Category Archives: Information and Advice

SEND funding in England: the Government needs your views!

Last week the Department for Education (DfE) in England made a call for evidence about SEND funding. As many of you will know and have experienced, the SEN system in England was significantly reformed in 2014 with the introduction of the Children and Families Act but that wasn’t the only change to have a big impact on children and young people with SEND.

Eighteen months or so prior to that the government made significant changes to the way SEND was to be funded at the local level. The combination of the these two major reforms has had led to numerous accounts of serious issues for children with SEND with almost daily news stories of exclusions, head teachers saying they have no money for SEND and parents taking local authorities, and even the government, to court for matters relating to funding.

The consultation is open until 31 July and the online response form can be found here.

The DfE have also asked the Council for Disabled Children to organise a small number of workshops across the country, so that they can discuss the themes in the call for evidence in greater detail. If you would like to attend one of these events, you can register your interest at [email protected], giving your name, role, organisation and email address. They will send you information about the events as soon as it is available.

Bizarrely, the call for evidence doesn’t include special school funding or school/college transport. Families are telling us that problems with the latter continue to be a serious issue for some parents meaning that sometimes they have to reduce the hours that they work or even consider giving up work all together. In many cases, getting a child/young person with SEND to school or college and providing a meaningful educational and social experience needs all the pieces of the SEND funding jigsaw to work together: it would be great if the DfE could focus on all of the pieces and not just some of them.

The long-term effects of unreliable, inconsistent support in CAMHS

Mair Elliott writes about how unreliable and inconsistent support from CAMHS has had an impact on her. You can read more of Mair’s posts in her blog. We’d like to hear about your experiences of delays or inconsistent support from CAMHS.

“When we discuss the high staff turnover, lack of reliable support, and other issues within CAMHS services we often think about the immediate distress that is caused to the young person in need of care and treatment. However, the ongoing effects can be just as distressing.

My experience of CAMHS, as with many other’s experiences, was of unreliability, numerous staff changes, lack of communication, and stop-start therapy. I’d invest my trust in a therapist only to have it broken when they departed at short notice. This happened over and over again. It was this continual loop of breaking my trust which has left me with some pretty serious insecurities.

Over the past couple of months, my therapist, whom I have been seeing for over a year, has had to take significant leave for various reasons outside both our control. Unexpectedly, it has triggered some deep insecurities within me. Yesterday she informed me that she’d have to take time off and I wouldn’t be able to see her for another 3 weeks. I am feeling incredibly vulnerable and upset over this. I don’t trust that she will come back, I don’t trust that I won’t be left stranded without support, I don’t trust that my trust will not be broken. Part of me feels that I can’t continue seeing her, that I should disengage because it hurts too much to have my trust broken over and over again. I know that this decision would leave me without any support, but right now that seems less painful. Another part of me is compelled to do something drastically self-destructive in order to prove to the CMHT that I really need support, that I’m not safe and can’t deal with this on my own. Unfortunately, my experiences have also taught me that the only way to get help is to do something drastically self-destructive.

I have very little point of reference for a stable, consistent therapeutic relationship, where I don’t need to continually prove I’m sick enough to be worthy of support. Therefore, it makes sense that I struggle to engage and trust in mental health professionals. My experience is that they cause me more pain, build my expectations and then let me down, and wait until the last minute to provide patchy support. Its almost as if I’m in an emotionally abusive relationship. Why should I invest my trust in professionals, when this is my previous experience?

The most shocking thing to me is that had I not had these experiences of CAMHS I wouldn’t have these trust issues and insecurities. I grew up in a loving, stable, nurturing environment, this fear of trust, abandonment and neglect didn’t exist before CAMHS – it was CAMHS that caused them. How can it be that a health service can cause this long-term damage? I put my trust in a service to support me and help me get better, but instead I was left with the acute distress at the time and long-lasting issues which are having a great impact on my ability to engage in therapy now as an adult. I have always veered away from blaming anyone, but actually right now I’m pretty f*cked off. It is completely unacceptable for a service’s failings to have left me with such a deep-rooted fear of trust, abandonment and neglect. I had, and still have, enough difficulties to deal with without this on top.

For now, I’m going to have to get myself through the next 3 weeks somehow. I logically know that the reasons for my therapist’s absences are out of her control, so I will do what I can to negotiate with the urges to disengage or self-destruct. If there’s one thing I’ve learnt about myself over the years, it’s that I have an ability to ‘get through’ things even if I’m metaphorically on my hands and knees and dragging myself along.

