spring 2015 connected For families with disabled children and all those who work with them Home sweet home we put families in the spotlight with our photography exhibition campaign victories we care about rare! Counting the Costs has achieved two campaign wins, read how we did it Our theme this spring is rare conditions. Parents share their stories the care act 2014 Came into force on 1 April – read about how the changes may affect you In this issue... welcome cover story 3Update from our Chief 12Everyday people Executive, Amanda Batten Take a peek at our Pictures from Home exhibition The best care for Lyla 23 Katie Yarwood waits for a diagnosis for her daughter 24 A world-wide web of possibilities Connecting parents on the internet NEWS 4Victories for our Counting rare conditions special the Costs campaign by Una Summerson Nicole had to quit school after being diagnosed with cancer 5Supreme Court hears ‘Stop News from the world of rare 27 the DLA takeaway’ appeal conditions 6Stop bullying for all! Top tips and rare condition 28 Angie Fenn on our anti-bullying project 8Benefits news Derek Sinclair, senior welfare rights adviser resources 14We care about rare! Intro to our theme by Lucy Pratt 9 Parent carer participation You are not alone 16 A better solution 10 17Life’s a journey, not a Influencing local services in England by Sue North interview with Samiya and Naveed of Andiamo orthotics Finding my feet again 26 How a closed Facebook group has helped in Cornwall destination Ruby Edwards’ son has a rare blood condition – she shares her story with us We just wanted to talk to 18 other parents Sue Routledge sets up the first Pitt Hopkins support group 20 What’s in a name? Karin Beeler on why words count 21 Looking for answers Tracy Milne searches for a diagnosis for her son Alfie 11Could you change the outcome of the election? Ellen Clifford of Inclusion London 22 We are the 22q-ommunity! Gillian Cassidy is lobbying to set up the first clinic of its kind in the UK The Care Act 2014 29 by Caroline Barrett, Solicitor at Irwin Mitchell Solicitors Local Groups Network 30Support groups in your area connected magazine Edited by Karin Beeler and Lucy Pratt News editor Nathalie de Broglio [email protected] Design johnclarksondesign.co.uk Print RAP Spiderweb Ltd Note: The views, opinions, and content in Connected do not necessarily reflect the views, opinions, or policies of Contact a Family. Contact a Family policy statements are always clearly identified. The listing of resources is for information purposes and does not constitute endorsement by Contact a Family. © Contact a Family 2014. Registered Office: 209–211 City Road, London EC1V 1JN. Registered Charity Number: 284912. Charity registered in Scotland Number: SC039169. Company limited by guarantee. Registered in England and Wales No. 1633333. VAT Registration No. GB 749 3846 82 2 connected Spring 2015 that have joined us welcome www.cafamily.org.uk Freephone helpline: 0808 808 3555 Contact a Family 209–211 City Road, London EC1V 1JN 020 7608 8700, Fax: 020 7608 8701 [email protected] Contact a Family Northern Ireland Bridge Community Centre, 50 Railway Street Lisburn BT28 1XP 028 9262 7552 [email protected] Contact a Family Scotland Craigmillar Social Enterprise & Arts Centre 11/9 Harewood Road, Edinburgh EH16 4NT 0131 659 2930 [email protected] Contact a Family Cymru 33–35 Cathedral Road, Cardiff CF11 9HB 029 2039 6624 [email protected] Contact a Family North East England The Dene Centre, Castle Farm Road Newcastle upon Tyne NE3 1PH 0191 213 6300 [email protected] Contact a Family Midlands Prospect Hall, 12 College Walk Selly Oak, Birmingham B29 6LE 0121 415 4624, Fax: 0121 415 4922 [email protected] Contact a Family Ealing and Southall Lido Centre, 63 Mattock Lane, London W13 9LA 020 8280 2267 [email protected] St. Georges Community Centre 8–12 Lancaster Road, Southall UB1 1NW 020 8571 6381, Fax: 020 8571 6400 [email protected] Contact a Family Lambeth 336 Brixton Road, London SW9 7AA 020 7326 5270 [email protected] Contact a Family Lewisham Leemore Central Community Hub Bonfield Road London SE13 5EU 020 8297 8056 [email protected] Contact a Family Southwark Cambridge House, 1 Addington Square London SE5 0HF 020 7358 7799 [email protected] Contact a Family Wandsworth 1 Siward Road, London SW17 0LA 020 8947 5260, Fax: 020 8947 9506 [email protected] Supporting families with rare conditions Update from our Chief Executive Officer, Amanda Batten Contact a Family was founded by parents of children with rare conditions in the 1970s. I’m really proud of this. Whilst we’ve grown since then to support families with disabled children whatever their condition, our work with families with rare conditions is still very important to us today. Strength and support is found in sharing experiences with each other The parents’ stories in this edition from Ruby, Sue, Gillian and Katie provide a real insight into the rewards and challenges of being a parent of a child with a rare condition. All of their stories reflect the remarkable women they are. In terms of the future, if Contact a Family is to continue to be there for families we need to raise the vital funds to sustain and grow the support we provide. With cuts in government spending this is more important than ever. So on a personal level, I’m doing my bit by signing up to the Hackney half marathon in May. I’m getting a bit concerned about this, as I only started training at the end of March. So wish me luck – or you can get involved in fundraising for us yourself – you can fundraise by doing almost anything! What is clear from reading parents’ stories in this edition of Connected is that, whilst their journeys have been very different, there are real parallels. I bet if they all got together in room, they’d have plenty to talk about! The parents that started Contact a Family understood this – even if their children’s conditions are different, there is a commonality of experience, emotional and practical, of being a family with a disabled child. And strength and support is found in sharing experiences with each other. This principle remains at the heart of who we are as an organisation and is central to our new strategy for the future. Amanda Batten connected Spring 2015 3 news Policy & campaigns update from Our campaign manager Una Summerson Victories for our Counting the Costs campaign! Parent carers and their allies are helping secure changes to improve the lives of families with disabled children in the UK Our Counting the Costs campaign has landed its first major win: the government is extending the Warm Home Discount Scheme and standardising it across suppliers. This will make it easier for low income families with disabled children to get a rebate of £140 on their electricity bill next winter. This is a good start but not all suppliers are part of the Warm Home Discount scheme, and Contact a Laura Robinson with sons Ellis and Harvey and gran Lynne Day supporting our Counting the Costs campaign launch in Parliament Family wants the discount to be available to all families with disabled children, whatever their income. So we still need your help to make this happen. Please ask your friends, families and colleagues to take action by sending our campaign email to your local MP (see page 5). We achieved another big win in February. The government announced that the tax-free childcare scheme has been extended to recognise the higher-than-average childcare costs that many families with disabled children face. Hopefully, this will go some way to alleviate the stresses and strains that families are faced with, when caring for and supporting disabled children. Thank you everyone for supporting our Counting the Costs campaign. Together we can reverse the alarming increase in families with disabled children going without food and heating. What’s the campaign all about? Our Counting the Costs campaign was launched in November 2014. Over 60 MPs are supporting the campaign so far. We achieved this thanks to over 1,000 parents and friends of Contact a Family contacting their local MP and asking for their support. Poverty should not be an inevitable consequence of having a disabled child as it is now for so many families in the UK. This campaign is about saying enough is enough, we have the power to reverse this trend if we work together. 4 connected Spring 2015 Based on over 3,500 responses called for advice about benefits, from families all across the UK, the with almost two thirds (61%) findings are particularly telling. saying they were confused about More than a quarter of families the recent changes. surveyed have extra costs relating to their child’s disability of £300 or more each month, with the biggest government cost being energy bills. When fa mi lie s Ensure asked what would help the benefits Se ek with the extra costs they ad vic e on and tax system ene rgy face, families called for fin an ce s an d adequately co mpa nie s be ne fit s from discounts from energy reflects the Off er Co nta ct extra costs companies (21%) and disc oun ts to a Fa mi ly and barriers more support through hou seh olds to work families the benefits system with a with disabled disa bled (24%). Some families chil d children face news Chantal on why she came to Parliament with her sons to help launch the campaign “Harry has severe brain damage, no immunity and very complex epilepsy, which means he can have between 2 and 12 seizures a day. “Worrying about paying the bills or paying off loans I’ve taken out to pay for essentials means I’m stressed and anxious. I am constantly robbing Peter to pay Paul. “Going without essentials like heating has a direct impact on Harry. His immune system is severely suppressed so he needs extra heating. He is incontinent which means he can get very cold at night if he gets wet. “Through autumn and winter keeping Harry warm with very little money becomes increasingly difficult but is vitally important. He can catch flu very easily and this has led to pneumonia in the past – last year he had 13 lung infections. As well as needing extra heating Harry's bedding has to be changed much more than usual. It all adds up.” Contact a Family, Children’s Trust Tadworth and parents show our support Stop the DLA Takeaway supporters gather at the Supreme court Families showed their support for the Mathieson family who had a Supreme Court hearing in March to challenge the Secretary of State for Work and Pensions about the unfair removal of disability benefits from their son when he was in hospital. If successful, this landmark case could stop hundreds of the UK’s most severely disabled and sick children and their families being denied financial assistance at a time when they need it most. So far 4,000 people have signed our petition! Sign our Stop the DLA Takeaway petition at www.cafamily.org.uk/stopthedlatakeaway Free guides Finance We have produced two new guides – Money matters and Help with fuel bills – as part of our campaign. For a free copy call our freephone helpline on Help with fuel bills and keeping warm 0808 808 3555 Finance Money matters A checklist when your child has additional needs Incorporating The Lady Hoare Trust [email protected] Incorporating The Lady Hoare Trust Get involved! Chantal, Edward, Harry and Rachel Hill from Contact a Family www.cafamily.org.uk Contact your MP One of the ways you can help (if you haven’t already!) is by contacting your local MP and asking them to support our Counting the Costs campaign. Sign up at www.cafamily.org.uk/ countingthecosts Help us reach more families! Our freephone helpline can send you a free poster to display on your local community centre or supermarket notice board. Call our freephone helpline on 0808 808 3555 Check your benefits Our expert parent advisers can check you’re getting everything you’re entitled to, and tell you how you could be affected by benefit changes. [email protected] connected Spring 2015 5 news Stop bullying for all! Angie Fenn reports back after two years running our anti-bullying project As regular readers of Connected will know, we have been delivering workshops for parents around dealing with bullying in a two-year project led by the Anti-bullying Alliance. The project came to an end in March, and we’re pleased to report our workshops have been a great success! 