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Bradford Complex Care Plan




Bradford Complex Care Panel

Terms of Reference 2018

The Complex Care Panel is made up of Panel members from Education, Health and Social Care.  It is chaired at Deputy Director level and is responsible for  agreeing and commissioning highly specialist provision for a small number of Children &Young People (0-25 years) with a complexity of needs.  The panel meets on a monthly basis.


The remit of the Complex Care Panel will be to jointly agree and commission highly specialist provision for a small number of C&YP (0-25 years) with a complexity of needs.




Stakeholder Decision Makers




Lynn Donohue

Interim (Strategic Lead for Inclusion, SEND and Early Years) ) Deputy Director, Education Employment and Skills


Clare Smart



Deputy Director, Strategic Partnerships for Bradford Districts CCG


Lyn Sowray

Assistant Director, Health & Wellbeing (Adults)


Jim Hopkinson

Deputy Director, Social Care



David Byrom

Head of Service, LAC & Resources


Simon Ramsden

SEN Assessment Manager


Ruth Dennis

Principal Educational Psychologist


Alison Smith (to alternate)

Head Specialist Teaching Team (BSS)


Anne Lomas (to alternate)

Head of Visual Impairment Service


Ruth Hayward  (to alternate)

Head of Commissioning (Women and Children) ), NHS Airedale, Wharfedale & Craven, Bradford City and Bradford Districts CCGs


Jackie Backhouse

CCG Clinical Advisor (SEND)


Lorraine Hawksworth-Quill


Service Manager - Children's Disability Service


Fred Bascombe

Adult Social Care representation 


Sally Townend

Adult Social Care representation 


Lisa Stead



Julia Elliott

Head of School Nursing


Cath Dew

Early Help (LAC)


Jenny Cryer

Assistant Director, Performance & Commissioning (Children's Services)


Mary Brittle

Commissioning and Contract Manager


Andrew Redding

Business Advisor


Angela Taylor

14-19 Lead Officer LDD (Post 16)

Panel Administrator

Claire Willoughby









Panel Administrator









Scope of Panel Decisions

It is recognised that a very small number of children and young people (0-25 years) who have a statement of Special Educational Needs and Disability or are the subject of an Education Health and Care Plan, will be unable to have their needs met from services and provisions that are  available or able to be provided within the district.  These children and young people will require highly specialist and individualised packages of support.  These are often high cost, specialist residential providers, able to offer specialist education, health and care provision that the LA and CCG are unable to commission and deliver from within existing services.


It should be noted that whilst the majority of the Children/Young People will have a Statement or EHC Plan, there will be a small number who do not have a disability or special educational need that impacts upon their lives to an extent that requires an EHC Plan (or statement).  However, other factors mean that their needs are sufficiently complex and cannot be met within the usual commissioning and provision of services.


Decisions to approve placements and funding will need to be agreed at a senior level due to the high cost of the individualised packages needing to be commissioned.


For the purposes of auditing, challenges, complaints, or other matters arising linked to the decision of the Panel, the following membership will be considered accountable:

  • Deputy Director, Education, Employment and Skills
  • Director of Strategic Partnerships, Executive Lead for Bradford Districts CCG
  • Deputy Director, Social Care
  • Assistant Director, Health & Wellbeing (Adults)


Substitutes sent on behalf of any Panel member must have the delegated authority to make decisions on behalf of the service/organisation they are representing.


The Complex Care Panel will be provided with support and advice by:

  • SEND and Behaviour Strategic Manager
  • Head of Service, Through Care and Resources
  • SEN Assessment Team Manager
  • Principal Educational Psychologist
  • Head SEBD Team
  • Head of Sensory Service
  • Head of Commissioning for (Women and Children) , NHS Bradford Districts, NHS Bradford City & NHS Airedale, Wharfedale & Craven CCGs
  • Head of School Nursing
  • Assistant Director, Performance & Commissioning (Children's Services)
  • Commissioning and Contract Manager
  • 14-19 Lead Officer LDD Post 16
  • Transitions Social Care
  • LAC Virtual Headteacher
  • Legal Advisor 
  • Senior Finance Officer
  • SEN Admin Team Manager (Panel Administrator)

These individuals will act in an advisory capacity only and will not be eligible to make decisions unless indicated otherwise by the key stakeholder organisations represented in the Panel membership.

