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SAF Presentation July 2010
- 1. Healthy Lives Showcase Event “ Learning from Good Practice in Health Services for people with Learning Disabilities across the West Midlands”
- 4. The Health Self Assessment Framework in the West Midlands, 2009/10 Ivan Burchess Health & Social Care Engagement Lead for Learning Disability, NHS West Midlands
- 9. The Top Four Targets
- 22. Thank You. Do you have any questions?
Hinweis der Redaktion
- Campus The target for Campus re-provision is December 2010. Five localities still have people living in such provision. However, all areas have submitted plans to the SHA highlighting actions to meet the December 2010 deadline. It is anticipated two localities will not meet the target, and have submitted revised plans to close 14 beds by March 2011. The revised plan have been received by the SHA and declared to DH. Out of area There appears to be a significant variation in the proportion of people out of area across districts. Similarly, there is variation in impetus to develop local responses to support people at risk of being placed out of area. Where it has been addressed, this has largely been restricted to commissioning initiatives e.g. improved monitoring of cost and quality of placements, some “repatriation”, rather than investing in local infra structure to avoid out of area placements. Priority areas for the QIPP programme relate to improving: - transition planning - services for people with complex needs - people with challenging behaviour
- Acute liaison nurse/officer posts Within the region there are good models of joint working through the establishment of acute liaison nurse /officer posts. The absence of such a post reflected in lower ratings for supporting people with a learning disability and their family carers in acute health care settings. Although there were numerous examples of good work in this area without a dedicated senior post embedded within the hospital this work had limited impact. In terms of ensuring equal access, experiences and outcomes for people with learning disabilities and their carers. It is strongly recommended each area should establish an acute liaison nurse. BME There was some good practice in the region on work being done to identify people from minority groups and their carers, for example in Dudley, Telford and Wrekin, and some areas have developed cross cutting themes on equalities through the Pacesetters sites such as Walsall. However, overall the region needs to work to improve the planning and delivery of services to people from ethnic minority groups.
- Profound/ Moderate Learning Disabilities (PMLD) Whilst areas such as Coventry, Dudley and Shropshire provided good evidence of strategies and action plans to support this particular client group. The overall consensus was that this client group was easily lost and forgotten, and seems to be a challenge for many districts across the region. Equal access to benefits from the development of computer technology - IM & T Within the region Walsall, Dudley and Coventry were able to demonstrate good use of IM & T systems. Dudley’s exceptional model of ensuring each GP Practice engaged in implementing the Special Needs Register (SNR) for people with learning disabilities clearly proved the value in planning and monitoring service delivery. Whilst there are some examples of good practice, IM & T has not been used systematically across the region, and some areas had poor monitoring of data and registers. Improving the use of IM &T for monitoring service delivery and planning clearly is a priority.
- Complaints From the returns Coventry and Telford & Wrekin clearly demonstrated interesting models of support for assisting people with a learning disability and their carers to access the complaints procedure. This included; easy read information, advocacy and support to follow through the complaints, training and peer support through to volunteering. However across the region there was little evidence that people with a learning disability were actually making complaints, and how these were being responded to in relation to service delivery and planning.
- Transitions – focus on young people in transitions Although this area is previously identified in the Out of Area QIPP priority; it clearly remains a key challenge for the region. Whilst Coventry and Telford & Wrekin have clearly demonstrated clear models and approaches to improving their plans for specialist services for young people in transition; overall this is an area not just specific to Learning Disabilities agenda; where the focus on most services are ‘adultcentric’; where partnership working requires joint working not clashes with children’s services. Stronger collaboration across sectors/agencies across the region is a priority for 2010/11. Autism Spectrum Condition (ASC) Whilst Coventry has presented an good model of joint working on ASD, most localities in the region have highlighted ASC as a priority area and would wish for direction and support from the SHA, in light of the recent national strategy and delivery plan. This will relate to where autism services best fit, service models and lead responsibility. ASC is a key priority area of work for 2010/11.
- Workforce Overall across the region, there was very little evidence of strategic and meaningful workforce planning in relation to learning disability services. Worcester and Shropshire were able to share worked up strategies. However these strategies have yet to demonstrate effective implementation and delivery in the localities. Furthermore, the evidence of workforce plans highlighting evidence of PSA 16; supporting people with Learning Disabilities to access employment, education and training opportunities, where virtually non existent and requires additional focus for 2010/11. Offender Health From the returns there was limited evidence of localities working to address the health needs of offenders with a learning disability in prisons and in the community. There was little reference to local plans to address the recommendations of recent Lord Bradley Review. Although, Coventry, Dudley, Solihull and Shropshire highlighted plans and systems in place to address issues of offender health. There is a need to develop approaches along the whole learning disability offender health care pathway systematically and not as ‘an add on’ to the existing system. This is a challenging area, requiring collaboration of key agencies and a priority area for 2010/11.