I’d be interested in knowing if this is a common experience of those who have accessed CAMHS? Is my experience unique? Have you experienced long term effects of poor care and treatment? “

We would love to hear about your experiences of delays or inconsistent support from CAMHS. Please get in touch with [email protected].

Guide to research about childhood brain conditions

Aims:

This guide provides an introduction to research and the research process. It also outlines some suggestions for finding good quality research and information.

Download Guide to research about childhood brain conditions PDF

First published 2019. This edition 2019. Review date 2022

Your response to the following statements will help us to make our information more useful. The questions relate to the resources that can be viewed on this page.

Joshua’s Transition: Part 3

Emma tells us about the challenges of transitioning from child to adult services. You can read part one here and part two here.

Well Joshua is now 18 years and 1 month old and so we survived his coming of age and it was a well celebrated birthday. He went to the theatre twice, he went to Donald’s for his actual birthday tea, he enjoyed afternoon tea with friends and he relished a family Sunday lunch with 20 members of his family. It is finally time to take his many birthday cards down and his giant helium 18 has only just collapsed.

So what has changed since he became an adult a month ago?

– The greatest change is that we have now nominated, and had approved, our adult respite provision. We heard last week that Panel had given the go ahead and so we are going to use the Easter school holidays for daytime introductions, before he works up to an overnight stay in May. We have a leaving party to look forward to at his current respite provision next month, during his final weekend, and I will certainly be needing my tissues then. So that is a huge hurdle reached and jumped.

– Joshua has always taken his anti-epileptic medication whole but in yogurt or mousse, so that it is easier to swallow and that practice has never been questioned. Now that he is an adult, we have to get an expensive Doctor’s letter to state that this is acceptable and that we, or the respite carers, are not trying to secretly administer medication against his will. Why should that suddenly become necessary now that he is over 18?

– I have to get used to calling Joshua ‘my young man’ rather than ‘my boy’ and I remind myself to talk about the ‘young people’ at school rather than the children, that is taking some doing but I will get there eventually.

– I am much more focused on the end of Joshua’s school days than I was before. I know that he will be there until July 2020, but that suddenly just seems around the corner to me. I know how quickly the terms fly by so after Easter we will be starting the summer term, so before we know it, it will be the long summer break then he will be back for his final year of school. I was in a Governor’s meeting last week and the head was talking about the 17 leavers next year and I didn’t hear anything after that, as I was so focused on Joshua being one of those leavers. That will impact not just on him but on me too, as I have developed several parent events while at school. I have already warned the coffee morning group that they need to recruit another baker for a year’s time, if the monthly event is to be sustained.

– The Continence Service changed Joshua’s ID code, without informing me, so that I could no longer order his repeat order of continence products as I was using his original ID number that apparently only applied when he was a child! His NHS number, passport number and National Insurance number are with him for life, but in their wisdom, he needed a new adult version for their system, which caused untold confusion and delays. They called up the other day to ask for an assessment at home, with Joshua and ‘his nurse’. I asked who his nurse was, as he has never had any nursing care other than the school nurse or nurses when he was in hospital. She did not know either who his nurse was and went away to find out, but that was several weeks ago and nothing has happened since.

– We have gained an additional social worker, as Continuing Health are funding Joshua’s adult respite and daycare, so we have a social worker from Health as well as Social Services now. We have met once so far, during a meeting at school but she will want an assessment of Joshua too in due course. I am not sure how long they will run in parallel but so long as they are joined up in their thinking and organised in home visits, then two heads should be better than one surely.

– Joshua is now a tall adult in an adult’s body, with facial hair – that he has had since he was 10 to be honest . But behaviour that was sweet and tolerated when he was younger, could be construed as being more threatening or inappropriate now. Joshua is very tactile, he loves to hug and he adores long straight hair, which he likes to stroke and flick. While a toddler stroking your hair might be regarded as being cute, it could be seen as more predatory in an 18 year old. But of course, in his mind, Joshua is still that toddler, just that it is now enclosed in a grown up body! I now think twice about where I take him to change him IF there is no disabled toilet facility, I have always bundled him into the Ladies with me if I am out alone with him, but now that does not always seem to be the best choice, but I am not sure how well Gents are set up as changing facilities.