Terms of Reference

  1. The focus of the Panel will be on those children/young people (aged 0-25 years) who have a complexity of need which requires provision (usually residential) that is not available, or is unable to be made, within Bradford.  For young people aged 18-25, this will include provision whereby there is a requirement for them to remain or access out of authority specialist provision, which must include specialist education as well as care and/or health provision, as no such specialist provision is available in the Bradford District, but the young person intends to remain a Bradford resident (e.g. they may attend a specialist residential post 16 college).
  2. The Complex Care Panel will only consider cases that are “high cost” and/or bespoke and highly specialist packages which are jointly commissioned between the LA and the CCG.
  3. The Complex Care Panel will have representatives who are at an appropriately senior level from key stakeholders, specifically Children & Young Peoples Service (covering Education & Children’s Social Care), Adults Social Care, Children’s and Adults CCG.  All members of the Complex Care Panel must have the approved delegated authority to make decisions on behalf of the organisation/stakeholder they represent.
  4. Cases will be presented by the most appropriate key worker.  This will usually be the Social Worker, SEND Case Officer and/or Health Worker.  The key worker will be responsible for ensuring reports are prepared in advance and presented to the Complex Care Panel within the required timescale.
  5. The Complex Care Panel will usually seek to commission provision from within the relevant approved Commissioning Frameworks.  However, it is recognised that in order to secure the appropriate provision, on occasion it may be necessary to commission provision outside of the Framework arrangements.


The EHC Panel and the Complex Care Panel will work closely together to ensure that the needs of C&YP are assessed and met appropriately, efficiently and effectively.  This will include the need for systems to be in place that recognise the movement of C&YP between the EHC Panel and the Complex Care Panel

Practical Considerations

The panel will make decisions based only on the written evidence presented. If this is insufficient to support a decision being made, the case will be referred back to the referring agency for further clarification.


It is expected that the lead/key worker would present the case. In their absence, the team manager should present the case to Panel on their behalf.


All relevant information will be shared with Complex Care Panel members at least 1 week before the panel meeting.  The information will be available on share to which all members will have access.  This will include all the necessary paperwork to support the decision making process. The meetings will be attended by the Admin Team Manager (Administrator) to support the administration requirements of the Panel.


The minutes of the panel will be shared with professionals 1 week after the Panel meeting. It is the relevant worker’s responsibility to input the Panel notes on Electronic Case Files.


The Panel advises that all paperwork be shredded after the meeting.


Reports not submitted on time to the Complex Care Panel mailbox will be deferred to the next Panel, unless there are exceptional circumstances where a delay could impact negatively on a child’s needs.


Reporting Mechanisms

  • Children's Services:  Directorate Management Team
  • SEND Strategic Partnership
  • Health and Well-being Board

Meeting Cycle


The Panel will meet once a month.





Schedule of Meetings – Complex Care Panel





Tuesday 6 February 2018

13:00 – 15:00

Priestley Conference Room, MMT

Tuesday 6 March 2018

13:00 – 15:00

Room 102, MMT

Tuesday 24 April 2018

11:00 – 13:00

Room 103, MMT

Tuesday 22 May 2018

13:00 – 15:00

Bronte Conference Room, MMT

Tuesday 26 June 2018

11:00 – 13:00

Bronte Conference Room, MMT

Tuesday 17 July 2018

11:00 – 13:00

Room 101, MMT

Tuesday 18 September 2018

11:00 – 13:00

Bronte Conference Room, MMT

Tuesday 16 October 2018

11:00 – 13:00

Braine Room, MMT

Tuesday 20 November 2018

11:00 – 13:00

Bronte Conference Room, MMT

Tuesday 18 December 2018

11:00 – 13:00

Bronte Conference Room, MMT


This page was last updated on 20/12/2018. This page has been viewed 915 times.