Transcript Six Lives : the provision of public services to people

Report to Overview and Scrutiny
Actions needed on:
• Ombudsman Report on Six Lives : the
provision of public services to people
with learning disabilities, and the
• CSCI, Healthcare Commission and
Mental Health Act Commission national
report of joint review on commissioning
service for people with learning
disabilities and complex needs
Louise Kerfoot, Service Manager, Learning Disability Services
Commissioning services and support for
people with learning disabilities and
complex needs
• Concerns that
services were not
working well for
people with complex
needs.
• Review undertaken
in nine localities.
• Commissioning is
“powerful” to help
improve services
Findings Commissioning services and
support for people with learning
disabilities and complex needs
• Commissioning is
inadequate to meet the
needs and aspirations
of people with complex
needs
• Planning and leadership
is weak
• Generally Health staff
lacked understanding of
needs of people with
complex needs
Six Lives : the provision of public services
to people with learning disabilities
• Ombudsman
investigated complaints
made by Mencap on the
deaths of 6 people with
learning disabilities who
died between 2003 and
2005 whilst in NHS or
Local Authority Care
Death By Indifference
• Mencap wrote a report,
Death by Indifference in
2007.
• This led to the
Independent Inquiry into
Access for Healthcare
for people with learning
disabilities by Sir
Jonathan Michael. The
report, Healthcare for
All was written in 2008
Equal rights
• Both reports found that
people with learning
disabilities do not have
the same rights as other
people in accessing
healthcare services.
• Basic policy, standards
and guidance were not
followed.
Unacceptable and inadequate
practice
• Communication
• Partnership working
and co-ordination
• Relationships with
families and carers
• Failure to follow routine
procedures
• Quality of management
• Advocacy
Six Lives : Actions
• Need for national action
as unacceptable levels
of poor practice was
seen.
• The Ombudsman want
to change the way
people think and work
on a lasting basis and
that is recognised as a
challenge.
Six Lives : Actions
• Action Healthcare for
All.
• Simpler complaint
arrangements from 1st
April.
• Disability Discrimination
Act – reasonable
adjustments
• Human rights
• Valuing People Now
Six Lives : Actions : review
• Effectiveness of systems to
understand and plan to meet
needs of people with
learning disabilities, and
• Capacity and capability of
services provided or
commissioned to meet the
needs of people with
learning disabilities
• Report back what we find
within 12 months.
Six Lives : Actions
• The Care Quality
Commission and
Equality Human Rights
Commission need to
check that there
systems for monitoring
services work properly.
• Report findings within
12 months.
Six Lives : Actions
• Department of
Health should
support the actions
and publish a
progress report
within 18 months.
Actions : Commissioning Services
and support for people with complex
needs
• Action Valuing People
Now and 10 challenges
• Review planning and
commissioning services
and change practices.
• Put in place
arrangements to
develop personalised
services
• CQC should put in
place monitoring
systems
Local actions already in place
• Equality Impact
assessments
• Safeguarding
procedures
• Person Centred Plans
• Health Actions Plans
• Health checks
• Health sub group
• Acute steering group
• Traffic light system
Action Needed
• Work-stream of Health
sub group to include
reps from:
• All Health Services
• Commissioners
• Supporting People
• People with learning
disabilities
• Family carers
• Care and support
providers.
Report on progress on the
Ombudsman and Joint Review report
in January 2010
• Report back to the
Local Safeguarding
Adults Partnership
Board
• Management Team of
RBWM
• Berkshire East
Community Health
Services
• Learning Disability
Partnership Board