99% of parents said they felt better informed about issues related to bullying, 93% are more confident in dealing with bullying and 74% felt better able to deal with stress related to bullying. I also trained up our helpline so they could better support families. So anyone who calls our helpline can get individual, detailed advice about what to do if they’re concerned their child is being bullied. We’re delighted to say that the Department for Education will carry on Dealing with bullying funding our anti-bulllying work for another year. Information for families – UK For families with disabled children For more information, tips and support if you’re concerned your child is being bullied, speak to one of our expert parent advisers and ask for your free copy of our guide, Dealing with bullying on freephone 0808 808 3555. Tips parents shared for building your child’s confidence ●●Emphasise your child’s strengths, being specific where possible. ●●Help them to make friends, invite other children into your home. ●●Talk about what a good friend is – a good friend is kind, shares and listens, not someone who hurts others or makes them sad. Encourage your child to be a good friend too. ●●Find out-of-school activities where your child can develop their interests and meet other like-minded children. Let your child know ●●they are loved ●●it is OK to be different ●●they have the right to be happy and safe ●●that no matter what happens, you still care for them ●●that you believe what they tell you. Incorporating The Lady Hoare Trust Transport Matters! Sheila Davies, our parent carer participation manager for health, has been helping to write e-learning sessions for the new Disability Matters website. She explains how they can help parents and professionals alike. Disability Matters is a new free e-learning resource for the UK workforce. It hopes to raise awareness of the problems families with disabled children commonly experience, and help people understand what they can do to make their life easier. The transport session begins with a few video clips, where young people talk about the problems they experience, which varies depending on the nature of their disability. In one, Michael who has Tourette’s syndrome gives a moving account of 6 connected Spring 2015 how he finds it difficult to get on a bus when his tics are bad. As well as public transport, there is a section on ‘home to school transport’. This includes what the legal obligations are for local authorities, as well as case studies illustrating some common problems and what can be done to avoid them. There is also a section describing schemes which support young people to be able to travel independently. Investing in these schemes can result in savings to home to school transport budgets. They also help young people develop a skill for life, which can lead to greater social inclusion and improve their employment prospects. So why not have a look for yourself? Perhaps you could contact your local bus company, taxi service, train station, home to school transport service or disabled children’s team and ask them to encourage their staff to watch it. Transport Matters is in the Family and Society section at www.disabilitymatters.org.uk. news BIG THANKS TO YOUNG FUNDRAISING STAR Eight-year-old Oliver Bush (second left), whose brother Adam has severe disabilities, has donated a fee he earned modelling for Sainsbury’s to Contact a Family. He earned the money when he modelled for Sainsbury’s Active Kids campaign. He was photographed alongside paralympic swimming champion Ellie Simmonds, Liverpool footballer Daniel Sturridge and paralympic sprinter Jonnie Peacock. Oliver said in a card which enclosed his donation: “Thank you for all the trips and outings you have taken me and my family to. Please find attached a donation to the SCOTLAND Getting it Right for Every Child Getting it Right for Every Child (GIRFEC) is a national way of working for people who work with children in Scotland. The aim is to bring together the right services to assist children, young people and families. GIRFEC will be fully implemented by 2016 but many public authorities are working towards implementation already. GIRFEC aims to ensure that people who work with children will check that every child has what they need to have a good life by using the following eight indicators to check that each child is: ●●Safe ●●Active ●●Healthy ●●Respected ●●Achieving ●●Responsible ●●Nurtured ●●Included. GIRFEC also says that every child will have one person (a named person) who looks out for them and their family if they need help. Some children who need extra support may need a Child’s Plan and also have a Lead Professional. This approach does not change how you should look after your child but it does change how people who work with your child look after them. If you would like more information about GIRFEC call Donna or Susan at Contact a Family Scotland on 0131 659 2930 www.cafamily.org.uk amazing and fun Contact a Family to say a big thank you.” Contact a Family Wandsworth provides fun days, encouraging families to get out and meet others in a similar situation. This year’s programme of events includes trips to The Look Out Discovery Centre in Bracknell, Legoland and Brighton. SCOTLAND Award for our volunteer coordinator! Our very own Volunteer Coordinator Susan Brogan, will be presented with the Investing in Volunteers award at the Edinburgh City Chambers on 16 June. We are fortunate to have wonderful volunteers in Scotland, and worked hard to gain our award. The award is the UK quality standard for all organisations which involve volunteers in their work. Do you have a few hours to spare each week? We are always looking for enthusiastic and motivated volunteers. If you would like to develop your skills, meet new people and work as part of a team call Susan on 0131 659 2931. connected Spring 2015 7 news Benefits news Carer’s Allowance campaign win Derek Sinclair, senior welfare rights adviser, on our successful campaign to increase the Carer’s Allowance earnings limit Carer’s Allowance is the main benefit for carers. The earnings limit prevents a carer from receiving Carer’s Allowance if their earnings, after certain deductions, are more than a certain amount. Contact a Family wrote to the government to campaign for an increase to the earnings limit at the end of last year, and we are pleased to confirm it has been increased to £110 per week from 6 April 2015. This increase in the earnings limit will mean that parents who are working 16 hours on the national minimum wage will be able to get Carer’s Allowance. Previously, when the earnings limit was £102, these parents were likely to find that their earnings were slightly too high to qualify for Carer’s Allowance. ow are your earnings calculated H for Carer’s Allowance? Only your own earnings are counted. If you have a partner who works their earnings are ignored. In calculating your earnings, the Carer’s Allowance Unit can make certain deductions from your gross earnings. This includes not only any tax and national insurance you pay but also deductions for: ●●any alternative care costs you have, for example if you are paying someone to look after your child whilst you are working. There is a cap on the maximum amount that can be deducted in this way – this is half of what would otherwise be your earnings. There is no requirement that the childcarer is a registered childcare provider. It can be still be deducted so long as you pay someone other than a close relative ●●50% of any pension contributions that you make into a work or personal pension scheme, and ●●an amount for any expenses you have that are ‘wholly, exclusively and necessarily incurred’ in carrying out your work. For example if you have to buy equipment or specialist clothing or have to pay for travel between workplaces (travel between work and home does not count). If your earnings vary they should be averaged out, although the period over which they are averaged is at the discretion of the Carer’s Allowance Unit. If you are self-employed your average earnings will normally be based on your most recent year’s accounts, unless there has been a change in the pattern of your business. hat other rules do I need to meet W in order to get Carer’s Allowance? You need to be aged 16 or over and provide at least 35 hours a week care to someone who gets either Disability Living Allowance care component at the middle or highest rate, or the daily living component of Personal Independence Payment, or Attendance Allowance. You must not be treated as a full time student and you must also meet certain tests linked to your immigration status and length of residence in the UK. For more information call our freephone helpline on 0808 808 3555. 8 connected Spring 2015 New test for self-employed people claiming Working Tax Credit From April 2015, selfemployed people with low earnings need to meet a new test as part of claiming Working Tax Credit. This applies to anyone whose earnings from selfemployment amount to a figure that is less than the average minimum wage x 24 hours (currently £156 per week). If this applies to you, then in order to be eligible for Working Tax Credit you not only need to meet the normal rules but must also show the Tax Credits Office that your self-employment is undertaken ‘on a commercial basis and with a view to making a profit’. At the time of writing HMRC has not provided any guidance as to how it will decide whether someone’s self-employment meets this new test. If you are a selfemployed parent and you are refused Working Tax Credit due to this new test call our freephone helpline for further advice. These new rules only affect whether someone qualifies for Working Tax Credit, and doesn’t affect eligibility for Child Tax Credit. Call our freephone helpline for advice on money issues on 0808 808 3555. news Parent carer participation in England Working together from the start Forums work with local authorities and health professionals to improve how they support disabled children. This spring Contact a Family, the National Network of Parent Carer Forums and our partners have run workshops on co-production for parent carer forums, local authorities and health partners. The aim of our workshops is to share the importance of true partnership working and demonstrate how parent carers and service providers working together improves planning and decision making in local areas. Attendees have the opportunity to challenge their perceptions of participation and to work to find solutions to issues using coproduction. The workshops have been facilitated by local authority leads and parent carer forums. The What is co-production? Co-production means service providers working in partnership with service users with a view to getting what's on offer right ‒ right from the start. By involving families in the process from the beginning, providers are able to set up or make changes to existing services to meet families’ needs, and make more efficient use of resources. Collaborating to plan, shape, develop, implement or review a service means all the right people are around the table to negotiate, taking into account