GOOD PRACTICE

Dudley (2) - multi-disciplinary support for disabled children
Summary of Context
Dudley is a medium sized Metropolitan Borough in the West Midlands. From the 1990s children's and adults' services were configured with a purchaser/provider split. Services developed as business units. Although the purchaser and provider services are now integrated, the business unit approach enabled significant innovative developments. There are good working relationships with health providers and health staff have been seconded to a multi-disciplinary team for disabled children.
Good Practice
There are a range of home support and respite services. The integrated team has a nurse adviser who is skilled in managing challenging behaviour and advises on alternatives to physical interventions and there is also a trained sick children's nurse. There is a team of community support workers who provide one-to-one direct work with children, particularly those with challenging behaviour, and there are home support workers for very disabled children who need extra care and support at home. The multi-disciplinary team is committed to providing continuity with all children having a named worker who undertakes reviews and sees the child through to transition to leaving care and/or adult services.
There is a well developed parents' group who have been supported by the authority to run drama and sports workshops at weekends, a good use of advocacy services to ensure that disabled children and their families are involved and consulted and a well developed sharing care family-based respite service.

Benefits

  • There is little use of out-of-authority placements for disabled children, either full-time or for residential respite. The authority records low levels of looked after children under an agreed series of short-term placements (5.7 per cent of all looked after children compared with an average of 17 per cent in 2001/2) - a considerable saving to the authority.
  • Information on disabled children is well managed with 366 children on the disability register, enabling long-term planning for disabled children to take place. Information for disabled children and their families is also readily available.
Contact: Sue Roxburgh Tel: 01384 815813