Learning Disability Community Forensic Services - A Workforce Skills - - PowerPoint PPT Presentation

Learning Disability Community Forensic Services - A Workforce Skills Framework

Lisa Proctor, Regional Workforce Specialist Midlands & East Health Education England

Background

• NHSE - Building the Right Support 2015 – A National Plan for

the delivery of services for people with learning disabilities requires local areas to:-

• Reduce reliance on inpatient beds
• Reduce CCG commissioned and specialist commissioned beds

to 10-15 and 20-25 per million population respectively

• Requirement to develop new community models of service to

enable people to live in community – including community forensic support

Community Forensic Function

NHSE SERVICE SPECIFICATION

• Forensic risk assessment and management
• f risk in the community to ensure public

safety and safety of the individual

• Delivery of offence specific therapeutic

interventions (e.g. to prevent sexual/violent

• ffences).
• Case management of the most complex

cases

• Support and training to other agencies

providing day to day support to this group

• Consultancy and advice to system partners
• In reach support to ensure safe and timely

discharge

STAFF

SELF

PUBLIC

Managing Forensic Risk

What is now ?

Short survey of pathways to care for a number of vignettes confirmed:-

• Pathways to care very different across

the country

• Pathways dependant on and influenced

by the availability of local services

• Accessibility criteria varies considerably

according to commissioning

• Accessibility criteria for complementary

services not always aligned

• Perceived skills shortages – social

workers in teams or working with teams as critical in discharge and support of people with forensic needs in community

Some challenges…

Specialist Health & Statutory Care Statutory Community Health & Care Teams Social Care Support for Day to Day Living Needs

Workforce Skills Ways of Working CJS Statutory health & care providers Independent sector

HEALTH WORKFORCE SOCIAL CARE WORKFORCE CRIMINAL JUSTICE WORKFORCE COMMUNITY/HOME SUPPORT WORKFORCE EDUCATION/ EMPLOYMENT WORKFORCE Children’s Health Teams CAMHS Teams Transition Nursing Teams School Health Teams/Adviser Health Early intervention teams General Practioners Adult Community Learning Disability Teams Adult community mental health teams Adults Community Forensic MH Teams Adult Learning Disability Intensive Support Teams Adult liaison and diversion teams CAMHS Health Commissioners Adult MH Health Commissioners Adult Learning Disability Commissioners Children’s Social Worker Teams Adults Social Worker Teams Specialist Forensic Social Workers Registered Managers Residential Care Teams Short break services Community support teams Re-ablement Teams Children’s Early intervention teams Substance abuse teams Advocates Adult social care commissioners Children’s social care commissioners Police PCSO Prison staff Probation and other NOMS workers Court staff including magistrates, judge’s clerks and officials CPS staff Families and unpaid carers Charities Voluntary Agencies Housing Association workers Supported Living workers Shared lives scheme workers Youth workers Youth offending teams Directly employed workers – e.g. personal assistants Independent advocates Security personnel Housing/homeless/acco mmodation workers Teaching Staff Teaching Assistants Careers staff Pastoral workers Behaviour support Job centre staff Benefits workers Further Education College staff EHCP Assessors Special Educational Needs Co-ordinator Education tutors

The breadth of the workforce that supports people with learning disabilities and forensic needs in the community

Key workforce challenges

• Commissioning uncertainty –

ensuring quality of new and different models of service with risk held locally

• Availability of resources limited
• Uncertainty in some areas about

delivering specialist community forensic health and statutory care services – new service model

• Uncertainty about delivering care

and support in the community – and new opportunities

A Workforce Skills Framework

• HEE has developed a workforce competency

framework for the delivery of learning disability community forensic services

• Identifies key pathway points
• Details skills and competences to deliver at each

point & those competencies required by the team

• Does not detail which workforce groups should

have what skills – driven by delivery model

• Distinguishes separate section for support

workers

• Is mapped to other key standards – forensic

standards, social work forensic capabilities

• Has been produced in consultation with people

with learning disabilities with lived experience

• f forensic support.

The pathway points

Access to Services, Care Coordination and Risk Management Enabling Health Interventions Assessment, Formulation and Intervention/treatment planning Therapeutic Interventions Role Support Interventions Family/Carer Interventions Monitoring and Measurement, Research and Evaluation Accommodation and welfare interventions Support Worker Specific

A tool - how can it be used ?

• TCP’s can map forensic function to

check whether competencies are available across the wider team

• Providers can use the framework to

develop training plans and assess competence.

• Education providers can use the

framework to develop education programmes.

• Commissioners can use the framework

to develop standards for support workers competence when commissioning packages of care

Next Steps

• Publish framework
• Formal launch
• Work to consider the

"how" of ensuring that skills are embedded within the workforce

For further information

Lisa Proctor Health Education England Lisa.Proctor@hee.nhs.uk Health Education England – Community Forensic framework Access this framework.