everyone’s perspective, as well as meeting legal requirements. PCP chairperson awarded MBE We are delighted to share the news that Pat Bolton, chair of the Gateshead parent carer forum who also founded an ADHD support group, has received an MBE for services Pat, (second from left) with Lynn, Claire and Carol to families of of Gateshead parent carer forum disabled children. Pat first got involved in disability services in 2002, when her son was diagnosed with ADHD. Today Pat is chairperson of Parents in Power, Gateshead's parent carer forum, and is involved in the Anti-bullying Alliance's national anti-bullying project. Don't give up! “I’m overwhelmed and honoured to be There are people put forward,” Pat said. “I’m keen to ensure Carol Hope, Claire Parkinson, Lynn Smare out there who can and Gail Duxfield, the other members of help and support Parents in Power's steering group are you. recognised for their hard work, too. Pat's top tip www.cafamily.org.uk workshops have been so popular that we are running a further session. Watch our new film Our new film on co-production features Children and Families Minister Edward Timpson MP and parent carer forums talking about the benefits of working in this way, and the difference that co-production has made to families and to their working relationships. You can watch the film on Youtube: http://bit.ly/1GAGvVC How to get involved Almost all local areas in England have a parent carer forum working to improve children’s services. Read more and find your local forum in England at www.cafamily.org.uk/ parentcarerparticipation Free online parent carer forum handbook Parent carer forum handbo ok A how-to guide for people setting up or running a parent carer forum getting started teamwork managing finances improving services charity or social enterprise? managing conflict Contact a Family working with Our new, easy-tonavigate handbook for forums explains the type of knowledge and skills that parent carers will need to run a successful forum. The handbook includes information on all aspects of running a forum, from getting started, to governance and finance and working with local authorities and health to improve services. You can download our free handbook for parent carer forums at http://bit.ly/18xDC9Z connected Spring 2015 9 news A better solution Samiya and her husband Naveed Parvez set up the first 3-D printed orthotics company, Andiamo. Nathalie de Broglio went to find out more What are ‘orthotics’? Samiya Orthotics are appliances such as specialist shoes, shoe adaptations, or splints that support or improve the movable parts of the body. Orthotics help with mobility. They reduce the need for surgery and prevent or reduce the need for a wheelchair. For every £1 spent on orthotics the NHS saves £4 elsewhere.* How did you and Naveed come to start your company? Our son Diamo had cerebral palsy and scoliosis and was quadriplegic. We had to take him back and forth to hospital for brace fittings. Poor Diamo! He hated to be on his back. I used to change his nappy with him on all fours. Imagine having to keep him still on his back for an hour! It was very stressful. You have to pin the child down – make sure they don’t move whilst the plaster is drying. And then wait at least 13 weeks for something that’s heavy and isn’t going to fit. Also, I couldn’t buy him any clothes, or a seat, or a wheelchair, or new shoes, even. I had to wait for him to get his orthotic. How long will it take? Will it fit? 10 connected Spring 2015 How did you come up with the idea of 3-D printed orthotics? Caring for Diamo was extremely difficult, because we had to fight the system. The orthotics services were where the majority of our fights were. The way orthotics are done in hospitals hasn’t evolved in over 100 years. So myself and Naveed started researching 3-D scanning and printed orthotics and there wasn’t anybody doing it. Tragically, on his ninth birthday in 2013, when we had just begun to explore the potential of new technology, Diamo died. He wasn’t sick, it just happened. I went to his room singing happy birthday and Diamo was drawing his last breath. Naveed did CPR whilst waiting for the ambulance but nothing worked. We were told sometimes this happens with kids with cerebral palsy. You didn’t give up on your plan? Naveed The more people can use their pain to make things better, the better things are going to be. We can do things better. A lot better. We started our company Andiamo in 2014. Our experience as parents of a disabled child showed how critical orthoses are to children’s development and wellbeing. Without equipment, children can have trouble feeding, breathing, and engaging in education. We aim to reduce the waiting time for an orthoses from 13 weeks to just 48 hours. Shorter waiting times will lead to significantly better outcomes for the child. And these orthotics will be cheaper than they cost the NHS now. Also, you won’t have to go to hospital. Somebody can come to your home or school. 3-D scanning with the camera takes just one minute, and the result is 300 times more accurate than the plaster cast. For us, it’s not how much profit we make, but how much pain is reduced Last year, we raised £63,000 through crowdfunding for research and development. Our aim is create beautiful, high-quality orthotics by using 3D scanning and printing technology. Why should a teenager have to go to school wearing something uncool? Teens take the news old-style heavy braces off at school and then their doctor wonders why it isn’t working! You have to make something desirable, fashionable – something to make a statement. Or make something so thin that no one knows you’re even wearing it. We want to get to the stage where a family is able to say, “Well, it is summer, I want a second one, I want it to match my trainers.” Now you never have a choice. Unless it is hurting you and then you have to wait for months. 2015 is the year – stop talking and let’s just do it – Andiamo! At every step we’re talking to the families about what they need and want. They give us feedback about what they like and what they don’t like. We’ve just made an Iron Man leg splint for 9-year-old boy. He loves it! What are your plans for the future? For us, it’s not how much profit we make, but how much pain is reduced – a good service and a good product. In five years, we want Andiamo to be the top paediatric orthotics company in the UK and we want to be top in the world in ten years. Find out more at andiamo.io Call our freephone helpline on 0808 808 3555 for a free copy of our Aids, adaptations and equipment guide * Orthotic Service in the NHS, Improving Service Provision (2009) www.cafamily.org.uk Could you change the result of the General Election? There are millions of disabled people and their carers in the UK. If we all registered to vote, and did vote in the general election, it could decide the outcome. Ministers would have to start taking issues for disabled people and their carers seriously. If we look at the cuts that have been made during this coalition government, we can’t fail to notice that pensions and benefits for another vulnerable group – pensioners – have been protected, while the harshest cuts have fallen on benefits and services for ill and disabled people and their carers. This is no coincidence. Ministers know that older people are more politically engaged and more likely to vote for them. To this end, Operation Disabled Vote (ODV), founded by disabled campaigners, is working with the Daily Mirror, Hope not Hate, Unite, and Operation Black Vote in the run up to the May 2015 General Election. As part of #NoVoteNoVoice, the voter registration campaign is aimed at tracking down some of the 7.5 million unregistered voters in the UK. Ellen Clifford of Inclusion London, and a co-founder of Operation Disabled Vote said, “Disabled people remain one of the most marginalised and excluded groups in society and everyday barriers to participation include exercising our democratic right to vote. As part of #NoVoteNoVoice, we’re talking to disabled people about how they can vote and the access standards they can expect at polling stations. If disabled people want politicians to prioritise the issues that matter most to us then we need to make disabled voter power really count.” Helping to launch the campaign, actress, comedian, supporter of Operation Disabled Vote, and Contact a Family Patron Francesca Martinez said, “There are millions of disabled voters in the UK and they could easily decide the next election. Operation Disabled Vote is the first step on that journey – getting people registered and showing politicians we will be at the ballot box.” We urge all parent carers to do the same – you can make a difference! To register online go to: www.operationdisabledvoted.org.uk For more information contact: [email protected] connected Spring 2015 11 news Everyday people Contact a Family's Pictures from Home photography exhibition I n January we held an exhibition depicting the everyday life of families with disabled children. Working with award-winning photographer Amanda Harman, we spent a day in the life of Stevie’s family in Manchester and Christiana’s family in Lewisham. The collection is a moving and heart-warming depiction of family life. The second part of the exhibition had photos submitted by families from all over the country and saw the variety of life experienced by families united by their children’s disabilities. The exhibition came together to represent the joys, challenges and achievements that families experience every day. The week saw a number of events in the gallery, including a private view for some of our supporters, a drawing class and an arts and crafts session for all the families who submitted their photos. Downing Street Breakfast As part of our celebration of the everyday lives of families with disabled children, Samantha Cameron invited two families to breakfast in Downing Street. She chatted about family life with a disabled child and heard first hand about the work we do to support families across the UK with lifechanging information and advice. Samantha Cameron said: "Contact a Family's exhibition is a fantastic way to highlight the joys and challenges of raising a disabled child. I am delighted to support such a positive initiative." 