There are also a few things that have not changed since Joshua turned 18

We have not yet been handed over to the adult neurology consultant or epilepsy nurse, that is due to happen at the end of April. So both will need to get to know Joshua’s history and how he reacts in appointments and we will need to build up confidence in them. Joshua still attends sixth form at the Special School that he has attended for the last 8 years, thankfully he can stay there until he is 19.

Joshua’s needs are completely unchanged: just because he is now considered legally as an adult, he is still virtually non-verbal, still needs personal care and he still has epilepsy. We still love him just as much as when he was a child and we will continue to make decisions on his behalf, in his very best interests. I detest the implication that after 18 years of care, we will suddenly become corrupt and try to spend all his benefits on ourselves and that our best efforts to keep him safe, could be construed as deprivation of his liberty. The onus seems now to be upon us to prove that we have his best interests at heart, where that was presumed to be the case when he was 17 and younger. Joshua is the same individual and we are the same parents, just trying to do our best to give our son the best life that we can.

You can read Emma’s past posts here and on her blog Ups and Downs Mum. If there are any topics you would like her to write about let us know in the comments.

Factsheet: Disabled Facilities Grants for Disabled Children in England and Wales

Aims:

This factsheet aims to give a short overview of Disabled Facilities Grants for disabled children. It provides information about what they are and will help you access the information, support and resources that are available in order to apply for them.

Download Factsheet Disabled Facilities Grants PDF

First Published 2019. This edition 2019. Review date 2022.

Your response to the following statements will help us to make our information more useful. The questions relate to the resources that can be viewed on this page.

World book day in our library

Thursday 7th March is World Book Day and we have lots of story books that are suitable for children of all ages available to borrow from our Library.

Young children

Sometimes by Rebecca Elliott

A colourful picture book for young children.

“Toby knows his sister Clemmie is very brave.  When she has to go to hospital, they both have to help each other face their fears.  Together they make hospital a much better place “.

Avery by Marta Altes

A lovely picture book for young children

“Avery is like other birds most of the time, but sometimes, feels a bit different.  But Avery is not alone”.

The Five of Us by Quentin Blake

An illustrated story for young children

“Angie, Ollie, Simona, Mario and Eric are five fantastic friends, each of whom has an unusual ability.  Disaster strikes on a day out to the countryside but, working together and combining their individual powers, the Fantastic Five save the day”.

5 to 8 year-olds

Ellie Bean the Drama Queen: how Ellie learned to keep calm and not overreact by Jennie Harding

A story explaining sensory processing disorder for 5 to 8 year olds.

“This cute children’s book offers insights into Ellie’s “dramatic” behaviours and provides easy sensory answers for parents and teachers alike.  Ellies’s story brings home what it’s like to grow up with sensory issues and helps a child to understand that he or she is not alone”.

Ian’s Walk A Story About Autism by Laurie Lears

A story explaining autism for children aged 5 to 8

“Julie can’t wait to go to the park.  But she’s not sure she wants to take her little brother, Ian, who has autism.  Ian does things differently.  At the park, he doesn’t like the tickle of a soft feather, but he loves to lie down and press his cheek against the hard sidewalk.  It’s hard for Julie to understand Ian.  But when he gets lost, Julie discovers that seeing the world differently, through Ian’s eyes, is the best way to find him”.

My Brother is Autistic by Jennifer Moore Mallinos

An illustrated story for siblings aged 5 to 8 who have a brother or sister with autism

“Having a brother with autism can sometimes be hard, especially when he freaks out in front of other kids at school.  It can be so embarrassing!  Maybe if the kids knew more about autism they’d stop teasing and making fun of Billy and just be nice”.

8 to 12 year-olds

Lulu and the Wishing Star by Pippa Fern

A heartwarming story about disability for children aged 8 to 12

“When Lulu and Sam make a wish to the Wishing Star, the young and trendy, guitar-playing fairy, Rock’n’roll-rockety-roo’ appears.  She grants their wish (well… sort of) but in her rush to catch a rock concert, forgets to leave instructions.  Can Lulu and Sam figure out their newfound powers in time to save their friend?”

Jumpin’ Johnny Get Back to Work! A Child’s Guide to ADHD/Hyperactivity by Michael Gordon

A fun story explaining ADHD for 8 to 12 year olds

“This story is told by a youngster who truly struggles to achieve, but doesn’t always meet with success and acceptance.  Although he moves through the day experiencing frustration and embarrassment, he still maintains his sense of humour and spirit of determination”.

