‘Beyond Winterbourne View’
An ADASS Perspective
Challenging Behaviour
National Strategy Group
5th October 2012
Andrea Pope-Smith
Context
• The incidents at Winterbourne View have sent a
powerful message that such abusive behaviour will not
be tolerated.
• Significant level of scrutiny and activity to ensure
there is a comprehensive stakeholder response and
improvement framework.
• Real sense that services/support must be more efficient,
humane and effective.
“… people with learning disabilities or autism are people first,
with the right to lead their lives like anyone else, with the
same opportunities and responsibilities, and to be treated with
the same dignity and respect …”
Valuing People (2001)
Overall Response
• Serious Case Review
• Internal Management Reviews
(NHS and CQC)
• CQC Report (150 x Inspections)
• Interim Report – Department of Health
• Final Report – Department of Health
(October)
• Concordat – Department of Health and Key
Agencies (October)
Key Messages and Learning
• Poor quality / inappropriate levels of care
• Unnecessary stays in hospital / closed
environments
• Staying too long
• Levels of choice and control
Key Messages and Learning (contd)
Improvements to:
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Commissioning
Safeguarding
Advocacy
Information / Guidance / Advice
Quality of Care
Model(s) of care
Local / community contact and engagement
Quality of Inspection Outcomes
Quality of workforce
Communication
Accountability
(Visibility / Quality / Performance Outcomes)
• Use of Mental Health Act
ADASS Commitments
In partnership with other stakeholders, ADASS will:
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Work with the National Programme Board (LD) to develop, monitor
and evaluate improvements, quality and performance
Develop a new joint health and social care self assessment that
focuses on key learning from Winterbourne View
Develop a specification for community based alternative models
(to support commissioners)
Jointly commission services
Ensure that there is contact with people and monitor placements
Ensure people who use services and family carers are involved in
the development, delivery and evaluation of services
Review existing contracts
Ensure robust and responsive approaches to Adult Safeguarding
are in place
ADASS Commitments (contd)
In partnership with other stakeholders, ADASS will:
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Adult Safeguarding Boards to review arrangements and ensure the
right information sharing processes are in place to deal with alerts
Reinforce and strengthen the role of LDPB’s and links to Health and
Well Being Boards
Consider the role of Sector Led Improvement to review and support
improvements needed in commissioning
Work closely with Children’s Services to ensure a whole life cycle
approach is taken
Provide good quality information which is easily accessed
Support and promote the role of Healthwatch
Support local Councillors to understand the key issues
Communicate, communicate, communicate ….
The Future
• Significant reduction in use of Treatment and
Assessment Units / similar services
• Creation of a range of community based service
models
• Joined up health and social care commissioning –
informed by people who use services and family
carers
• Safe, high quality services
• Accountable provision, providers and performance
• Confidence
• Personalisation
• Making it Real