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| printer friendly | Contact a Family Factsheet: Disabled children’s services in England and Wales | |||||||||||||||||||||||||||||||||||||
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Last updated August 2007
This is a text-only version of our factsheet. You can also download (0.6Mb) this factsheet in Adobe Acrobat pdf format or buy multiple copies from The Contact a Family Shop Introduction
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Combining assessments
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A new approach to assessments in England
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The Carers (Recognition and Services) Act 1995 means that parents can ask for a carer’s assessment. The carer’s assessment focuses on you as a parent and your needs. Social services should discuss issues like the help your child needs and whether there is anyone else who helps, or if you are your child’s only carer.
The carer’s assessment should also consider your well-being, including health and safety issues, and important commitments like relationships and employment.
The aim of a carer’s assessment is to give you a chance to tell social services about the things that could make looking after your child easier for you. This may result in getting services or direct payments to meet your own assessed needs.
The Carers (Equal Opportunities) Act 2004 requires local authorities to tell carers about their rights to an assessment. The Act also makes sure that work, education and leisure opportunities are considered when you’re being assessed.
The ‘Carer’s assessment guide’ contains further advice and is available from Carers UK, 20-25 Glasshouse Yard, London EC1A 4JT, CarersLine Tel: 0808 808 7777 or from their website at Web: http://tinyurl.com/2kfj6z
After social services have carried out an assessment and reached a decision about whether your child is ‘in need’, they will consider which services are required.
They may decide there is no need for services, which could result in your case being closed with no further action taken. If you disagree with this decision you can challenge it using the local authority’s complaints procedure. Or they may decide that there is a need for services and these should be provided.
Services for disabled children are available under Section 2 of the Chronically Sick and Disabled Persons Act 1970 and under the Children Act 1989.
The Chronically Sick and Disabled Person Act sets out what kind of help should be provided. Under this Act, the duty to provide services is to the individual disabled child and does not extend to other members of the family. The services detailed are:
The Children Act 1989 sets out a range of support services which should be available. This includes the right to permanent or temporary residential accommodation, if your child needs it. It forms the legal basis for residential short breaks. If your child needs this service, then it should be provided. If there are no suitable facilities locally, your local authority can look outside its own area.
There are other services listed in the Children Act. Here are some examples:
Under the Children Act 1989 local authorities have a general duty to make a range of services available to help children in the area. Importantly, the Act allows social services to provide help which will benefit other family members, like siblings and other carers.
Services available under both these Acts should be provided when there is an assessed need, and services are necessary to meet those needs. In practice, most local authorities use ‘eligibility criteria’ to help them make this decision.
There are many disabled children in an area who need help but social services have limited financial resources. Using ‘eligibility criteria’ for deciding who has a ‘need’ for services is a way they can prioritise, to make sure the people most in need get help.
The criteria differ from one authority to another and this means if you move to a different local authority area you may no longer qualify for the same help.
For example, one of the services listed under the Chronically Sick and Disabled Person’s Act is ‘holidays’. This doesn’t mean every disabled child must be given a holiday each time they ask. There will be local eligibility criteria. It might say for instance, that holidays will normally only be given if a child has not had a holiday for five years and there is a risk of family breakdown if it’s not given.
Once your child’s assessed needs match the local eligibility criteria, the local authority has a duty to provide or arrange services to meet those needs.
In this example, if your child had not had a holiday for five years and you could show that your family was under such stress that family breakdown was possible, there would be an obligation to fund the holiday regardless of the local authority’s financial difficulties.
However, the local authority can take its resources into account in deciding how it will actually meet the needs. It might limit the type of holiday it provides, or it might arrange for another organisation to do so. It could even apply for a charitable grant to fund the holiday.
If the service is not actually assessed as a need (perhaps seen as only useful), or if it is assessed as a need but does not fit the local criteria, the local authority has no actual obligation to provide or arrange the service. They should still use their best endeavours to meet the need, for example by contacting a local charity or voluntary agency for help.
If the decision is that services aren’t needed, or that you don’t fit the eligibility criteria, you should be given clear reasons. This is to help in case you want to challenge the decision using the complaints procedures.
Beware!
It is quite common to hear statements like, ‘Our local authority no longer provides short breaks’ or, ‘We don’t do carers assessments in this local authority.’ These statements are unlawful and you should have good grounds for a complaint.
