Introduction The role of the Department of Health in ensuring - PDF document

Introduction • The role of the Department of Health in ensuring good outcomes for people with complex needs • The DH response to Winterbourne View • Time for questions Getting it right for people with complex needs: whose responsibility? David Behan, Director General Social Care Local Government and Care 2 Partnerships DH role: setting the policy DH role: setting the policy framework framework Valuing People Now • Vision for adult social care • sets out the policy for • Revised Carers strategy people with learning disabilities • Reforming adult social care • More needs to be done – Caring for our future: shared ambitions for care and to support people with support launched on 16 September more complex needs – How to ensure quality of social care system • Vision is the same as for everyone • Equity and Excellence: Liberating the NHS - Reforming health care 3 4 1

DH role: to promote best Safeguarding Adults: practice Balancing risk and regulation •Safeguarding requires effective local coordination and participation of key • Mansell 1 and 2 agencies • Raising our sights •Publication of Statement of • Guidance on commissioning Government Policy on Adult • Guidance on communication Safeguarding:16th of May •Statutory Boards will require membership from key agencies •Legislation alone will not ensure people’s safety: we must support people to maintain control of their lives and make informed decisions 5 6 Role of commissioners DH role: setting outcomes • Commissioning for quality services: • Outcomes frameworks – Developing personalised services that meet people’s needs • What does good look like? – Involving service users and families – Good person centred plans – Improving local service development and alternative – Creative commissioning of services models of provision – Involving people and families – Reducing out of area services – Personalised services – Developing expertise in challenging behaviour – Understanding need – The right staff mix – Using the Health Self Assessment Framework to – Flexibility on budgets monitor outcomes 7 8 2

Role of providers Role of professionals • Providers have a duty of care: • Providing and commissioning quality care and support: – Demonstrate leadership and supervision – Training in working with people with complex needs – Good clinical governance – Person centre planning – The right staff levels and skills mix – Integrated care pathways – Training –eg positive behaviour support – Monitoring individual’s progress – Monitoring quality and safety of care – Reviewing plans – Developing the market for alternative provision – Safeguarding – Whistleblowing – Good understanding of Mental Capacity Act/Mental Health Act interface and human rights 9 10 Local delivery Role of the regulator - CQC What are the levers • Registration to encourage good • Inspection - assuring practice at a local compliance with the essential level? safety and quality requirements – Role of Learning • Revised whistleblowing Disability ����������������� procedures Partnership Boards • Monitoring the operation of the Mental Health Act 1983 – Health and well • Undertaking special reviews being boards and investigations 11 12 3

Winterbourne View Government Review Led by Bruce Calderwood - • Panorama TV programme on 31 Department of Health May showed shocking abuse • Owned by Castlebeck Care • 51 people in total have been With help from: there • Mark Goldring – MENCAP • Now closed • Prof Jim Mansell • Anne Williams, former National Director for learning disabilities. 13 14 Department of Health Government review Review Many Strands: • Police Investigation • Will look closely at all the – 11 arrests investigations and reports – • Care Quality Commission at why this happened – Internal review – Review all Castlebeck Care • A report on what is found. services – Wider review of 150 other • Recommendations to make learning disability hospitals changes • Serious Case review • Castlebeck Care internal review • NHS Review 15 16 4

Department of Health Department of Health Review Review What we are doing: • Too soon to make • Talking to people about the recommendations till we review: have all the facts – People with learning disabilities, autism and BUT families – commissioners, health and • Do want to get your views care professionals, providers and the Care Quality on: commission – Emerging issues – other stakeholders – Making a real change in • Looking at the evidence the model of care 17 18 DH Review - Winterbourne View – Key milestones Questions for the review 2012 2011 June July Aug Sept Nov Dec Jan Feb March Oct Castlebeck Internal Management Review Care What are the changes you would like to see? Clinical review Police • For the people who use services and CPS Police investigation and CPS prosecution and their families? Reports on Winterbourne View and 23 other Castlebeck Care services published CQC Internal management CQC review • For the people who buy services CQC Wider Review of LD services – for commissioners? Phase 2 evaluation : CQC national Phase 1: review of 150 LD services alternative provision report SUI • For services like Castlebeck? NHS Serious Untoward Report end September to feed into SCR and DH review Incident Review Serious Case Final report and Review • For the Care Quality timetable dependent on Serious Case Review police prosecutions Commission? Expert Panel 1 st meeting 5 th September ToR published Final report and Review Do you have any other comments DH timetable DH Review dependent on SCR etc 19 20 for the DH review? Reports to Ministers 5

Contact the DH Review Sheila.Evans@dh.gsi.gov.uk DH Review - Winterbourne View 221 Wellington House 133-155 Waterloo Road London SE1 8UG 21 6