Joint Commissioning Strategy 2014 - 2019 Adults with ... · This is the big plan for adults with...
Transcript of Joint Commissioning Strategy 2014 - 2019 Adults with ... · This is the big plan for adults with...
Draft version 19.11.13 JG
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Joint Commissioning Strategy
2014 - 2019
Adults with Learning Disabilities in Hertfordshire
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Introduction
This is the big plan for adults with learning disabilities
in Hertfordshire. It is called the Adults with Learning
Disabilities Joint Commissioning Strategy 2014 –
2019
It has Market Position Statement that goes with it.
This is for providers of social care services for people
with learning disabilities. It is to help them know
what we need in Hertfordshire so they can provide
the right services that people need
The big plan (strategy) is based on:
o What the government have been told we should
be doing
o What we felt worked well or didn’t work well
from the last big plan 2010 – 2013
o What people have told us
The big plan is for people with learning disabilities
and their families who use services and people who
work in the services that are paid for by Hertfordshire
County Council and the NHS Clinical Commissioning
Groups.
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Making it happen
This big plan will have an action plan that will check
that the things we say in the strategy happen
The plan is for 5 years and will be checked each year
to make sure that it still in right for Hertfordshire
Population – people who live in Hertfordshire
Information from 2012 - 2013:
There are 1.1 million people living in Herts, more
than half of these are adults (784,440)
About 20,600 of these are adults with learning
disabilities
About 4,300 needed lots of help from people
In over 3,000 adults got help from social care
services
GPs knew about 3,559 people with learning
disabilities
1,434 people received help from doctors/nurses and
other health workers working for Hertfordshire
Partnership University NHS Foundation Trust
There were 1,276 young people with learning
disabilities aged 14-19
2014 - 2019
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What we know
There are lots of people with learning disabilities we
do not know about
There are more children born with learning
disabilities and lots of health problems who now live
for longer
Generally people with learning disabilities live much
longer lives than they used to
There are more adults with autism
Where to find more information about this:
Hertfordshire’s Joint Strategic Needs Assessment
http://atlas.hertslis.org/IAS/hwb/priorities/learningdis.ht
ml
This gives information about what we know about
people with learning disabilities in Hertfordshire and
helps us plan for future services
Improving Health and Lives (IHaL) learning
disabilities observatory
http://www.improvinghealthandlives.org.uk/profiles/
This gives national and local information on health and
social care, you can compare Hertfordshire and other
areas in England
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What is happening nationally
Because there have been some bad things happening
in some health and social care services in the country
the government are bringing in some new laws and
guidance to help make things better.
These are some of them:
The Care Bill 2013 – new protection and support
Think Local, Act Personal - making personalisation
happen in social care services
Transforming Care – a national response to
Winterbourne View 2012, making sure people live in
the community with the right support, and not in
special hospitals
What is happening in the Hertfordshire
We have local plans to help make things better like:
Health and Wellbeing Strategy – it has big areas,
called priorities, for fulfilling lives for people with
learning disabilities and supporting family carers to
care
Carers Strategy
Learning Disability Partnership Board work plan
Clinical Commissioning Groups strategies
Health and Community Services plan
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This big plan is about Personalisation
That means that all services and support is shaped to
suit each person
There are 4 important areas to this plan:
Choice and control - this means that people with
learning disabilities and their families having a say,
being listened to and making choices about their
support with workers
Living in the community as a full citizen - this
means people with learning disabilities having the
same opportunities as everyone else, live locally
and being safe
Better health – this means supporting to people to
be as healthy as possible
Good staff - this means staff that can do the job
and listen to the people they work for
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Choice and control
Nothing about us without us
We want people with Learning Disabilities and their families:
• To be involved in and make their own decision about their lives
• Have good information about money and budgets
• To say how they want to be supported
• Have good advocacy to help if they need it
• To have a personal health budget and personal budget for social care by direct payments
• To see things happen as planned
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Making this happen
• Have people to help buy services that are right
• Personal budgets for everyone
• Have people to help to check agreements to see that what is paid for is what you get
• People and families involved saying what they like and don’t like about services
• Development of eMarketplace
• Clear information about money
• Good advocacy services
• Person-centred planning in all services and roles
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Living in the community as a full citizen
Being part of your community
We want people to live a life that is right for them including getting housing, work, learning, friendships and leisure this means people having:
• A choice about housing
• Being able to do things in the day, evening and weekend
• People in hospital are seen often by their social worker and have plans to move on from hospital
• Staff help people to do things for themselves
• People find better ways to support people who need lots of help
• Staff think more about how to make sure people do things rather than not doing them – this is known as positive risk taking. And stand up for the rights of people with learning disabilities
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Making it happen
Work with people to make it happen:
• People in housing
• People who provide transport
• People who help people find jobs
• Give people, families and staff good information:
o about having your own home
o about making decisions
o about support there is to help you when things go wrong
o about listening to people and supporting people to plan their own life
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Better health
We want people with learning disabilities to be supported to be as healthy as possible, that means:
• Social care services being better at supporting people’s health needs
• All services to sign up to the new big plan for Challenging Behaviour support
• More people having Annual Health Checks, with good Health Action Plans
• All health services work to make the changes that Confidential Inquiry into the premature deaths of people with learning disabilities (CIPOLD) and the Mencap Charter for Clinical Commissioning Groups say are needed to improve health services
• All health services sign up to the Purple Promise
• Health and social care services take part in the Joint Health and Social Care Self Assessment Framework
• People who work in health services get better at communicating with people with learning disabilities and make the right changes called reasonable adjustments to support people properly
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Making it happen
• Change social care contracts so services know that they have to support people properly
• Check health services are making improvements from the CIPOLD report and Mencap charter
• Check the use of the Purple Folder, and how good are Annual Health Checks and Health Action Plans
• Have a special group called the health partnership review group to check what is happening
• Start using the Health Equality Framework to help check what we are doing
• Use what we learn from the Joint Health and Social Care Self Assessment Framework to help make things better and check how we are doing each year
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Good staff
We only want people to work in services if they can
do the job well. They must have the right attitude
and behaviours; this means things like having
respect for the people they support and listening to
them. We want:
• Everyone who works in services knows about and is working to the this big plan
• Employers to check that their staff have the right attitudes and behaviours
• Commissioners who buy services properly check that services are doing this
• People with learning disabilities and their families are properly involved in choosing new staff
• People with learning disabilities and their families help train health and social care workers
• The right people are employed for the care and support of people with the highest needs including people who have challenging behaviour
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Making it happen
• Involving people with LD and their families in choosing staff and training staff
• Check the skills of people working in services – this is called an audit
• Make sure training and work to make staff better in Hertfordshire is based on the what we find out is needed from the audit
• Support employers to make the changes that are needed to improve or change how people work with people with learning disabilities
• Work better together in partnership across services and teams with people, families and commissioners. This is called co-production