In fact, the local authority should not put a blanket ban on any service and should always consider the needs of the individual child and family. Other families have challenged these statements in court and the courts have decided that a local authority can’t ‘unlawfully fetter its discretion’. This means they must always be prepared to consider requests which don’t fit into their eligibility criteria.
Using the holiday example from earlier, it would be illegal for a local authority to say, ‘we never give holidays to children unless they have not had one for five years’. They can say, ‘we don’t usually give holidays’ but they must always listen to any reasons you have about why you should be treated as an exception.
The care plan
Once the social worker has gathered enough information through the assessment, they decide which of your child’s various needs warrant the provision of services. In many areas a panel decides the package of services that may be offered. A plan should then be agreed between social services and you and your family, to meet any identified needs. The plan should give details of:
Importantly, the care plan should be reviewed regularly to make sure any services remain appropriate.
Waiting lists
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Local authorities do have the power to charge for services they provide under the Children Act 1989.
In England, each local authority will have its own charging policy and it is usually your income and savings as a parent that are taken into account, rather than your child’s. You should not be asked to pay more than you can afford.
When a child reaches 16 years of age, they are assessed in their own right. This means it should be their ability to pay which is taken into account and not yours.
In Wales, it is highly unusual for there to be any charges for services.
If you get Working Tax Credit, or Child Tax Credit (paid at a rate above the family element) or Income Support, you should not be charged for Children Act Services.
Arguably, your local authority can’t charge for any services provided under the Chronically Sick and Disabled Persons Act. If your child is disabled, has been assessed as needing any of these services and you are being charged, call our helpline for advice.
You should also not be charged for advice, information and social work services.
Services for carers of disabled children are normally provided under the Children Act and the same charging rules apply, described above.
If you feel you are being charged wrongly, or at a level which is more than you can reasonably be expected to pay given your circumstances, you can ask for the charges to be reduced or waived completely. If you’re still unhappy with the amount you’ve been asked to pay you can make a formal complaint.
What are direct payments?
Local authorities can give payments, instead of services, to allow disabled people and carers to buy in the services they’ve been assessed as needing. Any payments you receive must only be used to pay for these services.
Direct payments are there to promote the independence of parents and disabled children who would like to manage their own social care needs. If your child is under 16 years of age, direct payments will usually be made to you as their parent. When a child turns 16 they can receive payments in their own right, to allow them to buy in the services they’ve been assessed as needing.
In the past you couldn’t insist on direct payments. But now in England and Wales, a request should only be refused in very limited circumstances.
How much are direct payments?
The amount you receive should be enough to allow you to meet all the costs involved in arranging services that social services have agreed to help with. This should include any tax and national insurance you might have to pay if you employ someone, as well as the cost of a criminal records check.
Social services will usually deduct an amount from the payments, equivalent to what you would have been charged if they’d arranged the services. Or they may make the payments in full and ask you to reimburse them any assessed charge.
Further information about direct payments
The Department for Education and Skills (now known as the Department for Children, Schools and Families (DCSF)), together with the Council for Disabled Children, have produced ‘A parent’s guide to direct payments’. It’s also available in translated versions (Bengali, Gujarati, Hindi, Punjabi, Urdu).
Copies are available from Department for Children, Schools and Families Publications,
Tel: 0845 602 2260, Fax: 0845 603 3360 or by visiting the Every Child Matters website at Web: http://tinyurl.com/g4lfc
The above link also has frequently asked questions (FAQs) on direct payments for families with disabled children or young people.
Families in Wales may also find information from the Social Services Improvement Agency (SSIA) website helpful, at Web: http://tinyurl.com/2bo28j
Vouchers
The voucher scheme allows carers and disabled children to receive vouchers for short breaks. This should mean more freedom to choose when and where to take a break. In both England and Wales the scheme is discretionary, which means that local authorities don’t have to offer it, and most don’t. The Contact a Family helpline can provide further information.
