“His skills are significantly delayed in all areas of development, particularly in the areas of communication and learning to learn skills. He engages in behaviours that challenge and put him and others at risk of injury (and in fact he has on a number of occasions bitten, scratched and pinched those around him). He has recently started to become destructive of the fabric of his family home and he has started to lash out when he has become frustrated. He sleeps badly and is often awake for long periods at night. He has been taking medication for insomnia for some years. He exhibits what is described as “pica” behaviour, namely he puts inanimate objects and other things in his mouth such as glue, dirt, and, latterly, his own faeces. He has recently started smearing his own faeces on the walls of his home.”
“[AT] is also receiving Disability Living Allowance of approximately£327 per week. This equates to around 7 hours of support worker assistance. The local authority propose an additional 3 hours support worker assistance at a direct payment rate of£12.02 per hour to allow for [AT] to receive support for 10 hours per week. This equates to 1 overnight respite for [AT]. This arrangement is only until [AT] returns to education or the sleep clinic concludes (whichever of these occurs sooner).”
“We were hampered in our deliberations on the amount of care provision that [AT] needs by the absence of a robust and relevant social care assessment of the needs of [AT], his brother [BT], and [their parents]. We therefore did the best we could to make recommendations for social care provision.”
“Although any recommendations made by the Tribunal on health or social care elements of an EHC plan are non-binding and there is no requirement to follow them, the LA and/or responsible health commissioning body are generally expected to follow them. They are recommendations made by a specialist Tribunal and should not be ignored or rejected without careful consideration. Any reasons for not taking them forward must be explained and set out in writing as explained below. … Responses must be in writing and state what steps the health commissioning body or LA social care commissioner has decided to take following consideration of the Tribunal’s recommendations. If a decision has been taken not to follow all or part of the recommendations, the health commissioning body or LA social care commissioner must give sufficiently detailed reasons for that decision.”