12 connected Spring 2015 Life is an opportunity to prove your strength... I am not ashamed of my story, my imperfections make me stronger Charlotte, middle left news Left: Stevie, who has cerebral palsy and Charcot Marie Tooth, loves playing with her sister Billie: “they are our fantastic girls” says mum Cath. Above and right: Christiana, who has Down syndrome. Mum Olu says, “As I watch her grow into a young woman I feel very proud of my wonderful daughter.” ©Amanda Harman 2014. Stories from home Clockwise from left: Alfie, whose “energy and enthusiasm for life are inspirational”. You can read more about Alfie on page 21. Charlotte, age 14 from Cornwall. She has a diagnosis of autism and was hospitalised with depression. This is one of a series of photos her mum took during her healing process. Hollie and Scott have a rare genetic condition called Angelman syndrome. Scott’s mum says, “Scott can have his moments... but his smile can light up a room and his laughter is infectious. I never regret having Scott – I have learnt so much from him.” Luke is 7 and was diagnosed with autism just before his fourth birthday. Here he has a quiet moment with his brother Jac. Luke needs a strict routine so that he is able to cope with every day life. His mum says, “However great the challenges, Luke is Luke and the love we have for him outweighs everything.” www.cafamily.org.uk connected Spring 2015 13 rare conditions We care about rare! This spring we turn the spotlight on rare conditions. Lucy Pratt, Contact a Family’s Rare Conditions Information Officer, explains why we need to care about rare Having a child with any additional need can be a huge challenge in itself, but for those who have a rare condition there are yet more challenges to face. For example, it can often take a worryingly long time to get a diagnosis, and initial misdiagnoses may hinder any effective treatment. After diagnosis, there is often a lack of information about the condition, particularly for extremely rare conditions – which makes understanding the condition even more difficult. Like all families, those with rare conditions, their families and friends, are united by these shared struggles. Their mutual experiences are what make the rare condition community so tight-knit, spirited, and strong-willed. We hope you enjoy hearing about some of the wonderful things that are happening – and I’m sure there are many, many more stories out there. A little history… Contact a Family has a long-standing relationship with the rare condition community. I’m sure you’ve all seen our online medical information, and some of you may remember (or may still even have!) a copy of The Directory, the big red ‘encyclopaedia’ of rare conditions and support groups. It all started in 1988 when Christine Lavery, then our National Development Officer and now CEO of the Society for Mucopolysaccharide Diseases, came across a book giving details of all German support organisations for specific conditions. Each entry had a clear, straightforward description of each condition. Christine approached our then-CEO, Harry Marsh, about the possibility of a UK version. Funding for a medical researcher was secured the following year, and the Contact a Family Directory of Specific Conditions and Rare Syndromes in Children with their Family Support Networks was finally launched in 1991. Jumping 14 connected Spring 2015 forward to more recent times, the information is now available online, and free to all! We also changed the name to simply The Directory as, let’s face it – the original name was a bit of a mouthful! Our website now holds information on over 400 conditions and specific support groups, where possible. Each online entry is checked by a medical expert in the field. See www.cafamily.org.uk/medical-information. Moreover, our database holds information on thousands more rare conditions and support groups – so if you can’t find what you’re looking for on our website, give our helpline a call. We may still be able to help! Why all the sudden attention? With the launch of the UK strategy for Rare Diseases in 2013, and more recent events for Rare Disease Day 2015, rare conditions have been in the news lately – certainly more than in previous years. You might be wondering what all the fuss is about. If they’re so rare, why should we care? If you look at the statistics on the next page you’ll get some idea. Organisations like EURORDIS and Rare Disease UK, together with hundreds of condition-specific support groups, have been working tirelessly behind the scenes to raise the public profile of rare conditions. And to debunk the myth that the word ‘rare’ means ‘unimportant’. We should all care about rare conditions. THANKS! To everyone who kindly shared their story with us – it’s been inspiring to hear about all the great things going on in the vibrant rare condition community. rare conditions e ean Union c rop las u E s 1 in 2,000 Th rare conditions as o n: 7,000 rare disease with more being discovered all the time t affects less tha th a ne There are approximately a es ifi 1people inwill17 be affected Numbers of people living with a rare condition by a rare condition at some point in their lives 3million in the UK 30million Rare conditions in Europe 300million Cancer AIDS worldwide Rare conditions impact more people than AIDS and cancer combined 80% of rare 95% of rare conditions are genetic in origin conditions have no effective treatment 50% of the people affected by rare conditions are children www.cafamily.org.uk Breakthroughs in treatments and understanding for common conditions often come from research into rare conditions 30% of children with a rare condition will not see their fifth birthday connected Spring 2015 15 rare conditions Parents appreciate having a safe place to ask questions You are not alone Kay Henry explains how the Parent Carer Council for Cornwall’s closed Facebook group helps them reach isolated parent carers C ornwall is a big rural county, which is difficult and timeconsuming to get around. A year ago our committee was discussing how to reach more parent carers and support groups, without spending so much time travelling. We had a Facebook page but decided to set up a closed Facebook group to help parent carers across Cornwall raise issues with support and services, with the forum. I think Cornwall’s position in the country often makes us feel isolated and parents who don’t have a support group nearby must feel this keenly. The Facebook group has helped parents to network with each other and helped us reach some of the most isolated parent carers including those whose children have rare conditions. We even had a couple of parents who had been told that they were the only parent in Cornwall of a child with a certain rare condition, 16 connected Spring 2015 only to find out about others and make contact via the group! Facebook is a great way of getting information out to a wide range of parents countywide. Within a few weeks we had over 100 members – this is now 599 and growing. Parents appreciate having a safe place to ask questions, and those in support groups can raise their members’ A parent carer forum is a group of parents and carers of disabled children who work with local authorities, education settings, health providers and other providers to make sure the services they plan and deliver meet the needs of disabled children and families. In England there are parent carer forums in almost all local authority areas. issues and report back on what the forum has done on their behalf. To ensure all parents of disabled children can access the information we do lots of face-to-face work too. We regularly meet health visitors, portage workers, midwives and community health teams, put information in hospitals and work closely with our IASS (Information Advice and Support Service). However, there is no doubt the closed Facebook group has helped create an online community for parent carers, reduced isolation and given those who are isolated a voice. As a forum we now feel confident we are keeping up with the key issues affecting families of disabled children across the whole of Cornwall and are working effectively on their behalf. To find out more about parent carer forums and how you can get involved see www.nnpcf.org.uk rare conditions Life’s a journey, not a destination Ruby’s son Noah was diagnosed with a number of complex rare blood conditions. She shares her story with us I n 2009 – when Noah was one – I realised that he had something wrong with his blood. I just knew. Since that moment, we embarked on a journey that has been both heartbreaking and uplifting. It includes moments of darkness; when I was told how poorly he is, when he was misdiagnosed, when I was accused of abusing him, when he nearly died, and such great moments of happiness; when I see Noah laughing as he plays football with his friends, when I meet people who treat Noah in the same way as they treat others, when we partied at 10 Downing Street! Noah has five rare blood conditions called Platelet Function Disorders (PFDs). He also has Thrombocytopenia. This means his blood doesn’t clot normally and if he knocks or bumps himself – which he does regularly – it could mean that he becomes seriously ill. Noah’s condition is life-threatening but we live life with PFD, not running scared of it. Ruby and Noah on BBC Breakfast www.cafamily.org.uk As PFDs are really rare, there is very little information about it. So I set-up www.funnyblood.co.uk to help other parents find information more easily. It was also a way of doing something We always try to focus on the good stuff! positive when there were so many negative things happening. In fact, when I hear unhelpful remarks about Funny Blood I wonder what those people would do if they had a child with such a serious and rare medical condition? I guess I COULD just sit back and wait for life to happen? I CHOOSE not to. To quote Harper Lee in To Kill a Mockingbird: ‘You never really understand a person until you consider things from his point of view . . . until you climb into his skin and walk around in it.’ So, we get on with life and grab as many opportunities as we can. In fact, that reminds me of another quote, this time from Ralph Waldo Emerson: ‘Life’s a Journey, Not a Destination’. And this is OUR journey!” For more information about Funny Blood or PFDs, visit www.funnyblood.co.uk. You can also email Ruby at [email protected] As well as providing information, Funny Blood raises awareness of PFDs and fundraises for ongoing care at the local Haemophilia Unit in Birmingham Children’s Hospital. Ruby has appeared on BBC Breakfast TV, BBC Midlands Today, BBC Radio Hereford and Worcester and guest blogs for BritMums.com. She is also leading inspiring initiatives with Acorns Children’s Hospice, the West Midlands Ambulance Service and NHS Blood and Transplant. If that’s not enough, Ruby’s a sole parent to Maya and Noah and an Ambassador for Contact a Family! Soon after Noah was diagnosed, Ruby found out about our work and we suggested a number of charities – including Family Fund and Roald Dahl’s Marvellous Children’s Charity – who supported her, Maya and Noah to live life with PFDs. Ruby then started to support us! She secured funding for a care worker for the West Midlands for us, and became an Ambassador for us in 2012. We think you’ll agree that her story is truly inspiring. connected Spring 2015 17 rare conditions We just wanted to talk to other parents When her son was diagnosed with Pitt Hopkins syndrome, mum Sue knew no-one else in the world with the condition. Here she explains how she set up the first ever Pitt Hopkins support group C hristopher was born in the UK, but we’ve lived abroad for many years because of Brian’s (my husband) job – eventually we’re hoping to return to the UK. Christopher, now 23, is the second of three boys and his brothers are Andrew 27 and Nathan 18. The main problem of not having a diagnosis was not knowing the cause of Christopher’s severe developmental delays. We knew from the age of three, after an MRI at Great Ormond Street Hospital, that Christopher has hypoplasia of the corpus callosum (underdevelopment of the middle structure of the brain). But this didn’t explain all his difficulties, and we had to wait until Christopher was nearly 16 to find he had a known genetic syndrome. Christopher is very delayed, we were told he was between 9 and 15 months in development. Christopher is non-verbal and is incontinent. He walked at 9 years old and in February, age 23 managed to stand up from the floor without any help! Of course, we didn’t know any other parents with a child quite like Christopher, but we had friends with 18 connected Spring 2015 other diagnosed children online. We had read that 60% of children never receive a diagnosis, so we just imagined he was one of the ones who would never have a diagnosis. The search continues... When we moved to Holland, we thought we should get him known at the local teaching hospital in case he should develop seizures again. The genetics department at the hospital tested him for Angelman syndrome, (Christopher’s fourth Angelman test!), along with male Rett syndrome. Following on