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National Service Framework In England the National Service Framework for Children (NSF) is the government’s 10 year plan to improve services for children. By 2014 service providers must meet certain standards set out in the NSF. This is a major change in the way that families with disabled children are helped and supported. The overall aim is to develop services which are based around the needs of children and their families, instead of the needs of organisations delivering the services. Although the NSF is not law, it is government policy which must be followed. As a parent, if you find that a service provider is not following the NSF then you have a right to make a formal complaint. For more information about the NSF call our helpline or download from our website:
In Wales the Children’s NSF was launched in September 2005 with similar targets and key standards. Its aim is that ‘all children and young people achieve optimum health and wellbeing and are supported in achieving their potential’. It’s hoped the improvement of service delivery through the setting of national standards will help achieve this. The framework has been developed between health and social care with links to education, housing, leisure and the voluntary sector, together with parents and carers, children and young people. Further information can be found on the Wales NHS website: Web: http://www.wales.nhs.uk Contact a Family’s office in Wales can also provide further information on Tel: 029 2039 6624. |
Under The Children Act 1989 ‘Representations Procedure (England) Regulations 2006’ a new way of dealing with complaints about services to children and families was introduced. This is not an exhaustive list but parents and carers can complain about:
Each local authority has a ‘designated officer’ who receives all complaints, called the complaints manager. They don’t have to handle all stages of the complaint but are responsible for administering the scheme to make sure complaints are dealt with swiftly and effectively.
How quickly can I expect a complaint to be dealt with?
The new procedure also introduces new time scales. These are summarised below:
Stage 1 Local resolution
You should bring your concerns to the attention of the person providing the services locally. The local authority should consider mediation at this stage, and all other stages.
They should make a first attempt to resolve matters within 10 working days This can be extended by another 10 days, for example if an advocate needs to be appointed.
If the matter isn’t resolved, or if there is agreement for an investigation to take place, then the complaint should go to Stage 2. If you wish the complaint to go to this stage you can request this orally or in writing.
Stage 2 Investigation
The local authority should arrange an investigation that produces a report and a decision within 25 working days (or within an extended period of 65 working days where a response is not feasible within 25 days). If the matter is still not resolved then you can ask for a panel to consider your complaint.
Stage 3 Review Panel
The person making the complaint can ask for the matter to go to a Review Panel within 20 working days of receiving a Stage 2 decision. This is a meeting of three independent people who will consider the complaint and make recommendations. The process of holding a review panel must follow certain time limits. See box below.
Unhappy with the outcome of a Review Panel?
If, after a Review Panel has considered your complaint, the matter is still not resolved then you can take your complaint to the Local Government Ombudsman (LGO). You may be able to approach the LGO earlier for more information see page 18.
You can find further information about complaints in government guidance, ‘Getting the best from complaints, social care complaints and representations for children, young people and others’ available at Web: http://tinyurl.com/38zsct
Summary of Stage 3 time limits
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Action: Time frame: |
You request a Review Panel Up to 20 working days after receipt of the Stage 2 decision |
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Action: Time frame: |
Complaints manager acknowledges request Within two working days |
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Action: Time frame: |
Complaints manager appoints a Chair and confirms attendees and content of the panel papers Within 10 working days of the complainant’s request for Review Panel |
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Action: Time frame: |
Local authority agrees the other panellists and date for Review Panel Within 30 working days of your request for Review Panel |
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Action: Time frame: |
Local authority circulates panel papers Within 10 working days of the date for the Review Panel |
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Action: Time frame: |
Review Panel produces its written report (including any recommendations) Within five working days of the Review Panel meeting |
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Action: Time frame: |
Relevant director issues their response Within 15 working days of receiving the Review Panel’s report |
New arrangements for handling social services complaints came into force on 1st April 2006 under the ‘Children and young people: the social services complaints procedure (Wales) regulations 2005’.
The new procedures apply to any social service provided by a council - and any service that a council is paying for. There are three stages:
Stage 1 - Local resolution
You should raise your concerns with the person providing the services locally. They must try to resolve matters within 10 working days. You - but not the council - can extend this by a further 10 days.
Stage 2 - Formal consideration
You have the right to ask the council for a formal consideration of the complaint at any time. This is usually an investigation by someone not involved with the local service, but it could take some other form, like mediation. A report with findings, conclusions and recommendations must be produced.
The council must respond to you within 25 working days of your request to move to this stage. This can be extended only in limited circumstances.
Stage 3 - The Independent Panel
You have a right to have an unresolved complaint considered by a panel. You have the same right if the council has not responded to the first complaint after three months.
Make your request to the Independent Complaints Secretariat within 20 working days of completing Stage 2. The panel membership and the administrative arrangements will be completely independent of the council.
The panel must meet within 20 working days and make its report available within five working days of meeting. The council must respond within 15 working days of the report.
The contact number for the Secretariat is Tel: 01495 332487 or you can write to: Hayley Johnson, Independent Complaints Secretariat, The BSC, Pontypool, Mamhilad House, Park Estate,
Pontypool NP4 0YP
If the complaint is still not resolved
You can take any outstanding complaint about the actions or decisions of the council to the Public Services Ombudsman for Wales (see below). The Ombudsman will expect the council to have had a chance to consider the matter first - but you may choose to take a complaint to the Ombudsman before the local authority procedure is exhausted in certain circumstances.
