Health – a big priority

Helen MycockValuing 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.