We are reporting on both of these improvement areas together because a lot of the work happening in our improvement services contributes to both these aims.
'Leaders across the partnership should address the variability in children and young people’s access to health services that exists in different areas within the local area so that all children and young people with SEND in Hertfordshire have an equal opportunity to access appropriate provision and support that meets their needs.'
We need to redesign the way we assess children and young people for autism and ADHD so it is less confusing and the process is the same across Hertfordshire. We will improve the support children and their families get while they wait for assessment and make sure everyone can find excellent support no matter which area they live in.
We also aim to more get young people aged 14+ with learning disabilities attending the annual health checks they are entitled to.
'Leaders should further address the gaps and delays in service provision to meet the full range of needs of children and young people with SEND. This includes services for autism, ADHD, mental health, audiology and speech and language.'
We will stop waiting times from getting any longer, and make sure services exist for the things our families need help with. Over time, we will make waiting times for services shorter, but within our 18 month plan, we will "stabilise" the waiting times. Some particular things that families need more help with, and faster, are:
- mental health
- speech and language
- ADHD and autism
- audiology (hearing).
We will also make sure that when families do have to wait, they know where to get support in the mean time.
We are also helping schools to use a new tool (called Valuing SEND), which helps education staff to identify a child's needs. This can be useful as evidence when getting the right support from colleagues in health and social care, and helps the school to provide the right support to the child.
Families told us they found it difficult to navigate services available to support neurodiverse children and young people in Hertfordshire.
We continue to make progress on the number of children and young people waiting for speech and language assessments. As of September 2024, the number of children and young people waiting for their Speech and Language Therapy (SaLT) EHC needs assessment report was 107, down from over 600 in 2023.
We had feedback from parents and professionals that these wait times were not reflective of the actual experience of many families. As a result we have updated the webpage with clearer information on how the wait times are calculated. We will seek more feedback on the information as a next phase, too.