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
2
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
4
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:
zandrea.stewart@local.gov.uk - 079009 31056
East Midlands, West Midlands, Yorkshire & Humber, North
West & East of England
stephen.taylor@local.gov.uk – 079200 61189
London, South East, South West & North East
wvjip@local.gov.uk – 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