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Needs Code February 2017

Draft%20Additional%20Learning%20Needs%20Code%20February%202017

12.42 To help health

12.42 To help health bodies undertake their functions under the Act, they must 172 designate an officer to have responsibility for co-ordinating the health board’s functions in relation to children and young people with ALN. That person will be known as the Designated Education Clinical Lead Officer (DECLO). The Designated Education Clinical Lead Officer (DECLO) Overview of the DECLO 12.43 Health Boards (HBs) in Wales must designate an officer (the ‘DECLO’) to have responsibility for co-ordinating the HB’s functions in relation to children and young people with ALN 173 . 12.44 The DECLO should have oversight of the HBs health services provided to children and young people with ALN aged 0 to 24. This will include: assisting the HB to discharge its duty to cooperate with other services to promote better outcomes for children, young people and young adults in education with ALN; operating strategically to champion ALN within the HB and promoting new ways of working and sharing best practice; ensuring a consistent strategic approach to identification, assessment, planning, implementation and monitoring of IDPs; managing and monitoring compliance with HB ALN duties, and measuring success of the HB interventions. 12.45 The HB may only designate a DECLO it considers to be suitably qualified and experienced in the provision of health care for children and young people with ALN: The DECLO should have experience of senior health service leadership, and be capable to provide overall strategic direction to ensure the HB is able to meet statutory obligations for ALN, to identify and solve problems and conflict at the earliest level, and to escalate issues as appropriate. The officer must either be a registered medical practitioner or a registered nurse or another health professional (GMC, NMC, HCPC or PHReg). The officer should have senior experience in an aspect of healthcare relevant to ALN through experience in a healthcare field such as Medical (primary or secondary care), Nursing, Midwifery, Allied Health Professional, or Public Health practitioner. 172 Section 55(1) of the Act 173 Section 55(1) of the Act. Page | 124

12.46 The DECLO should report to an Officer Member of the Health Board. The Officer Member may delegate operational oversight of the DECLO, however, responsibility and accountability will remain with the Officer Member, at Board level. These arrangements should work within existing operational arrangements. 12.47 The time allocated to undertake the DECLO role should be informed by the number of children and young people in the HB population with an ALN and should be agreed within the HB. Similar roles suggest an indicative time allocation of 1 day per 40,000 children and young people in the area. 12.48 The role of the DECLO includes strategic and coordinating functions which should remain with the DECLO. However, the DECLO should not be involved in every child’s IDP and, therefore, should delegate operational functions to an appropriate service in the HB, especially where subject specific technical knowledge is required, or a health professional is already involved in care. Partnership working 12.49 The DECLO should work in partnership with and cooperate with other services to promote better outcomes for children and young people in education with ALN, by promoting effective multiagency working between health (primary and secondary care), public health, education and social care departments, service users and the third sector. 12.50 The DECLO should work across the HB and involve all relevant health professionals to ensure the health interventions agreed in IDPs are holistic, prudent and ultimately delivered by health professionals. 12.51 The DECLO should work with both children’s and adults’ services to ensure successful transitional arrangements are in place for children. 12.52 The DECLO should contribute to a community of practice, making contacts with the DECLOs from other HBs to promote new ways of working, share best practice and learn from others. 12.53 The DECLO should cooperate with counterparts across Wales to establish clear and consistent care pathways for children with ALN throughout Wales, to reduce inequity across health board areas especially for individuals who move areas or are placed out of area. Individual Development Plans (IDPs) 12.54 The DECLO should ensure efficient and consistent systems are in place so that health professionals (including speech and language therapists, occupational therapists, physiotherapists, CAMHS, community paediatrics, learning disability services, and primary care teams including GPs, health visitors and school nurses) are able to undertake appropriate, timely assessments, make evidence based recommendations on effective Page | 125

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