Immediate Action NHS Commissioning After Winterbourne View BBC - - PDF document

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NHS Commissioning After Winterbourne View

• An Update

Geoff Baines Associate Director NHS South West

4 October 2011

Immediate Action

• BBC Panorama 31

May 2011

• advised 13 May 2011
• Adult safeguarding

process

• Understanding how it

could happen

Immediate Action

• Safeguarding, all agencies,

including Police;

• along with Castlebeck, immediate

action and advising families

• Care quality Commission action,
• Additional NHS support
• Accelerated discharge, clinical 2nd
• pinions, quality check lists

Features of NHS

• Commissioning is local or regional
• Locally held data – not a national view
• Lack of registers, health and social care

data

• Count me in Census – provider data
• NHS campus data limited and no longer

collected

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Range of Structures

• Primary Care Trust commissioners
• Specialist commissioning – regionally
• Devolved to NHS providers
• Delegated to joint Local Authority

providers

• Delegated to Local Authority led

joint/pooled budgets

Nationally

• Strategic Health Authorities

network

• Castlebeck wide

perspective/national provider

• Safeguarding information
• Priority checks on;

– Winterbourne – All Castlebeck services – All Learning Disability Assessment and Treatment

Assurance in place

Health Self Assessment Framework.

• All England
• Tackles inequality
• Says what good is
• 2 relevant areas

– Monitoring placements – Challenging Behaviour strategies

Next Steps

• Strategic Health Authority Leads
• Enhanced assurance framework
• Data Collection process
• Joint work with ADASS

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Enhanced Assurance

• National process
• October to January
• Validation process
• Five areas
• About current practice
• To be updated following

review

Data collection

• National information
• 31 October 2011
• NHS funded placements
• Adult Learning Disability only

Mock example Mock example

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Mock example Mock example

Proportion of patients placed from Out of Area

Out of Area Not out of Area

Mock example

Number of patients having Annual Health Check

Yes No

Mock example

1 2 3 4 5 6 7 8 PCT NHS Trust Local Authority Specialist Commissioning Joint PCT led Joint NHS Trust led Joint Local Authority Led

Proportion of Contract Holders

5

Conclusion

• Total commitment and priority
• Need to understand the now
• Assurance for today
• Serious Case Review and NHS review

underway

• Will focus on how society supports the

needs of highly vulnerable people

• Will lead to positive changes