SCN0137
Written evidence from Acorns School
We would wish to make the following points:-
The assessment process –
1.1 Some of our local independent nurseries are reluctant to start the assessment process because it is very time consuming, of little benefit to the actual provider and may take so long that the EHCP is finalised after the child has left the placement. The introduction of the EHCP appears to have worsened the situation. Many parents appear not to be aware of the implications and the lengthy process involved. There was impartial help for these parents but this has now been taken ‘in house’ and appears to be less readily available particularly for the most vulnerable parents. The requirements of the EHCP assessment process appear frequently to be inaccessible for most of our parents.
1.2 The amount of time that the school has dedicated to the review of EHCP’s has greatly increased. The governors have allowed staff time out of the classroom in which to prepare these lengthy documents and as a school we have appointed additional office staff.
Transition from statements –
1.3 Many transition documents relied on the available information held in our local SEND office. This information was sometimes out of date and rendered the EHCP unfit for purpose. However there would have been additional documentation held by the NHS and social services that may have added to the overall information, correcting any discrepancies or at least posing questions that the collating officer could have posed. This information is unavailable to our local SEND officers. (see below)
1.4 Again, parents found the contribution they have to make as part of the transition process, too difficult or time consuming and they were overwhelmed by the amount of information they were asked to submit. Many asked for additional help from school.
Level and distribution of funding-
2.1 We understand that funding for children with SEN is a national issue. However at Acorns School we are required to train teaching and non-teaching staff to administer feeds through a gastrostomy button, change tracheostomy tubes, monitor oxygen saturation levels, administer injections and vital medication whilst undertaking teaching duties. The training is costly, time consuming and the additional responsibilities placed upon these staff is not recognised seemingly by government and partner agencies. The total cost to Acorns school for this type of ‘medical’ intervention is 6.4% of our annual budget. We are judged on attainment and progress by OFSTED, the additionality of these medical tasks are not taken into consideration by OFSTED and we believe they have an impact on time spent teaching.
2.2 We would recommend the funding being taken away from the NHS for these medical tasks and given to schools or appropriate commissioning and delivery via NHS. Please refer to the attached document that highlights the costs including time spent on these medical tasks and training.
2.3 Despite cuts in our funding, in the case of pupils with a visual and a hearing impairment, we pay for a specialist teacher to prepare reports to submit at annual review as we cannot access appropriate NHS support for these pupils.
Roles and cooperation between health and social care –
3.1 The single biggest weakness of the system is the lack of commitment shown by agencies other than education shown to preparing and reviewing a working document that is regularly updated and fit for purpose.
3.2 All other agencies involved with a particular child are invited to the annual review and asked to contribute. They rarely attend or send a written report. Many send apologies citing that they cannot attend due to current policy or local practice.
3.3 Social care packages and respite packages appear to be unevenly distributed throughout Lancashire. It appears that pupils with very similar needs and backgrounds are given very different opportunities dependent on a number of possible factors – geographical, level of education of parents, persistence of parents/carers and levels of understanding within the social care personnel.
Regarding opportunities for 19 – 25 age group
4.1 Many pupils leave Acorns being able to read up to a functional level (aged 9) and are taught skills leading to independence, safer travel and good communication. This preparation for the world of work is not borne out when they leave the community high school aged 19. In the history of Acorns school not one pupil has gone on to get a job/ apprenticeship and get paid or unpaid work.
TRAINING COSTS GRID
Category of training | Number of personnel across the school involved | Rate per hour / or cost of training from provider | No of hours per year | % of INSET | Total cost |
Training from specialist nurse for tracheostomy care | 4 | School nurse | 2 | During school hours | £120 |
Training from specialist nurse for Gastrostomy care | 19 | School nurse | 2 | During school hours | £570 |
Training from specialist nurse for stoma care | 2 | School nurse | 2 | During school hours | £30 |
Training from specialist nurse for epilepsy / asthma/ diabetes / meds awareness | 40 | Cost of full staff | I full day | 20% | 4,800 |
Training via external agencies for First Aid and Paediatric First Aid | 40 | £65 each | 1 full day per year on average |
| £2700 |
Bought in SALT , VI, HI services etc |
| £90 per visit | 30 visits per year |
| £2700 |
Ex gracia payments to staff in order to complete training ( out of hours / not in original contract etc) | 2 |
| 1 day per staff member |
| £180 |
Team Teach
| 2 tutors | £3000 | 6 days | ½ days 20-40% of INSET | £3000 plus cost of supply staff as training is within school time £4700 |
Manual Handling
| 1 M and H trainer | £1000 | 5 day course | 10% of inset | £1000 plus on costs regarding training individual staff and creating plans £1260 |
Oral suctioning training and signing off
| 4 | School nurse | 1 hr |
| £60 |
Health support worker
| 1 | School budget pays for this staff member |
|
| £15,600 |
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| TOTAL COST OF TRAINING = £36610 |
PROCEDURAL COSTS GRID
Procedure / type of medical input per class/ whole school total | Length of time per day | Time per week in hours | Hours per year ( x 38) | % of learning time overall | Total cost per year | Total cost as % of annual salary of TA / HLTA |
Pump/ bolus feed
| 11 hrs | 55 hrs | 2090 |
| £31,350 | Equivalent to 2 x TA 2b salary |
Stoma care
| 1.5 hrs | 7.5 hrs | 285 |
| £4,275 |
|
SATS monitor
| 2 hrs | 10 | 380 |
| £5,700 |
|
Management of secretions – eg yankeur / suction | 1.5 hrs | 7.5 hrs | 285 |
| £4275 |
|
Meds
| 3 hrs | 15 hrs | 570 |
| £8550 |
|
Rescue meds
| As needed – difficult to quantify |
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Replacement tracheostomy, gastrostomy button | 2 hr per month |
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| £60 |
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| TOTAL COST TO SCHOOL = £54210 | % of annual budget = 6.4% |