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Learning disability and autism: framework for commissioner oversight visits to inpatients
- Authors:
- NHS ENGLAND, NHS IMPROVEMENT
- Publishers:
- NHS England, NHS Improvement
- Publication year:
- 2021
- Pagination:
- 33
- Place of publication:
- London
The Long Term Plan made a commitment to improve the quality of care within an inpatient setting for people with a learning disability, autism or both. It is crucial to have robust and effective systems in place to identify and address concerns relating to quality of care and safety at the earliest opportunity. This guidance has been produced through working alongside people with a learning disability and autistic people who are currently, or have previously been inpatients, families with lived experience, providers, and commissioners. This guidance for commissioners and case managers aims to support the implementation of best practice in relation to commissioner oversight visits. This includes the minimum expectations for oversight visits during the coronavirus pandemic. (Edited publisher abstract)
The commissioning of services and support for people with learning disabilities and complex needs: assessment framework
- Authors:
- COMMISSION FOR SOCIAL CARE INSPECTION, HEALTHCARE COMMISSION, MENTAL HEALTH ACT COMMISSION
- Publisher:
- Commission for Social Care Inspection; Healthcare Commission; Mental Health Act Commission
- Publication year:
- 2008
- Pagination:
- 10p.
- Place of publication:
- London
This document provides an assessment framework for the review of commissioning practices across health and social care for people with learning disabilities and complex needs. Sections in the framework include: putting people at the centre of commissioning; sharing and using information more effectively, assuring high quality providers for all services, and developing incentives for commissioning health and well-being. Note: The Mental Health Act Commission was abolished in March 2009.
Transforming care for people with learning disabilities: next steps
- Authors:
- NHS ENGLAND, et al
- Publisher:
- NHS England
- Publication year:
- 2015
- Pagination:
- 27
- Place of publication:
- London
A joint report from the Association of Directors of Adult Social Services, Care Quality Commission, Department of Health, Health Education England, local Government Association, and NHS England which sets how they intend to improve the quality of life of people learning disabilities following the 'Winterborne view: time for change' report by Sir Stephen Bubb. The report outlines key aims of reducing the number of people placed in hospital, reducing the length of time those admitted spend there, and improving the quality of both hospital and community settings. Plans include: empowering people and families to challenge their admission or continued placement in inpatient care; working with local authorities and other providers to get the right care in the right place; raising the quality of care through regulation and inspection; and increasing workforce capability by improving their skills and practice. (Edited publisher abstract)
Commissioning care in the 21st century: improving outcomes for people with learning disabilities
- Author:
- KUZNETSOVA Daria
- Publisher:
- New Local Government Network
- Publication year:
- 2011
- Place of publication:
- London
In this report it is argued that the only way to ensure that personalised services in social care in England are affordable is to accelerate moves towards a new form of outcome-based commissioning. The report presents an analysis of council cost data. It finds increases in expenditure with additional direct payments issued to people with a learning disability, but notes that this may reflect the fact that personal budgets are identifying new and previously unmet needs and that it is possible that the new system will save money for other sectors such as the NHS. It proposes embedding new measures (such as Social Care Related Quality of Life) that assess the quality and impact of social care services, arguing that with a robust outcomes measurement system in place commissioning tools such as payment by results and social impact bonds could be developed within social care. It also suggests that commissioners will need to play a greater role in developing the market, and that this will ensure that people with learning disabilities have a real choice between a wide range of services. The author says that there is a need for a decisive shift away from managing outputs to developing new metrics and commissioning approaches based on outcomes, to drive a focus on value for money and to help commissioners identify effective forms of intervention that help people with learning disabilities in their lives.
Identifying the need for respite care for people with learning disabilities in Northern Ireland
- Author:
- SINES D.
- Journal article citation:
- Journal of Learning Disabilities for Nursing Health and Social Care, 3(2), June 1999, pp.81-91.
Describes the methods employed to investigate the range and models of respite care services provided for people with learning disabilities and their carers in Northern Ireland. Carers were surveyed to determine their perceptions and levels of satisfaction regarding the range of services provided for them. In addition, local respite care services were examined and interviews conducted with commissioners, providers and professional support staff to assess the perceptions of individuals involved in the planning, commissioning and providing of respite care services. The study confirmed that regional variations existed throughout the province and that the current range of services often failed to meet the significant and often complex needs of users. Whilst the study was conducted in Northern Ireland it is considered that many of the findings will be equally applicable to elsewhere in the UK and the Republic of Ireland.
Winterbourne View: transforming care one year on
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2013
- Pagination:
- 77
- Place of publication:
- London
This report reviews progress in improving the quality of care for vulnerable people, following abuse of residents at Winterbourne View hospital. It summarises the changes to improve the quality of care for vulnerable people, specifically those with learning disabilities or autism who also have mental health conditions or behavioural problems. The report covers surveys and monitoring programmes designed to track patients and observe their care; improvements to the commissioning of health and care services; the regulation and inspection of services; and work needed to make sure no one finds themselves in inappropriate care settings. It considers quality and safety issues in respect of advocacy, medication, positive behaviour support, physical interventions and workforce development. The report includes an individual case study and examples of service providers and projects which demonstrate practice that is both effective and sensitive to the needs of vulnerable people. An Easy Read version is also available. (Edited publisher abstract)