The guide `Your rights to complain: A quick guide to social services complaints procedures for children and young people’ can be downloaded from the Welsh Assembly website at Web: http://tinyurl.com/2fcagd
Contact a Family’s office in Wales can also give you further information on Tel: 029 2039 6624
If you’re not happy with the panel’s decision then there are various other options, like taking the issue up with a local councillor or MP (Assembly Member if you live in Wales) or complaining to the respective Local Government Ombudsman (LGO).
The Ombudsman can investigate complaints against principal councils (not town, parish or community councils) and certain other bodies. By law they must look for ‘maladministration’ by a council. Examples of maladministration include prejudice, unreasonable delays and failure to provide or follow proper procedures and rules.
The Ombudsman will decide whether the council has done something wrong which has directly affected you and caused you an injustice. They won’t investigate a complaint against the council simply because you disagree with it. The Contact a Family helpline can send you a leaflet ‘How to complain to your Local Government Ombudsman’.
England
There are three LGO’s in England. Each of them deals with complaints from different parts of the country. For further information visit Web: http://www.lgo.org.uk or Tel: 0845 602 1983 Mon-Fri, 9am-4.30pm
Wales
Contact the Public Services Ombudsman for Wales, Tel: 01656 641150, Web: http://www.ombudsman-wales.org.uk Web: http://www.ombwdsman-cymru.org.uk
If your complaint is very urgent and you can’t wait for the complaints procedure to resolve the matter, you can apply to the courts for a Judicial Review. Judicial Review is a procedure where the High Court looks at the way a decision was reached to see if it was legally correct.
You can also apply for Judicial Review if you have exhausted the complaints procedure and are still unhappy with the outcome. To do this you will need legal assistance.
If you have a low income you may qualify for legal aid. Also, some solicitors offer a free first interview. The Contact a Family helpline can send you information about getting help with legal costs and contact details of solicitors in your area which specialise in community care.
Before seeking a Judicial Review it may be worth complaining to the local authority monitoring officer. The monitoring officer (usually the chief executive or borough solicitor) is responsible for making sure decisions are lawful and procedures are correctly followed.
Tips for attending meetings with social services
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My social worker said I should put my disabled child on a register of children with disabilities. What does this mean?
Social services have an obligation to keep a register of children with disabilities. This isn’t the same as the child protection register and doesn’t suggest in any way that your child is at risk. You don’t have to agree to your child’s name being added to the register and it doesn’t affect your entitlement to services.
A register allows social services departments to try and plan services for disabled children more effectively in their area. It is sometimes used as a way of getting relevant information to families so you might get a newsletter as a result.
My daughter is disabled and I’m wondering if I can get a Blue Badge?
The Blue Badge Scheme (formerly Orange) is a UK arrangement of on-street parking concessions for disabled people. The badge can also be used in many European countries.
If you regularly drive your disabled child and they have severe walking difficulties, or are registered blind, or have severe upper limb disabilities or receive the higher rate mobility component of Disability Living Allowance, you may be eligible.
The earliest you can get a Blue Badge is from two years of age, although there are plans to extend the scheme to some younger children in the future. You should apply to your local social services department.
Can my social worker advise me on which benefits my family are entitled to?
Social workers do have a duty to provide advice and guidance. They should explain to you what benefits are available and make sure you’re getting the benefits you’re entitled to.
However, most social workers are not benefits experts and they may rely on the local authority’s welfare rights service or similar advice agency to help you. They may also direct you to a voluntary organisation like the Family Fund for further help.
Advice about entitlements can also be found in our factsheets, available from our helpline:
Helpline advisors can also answer benefit enquiries and possibly identify further sources of help.
My son has ADHD and is also autistic. Social services won’t assess my child, saying they can only help children with physical disabilities and they don’t have any suitable services.
Under the Children Act 1989 a local authority has a duty to assess any child in need. Children in need are defined as children who are under 18 years of age and are:
Do I have a right to see my child’s records?
Under the Data Protection Act 1998 professionals and agencies have a duty not to disclose information about disabled children and their families without the consent of the ‘subject’. This applies to children as well as adults provided that, if they are under 16 years of age, ‘they have the ability to understand the choices and their consequences’.