from this, a few years later they thought of him as a possible candidate for the newly developed Pitt Hopkins syndrome test. Finally an answer In October 2007, completely out of the blue, we received the call from our geneticist informing us that our almost 16-year old finally had a diagnosis: Pitt Hopkins syndrome. We’d never heard of it before, and we certainly didn’t know anything about it – even the name was a mouthful! We later found out that there were less than 16 confirmed cases worldwide. Our immediate thought was to look for a support group, but there was nothing available – so this is where the story of the Pitt Hopkins Syndrome support group starts! We found a few research papers but everything was in very clinical language and sounded quite negative. We really just wanted to talk to other parents. We rang Contact a Family but they had no more information than the name, so they suggested we start a support group – which is a good idea if you know someone else with the same condition, but unfortunately we didn’t! It was so frustrating having a diagnosis after so many years but not knowing anyone else in the same situation! We had read that 60% of children never receive a diagnosis, so we just imagined he was one of the 60% rare conditions Rare Disease Day reception at the Houses of Parliament It was my second time at the Rare Disease Day reception in February. I was there with another parent from Pitt Hopkins UK. We heard a welcoming address from Elizabeth Kendall MP and then from Earl Howe, Fiona Marley and finally Alastair Kent. After a short time to network, we were able to watch a screening of the wonderful video for Rare Disease Day from EURORDIS. A helpful policeman took a photo of us to show we really were there! You can watch the video at http://youtube/zQIeiQ7S6tQ. First steps Contact a Family suggested we put a message on MakingContact.org and Inspire in the US. Two days after we posted on Inspire we heard from a family in the US whose 16 month old daughter was diagnosed just five days earlier. We discussed starting an online support group if we found another family. We didn’t hear from anyone else until the following March when two mothers from the US contacted us. Start of something good! All the families were keen to set up an internet support group, so on April 13 2008, the Pitt Hopkins Syndrome Google Group Support group was created by the Pauca family from North Carolina, and us, the Routledge family from London (but living in the Netherlands). That first week there were four members. Now, almost seven years later we have over 400 members and a Facebook group with almost 350. We have families from all over the world and the Pitt Hopkins Research Foundation has been set up in the US. I also helped Rob Pleticha set up the Pitt Hopkins RareConnect group (see page 25) and we were one of three founding families of the Dutch foundation. Charities have also been set up in Italy and Sweden! Our support group blooms In the support group we feel like we are one big family. Some people have joined us when waiting for test results and have been disappointed when they don’t get a positive result. Parents are always encouraged to stay with us as long as they like, as there are obviously shared experiences that we still can help with. Sometimes it’s hard to remember what it was like when we didn’t have a diagnosis, as so much has happened since then. I try to remember though, when new members join the support groups. If their child is very young and only a few months behind their peers, it can be hard for them to hear about children that are much older. Some parents come to the group with a new diagnosis when their child is maybe eight or nine, so they have a much better idea of their child’s ability and have come to terms gradually, as much as you ever can, that your child is going to be dependent for the rest of their life. We now have contact with about 50 families in the UK and together are Pitt Hopkins UK. It is believed there are 200 others diagnosed in the UK and many undiagnosed. Some of us first met in the summer of 2008, and every summer since. In September 2011 we had our first Pitt Hopkins UK Family day when Professor Raoul Hennekam came to speak to us about it, and last July we had another Pitt Hopkins UK day when Professor Jill Clayton-Smith came to speak, along with Karen Robinson from Contact a Family and Rob Pleticha from RareConnect. This year we are hoping to become a charity. We really want to find the other families in the UK with a diagnosis and, of course, find those who are still undiagnosed. Families in the UK can get in contact with Sue at http://pitthopkins.org.uk/ or by emailing [email protected] When parents realise that their baby is not developing as expected they want to know how to help, and why their child is different. When a child has an ultra-rare condition it can be very hard to find a diagnosis, as there may not be any available tests. This was the case with Pitt Hopkins syndrome (PTHS) until July 2007, when researchers discovered the gene responsible and developed diagnostic tests. Since then a child is diagnosed with PTHS if they are found to have a mutated or deleted TCF4 gene on chromosome 18q. www.cafamily.org.uk connected Spring 2015 19 uses a wheelchair genetic condition inclusion additional inclusion special educational needs child who has a disability needs learning disability society equality dignity non-disabled health condition respect person additio need long-term disabled disability learning ic n child who has autism societ resp wheelch enetic dition t accessible rare conditions inc What's in a name? When it comes to disability, words count. Karin Beeler explains why As I embarked on the call for stories for this edition of Connected as editor, it struck me that more than ever, the thorny issue of language would rear its head, with our theme of rare conditions. Actually, it's not new and will never grow old – 20 years ago we were asking the same question – what are the right words to use when we talk about disability? Disabled people and their carers have tackled this issue head-on, campaigning over the years to reclaim a language of dignity for themselves. Contact a Family supports and upholds their views. A social model of disability The social model of disability evolved from the disability movement and represents a consensus, from disabled people, about the way they prefer to describe themselves. The social model looks beyond a person’s impairment. It looks at everything that affects a person’s ability to participate equally in society. For example, people can be `disabled’ by heavy doors and inaccessible transport. The solution is to rid society of barriers, rather than ‘curing’ people who have impairments. 20 connected Spring 2015 The old ‘medical model’ of disability sees people as only their medical problems. Disabled people have fought hard against the medical model, which sees the disability as the problem. In the medical model, disabled people have to make the best of an impairment and accept that there are lots of things that they can’t do. Sticks and stones may break my bones, and words leave emotional scars that never heal A young disabled person And that goes against everything we believe at Contact a Family, working as we do with families to help their child reach their full potential. Mind your language It's an issue we still struggle with today. As you’ll see in this magazine we're reporting on Rare Disease Day 2015, and the new World Birth Defects Day. ‘But it's 2015!’ I hear you cry, ‘defect?!!’ I think about all the parents and children I've worked with, friends, family and colleagues. There's nothing ‘defective’ here, they are all so beautiful, and I cannot bear to think anyone might hear this word... Contact a Family promotes a social model of disability and a positive image of disabled children and their families. We recognise that language is not an exact science and that the words we use today will grow old. And that not everyone agrees with the current terminology. But it's our best effort today that counts. We’ve contacted the organisations responsible to express our dismay and encourage them to think of a new name to call the day. In the meantime, I urge everyone to think carefully about the language they use, and speak up when you hear words you don't agree with. Language constantly changes and evolves. We have to be vigilant and responsive to changes in the way we talk about disability so we don’t get stuck in the past and inadvertently use insulting or discriminatory language. gen rare conditions Looking for answers uses a wheelchair When Tracy Milne’s little boy Alfie became unwell it took the family by surprise. A year later he was diagnosed with an extremely rare condition A lfie was born on 10 June, 2007. He seemed like any other child and then one day, almost overnight, we noticed that Alfie’s right leg was swollen. Over the next year we attended many GP and hospital visits, getting x-rays and scans done and then finally, a referral to Great Ormond Street Hospital (GOSH) gave us a diagnosis of Lymphangiomatosis (benign tumours of the lymphatic system which can grow anywhere in the body and can cause severe complications). At this time we weren’t offered any support or information. As a mother you know your own child, and over the next year I could see that his health was deteriorating. He was miserable and cried a lot. We had more visits to various health professionals, but nobody seemed to be listening. We had a review at GOSH just after Alfie’s third birthday. On arrival Alfie was admitted immediately with internal bleeding and infection, and was started on IV antibiotics. Over the coming weeks he had several clusion blood transfusions but things weren’t getting any better – Alfie was one poorly child. My family travelled down from Suffolk and my husband’s mum travelled the 600 miles from Aberdeen to London with our eldest son. They were all shocked at what they saw – Alfie was unrecognisable from the little boy he had been before. Eventually, his condition stabilised and he was started on a course of chemotherapy to try to reduce the size of the tumours. Five weeks after our admission, Alfie was transferred back to Aberdeen under the care of the oncology department. This was the first time since diagnosis that Alfie’s condition had been taken seriously. Chemo lasted for about a year and then he was started on a trial drug, which he has responded to well. This is not a cure and can only be used in the short term because of the unknown long-term side effects. We can’t reverse the damage the condition has already caused. He took his first unaided steps at the age of five, but as he gets older he relies Rare Disease Day Tracy reports back Rare Disease Day is an annual awareness-raising event for the worldwide rare condition community. It is held on the 29th February, a rare day when it is a leap year, and 28th February in other years. As a patient organisation we always try to get involved to help raise awareness of Rare Disease Day. At a Charity Ladies Night we all raised our hands for Rare Disease Day. By marking this day we hope that more rare condition organisations and individuals will come forward and join us in our campaign to continue to draw attention to Rare Disease Day here in the UK. www.cafamily.org.uk We opened our hearts and shared our story with our local community... we’ve raised over £150,000! more and more on walking aids and his wheelchair. Living with the challenges of a rare condition has been hard; lack of information and support, constantly having to be on top of appointments, keeping notes, chasing up results and sharing that information with different