About the Local Offer for SEND

What the Local Offer for those with special educational needs and disabilities (SEND) is, who pays for local services and support, Local Offer annual reports.

In this guide

Who pays for local services and support

The process of planning, designing and paying for local health services is called 'commissioning'.

Commissioning is usually carried out by:

  • the local Clinical Commissioning Group (CCG)
  • Public Health England
  • NHS England

You may also be able to 'commission' or buy your own services through a personal health budget (PHB).

Hammersmith and Fulham Clinical Commissioning Group (CCG)

The Hammersmith and Fulham Clinical Commissioning Group (CCG) is the General Practitioner (GP)-led organisation responsible for planning and buying (commissioning) health services for people living in the borough.

The group is made up of 29 GP practices and serve 231,004 patients.

The CCG is committed to:

  • improving the care provided to patients
  • reducing health inequalities, and
  • raising the quality and standards of GP practices

They work with clinicians, patients and carers to make sure your health and social care services are effective and coordinated. When needed, they work with neighbouring borough CCGs to provide better outcomes for patients.

Personal health budgets

In some cases, services can be commissioned through a personal health budget (PHB) – NHS England.

A PHB is an amount of money to support your identified health and wellbeing needs, as planned and agreed between you and your local NHS team.

The aim of a PHB is to give people with long term conditions and disabilities greater choice and control over the healthcare and support they receive. Currently, children and young people who are eligible for Children’s Continuing Care – GOV.UK have the right to a PHB.

NHS England

NHS England is an executive body of the Department of Health and Social Care. It manages the budget, planning, delivery and day-to-day operation of the commissioning side of the NHS in England as set out in the Health and Social Care Act 2012.

NHS England commission the contracts for GPs, pharmacists, and dentists and they support local health services that are led by groups of GPs called Clinical Commissioning Groups (CCGs).

NHS England tends to commission highly specialised services which are provided in relatively few hospitals and accessed by comparatively small numbers of patients, but with catchment populations of usually more than one million. An example would be Great Ormond Street Hospital (GOSH).

If you use British Sign Language (BSL), you can talk to NHS England via a video call to a BSL interpreter.

Public Health England

Public Health England (PHE) protects and improves the nation’s health and wellbeing, and reduces health inequalities.

PHE brings together public health specialists from more than 70 organisations into a single expert national public health agency.

They are responsible commissioners for the following services:

  • school nursing services for children and young people
  • parenting and breastfeeding
  • tobacco control or stop smoking
  • sexual health services and screenings

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