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Www.england.nhs.uk Getting the right care in the right place April 2016 Care and Treatment Reviews.

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Presentation on theme: "Www.england.nhs.uk Getting the right care in the right place April 2016 Care and Treatment Reviews."— Presentation transcript:

1 www.england.nhs.uk Getting the right care in the right place April 2016 Care and Treatment Reviews

2 www.england.nhs.uk Thankyou for inviting us today Anne Webster Carl Shaw NHS England Learning Disability Programme

3 www.england.nhs.uk Care and Treatment Reviews Why do they matter? Where do they fit in to the Learning Disability Programme? What are they all about? ‘The spirit in which CTRs are carried out is paramount and is rooted in principles of human rights, person-centeredness and co-production.’ Overview

4 www.england.nhs.uk This week – 7 Days of Action Eden Chris Thomas Tianze

5 www.england.nhs.uk

6 CTRs are part of the Learning Disability Programme Building the Right Support: Reduce the number of people in learning disability and mental health hospitals Reduce how long people stay in these hospitals Improve the quality of care and support for people in both hospital and the community Improving the Health & Health Outcomes for people with Learning Disabilities: Quality assurance approach to improving access to health and improve health outcomes eg. annual health checks, premature mortality work and stopping over- medication.

7 www.england.nhs.uk A good and meaningful life Inclusion, education, employment, relationships, support Programme Principles Support for my family and paid staff Short breaks and accommodation Trained support and care staff Where I live and who I live with Choice of housing Secure tenancies Housing planning Good mainstream health services Annual Health Checks Health action plans Health passports Liaison workers Quality checkers Reasonable adjustments Specialist health and social care support 24/7 function Forensic support Inter-agency work Liaison and diversion Good mental health hospital care Integrated with good community services Care & Treatment Reviews Discharge planning

8 What is a Care and Treatment Review?

9 What does a CTR do?

10 www.england.nhs.uk When do Care and Treatment Reviews happen?

11 www.england.nhs.uk Four Big Questions Am I Safe?What’s My Current Care Like?Is there a plan in place for my future? Does my care & treatment need to take place in hospital?

12 www.england.nhs.uk A team of people called a CTR panel carry out the reviews The panel is led by the person’s commissioner It also includes two expert advisers, one is a clinical adviser. The other is an expert by experience They work with the commissioner, meeting the person being reviewed and all the people involved in the person’s current and future care They find out about the person’s care and check they are safe & ask what plans are in place for their future. They produce recommendations to improve the person’s care now and in the future How is a CTR carried out?

13 The CTR puts the person with a learning disability at the centre of the process It is about the person’s experience of care, their hopes and ideas for how it can get better It responds to the views of family carers, if the person wants this It helps people challenge the care they are receiving and future plans It supports people to raise concerns or make a complaint Empowering and involving people

14 www.england.nhs.uk In the last year, about 3600 CTRs have take place 1,900 people discharged from hospital or transferred The number of people in hospital has fallen to about 2,600 This number is still too high Facts and figures

15 www.england.nhs.uk Number of people in hospital

16 Working together Being creative & open minded Problem solving Listening to people & families. Agreeing actions and who will do what by when What makes a successful CTR?

17 www.england.nhs.uk Learning and improving Audits Assurance Framework Professions & providers Relationship with CPA E-learning package Expert by Experience Hubs Review of Policy October 2016 Other resources

18 www.england.nhs.uk NHS England website www.england.nhs.uk/learningdisabilities For more information about Care and Treatment Reviews Transforming Care Building the Right Support Improving health and reducing inequalities Resources

19 www.england.nhs.uk www.inclusion.org

20 www.england.nhs.uk Thank you for listening Any Questions?

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