disciplines that are involved in Alfie’s care. But we opened our hearts and shared our story with our local community, and in September 2011 we set up Alfie’s Trust and began fundraising. In May 2012, we became a registered charity, and work with existing bodies like the Lymphangiomatosis and Gorham’s Disease Alliance in the USA to help fund patient support projects and research. To date we have raised over £150,000! For more information, or to donate, go to www.alfiemilne.org.uk. connected Spring 2015 21 rare conditions Linked by genetics... strengthened by community... empowered by knowledge... We are the 22q-ommunity! Pioneering mum Gillian Cassidy is lobbying to set up the first clinic of its kind in the UK, and the first 22q clinic in Northern Ireland. M As many families do, I soon became an expert on my daughter’s condition 22 connected Spring 2015 y daughter Lucia was diagnosed on 1 January 2013 with 22q11.2 Deletion syndrome. Before her diagnosis, my family and I had never heard of 22q and assumed it must be a very rare genetic condition because any doctor I took Lucia to after her diagnosis had never heard of it. As many families do, I soon became an expert in my daughter’s condition and to my amazement I have discovered that actually it is one of the more common rare conditions, (if not even more frequent given the rate of undiagnosed people living with the condition). This fact ignited the coals of advocacy within me, and as my knowledge of 22q grew so did my passion for making the condition known to anyone who was willing to listen. I soon discovered that given the right support I could make an actual change right here in Northern Ireland. I have the support of 22q11 Ireland, the Max Appeal! and the Northern Ireland Rare Disease Partnership. With their help and contacts, in January 2015 I was able to submit a proposal to the health minister Jim Wells to lobby for a 22q clinic, under the consultation document of the Northern Ireland Rare Disease Implementation Plan. I did this alongside Tabib Dabir from Belfast City Hospital genetic department, who is playing an instrumental part in this concept. A concept that we hope to be able to replicate the length and breadth of the UK and Ireland. My mum Lorraine and I began to get in contact with other people living here in Northern Ireland who either have 22q or have a child with 22q after Lucia and I did an interview with UTV Live. We discovered that they also not only wanted, but needed to find other local people with this same condition with whom to relate and understand the struggles and accomplishments. Here we are two years on. We have a wonderful Facebook group with over 1,000 likes, and following on 22q11 Northern Ireland, we Tweet on 22q11_NI. We have met so many others locally who have 22q and seen each other through some very difficult periods. We’ve made amazing friends. Read about Gillian’s moving account of getting a diagnosis for Lucia on her website at www.22q11northernireland.co.uk where you can also find information and research about the condition. rare conditions The best care for Lyla After an emotional wait and several MRI scans, Katie Yarwood’s daughter was diagnosed with the very rare Moebius syndrome. T he best days of our lives were when our children were born. My husband James and I have had heartache along the way, but our family is now complete. I’m Katie, an artist and small business owner, my husband James is a civil engineer. We have two amazing children, Josh who is four and Lorelei, or Lyla as we like to call her, who is two and a half. We live in the idyllic town of Thornbury, South Gloucestershire. My daughter Lyla has Moebius syndrome. This rare condition is so unknown I had never heard of it before my daughter’s diagnosis. Lyla is a contented little girl, she loves to explore and try new things, she is chatty, funny and cute as a button if I say so myself. When Lyla was born we knew something was different, she had trouble feeding and her eye would not close on its own. The left side of her face was so swollen and no one knew what was happening. She weighed a healthy 7lbs 12oz and everything was great apart from the anomaly with her face. From the start we had no answers. We visited a paediatric doctor when she was five weeks old. We were told that the palsy was most likely some unknown birth trauma and she would regain movement by eight weeks of age. The eight weeks came and went, so we were told 12 weeks. By this time it was apparent that there was another cause, Lyla was now under the care of a paediatric neurologist We now know the importance of the ability to smile and we scheduled tests to discover the cause. The doctors prepared us for the worst, the possibility of a brain tumour or the fact she might have suffered a stroke in utero. The first MRI was scary and upsetting; we all cried but were relieved when the scans showed no brain tumours or evidence of a stroke. Again we waited, not knowing what the cause was until in September 2014, an MRI revealed her cranial nerves on the left side had not Happiness depends more on the inward disposition of mind than on outward circumstance Benjamin Franklin www.cafamily.org.uk formed and thus Lyla was diagnosed with Moebius Syndrome. The syndrome has affected Lyla by causing endless eye infections, poor balance and facial pain. We still have to make sure she chews her food thoroughly before she swallows and be very watchful that her eye is protected from the elements and dust. Lyla’s nursery, Little Acorns in Thornbury, has been excellent, helping Lyla in regards to her balance and have always been very watchful with her palsy. Lyla’s keyworkers have kept records for me of her progress and for the doctors – they have even raised charity donations for the Moebius syndrome trust. Our families are extremely supportive, as well as James’ work enabling us to get the best care for Lyla and providing unbiased emotional support. Before everything we have been through with Lyla, we didn’t realise how important facial movement was in everyday life, we now know the importance of the ability to smile. We are trying our best to establish a support network for Lyla when she’s older by joining many support groups online such as Courage to Smile, and networking with other parents whose children have this incredibly rare syndrome. I’ve been moved to tears speaking with the head of the Moebius Syndrome Trust knowing we are not alone and Lyla will have support in the years to come. connected Spring 2015 23 rare conditions A world-wide of webpossibilities Louise Derbyshire, who looks after our online family-linking service, explains how it helps parents whose child has a rare condition T echnology is making our world smaller, helping to break down barriers and reduce isolation. For parents whose children are affected by rare disorders, reaching out to others online is particularly useful, as many will have been told by doctors that there are only a small number of cases in the world. For many years Contact a Family has been helping parents to reach out to other parents locally, nationally and globally through our online service, MakinContact.org We launched this service in 2004, as one of the many ways we link parents. 24 connected Spring 2015 This service allows parents to send each other private messages, helping them gain knowledge and information about their child’s condition, and find out how other families are getting on with their life, dealing with challenges and celebrating successes. You may find that someone else’s experience helps you to deal with issues you too are experiencing. By talking to others you may find out about treatments, new therapies or research projects that are being conducted to learn more about the condition your child is affected by. Many rare conditions are known by more than one name, and the site will tell you if this is the case. This can be useful in helping you find more information about the condition. I spoke to Anna, a mum who lives in Wales, who joined MakingContact. org in 2014 shortly after her daughter was diagnosed. She wasn’t ready for a support group but wanted to talk to another mum whose child was close in age to her daughter. She found Angie, who didn’t live too far away. They exchanged several emails and in October 2014 they met up. For Anna, MakingContact.org gave her the rare conditions opportunity to reach out to another parent and she found it was a very positive experience. “At a point where I was feeling overwhelmed and isolated, it was simple and easy to make contact with someone who understands your feelings and is able to offer support and advice.” MakingContact. org is for everyone – not just those with a rare disorder. There are a surprising number of people registered whose children have conditions that are considered to be more common – sign up today and start making contact! “One of the Mums I contacted on MakingContact.org gave me some useful information about specialist milk for my daughter. I spoke to my dietician who sorted it all out for me. Happy days!” “Just knowing that there are other families out there who understand was so comforting. MakingContact.org was the first site I heard about and used and I would definitely recommend it to other families.” Get in touch with parents like you at www.MakingContact.org Rob Pleticha explains how families in the Rare Connect Community can support each other RareConnect.org provides patients and families with the opportunity to discuss their rare condition experiences and learn from each other in a safe, moderated environment, without disclosing personal details or sharing data with third parties. RareConnect is an initiative of the European Organisation for Rare Diseases, EURORDIS. In 2014, parents Annie and Karl from the United States learned that their son Jonah has a point mutation in the FOXP1 gene. Feeling very isolated and with little to no information on their son’s condition available online, they created the first FOXP1 online community through RareConnect, a multilingual platform with dedicated support from EURORDIS’ three community managers. In only a few months, they brought together 13 families from around the world to exchange experiences and information. Three of these families do not speak English and benefit from the translation services offered across five languages in the community. “Creating this community and watching these families join has been so incredibly rewarding”, says Annie. The FOXP1 community on RareConnect resulted in the first ever known meeting of two people with this rare mutation. RareConnect now hosts 70 rare condition communities and is constantly growing. Members can look for guidance on wide-ranging topics, such as finding a specialist, receiving a diagnosis, how to manage school, or tips for parents on how to cope with their emotions. One of the aims of the RareConnect community is to strengthen the international network of patient associations and families. This ensures that any advancements in understanding a condition, and progress towards effective treatments is made. It makes sense that patient groups do all that they can to collaborate on an international level, to pool together their expertise. Visit RareConnect.org to learn more about the existing rare condition communities or write to [email protected] to request a new community. RareConnect is on Facebook and Twitter, search for RareConnect. www.cafamily.org.uk Tips for staying safe in online communities D on’t over share personal information on a public forum. For example your email address, telephone number, the school your child attends or specific local services you access. Find a way to communicate that information privately, only to its intended