Category Archives: Disability

In Search of Hidden Healthcare Workforces: NHS Therapists for Children and Young People with Special Educational Needs and Disabilities (Part 2)

Posted on by
Reply

Prof Ian Kessler of the NIHR Policy Research Unit in Health and Social Care Workforce is Professor of Public Policy and Management at King’s Business School. He introduces a new report from the Unit, scoping the demand and supply of NHS therapists for Children and Young People with Special Educational Needs and Disabilities.

This, the second of two blogs, focuses on the supply of, while the first addressed the demand for, therapists for children and young people with Special Educational Needs and Disabilities.

The Supply Side

Commissioning. While the capacity to address this increased demand rests in large part on the scale, structure, and capabilities of the therapy and, as already implied, the wider health and care workforce, the commissioning process for CPY with SEND, is pivotal. Commissioning determines the services available and at what level of resource, inevitably feeding through to determine the workforce required to provide them: to put it crudely, if a service is not commissioned, a workforce is not required. The close connection between service design and the workforce is apparent from various ‘good practice’ commissioning models [1]. These typically distinguish different levels of services linked to the nature of need and support, with implications for the requisite workforce: for example, accessible universal services delivered by a wider workforce; targeted services provided by registered therapists and their support co-workers; and specialist services the exclusive preserve of the registered therapist. Continue reading →

In Search of Hidden Healthcare Workforces: NHS Therapists for Children and Young People with Special Educational Needs and Disabilities (Part 1)

Posted on by
Reply

Prof Ian Kessler of the NIHR Policy Research Unit in Health and Social Care Workforce is Professor of Public Policy and Management at King’s Business School. He introduces a new report from the Unit, scoping the demand and supply of NHS therapists for Children and Young People with Special Educational Needs and Disabilities.

This, the first of two blogs, focuses on the demand for, while the second discusses the supply of, therapists for Children and Young People with Special Educational Needs and Disabilities.

Context

The workforce delivering care and support for children and young people (CYP) with special educational needs and disabilities (SEND) is an elusive one. In part this elusiveness stems from the diffuse and fragmented nature of the workforce as CYP with SEND typically engage with a variety of services- education, health, social care and sometimes housing. Even drilling down into these discrete service segments, tying the SEND workforce down in terms of its size, skill mix, and capacity remains challenging. Take health as an example. CYP with SEND will have a range of developmental, physical, and mental health care needs, addressed by a variety of staff groups to be found in different clinical settings including: nursing in both community, acute and mental health settings, clinical consultants in a similar range of settings, GPs in primary care, and healthcare visitors in the community. Adding to the challenges is the fact that those in any one of these staff groups will have clients which include but are rarely limited to CYP with SEND. With policies often framed by and centred on ‘children and young people with SEND’ as the named client group [1], the hidden nature of the workforce caring for and supporting them becomes a real challenge in meaningfully delivering on the policy initiative. Continue reading →

Letter from Budapest

Posted on by

Ágnes Turnpenny is a Research Associate at the Social Care Workforce Research Unit, King’s College London. (564 words)

On March 13-14 I attended the conference Social and Technological Innovations – The Participation of Persons with Disabilities during the Hungarian presidency of the Visegrad Group. The Visegrad Group (or V4) is an intergovernmental cooperation between Hungary, Poland, the Czech Republic, and Slovakia. Originally established after the fall of the iron curtain in 1991, it aims to promote cooperation and mutual learning based on shared legacies and common challenges in the context of political and socio-economic transformation. An important milestone was reached when the V4 countries (alongside four other post-communist countries) joined the European Union in 2004. In recent years the emphasis on ‘shared values’ has become stronger as the four countries have shifted towards more populist or openly authoritarian regimes. Continue reading →

Social Work and Disability

Posted on by

Peter Simcock and Dr. Rhoda Castle introduce their new book, Social Work and Disability, now out from Polity Books. (1,040 words)

0745670199Literature focusing on social work with disabled people, particularly those with physical and sensory impairments, is relatively limited, and so an email from the publisher Polity Press enquiring if such a text would be welcome was met with great enthusiasm. We didn’t realise then, that we would be the authors of that text, especially when faced with other demands on our time, not least PhD study and our ‘day jobs’. However, a number of things motivated us to write this book. First of all, we have both observed some inspiring social work practice with disabled people, and this is an area of work we would like to promote among the practitioners of the future. Although people should not be defined purely in terms of their impairments, there can be variation between the restrictions that people with different atypical physical attributes will face, and variation again between their experience and that of people with learning disabilities. As literature focusing on social work with people with physical and sensory impairments is particularly sparse, this was a gap we sought to address. However, despite this primary focus on disability associated with physical and sensory impairment, we have attempted to take a holistic approach, which recognises that people with learning disabilities may also have physical impairments. Continue reading →