The Panicosaurus by K I Al-Ghani

A story about managing anxiety for children with Asperger Syndrome aged 8 to 12

“Sometimes the Panicosaurus tricks Mabel’s brain into panicking about certain challenges, such as walking past a big dog on the street or when her favourite teacher is not at school.  With the help of Smartosaurus, who lets her know there is really nothing to be afraid of, Mabel discovers different ways to manage Panicosaurus, and defeat the challenges he creates for her”.

If you’d like to borrow any of these books, completely free of charge, contact our librarian on [email protected]. To find out more about the library check out our library page.

Joshua’s Transition: Part 2

Emma tells us about the challenges of transitioning from child to adult services. You can read part one here.

It is now the month before Joshua’s 18th birthday, so we really are on the countdown to adulthood now. We have recently had a weekend with a hospital admission for seizures, which brought home some of the reality of what is to come.

In the ambulance on our way to hospital there was a debate between the paramedics over whether my 17 year old son would be treated by children’s A&E or Adults. The paramedic was under the impression that, as he was still in full time education, he would still be treated by paediatrics but there was some hesitation over whether or not they would accept him, once we arrived. Apparently for our local trust, adulthood begins at 16 and, after some debate, with Joshua on the trolley, they compromised and accepted him into Children’s A&E, but they warned me, if he was admitted onto a ward, that it would need to be an adult ward. I just wanted my son to receive urgent treatment and so I accepted their contradictory and confusing distinction.

In fact, when he was settled and we talked more, once they found out that he was still under a paediatric neurologist, as we had not yet been transferred to Adults, they relented and we were accepted by the Children’s ward. This confusion gave me an insight of what may lay ahead in our future, with just a month to go until this critical birthday. It seems that Joshua currently exists in an odd limbo-land.

I took the opportunity once on the ward, to ask the nurses something that had been bothering me for a long time. I had been told on one of our hospital stays, that there would be no facility for me to stay with Joshua once he was an adult, if he requires any overnight hospital stays. I was reassured to hear that this was scaremongering and that this was not the case. Nursing staff would need me there to reassure adult Joshua and to act as his interpreter too.

I did have a glimpse at the future though, that Children’s A&E would be preferable as, as the A&E consultant explained that there would be “fewer drunks and druggies in there!”, the prospect of which sent shivers down my spine. I was much more comfortable surrounded by murals of jungle animals and smiling children’s nurses, even though he was clearly too long for their trolleys then hospital beds on the ward.

After this hospital admission, I chased both his paediatric neurologist and his children’s epilepsy nurse, to remind them that Joshua’s birthday was fast approaching. Both have now come back to me with dates when we will be introduced to the new adult specialist in March. I have also had a telephone review with the Continence Service to discuss a handover to the adult service, when a home visit will be required and no doubt, they will try to talk us out of the current continence products that we are happy with and that we fought for, for a year.

We have recently had the review meeting for Joshua’s Education Health Care Plan, where both his current and adult social workers were present. There was a great deal of discussion about Joshua’s future respite and daycare, once he leaves education. At the end of the meeting, the Children’s social worker bid me goodbye and wished me luck, as she will never see me or Joshua again, which was a strange feeling. In the run up to adulthood, I keep getting these little nudges or reminders, so that I am forced not to ignore it.

Thankfully Joshua’s current respite provision has some flexibility to extend his stays, to assist with his transition to an adult respite provision. I think that I have finally found somewhere that I could picture Joshua enjoying, that is just 35 minutes from home and so we have time to plan his future there and to prepare him – and me – for the changeover. I will be emotional when he finally says goodbye to his current provider and even in the EHCP meeting, my only tears came  when I tried to express what their service and care has meant to us as a family.

But then once that is resolved, we will have to turn our attention to the even thornier issue of how he will be occupied during the day once he leaves school at 19! Joshua does not have the capacity to go on to further studies or some form of manual employment, so it will only be about keeping him occupied and happy for the rest of his life. We will be looking to replace the role that school plays in his life currently: some reason to get up and out in the morning and somewhere where he meets and enjoys the company of his peers and caring staff, while they do fun activities. I cannot address that yet, but I know that it is on the horizon and I must not leave it until the last minute but tackle it.

