FP5 Beyond the Scandal of Winterbourne
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Transcript FP5 Beyond the Scandal of Winterbourne
Beyond the Scandal of Winterbourne:
Working in Partnership to Improve Life
Outcomes
Introduction to session and purpose
Chair
Andrea Pope-Smith
Director Adult, Community & Housing service
Dudley MBC & Joint National Lead for ADASS on
Learning disability
The Winterbourne View Joint
Improvement Programme:
Hospital is not a home
31st October 2014
Gavin Harding
Co-chair,
Transforming Care Assurance Board
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About Me
• I am the Co-Chair of the Transforming Care
Assurance Board with the Minister of State,
Norman Lamb
• I also:
• Inspect and review inpatient settings with CQC and
NHS England
• Work with the National Forum and valuing Families
Forum for People with Learning Disabilities on
Winterbourne issues
• Co-chair the Joint Improvement Programme’s
Engagement Strategy Group
• I am involved because of my own personal
experience
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What do I want to
see?
• A change in the way we commission – people
want lives not beds
• Better community services – more learning
disability nurses and others working with people
when they need it
• Creative housing options
• More use of the voluntary sector for early
intervention
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We need to plan for and
with everyone
This will include:
• People who are under the
Ministry of Justice
• People who have a service
commissioned by NHS
England
• Young people
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Transforming Care & Winterbourne
View
Jon Rouse
Director General, Social Care, Local Government
and care partnerships
Department of Health
Transforming Care The NHS England Plan
Hazel Watson – Head of
Learning Disabilities,
NHS England
www.england.nhs.uk
‘Transforming Care Concordat 2012
Health and care commissioners will review all current
hospital placements and support everyone
inappropriately placed in hospital to move to
community-based support as quickly as possible and
no later than 1 June 2014:
Every area will put in place a locally agreed joint plan
for high quality care and support services for people
of all ages with challenging behaviour, that accords
with the model of good care.
www.england.nhs.uk
Tasks - inpatients
Track people – we need to know how successful
we are at discharging transferring people and
meeting their needs
Commitment to ‘track’ the April 2014 cohort (2015)
Care and Treatment Reviews – reviewing all
‘relevant’ patients
www.england.nhs.uk
Tasks – new models of care
How to make it easy to do the right thing (mandatory?)
and hard (punitive?) to do the wrong thing!
Rights to Services/Reviews/Advocacy
Commissioning
Funding flows
Accountability
Building Capacity
Supporting Commissioners
Fewer commissioned beds
www.england.nhs.uk
Winterbourne View
Joint Improvement Programme
Zandrea Stewart
&
Steve Taylor
Principal Advisers WV JIP
Building progress & partnership
• Providing leadership and support to local
areas
• Understanding the issues locally & nationally
• Developed a programme of proportionate
support offered to areas. (34 SIAs, & CW’s
96LA’s, 91CCG’s, 15 AT’s)
• Development information, tools and sharing
innovative practice, 8000 (TC Core Principals)
• Advising and influencing national direction
and policy
• Future focused and sustainable
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Life long Planning
• C&YP Collaborative Group , across partners, inform the
inclusion of young people with complex needs
• Early intervention and lifelong planning into adulthood,
improving personal outcomes and strategic planning
• Reducing the numbers of C&YP being admitted to In-Patient
settings
• What good looks like and share innovative practice and
positive stories
Finding Common Purpose
• ADASS, the Care Provider Alliance and the WVJIP
• Strategic planning relationships between commissioners and
providers.
• Developing social care procurement guidance that considers
the Care Act and EU regulations
• Commissioner/provider protocol
13
Lifelong Planning Area Work
• Stockton - 0-25 team and commissions bespoke day
services for young people with autism
• Cheshire W - Lifelong service model for LD & Autism
• Kirklees – Local strategic planning of local services
informed by C&YP projecting demand & forecast
• Bedfordshire - Adult Services have taken the lead in
identifying and tracking young people from the age of
12 in respect of all long term health condition
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Area Case Studies
Sunderland
• pooled budget for people with learning disabilities with high level needs,
links between commissioning and care management including
Specialised Commissioning
• Transforming Care Project Board reports to Health and Wellbeing Board,
including self advocates & family
• multi-agency children resolution group agrees commissioning of
proposed new placements and reviews any issues with current
placements
Gloucestershire
• Local concordat in partnership & use of Better Care funding.
• focus on prevention by addressing behaviours which challenge services
while still low-level and / or during childhood
• training programme for providers, involving service users and carers, to
ensure consistency of Positive Behavior Support approach
• 360 assessment
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Programme of Direct Support
• Developing Housing solutions workshops – October 14
• Action Learning Sets
Leeds – September 14 – January 15
Exeter - 14 October 14 – 12 February 15
Birmingham – 14 November 14 – 18 February 15
• Advocacy Workshops – December 14/January 15
• Practitioner Workshops
Birmingham – 8 December 14
Lancashire – 31 March 15
• Joint Commissioning Workshops – November / Dec 14
• Children and Young People workshops planned for
February / March 2015
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Where to find more
For more information on the case examples,
additional tools and information to support your
local area
Please go to http://www.local.gov.uk/place-i-call-home
Contact us at:
[email protected] - 079009 31056
East Midlands, West Midlands, Yorkshire & Humber, North
West & East of England
[email protected] – 079200 61189
London, South East, South West & North East
[email protected] – 020 7664 3122
General enquiries
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Panel
Q&A
Andrea Pope- Smith – Dudley/ADASS
Jon Rouse – Department of Health
Gavin Harding – Transforming Care Assurance board
Hazel Watson – NHS England
Zandrea Stewart – WV JIP
Steve Taylor – WV JIP