Immediate Action NHS Commissioning After Winterbourne View BBC - PDF document

Immediate Action NHS Commissioning After Winterbourne View • BBC Panorama 31 - An Update May 2011 • advised 13 May 2011 • Adult safeguarding Geoff Baines process Associate Director • Understanding how it could happen NHS South West 4 October 2011 Immediate Action Features of NHS • Safeguarding, all agencies, • Commissioning is local or regional including Police; • Locally held data – not a national view • Lack of registers, health and social care • along with Castlebeck, immediate action and advising families data • Count me in Census – provider data • Care quality Commission action, • NHS campus data limited and no longer collected • Additional NHS support • Accelerated discharge, clinical 2 nd opinions, quality check lists 1

Range of Structures Nationally • Primary Care Trust commissioners • Strategic Health Authorities network • Specialist commissioning – regionally • Castlebeck wide • Devolved to NHS providers perspective/national provider • Delegated to joint Local Authority • Safeguarding information providers • Priority checks on; • Delegated to Local Authority led – Winterbourne joint/pooled budgets – All Castlebeck services – All Learning Disability Assessment and Treatment Assurance in place Next Steps • Strategic Health Authority Leads Health Self Assessment • Enhanced assurance framework Framework. • Data Collection process • All England • Joint work with ADASS • Tackles inequality • Says what good is • 2 relevant areas – Monitoring placements – Challenging Behaviour strategies 2

Enhanced Assurance Data collection • National information • National process • October to January • 31 October 2011 • Validation process • NHS funded placements • Five areas • Adult Learning Disability only • About current practice • To be updated following review Mock example Mock example 3

Mock example Mock example Proportion of patients placed from Out of Area Out of Area Not out of Area Mock example Mock example Number of patients having Annual Health Check Proportion of Contract Holders 8 7 6 5 4 Yes No 3 2 1 0 PCT NHS Trust Local Authority Specialist Joint PCT led Joint NHS Trust led Joint Local Commissioning Authority Led 4

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 5