School will organise “taster sessions” of some alternative providers. These are big choices that we will be making together for his future and it feels a heavy responsibility to get it right for him. I am hoping that once again, I will recognise the right provision when I see it, that it will give me that sense of ‘home’ when we look around. For me, when Joshua has found the right school and respite setting, then they have both felt like home and so sadly, this birthday he will be evicted from his respite home and next year, he will be evicted from school too. Thank goodness that there is a year gap between them as to lose both on his 18th birthday, would be so unsettling and would leave us in inevitable crisis.

So that is a blessing, as is the fact that we will be supported throughout the change. I was recently asked by a parent if I would advise them to get a social worker in place, now that her son was 16, in readiness for transition. Of course it would depend on how good the social worker was, but I would not want to navigate this change without somebody who knows the system at our side, fighting our corner. Because it will be a battle, no doubt, and so we need a coach shouting out advice from the sidelines and picking us up when we fall down.

You can read Emma’s past posts here and on her blog Ups and Downs Mum. If there are any topics you would like her to write about let us know in the comments.

Meet our new Sleep Practitioners

We’re thrilled to introduce you to the two newest members of our sleep team, Carwyn Tywyn and Claire Cox.

Carwyn

Hi, my name is Carwyn and I was delighted to begin 2019 in my new role as Sleep Practitioner at Cerebra.

My early career background was in current affairs, both as an academic and a journalist. I was awarded a PhD in Welsh Politics at Cardiff University. After a brief period as a research assistant and academic tutor, I became Political Correspondent for GOLWG, the Welsh language weekly current affairs magazine. In this role, I was based full-time at the National Assembly for Wales during 2006-07.

It was while working at the National Assembly that I became more informed about and interested in the work of the voluntary sector in Wales. Since 2008 I have worked in research and senior development roles for a number of organisations, including the Disability Law Service, Home Start UK and Mencap Cymru.

My role prior to joining Cerebra was as a Regional Caseworker for the Mencap Cymru “WISE” project, which, in partnership with Cardiff Law School, provided advice and support in relation to learning disabilities. In 2018 the project was awarded the LawWorks award for “Most Effective Pro Bono Partnership”. Whilst at Mencap, I also received training in specialist approaches such as Mental Health First Aid, which has had a major influence on my outlook.

I have two children, Heledd (11) and Gwyn (6). I think it is the combination of being both a parent and frontline disability caseworker, which has attracted me to the role of Sleep Practitioner. I feel very lucky to have the chance to apply and give back some of my knowledge and experience to children and parents who may be struggling in all kinds of life circumstances.

In another life, I am a professional harpist, and was winner of the folk harp competition at the National Eisteddfod in 2013. Along with my daughter, I am a keen supporter of AFC Wimbledon. We saw them win at Wembley in 2016!

I look forward with anticipation to my new career at Cerebra. Diolch yn fawr.

Claire

Hello!

I’m Claire. I am super excited to be part of the sleep team. I can’t wait to start helping families with their children’s sleep issues and empowering them to make the changes they need.

After volunteering with many charities over the years I am so happy to be working for such a wonderful one!

I come to Cerebra from working privately in London as a Prenatal/postnatal/Newborn care specialist, trouble shooter, Nanny and sleep practitioner.

Prior to this I used to be a professional dancer which took me all over the place doing many different things!

I also had my own ballet school.

My partner and I have our own theatrical production company of which we are very proud of!

We are about to leave London to live our dream life in Clovelly, North Devon! 

It’s a big year of change for me and I couldn’t be happier to be working with all of you for such a worthwhile and needed charity!

Find out more about our Sleep Service.

Can you guess our most popular post from 2018?

We’ve crunched the numbers, we’ve checked them twice and now we can reveal our most popular posts from 2018.

5. Is your child getting unsuitable continence products?

If you’ve been told that your child can’t have the continence products they need, you can use our template letter to make a complaint.

4. What can I do if my child needs me to be there in order to sleep?

This snippet taken from our sleep guide can help you if your child can’t sleep alone.

3. Jonas enjoys sensory toys from our library

Jonas’ parents contacted our postal lending library to borrow some sensory lights. Mum Jolanta and dad Andrej told us their story.

2. Travel insurers covering children with disabilities

If you’ve had trouble getting travel insurance companies our list of companies who cover preexisting conditions can give you a place to start.

1. Sleep tips and techniques

Our sleep tips and techniques booklet took the top spot. It’s packed full of helpful advice to help your child get a good night’s sleep.

