Health – a big priority Helen Mycock Valuing People Support Team

A couple of Years of Tough News The Healthcare Commission Reports into Cornwall and Merton and Sutton The Disability Rights Commission Formal Investigation into health inequalities ‘Death By Indifference’ The Healthcare Commission Audit of learning disability health services Healthcare for all – Michael Inquiry Ombudsman report – still to come

The NHS Agenda for the Healthcare of People with Learning Disabilities 1.General Healthcare – dealing with health inequalities in mainstream healthcare 2.Specialist learning disability health services – being evidence based and up to date 3.Stopping doing the things the NHS shouldn’t be doing

Every NHS body must have a Disability Equality Strategy that takes action on learning disability health inequalities The easiest starting point is comprehensive health checks Audit the delivery of key health initiatives e.g. cancer screening Does every PCT have commissioning capacity and skill’s in learning disabilities? Action on facilitating access to general hospitals and primary care General Healthcare – Dealing with Inequalities

The Primary Care commissioning Framework DES – annual health checks for people known to Social Services Darzi - work streams New guidance out soon on health action planning and health facilitation. A Guide on the NHS meeting the Disability Equality Duty (out very soon) Michael inquiry - develop local action plans and commitments The Valuing People Support team General Healthcare – Some Help

Commissioning guidance on specialist learning disability health services The Mansell 2 report on services to support people with challenging behaviour and/or Mental Health needs The Healthcare Commission Audit report Specialist Health Services – Key recent publications

Importance of properly resourced specialist health services Partnership with ‘social care’ services Outlines key roles and functions Recommends continuing NHS employment Practice based commissioning ‘inappropriate’ for specialist learning disability services PCT skill and resource to do all this Specialist Health Services Good Practice Guidance – Key Points

Key elements of: Specialist community staff Specialist teams Support to general health needs ‘Handful’ of inpatient beds Forensic partnerships No campuses Continuing care at home where possible Specialist Health Services Good Practice Guidance – Key Points

1.Commissioning Social Care – so NHS ‘social care’ funding will be transferred to local authorities 2.Stop providing NHS campuses – they must close by 2010 and be replaced by ordinary housing and support 3.Stop ‘buying’ services – proper commissioning skills are needed Stopping Doing The Things The NHS Should Not Be Doing

Key headlines: Develop local skills and resources Apply the same commissioning standards to the independent sector as to the NHS Personalised, individual service design works best Local Services and the Mansell Report

Learning Disability in the NHS Operating framework for the first time The Healthcare Commission and CSCI doing a further review on commissioning Regional health self assessment and performance framework The Performance Framework

Regional health self assessment and performance framework Regional and local structures - regional strategic overview group - regional health network - Partnership board health subgroup Quality and performance framework Measurable outcomes Self assessment process via annual health check

Four top targets / key objectives NHS Campus closures and person centred reprovision Addressing health inequalities Making sure people are safe Making progress on Valuing People objectives.

Taking the framework forward Jackie Sochocka working with SHA’s in each region to introduce framework Successful pilot in Yorkshire and Humber Several other SHA’s and regions have signed up to using the framework The framework is flexible to regional and local needs and will support evidencing of progress by all key stakeholders on the health agenda

Strategic Primary Healthcare facilitation Responsive mainstream generic health services - providing Annual Health Checks and supporting HAP’s Acute Hospital Liaison / Facilitation Individuals, Families and Learning Disability Partnership Board Collaborative Mental Health Services Flexible Community Learning Disability Teams High quality range of social care models of support within which 1:1 health facilitation is provided Interdependent Whole System Approach to Ensuring Accessible Mainstream Health Services for People with Learning Disabilities.