A thread on the Assessment of Need: the statutory process by which children whose parents have concerns about potential disability can be assessed.

The process has recently been changed by the HSE in a manner that is frankly appalling.

Explanation: (1/n)

Parents might apply for AoN for a child due to concerns about development- in my clinic, the commonest reason is queried autism.

Previously, the AoN involved a team (usually physio, OT, SLT, psychology) assessing a child to get insight into the nature of their difficulties (2/n)
The team conducted a series of assessments, usually taking several hours each, and produced a report giving a detailed analysis of how a child is doing, what the causes of their difficulties might be, suggesting a diagnosis if appropriate, and giving advice on next steps (3/n)
Based on this, a child might be entitled to additional support in the classroom or financial supports. Medical investigations for individual diagnoses could also be arranged.

Function is more important than diagnosis, but in our system diagnoses get you support.

(4/n)
Legally, the AoN must be completed within 6 months of referral.

In many parts of the country, including Dublin, this almost never happens.

91% of children do not get their assessments on time. (5/n)

https://t.co/LQseHEWj3u
The HSE get sued for this. A lot.

In Jan 2020, the HSE produced a new Standard Operating Procedure for AoN.

It reduces the previous assessment involving multiple professionals to a single assessment lasting a maximum of 90 minutes, regardless of the child's needs. (6/n)
The reports will indicate if a child has a disability or not, but due to the limited scope do not allow for any insight into diagnosis or next steps.

This is left for community disability teams, whose assessments are not subject to legal time limits (so the HSE cannot be sued).
In its current form, the SOP appears designed to reduce legal liability than out of any interest in meeting the needs of children. The HSE is aware of this, having been repeatedly told so, but has persisted with it anyway. (8/n)

https://t.co/zp5pgO0AHV
The correct course of action to tackle waiting lists is to resource disability appropriately.

Instead, the HSE have reduced the AoN to a meaningless box ticking exercise which children must go through before being moved to another waiting list with no legal time limit. (9/n)
This course of action is an open declaration of contempt for the rights of children with disabilities.

It is apparently more important that statutory obligations are "met" on paper than that children's needs are actually met in real life.

This is a State apology in waiting.
@AnneRabbitte @DonnellyStephen @rodericogorman @josephamadigan @psychpolis @GarNob #disability #earlyintervention #rehabilitation #paediatrics
@OCO_ireland

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Ester Ranzen/ Childline/BBC/Saville/Mandelson 👀👇


1. 'MYSTERIOUS ESTHER RANTZEN' ..2017
https://t.co/aBsJL2Avqd


2. (Let's This Party Started) Keith Vaz and Ester Ranzen.


3. 'BBC'S ESTHER RANTZEN LINKED TO ELM GUEST HOUSE' https://t.co/a064KgW8LJ


4. Esther Rantzen is quizzed about Jimmy Savile - 2012
Wow, Morgan McSweeney again, Rachel Riley, SFFN, Center for Countering Digital Hate, Imran Ahmed, JLM, BoD, Angela Eagle, Tracy-Ann Oberman, Lisa Nandy, Steve Reed, Jon Cruddas, Trevor Chinn, Martin Taylor, Lord Ian Austin and Mark Lewis. #LabourLeaks #StarmerOut 24 tweet🧵

Morgan McSweeney, Keir Starmer’s chief of staff, launched the organisation that now runs SFFN.
The CEO Imran Ahmed worked closely with a number of Labour figures involved in the campaign to remove Jeremy as leader.

Rachel Riley is listed as patron.
https://t.co/nGY5QrwBD0


SFFN claims that it has been “a project of the Center For Countering Digital Hate” since 4 May 2020. The relationship between the two organisations, however, appears to date back far longer. And crucially, CCDH is linked to a number of figures on the Labour right. #LabourLeaks

Center for Countering Digital Hate registered at Companies House on 19 Oct 2018, the organisation’s only director was Morgan McSweeney – Labour leader Keir Starmer’s chief of staff. McSweeney was also the campaign manager for Liz Kendall’s leadership bid. #LabourLeaks #StarmerOut

Sir Keir - along with his chief of staff, Morgan McSweeney - held his first meeting with the Jewish Labour Movement (JLM). Deliberately used the “anti-Semitism” crisis as a pretext to vilify and then expel a leading pro-Corbyn activist in Brighton and Hove

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