recipient. Use a pseudonym when discussing health information online and be aware of the data-sharing policies of websites where you share personal information. Consider the source of information and check with your doctor before making any treatment changes. Even other well-meaning parents can give out treatment information that could prove harmful. B e careful when sharing your child’s full name online. Something they might not mind at age ten might be something they are not comfortable being available to the public at age eighteen. B e careful sharing photos of your child online too, for the same reason! connected Spring 2015 25 rare conditions C Finding my feet again Being diagnosed with a rare form of cancer meant Nicole had to quit school. Now she’s looking forward to the future ancer is rare in children and young people, accounting for less than 1% of all cancers, and is generally very different to those seen in adults. Every year in the UK around 3,800 children and young people under 25 are diagnosed with cancer. Around 2,230 are aged 15 to 24-years-old. In early 2011, when she was 17, Nicole was diagnosed with Germ Cell Teratoma of the ovary, a rare form of ovarian cancer. It was a huge shock to her and her family as she had been wrongly diagnosed for two-and-a-half years. Nicole had three months of intense chemotherapy and had to give up school during her final year when she was studying for her Highers. During her recovery she had support from Tracy, a CLIC Sargent young adult community worker, who helped her get back on her feet and think about further education. “It took me two years to get back into college. I had a whole year of recovery so for that whole time I couldn’t really do anything. The year after that I was finding my feet again and that’s when Tracy really helped me. She looked at different courses with me and we talked about which courses I could take to build my skill set. She got me a place on a Prince’s Trust scheme which I went on to broaden my horizons and then we talked about more college options. I got accepted onto the health and social care HNC, which I started in September. I’ve really been enjoying the course and I’ve been passing everything with flying colours. “It was a relief that I’d got through it all. I had loads of support from my family but because I had to quit school I’m at a different stage in life to all my friends and I felt like I’d been left behind a bit. When you’re at school you have that support network around but I didn’t have that. If I hadn’t had the support I had from Tracy and CLIC Sargent I don’t know where I’d be.” It was a relief that I’d got through it all CLIC Sargent is the UK’s leading cancer charity for children and young people and their families, and provides emotional, practical, financial and clinical support to help them cope with cancer and get the most out of life. Their report Coping with Cancer – supporting young people’s resilience, illustrates research that shows how to build up resilience in young people, and how access to the right information and support can help young people to confidently manage their illness. Download Coping with cancer at www.clicsargent.org.uk/copingwithcancer Northern Ireland Leading the way on rare conditions Contact a Family is a member of the Northern Ireland Rare Disease Partnership and attended an event in March for Rare Disease Day and the first World Birth Defects Day. World Birth Defects Day was established by leading global health organisations to raise awareness of birth defects and expand care services for people who are born with a rare disability or health condition. 26 connected Spring 2015 The event was an opportunity to share expertise and experiences, and to look at the way forward for better care and outcomes. Dr Frank Casey, for example, spoke of how medical advances have improved care of babies being diagnosed with one form of congenital heart disease from a 90% death rate to a 98% survival rate! Frances Murphy, Manager of our Northern Ireland Office said: “Hearing from parents and people living with rare conditions, and the work being done by health professionals and colleagues in the voluntary sector was really inspiring.” Our Northern Ireland office supports parents and professionals. Get in touch at nireland.office@ cafamily.org.uk or call 028 9262 7552 rare conditions Children with rare conditions to design the perfect nurse On Rare Disease Day, 28 February 2015, Roald Dahl’s Marvellous Children’s Charity announced the creation of a Roald Dahl Nurse for children with rare conditions. This will be the 51st Roald Dahl Nurse post created by the charity, but it is the first Roald Dahl Nurse to focus exclusively on rare conditions in children, and the first one based at Birmingham Children’s Hospital. The new Roald Dahl Rare Diseases Clinical Specialist Nurse will improve the long-term wellbeing of children and young people living with serious rare illnesses, and will work flexibly across the broad spectrum of rare conditions, with a particular focus on those conditions that are not priorities for the NHS. The post will be unique because children and young people with rare conditions and their families will be given the opportunity to help to design the post. The nurse will also provide children and families with psychological support, as well as providing support through the important transition from paediatric to adult care. For more information about Roald Dahl’s Marvellous Children’s Charity visit www.roalddahlcharity. org. You can tweet them @RoaldDahlFund www.cafamily.org.uk The future’s bright! A spokesperson at Great Ormond Street Hospital in London tells us about plans for a new research centre for rare conditions The Centre for Research into Rare Disease in Children is due to open in 2018. It will be a world-leading centre of excellence that will tackle some of the most challenging scientific questions, enabling our scientists and clinicians to more accurately diagnose, treat and cure children and young people with rare conditions. Bobby Gaspar, GOSH consultant and Director of the Centre for Research into Rare Disease in Children, says: “It’s not just about finding new cures and treatments for patients with rare diseases at GOSH; it’s about finding new cures and treatments that can be applied to children with rare diseases across the world.” The findings from the research teams at the centre will also have the potential to feed into treatments for more common childhood conditions. Great Ormond Street Hospital (GOSH) has the UK’s widest range of health services for children on one site and is the country’s only academic Biomedical Research Centre specialising in paediatrics. Visit www.gosh.nhs.uk More screening for babies Newborn bloodspot screening is done to identify babies who have rare but serious conditions. Babies are currently screened for: ●●sickle cell disease (SCD) ●●cystic fibrosis (CF) ●●congenital hypothyroidism (CHT) ●●phenylketonuria (PKU) ●●medium-chain acyl-CoA dehydrogenase deficiency (MCADD). Since early 2015, based on a one-year project involving over 400,000 babies, newborn blood spot screening in England is being rolled out to include four additional rare conditions: ●●maple syrup urine disease (MSUD) ●●homocystinuria (pyridoxine unresponsive) (HCU) ●●isovaleric acidaemia (IVA) ●●glutaric aciduria type 1 (GA1) Testing newborn babies for rare conditions means that life-saving treatments and therapies can begin as soon as possible, and helps prevent affected babies from dying or being severely disabled. For example, people with MSUD cannot process dietary proteins properly, and proteins in the diet can cause neurological (brain) damage. If MSUD is identified early, babies can be put on a special, low-protein diet to help stop this from happening. To find out more about the expanded screening programme, please visit newbornbloodspot.screening.nhs.uk/expandedscreening connected Spring 2015 27 rare conditions Top tips and resources If your child has a rare condition or is waiting for a diagnosis, you may find the number of professionals you see and appointments you have to attend overwhelming. Our guide to Living with a rare condition has tips from parents who have ‘been there’ – here are a few: Living with a rare condition Information for families Incorporating The Lady Hoare Trust eep a paper trail. Keep copies of all letters, appointments, and test results K in a folder. Keep a note of all the phone calls you make as well. If you find reliable information about your child’s rare condition, take a copy to appointments with people who may not be familiar with it, such as your GP, social worker or physiotherapist. If you feel you need to see a specialist, or if you think you may have got ‘lost in the system’, don’t be afraid to phone and find out. Ask to speak to the doctor’s secretary to find out what is happening with your child’s appointment. on’t be afraid to ask your specialist questions that are concerning you, D however silly or insignificant you think they may seem. If your child is waiting for a diagnosis you may also find our guide Living without a diagnosis helpful. And our A-Z medical directory has information on more than 400 conditions, with their support groups. If your child has a rare condition and one of the features is, for example epilepsy, it may also be helpful to contact the support group for epilepsy to help you manage that feature of their condition. Living without a Information for families diagnosis Incorporating The Lady Hoare Trust UK Getting involved in research Some families may consider becoming involved in research or clinical trials for treatments for rare conditions. The decision to take part will be individual for each family. Always try to find out as much unbiased information as possible before deciding to take part and make sure you inform your child’s specialist about what you have found. Condition support groups may also have useful information on research and trials. www.nhs.uk has information on clinical trials and questions to ask before getting involved. www.healthtalk.org has interviews with parents talking about how they found out about trials and why they decided to take part. For a free copy call our freephone helpline on 0808 808 3555 [email protected] Special needs and legal entitlement As parents of disabled and special needs children, our day-to-day lives are filled with complications, which are unimaginable for some. The recent changes set out by government and the speed at which they have been implemented, along with the sheer mention and thought of the new Children and Families Act 2014, the Code of Practice, Care Act 2014 and many others, fills us with a sense of dread and anxiety. Seminars are being run all over the country with conflicting levels of understanding of just what all these changes mean, for us and those we care for. One big question arises – who do we turn to for credible and affordable advice? Special needs and legal entitlement by Nettleton and Friel, provides such advice. While some would say this book is not for the faint hearted because of its reference to sources of legal information, it lays out in a clear and understandable format the changes which have been thrust upon us, by 28 connected Spring 2015 breaking down and scrutinising them. Precise references are clearly identified. The case studies, guidance notes and list of common problems brings the whole matter of the SEND reforms, Children and Families Act 2014 and legal issues into clear perspective. This book is a must-have for all parents of children with additional needs. It allows us all to be better informed in real terms. It helps us ensure we all achieve the best for our children. And, ironically, assists