Even though there’s a duty not to disclose without the child or young person’s consent, the public body concerned (for example, the health service or local authority) still have the discretion to allow access to the information. In most cases parents should have no difficulty in seeing their child’s records.
Guidance also says that advocates should be given access to relevant information about the person they’re representing. Our helpline can give you further advice about access to personal records.
Can I use direct payments to employ my sister-in-law who lives with me to look after my son?
The 2003 Direct Payments Regulations make it that clear that a direct payment should not be used to employ a spouse, partner or close relative living in the same household as the disabled person.
However, employing a close relative may be possible if this is the only effective way to meet a child or young person’s needs. For example, if a child has complex communication needs or specific cultural needs then it may be acceptable to employ a family member who could meet those needs.
I’m finding it very difficult to cope and need help at home, but I’m scared that if I contact social services they’ll take my children away.
Unfortunately, there are many parents who feel that needing help will lead to social services taking their child away. Some even feel that a request for help is a sign of weakness or bad parenting. For this reason we understand that some families will not seek help.
It’s important to understand that while social services have specific duties around child protection issues and protecting vulnerable children from harm, they also have duties and responsibilities to support families. This means where possible keeping the family together.
So social services should respond to your situation by carrying out an assessment to identify your needs. If you like you can also ask for a separate assessment as a carer. Either way, this should lead to a recognition of your needs and the practical support you’re looking for to help ease the situation at home.
Some parents get regular breaks which allow them to spend time either with their other children or alone, so they can recharge their batteries. Spending time away from your disabled child may also help foster a sense of independence. This may be particularly helpful with transition to adulthood, as they grow up.
If you’re still concerned about approaching social services, you may find it helpful to contact a voluntary organisation for support and advice. They may be able to support you in your request for help or tell you about other services which aren’t linked to social services. Contact the helpline for further information.
My husband and I are asylum seekers and care for our severely disabled daughter. We can’t claim any benefits and we’re not allowed to work. Instead we receive assistance from the National Asylum Support Service (NASS). We’re finding it very difficult to lift our daughter in and out of the bath and onto the toilet. She also needs a wheelchair - without one we can’t take her anywhere. Are we entitled to any extra help?
NASS are responsible for maintaining you, your husband and your child. They are responsible for providing for a child’s ‘essential living needs’. These mean the needs of ‘an ordinary child or adult with no special peculiarities or disabilities’.
Although s.122 (5) Immigration and Asylum Act 1999 says local authorities can’t provide ‘assistance’ under s.17 of the Children Act 1989 to a child who is not disabled, whose parents are supported by NASS, this doesn’t stop them providing support to a child who is disabled.
Under the Children Act 1989 the local authority can provide further support and services for your daughter’s needs as a disabled child. If NASS support is inadequate you can approach your social services department for help.
So, any needs that go beyond ‘essential living needs’, like needs arising from a child’s disability, should be provided for by the local authority.
It is important to seek further clarification about your rights to make sure you don’t jeopardise your status and current support. You may find, for example, that getting practical help from another source to meet another need could affect the assistance you get from NASS. Contact the helpline for further information on specialist sources of advice.
I am a student from overseas, living with my wife and disabled child. Because of our immigration status we’ve been told we have `no recourse to public funds’. What does this mean?
Most people coming to stay in the UK under the immigration rules are expected to be able to house and support themselves financially, without having to rely on public funds or state support. This is what is meant by ‘no recourse to public funds’.
In reality this means you’re not usually allowed to claim benefits like Income Support, Housing and Council Tax benefits, Disability Living Allowance and tax credits. Also, you’re not usually allowed to apply for local authority housing.
For the purposes of immigration rules ‘public funds’ does not include NHS treatment, state education or help from social services, for example under the Children Act 1989. If you’re not clear about your rights it’s very important to seek specialist advice. If you don’t, it could affect your status and right to remain in the UK.
The Contact a Family helpline can provide limited advice and assistance on immigration matters, including advice on rights to entitlements. But we can’t help with more complex issues like challenging a failed application for asylum or advising on deportation.
If we can’t give the help you’re looking for, we should be able to suggest where to get help in your area. Contact the helpline for information about specialist immigration advice services.
For further information, contact your local carers centre, citizen’s advice bureau, law centre or disabled person’s advice centre. For details of the nearest one to you, call our freephone helpline,
Tel: 0808 808 3555
Textphone: 0808 808 3556
open Mon-Fri, 10am-4pm; Mon 5.30-7.30pm or
e-mail: helpline@cafamily.org.uk
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