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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

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

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About Me 3 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 Programmes Engagement Strategy Group I am involved because of my own personal experience

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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 4

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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 5

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

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www.england.nhs.uk Transforming Care - The NHS England Plan Hazel Watson Head of Learning Disabilities, NHS England

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www.england.nhs.uk 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.

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www.england.nhs.uk 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

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www.england.nhs.uk 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

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

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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, & CWs 96LAs, 91CCGs, 15 ATs) Development information, tools and sharing innovative practice, 8000 (TC Core Principals) Advising and influencing national direction and policy Future focused and sustainable 12

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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 13

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Lifelong Planning Area Work Stockton - 0-25 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 14

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Area Case Studies Sunderland 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 15

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Programme of Direct Support Developing Housing solutions workshops October 14 Action Learning Sets Leeds September 14 January 15 Exeter - 14 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 16

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Where to find more For more information on the case examples, additional tools and information to support your local area Please go to http://www.local.gov.uk/place-i-call-home http://www.local.gov.uk/place-i-call-home Contact us at: zandrea.stewart@local.gov.ukzandrea.stewart@local.gov.uk - 079009 31056 East Midlands, West Midlands, Yorkshire & Humber, North West & East of England stephen.taylor@local.gov.ukstephen.taylor@local.gov.uk 079200 61189 London, South East, South West & North East wvjip@local.gov.ukwvjip@local.gov.uk 020 7664 3122 General enquiries 17

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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