

As above

61

PRIORITY Parents / Carers / Siblings LEADING Conwy ASD Lead Officer and member of Stakeholder group

Aims / Outcomes

Actions Action By /

Responsibility

Start

Finish Financial and other

resource implications Arrangements for

monitoring and evaluating success

Parent groups/support groups are supported and publicised by the Local Authority and the ASD Stakeholder Group

Lead officer attends parent support group meetings on a regular basis Chairs of parent support groups attend the ASD stakeholder group and feedback issues

Ramona Murray Simon Humphreys Judith Holliman

Ongoing

Ongoing

Ongoing

Ongoing

ASD Lead officer (ASD grant) Costs

Feedback from parents

Appropriate training is available to support parent support groups and individual parents; carers

Awareness of the various strategies and tools available, including the principles e.g. PECS Offer 2 spaces for Socialeyes facilitator training to parents

Ramona Murray Dr Elin Walker Jones Wen Hayton Ramona Murray Alison Kristian Judith Holliman

May 2010

Ongoing

October 2010

ASD grant Slippage bid

Feedback from parents – review of Action Plan late 2010 Evaluation to feed back to WAG

Carers or parents of adults and children with ASD are aware of how to access an assessment of their needs

Information provided on the ASD web page ; Care Pathway and Directory

Ramona Murray Lucy Smith All Social Workers

Ongoing August 2010

Possible resource implication due to increased referrals

Feedback from parents – review of Action Plan late 2010

62

Siblings of a person with an ASD are aware of how to access an assessment of their needs

Information provided on the ASD web page / Care Pathway and Directory

Ramona Murray Lucy Smith All Social Workers

Ongoing August 2010

Possible resource implication due to increased referrals

Feedback from parents/ siblings – review of Action Plan late 2010

Local Authority Carers Officers and Carers Outreach service have appropriate awareness of the specific needs of parents and carers of young people and adults with ASD.

See strategic actions re training strategy

Training Sub Group March 2010

ASD lead Officer; Needs Analyst - ASD Grant

Feedback from parents – review of Action Plan late 2010

Families are offered follow up support post diagnosis including support around any identification of ASD in the parent following diagnosis of a child

Explore the feasibility of providing a Family Support Worker to develop and provide a Family Support service for parents and carers of a child, young person, or adult who has ASD

ASD Stakeholder Group

April 2010