1. Introduction to session and purpose
Beyond the Scandal of Winterbourne: Working in Partnership to Improve Life Outcomes
Introduction to session and purpose
Chair
Andrea Pope-Smith
Director Adult, Community & Housing service Dudley MBC & Joint National Lead for ADASS on Learning disability

2. The Winterbourne View Joint Improvement Programme:
Hospital is not a home
31st October 2014
Gavin Harding
Co-chair,
Transforming Care Assurance Board

3. About Me
I am the Co-Chair of the Transforming Care Assurance Board with the Minister of State, Norman Lamb
I also:
Inspect and review inpatient settings with CQC and NHS England
Work with the National Forum and valuing Families Forum for People with Learning Disabilities on Winterbourne issues
Co-chair the Joint Improvement Programme’s Engagement Strategy Group
I am involved because of my own personal experience

4. What do I want to see?
A change in the way we commission – people want lives not beds
Better community services – more learning disability nurses and others working with people when they need it
Creative housing options
More use of the voluntary sector for early intervention

5. We need to plan for and with everyone
This will include:
People who are under the Ministry of Justice
People who have a service commissioned by NHS England
Young people

6. Transforming Care & Winterbourne View
Jon Rouse
Director General, Social Care, Local Government and care partnerships
Department of Health

7. Transforming Care - The NHS England Plan Hazel Watson – Head of Learning Disabilities, NHS England

8. ‘Transforming Care Concordat 2012
Health and care commissioners will review all current hospital placements and support everyone inappropriately placed in hospital to move to community-based support as quickly as possible and no later than 1 June 2014:
Every area will put in place a locally agreed joint plan for high quality care and support services for people of all ages with challenging behaviour, that accords with the model of good care.

9. Tasks - inpatients
Track people – we need to know how successful we are at discharging transferring people and meeting their needs
Commitment to ‘track’ the April 2014 cohort (2015)
Care and Treatment Reviews – reviewing all ‘relevant’ patients

10. Tasks – new models of care
How to make it easy to do the right thing (mandatory?) and hard (punitive?) to do the wrong thing!
Rights to Services/Reviews/Advocacy
Commissioning
Funding flows
Accountability
Building Capacity
Supporting Commissioners
Fewer commissioned beds

11. Winterbourne View Joint Improvement Programme
Zandrea Stewart
&
Steve Taylor
Principal Advisers WV JIP

12. Building progress & partnership
Providing leadership and support to local areas
Understanding the issues locally & nationally
Developed a programme of proportionate support offered to areas. (34 SIAs, & CW’s 96LA’s, 91CCG’s, 15 AT’s)
Development information, tools and sharing innovative practice, 8000 (TC Core Principals)
Advising and influencing national direction and policy
Future focused and sustainable
Intro – This time last year – we have progressed
Areas, Social Care, Health, Housing, self advocates, families and providers
Key local and common issues, identified via the stocktake, qualitative returns, status reports and our direct work with areas
Proportionate support include, Targeted and Specific to areas, series of workshops developed specifically to support the local area partnerships to come together to tackle specific issues and find solutions
Specialist, specific advice and support – informing and enabling progression to enable better outcomes for individuals
Information – including pathway being developed, information packs for people being discharged from hospital and people & Familes how to influence local planning
Advising / Influencing National – advised the key issues in the development of the NHSE plan and Bubbs report, work with the MJO, contributing to the MHA COP, Issues re data sharing, building the understanding of the why and the need for a transformational programme of work

13. Finding Common Purpose
Life long Planning
C&YP Collaborative Group , across partners, inform the inclusion of young people with complex needs
Early intervention and lifelong planning into adulthood, improving personal outcomes and strategic planning
Reducing the numbers of C&YP being admitted to In-Patient settings
What good looks like and share innovative practice and positive stories
Finding Common Purpose
ADASS, the Care Provider Alliance and the WVJIP
Strategic planning relationships between commissioners and providers.
Developing social care procurement guidance that considers the Care Act and EU regulations
Commissioner/provider protocol
C&YP group - DFE, ADCS, ADASS, NHSE, OFSTED, CFDC,CBF,PARENT
Including the use of Personal H Budgets
FCP – Include Monitor

14. Lifelong Planning Area Work
Stockton team and commissions bespoke day services for young people with autism
Cheshire W - Lifelong service model for LD & Autism
Kirklees – Local strategic planning of local services informed by C&YP projecting demand & forecast
Bedfordshire - Adult Services have taken the lead in identifying and tracking young people from the age of 12 in respect of all long term health condition

15. Area Case Studies Sunderland Gloucestershire
pooled budget for people with learning disabilities with high level needs, links between commissioning and care management including Specialised Commissioning
Transforming Care Project Board reports to Health and Wellbeing Board, including self advocates & family
multi-agency children resolution group agrees commissioning of proposed new placements and reviews any issues with current placements
Gloucestershire
Local concordat in partnership & use of Better Care funding.
focus on prevention by addressing behaviours which challenge services while still low-level and / or during childhood
training programme for providers, involving service users and carers, to ensure consistency of Positive Behavior Support approach
360 assessment

16. Programme of Direct Support
Developing Housing solutions workshops – October 14
Action Learning Sets
Leeds – September 14 – January 15
Exeter October 14 – 12 February 15
Birmingham – 14 November 14 – 18 February 15
Advocacy Workshops – December 14/January 15
Practitioner Workshops
Birmingham – 8 December 14
Lancashire – 31 March 15
Joint Commissioning Workshops – November / Dec 14
Children and Young People workshops planned for February / March 2015

17. Where to find more
For more information on the case examples, additional tools and information to support your local area
Please go to
Contact us at:
East Midlands, West Midlands, Yorkshire & Humber, North West & East of England –
London, South East, South West & North East –
General enquiries

18. Q & A Panel Andrea Pope- Smith – Dudley/ADASS
Jon Rouse – Department of Health
Gavin Harding – Transforming Care Assurance board
Hazel Watson – NHS England
Zandrea Stewart – WV JIP
Steve Taylor – WV JIP