This practice guide outlines how Wirral has strengthened its approach to EOTISC by introducing a commissioned model that combines personalised education packages with robust oversight, safeguarding and accountability. Working in partnership with Orrets Meadow School, the approach ensures children and young people receive high-quality provision tailored to their needs while maintaining a clear focus on educational progress, wellbeing and reintegration where appropriate. The guide explores the rationale for the model, how it operates in practice, and the positive impact it has had on outcomes for children and families.