Joshua’s Transition Part 1

Emma tells us about the period of transition that her son, 17 year-old Joshua is about to face and the services that are available to help the transition. 

Joshua

I have always feared Joshua becoming older as it felt like a step into the unknown. Every birthday sounded so much older than the year just gone, the jump from 9 to 10 years old for instance seemed enormous, but of course it wasn’t at all, it is just a number. Now the jump from 17 to 18 , where we are approaching now, that is a significant change. In the eyes of the law, Joshua will become an adult next March, when he turns 18. I cannot keep my head buried in the sand about this one, this change is approaching rapidly and so I need to face it head on.

“I don’t need to think about that yet surely!”

Even as young as 15/16, health and education professionals referred to ‘Transition’ and I tried hard to ignore them and joke that I did not know what would happen next week, never mind that far ahead. But the references to transition did not go away, they gathered pace and they cropped up when we saw his neurologist who would be handing him onto an adult neurologist, our children’s epilepsy nurse who has taken care of his seizures since he was 4 years old would be passing him on and in his Education Health Care Plan meetings, when they would ask what we wanted Joshua to do when he left school at 19? I wanted to shout out loud “Stop it, he’s only 16… I don’t need to think about that yet surely!!” We had finally got to a comfortable place – he was in the best school for him, we had found respite provision that suited us all and we had established doctors who knew and understood him – and now, because of an anniversary, everyone wanted to throw all that we had carefully built up into a big bag and shake it up. I resisted it with all my might.

Opportunity

Then something changed this May and I began to relax and embrace the change, to see it as an opportunity rather than a threat. This change was due largely to one person: a social worker who was allocated to us from ‘Futures Plus’, who would represent Joshua once he was an adult. She paid us several visits, getting to know both us as his parents and Joshua in his home, school and respite session. She always delivered what she promised to do and most importantly, she listened, giving us the time to explain how we felt or how things are, she even saw my husband and I separately, which  nobody has done before, to explore our very different perspectives.

Respite for young people

In my mind I had envisaged adult daycare and respite services as being grim places, where my 18 year old son might be mixing with 80+ year old dementia sufferers, with the staff trying to juggle their very different needs. Our social worker immediately explained that there were facilities specifically for young people  and so I relaxed and decided that Joshua might actually enjoy the next step of his life, rather than it being a necessary evil. She visited all of the local adult respite places and even rated them from her own perspective, but encouraged us to visit each one to make up our own minds. I am confident that she too is determined to find somewhere suitable for Joshua’s needs. We have prioritised Respite as his current facility cannot have him beyond 18, whereas he can stay at school , in 6th form, until he is 19 so we have an extra year to find daycare solutions. So far we have looked at 2 of the 4 in our local authority area and I plan to get round the others this month. Joshua had to go out of area for his current short breaks and we have been reassured that if there is nothing suitable locally, we can argue that Joshua’s needs can only be met by a provision out of area. So far I have to say that I have found nothing that comes close to his current provision. I will not compromise, he will not be going somewhere mediocre just because it is local. I now know what I am looking for, as we have experienced the best, and I will keep searching until I find it.

Change

I have never been good at change, it always seems to be forced upon us just when things are settled. I can recall begging Joshua’s nursery school head teacher if he could stay with her until he was 16 please. She replied kindly, “No Emma, he can’t, he will get to be too big for the furniture here”. We made the move to mainstream primary, then to a special school and then to his current special school so, given that I hate change, we have done a fair amount of it in Joshua’s 17 years and of course, we survived. The difference is that this time we have a social worker by our sides who will help us to negotiate our way through this mysterious maze and help to pull us through – I am sure.

As we approach March 5th, I will update you on how we are handling transition and will outline the highs and lows that we are bound to face. I sincerely hope that our experience may help some of you who might also have a son or daughter who is approaching this critical age. I do not want to scare those readers who have ten year-olds now, but this Transition will come much faster than you think, so it is worth thinking about it sooner, rather than later. If I had read that in 2011, I know I would have ignored that advice, thinking that it was not relevant to me, but I would urge you not to be an ostrich like I was. Perhaps you can learn from my mistakes, so that you can hear the ‘transition’ word without a shudder.

You can read more from Emma in her article ‘Introduction to us‘ and on her blog Ups and Downs Mum. If there are any topics you would like her to write about let us know in the comments.