1. for people with learning disabilities

2. for people with learning disabilities HFT -Voluntary Organisation – Trustees -> Central -> Local Networks - 40 + Years / - Diversity / Spectrum of Need / Decentralization - For People with Learning Disabilities and Families - 600+ in houses - 300+ in Day Services - Supported Employment / Advocacy - Family Carers Support - £27,000, 000 Turnover - 1000 + Staff - National / International Partnerships

3. for people with learning disabilities KEY SERVICES KEY SERVICES-Health -Education -SSD -Housing -Financial Benefits KEY FEATURES KEY FEATURES-Law -Policy -Resources UK CONTEXT

4. for people with learning disabilities Makes Law – varies in precision Makes Policy – Valuing People Allocated Resources – Taxes, Pension administered direct and mainly to Local / Health Authorities CENTRAL GOVERNMENT (England Only)

5. for people with learning disabilities - 100 + Local Authorities - Can raise some local taxes - Can set some priorities LOCAL GOVERNMENT Responsibility To Implement

6. for people with learning disabilities SOCIAL SERVICES SOCIAL SERVICES -As Education -Children -Adults -Directly / Indirectly provided -Local / National -Private / Voluntary HEALTH HEALTH -Central Government controlled -Strategic Health Authorities -Primary Care Trusts -Special Hospitals EDUCATION EDUCATION -Central Government sets standards -Local Authorities manage -Inclusion HOUSING HOUSING -As Education -Supported Housing – All Client Groups -Directly / Indirectly provided NB Separation of provision to ensure security

7. for people with learning disabilities - Inspect - Monitor - Suggest - Do not control expenditure - Sometimes causes tension REGULATION BY QUANGOS

8. for people with learning disabilities Information - Agencies must set priorities - These must be published - Duty to provide information - Duty to consult - All variable - Some authorities overwhelmed - Some do not really want to - Poorer / BME harder to reach ASSESSMENT / ACCESS TO RESOURCES

9. for people with learning disabilities Information - Agencies must set priorities - These must be published - Duty to provide information - Duty to consult - All variable - Some authorities overwhelmed - Some do not really want to - Poorer / BME harder to reach ASSESSMENT / ACCESS TO RESOURCES

10. for people with learning disabilities -Assessed against priorities -Fair Access to Care -Internal consistency / external variability -Carers as well as people with learning disabilities Single -Theoretical Assessment -Process driven, not attitude driven Process-Care Managers Needs-An assessed need must be met -Though still have duty to assess “Best Value” Referral

11. for people with learning disabilities A faster and faster pendulum - Decentralization / Centralization - Amalgamation / Division - Generic / Specialisation PATTERN 1.Deinstitutionalization 2.Person Centred Services 3.Transactional complexity 4.Capacity Legislation / Advocacy 5.Cultural changes / Person Centred Planning (Sanderson) 6.Flexibility / Variability TREND / ORGANISATION