TRANSFORMING CARE and the

PROGRAMME OF ACTION since

WINTERBOURNE VIEW

What we are doing in Liverpool

WINTERBOURNE VIEW

• Everyone was shocked who saw the Panorama programme in May 2011 about Winterbourne View.

• The programme showed the abuse of people with learning disabilities in a private hospital near Bristol.

What the Government did next• Held a full enquiry into the

abuse at Winterbourne View• Published its final report in

December 2012 called “Transforming Care”

• Set out a Programme of Action to improve support for people who have challenging behaviour

• Made sure Government Departments and national organisations signed a Concordat – an agreement to support these actions

PROGRAMME OF ACTION

• By end of March 2013, each PCT had to have a register of people who are in NHS funded care because they have challenging behaviour

• These placements include private and NHS hospitals and out of area placements

• Liverpool never funded anyone in Winterbourne View

• Liverpool PCT identified 19 people with learning disabilities on its register = 11 in NHS secure hospitals and 8 in private hospitals

• The register now sits with the Clinical Commissioning Group (CCG) since PCTs were abolished

PROGRAMME OF ACTION

•By June 2013, each person on the register should have been reviewed and should have a plan for their future•The Government expects there to be few people staying in hospital and wants most to be returned to support services in their local communities by June 2014•By then, each area should have a local joint plan for good care and support services for people of all ages with challenging behaviour

PROGRESS SO FAR

All the people on Liverpool`s register have had a recent review, and have a named social worker and named health worker, with access to advocacy

The CCG, City Council and Mersey Care have set up a Winterbourne View Project Group to oversee the planning

This Project Group should now report to the Health and Wellbeing Board

BRINGING PEOPLE BACK

Liverpool has a good record of resettling and supporting people who have challenging behaviour

There is a strong commitment to person centred planning and to risk management that respects people and their Human Rights

We have a history of working in partnership, with some very experienced provider agencies

THE CHALLENGES

• It can be expensive to support people with challenging behaviour in the community

• Health and Social Care Commissioners will need to share the costs (and the risks)

• There may be some people who cannot be safely returned to Liverpool within the next 11 months

• We may need new and different models of care and support

THE CHALLENGES

• We need to plan services that will successfully support people who challenge (and their families) so that they do not need to go out of city or remain in hospital

• The planning and the support needs to include children and young people as well as adults with learning disabilities and autism

• We need to be sure that people are safe from abuse – wherever they are.