those who are responsible for implementing the system. Review by Chantal Chaervey (mum) Special needs and legal entitlement - the essential guide to getting out of the maze, by Melinda Nettleton and John Friel, Jessica Kingsley Publishers legal view The Care Act 2014 Caroline Barrett, Solicitor in the Public Law Department at Irwin Mitchell Solicitors, comments on the new law in England O n 1 April 2015, the majority of the Care Act 2014 will come into force. It will consolidate and reform the existing laws that relate to adult social care. In this article we will look at what the new Act will mean for parent carers. Parent carer’s assessments The Care Act mainly applies to adult carers of adults. Parents of disabled children are still entitled to an assessment under the Children and Families Act 2014. This must be carried out on the appearance of need, or where an assessment is requested. The assessment will need to consider the carer’s wellbeing, and whether the carer is willing to continue providing care to the child. However the provisions and guidance relating to these assessments are not as extensive as those under the Care Act. Furthermore, local authorities can provide services to meet the needs that are identified, but there is no duty to do so. Child’s carer’s assessments The Care Act 2014 contains some important provisions about what happens on transition, before a child reaches the age of 18. A ‘child’s needs assessment’ must be carried out for a child where it www.cafamily.org.uk would be of significant benefit to the child and where it is likely that they will have eligible needs for care and support when they reach the age of 18. A ‘child’s carer’s assessment’ must also be carried out for the parent carer. The assessments must identify what support the child and the carer might require when the child reaches the age of 18. The statutory guidance suggests that these assessments should take place when it is easier to understand what the needs of the child and carer will be beyond the age of 18. For children with Education, Health and Care plans, it is likely that they will take place during the transition process, from Year 9 onwards. Importantly, the Care Act gives the local authority the power to meet a carer’s needs under the Care Act even before the child reaches the age of 18. This provides stronger legal rights to parent carers during this transition period. Carer’s assessments The Care Act provides much greater rights for carers. For the first time, the needs of a disabled adult’s carer will be treated in the same way as the needs of the disabled adult themselves. In addition, the Care Act places local authorities under an important new duty to promote the ‘wellbeing’ of individuals, including carers, when making any decisions under the Act. All carers will be able to request a carer’s assessment where they ‘appear’ to have needs for support. This is a low threshold and will entitle most carers to an assessment. The assessment must be person-centred. It must take into account the carer’s wellbeing, the outcomes they would like to achieve, whether the carer is able and willing to provide care and support to the disabled adult, and whether the carer would like to access work, education or training. The local authority will be under a duty to meet all the carer’s eligible needs. A carer’s needs are ‘eligible’ if the carer is not able to meet one or more of the outcomes set out in new eligibility criteria, and this is having a significant impact upon their wellbeing. These outcomes include maintaining nutrition, developing family relationships, and engaging in recreational facilities. A financial assessment will also be carried out to see if the carer needs to contribute towards the costs of the support they receive. Further information on the Care Act, including factsheets and precedent letters, can be found at www.irwinmitchell.com/the-care-act connected Spring 2015 29 network news Local Groups Network Groups that have recently joined our network Manchester Stockport CP Society Services such as after-school and holiday clubs, youth clubs, and weekend activity breaks. [email protected] M9 ADHD Parent Support Group For families that live with ADHD in North Manchester. Meets fortnightly at Victoria Avenue Library and Learning Centre. http://m9adhdpsg.btck.co.uk South Manchester Down Syndrome Support Group Social events and training for parents and education professionals to support children's learning with speech and language therapy, sing and sign, yoga, and drop-ins, once a month on a Friday. [email protected] ADHD and Life Wythenshawe For parent carers of children and young people with ADHD and associated conditions in the Wythenshawe area. Holds a coffee morning every Tuesday to provide information, advice and support in a friendly relaxed environment. 07428136339 [email protected] Grange Parent/Carer Support Group Weekly group open to parent carers of children with autism within the school community of Levenshulme. [email protected] 0161 2312 590 The Autumn Group For parent carers of children and young people with additional needs – including undiagnosed. Meets weekly. www.theautumngroup.co.uk [email protected] 30 connected Spring 2015 Oxfordshire Oxfordshire Deaf Children’s Society Support and social events for deaf children, young people, young adults and their families. www.oxfordshire-deaf-childrenssociety.org.uk Essex All Ability Sports and Leisure Sports and leisure activities for people with a disability aged eight years and above. Activities include Boccia, swimming and much more! [email protected] ADHD and Support Support group that meets at 7pm. Services include talks to local groups and schools, and family support services. Call Steve on 07866 129 728 Suffolk Little Stars Parent Support Group Guided play opportunities for children and a friendly place for parents and carers to meet up. This is a referral service only. Call Karen on 01206 299 467 School For Parents Coffee and Chat (Ipswich) For parents and children aged 0–5 with a physical disability. Meet weekly during term time in a converted barn with specialist equipment, a sensory corner and physiotherapy equipment. [email protected] Gloucestershire South Cotswolds Parent Carers Support Group Support group for parents and carers of children and young people with additional needs. Meets every two months in Fairford. 01285 712 161 [email protected] Dorset Downright Perfect Aimed mainly at children 0–5, the group welcomes older children too. Meets twice a month, 12.30 to 2.30pm, 12.30 to 2.30pm. 07513 148 082 [email protected] The Umbrella Group Saturday club for toddlers to young adults on the fourth Saturday of the month from 10am to 12pm in Christchurch. 07900 693 131 [email protected] South Find out more about our local groups network by emailing our local groups officer adele.meader@ cafamily.org.uk Autism Wessex Specialist services for people affected by autism and associated difficulties across Dorset, Somerset, Hampshire and Wiltshire. Services include Portfield School for education, residential and respite care and support groups. www.autismwessex.org.uk [email protected] network news Tyne and Wear FLASH Autism Group for parent carers, children with additional needs and siblings that meets monthly. www.Flashautism.co.uk [email protected] Barnard Castle Parent Support Group (Co Durham) For parent carers of children and young people with any additional need, meet monthly at Barnard Castle One Point Hub. 03000 26 11 20 Derbyshire Boost For parent carers living in Chesterfield and North Derbyshire for ADHD/ASC and any condition that causes challenging behaviour. Ages 0 to 28. Meets at Stavely Community Fire Station, Chesterfield on the first Friday of the month during school term time, 10am to 11.30am. [email protected] Everybody Hurts For parent of any age or disability affected by child abuse. Meets once a month at Staveley Community Fire Station in Chesterfield. www.everybodyhurts-derbyshire.org ASC/ADHD Parent/Carer support group Monthly meetings at St Thomas's Centre, Brampton from 9.30am for peer support, refreshments and occasional speakers. [email protected] 01246 569 142 Yorkshire HUHA! For carers of children with additional needs. Meet for coffee in the family room at New Earswick Children's Centre on the last Thursday of the month. [email protected] Leeds Afasic Facebook page for support, advice, social and information events. [email protected] www.facebook.com/groups/ LeedsAfasic Bluebell Wood Children's Hospice Parent and Grandparent Group Activities, reiki and time to 'be' at a group for bereaved parents and grandparents whose children have a shortened life expectancy. www.bluebellwood.org Norfolk Slice of Advice Weekly group from Slice of Heaven teashop. Guest speakers, sensory toys, cupcake making and a play area. Early Bird courses run by a trained educational psychology therapist. [email protected] www.facebook.com/ sliceofheaven1970 Scotland Autism and ADHD Support Group Skye Fortnightly support group for parents with a child with autism/ ADHD. Meets at the Portree Community Centre 01470 542 432 [email protected] Free help and advice for support groups Whether you’re setting up a local group, a social enterprise or a rare condition charity, Contact a Family’s free Group Action Pack guides are packed with tips and sources of specialist advice. The guides cover issues ranging from starting a group and holding meetings, to publicity, charity registration and fundraising. And with15 guides to choose from, you’ll find lots of ideas to develop your group. Download your free Group Action Pack guides at www.cafamily.org.uk/groupactionpack www.cafamily.org.uk connected Spring 2015 31 Need advice? People take their time to support me. I always come back to the helpline for advice. Call our freephone helpline, a ‘one-stop-shop’ for advice and information on any aspect of caring for a disabled child. 0808 808 3555 [email protected] Open Monday to Friday, 9.30am–5pm Our education advisers can help you with ●●early years and preschool ●●getting extra help in school ●●statements and EHC plans ●●bullying ●●exclusion ●●transport ●●support for medical needs ●●education after 16. Our general advisers can help you with ●●benefits or tax credits issues ●●details of local and national parent support groups ●●information about your child’s condition ●●how to access help with getting a break from caring ●●details of grant-giving charities ●●any other aspect of caring for a disabled child. Running the Marathon for Contact a Family is my way of thanking them for supporting Shola and me. Help us support more families – you can fundraise by doing almost anything! Call us today on 020 7608 8786 or email [email protected] 020 7608 8700 [email protected] www.cafamily.org.uk www.facebook.com/contactafamily www.twitter.com/contactafamily www.youtube.com/cafamily Autumn winter 2014 connected For families with disabled children and all those who work with them connected is kindly supported by Legal experts in challenging health and social care packages, special educational needs, Court of Protection issues, wills and trusts, as well as serious injury and medical negligence claims. Follow us on Twitter @irwinmitchell www.irwinmitchell.com Rub it out! Stop Bullying for All – Anti-Bullying week, pArentS ShAre their experienceS Update from oUr new Ceo, amanda Batten “I’m looking forward to working with you all.” Connected Aut Wint 2014 16 Oct JC.indd 1 news from the nations Books Disability Pride in Northern Ireland, outreach in Scotland, and policy news from Wales Parents’ reviews – PLUS a chance to win a book by Sir Quentin Blake! 16/10/2014 10:39
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