Search results for ‘Subject term:"learning disabilities services"’ Sort:
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Safe, sustainable and productive staffing: an improvement resource for learning disability services
- Author:
- NATIONAL QUALITY BOARD
- Publisher:
- National Quality Board
- Publication year:
- 2016
- Pagination:
- 23
A guide to help standardise staffing decisions for learning disability services in community and inpatient settings. This resource is designed to help commissioners and providers of NHS commissioned services, create, review and sustain safe and effective specialist health services for people with a learning disability, who have a wide range of needs and varying levels of disability. The resource draws on evidence from a commissioned rapid review of literature and professional review of practice. It aims to provide principles and an assurance framework to help standardise approaches to making decisions about staffing in a multidisciplinary learning disability setting, within organisations and across the system supporting the patient experience and outcomes. (Edited publisher abstract)
Report of a mixed methods systematic review of literature to inform the development of ‘sustainable safe staffing’ improvement resource in learning disability (LD) services for NHS Improvement
- Authors:
- MAFUBA Kay, GATES Bob, SIVASUBRAMANIAN Madhini
- Publisher:
- University of West London
- Publication year:
- 2016
- Pagination:
- 76
- Place of publication:
- Middlesex
Summarises the best evidence available on sustainable safe staffing levels for multi-disciplinary learning disability teams in order to inform the development of setting-specific sustainable safe staffing guidance for the NHS Improvement National Safe Sustainable Staffing Guidance Programme Board for England. No empirical evidence was located that directly relate to sustainable safe staffing. Three core themes emerged from the review. The first theme, service models, is underpinned by three categories (service design and implementation strategies; clarity of professional roles and service collaboration / integration mechanisms; stakeholder and service user engagement). Four categories underpin the second theme, standards of care (understanding of the context of care; delivering effective care; ensuring effective communication; ensuring high standards of care). The third theme, resources, is made up of three categories (processes for managing resources; developing professional competence; values-based recruitment and retention practices). (Edited publisher abstract)
It doesn't add up: the financial crisis crippling the social care sector
- Author:
- CEBR
- Publisher:
- Hft
- Publication year:
- 2016
- Pagination:
- 25
- Place of publication:
- Bristol
The report examines current financial pressures facing the adult care sector, with a specific focus the learning disabilities sector. The report examines the financial surplus margins of the care and learning disability sectors, estimated at 6 per cent of turnover/funding in 2015 and considers the potential shortfall that could arise over the coming years as costs increase. It highlights rising rents for property, the introduction of the National Living Wage, and having to pay sleeping shift workers the minimum wage as three pressures facing the sector. If costs rising above funding levels, organisations in the learning disability care sector face the prospect of having to decrease service provision and shed jobs. It shows that the high proportion of low-paid workers and older workforce makes the care sector particularly vulnerable to increases in wage bills through the National Living Wage. Care providers may also face an additional source of funding pressure from changes in the law which may mean that many will have to pay minimum/living wage to employees while asleep at work. In a survey of 36 care organisations, 96 per cent cited rising wage bills as one of the main cost pressure they were facing, with 32 per cent citing rising utility bills. Based on projections of wage and input costs, it concludes that the sector risks facing a financial deficit over the next four years. It argues that the sector will need an increase in funding and turnover of between 4 per cent and 6 per cent per annum to break even. (Edited publisher abstract)
Learning disability and human rights: a practitioner's guide
- Author:
- BRITISH INSTITUTE OF HUMAN RIGHTS
- Publisher:
- British Institute of Human Rights
- Publication year:
- 2016
- Pagination:
- 16
- Place of publication:
- London
This booklet provides information for practitioners about using a human rights approach in learning disability settings. It is aimed at professionals working in the community but is relevant for those working in learning disability services of all kinds. It focuses on three key issues for learning disabilities services: responding to behaviours of concern, which includes a decision making flowchart; responding to breakdown in care arrangements; and working with learning disabled people in relationships where risk is a factor, such as a potentially abusive partner. Each section outlines the main human rights issues that practitioners may encounter; offers suggestions for taking a human rights approach; provides information about the key rights most likely to be relevant to that area of practice; and worked examples. It is one of eight booklets developed as part of the British Institute of Human Rights (BIHR) project ‘Delivering Compassionate Care: Connecting Human Rights to the Frontline’, which aims to place human rights at the heart of mental health services and ensure frontline staff have the knowledge and skills uphold the dignity and human rights of the people using their service. The booklet is aimed at both qualified and unqualified staff. It also contains information that may be useful for people using services, their family, carers or advocates. (Edited publisher abstract)
Exorcising restraint: reducing the use of restrictive interventions in a secure learning disability service
- Author:
- RIDING Tim
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 7(4), 2016, pp.176-185.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe the nature and impact of a restraint reduction strategy implemented within a secure learning disability service in response to the national Positive and Safe programme. Design/methodology/approach: The strategy was comprised of three primary interventions – Safewards, positive behavioural support and data-informed practice – and utilised a programme management approach to ensure effective delivery. Baseline measures were collected from 12 months of data prior to implementation of the programme and the frequency of each category of restrictive intervention was then measured prospectively on a monthly basis throughout the duration of the programme. Findings: Upon completion of the programme the following results were achieved: elimination of prone restraint – elimination of mechanical restraint – 42 per cent reduction in general use of restraint – 42 per cent reduction in use of seclusion – 52 per cent reduction in rapid tranquilisation. Originality/value: The paper adds to the growing body of evidence that carefully designed interventions can reduce the frequency of seclusion and restraint. In this case, Safewards and PBS have combined to exert their effect. Data-led practice and senior leadership were also found to be of critical importance. Finally, the need for a stable workforce is considered. (Publisher abstract)
Learning disabilities transition pathway competency framework
- Author:
- HEALTH EDUCATION ENGLAND
- Publisher:
- Health Education England
- Publication year:
- 2016
- Pagination:
- 56
- Place of publication:
- Leeds
This framework identifies the skills and knowledge that people providing learning disability services need to know and do when supporting a young person in transition from children's to adults’ services. It aims to support the development of transition teams, which include a range of professions from health, social care, education, employment and the community. The competencies in the framework are organised into nine areas covering: team competencies; leadership competencies; promoting access to services, care coordination and risk management at transition; assessment and treatment planning; enabling health interventions; role support interventions; family and carer interventions; accommodation and welfare interventions; monitoring and measurement. Each set of competencies are mapped to the relevant National Occupational Standards. The Framework will be useful for managers to identify new ways of working and better understand the development needs of staff; help service commissioners describe service models, develop specifications and quality assurance activities; and help education commissioners to develop effective training and development programmes. (Edited publisher abstract)
Commissioning for complexity: exploring the role of System Dynamics in social care
- Publisher:
- NIHR School for Social Care Research
- Publication year:
- 2016
- Pagination:
- 4
This project explores the potential contribution of System Dynamics to social care commissioning by testing the approach within services for people with learning disabilities. System Dynamics uses a combination of ‘systems thinking’ and computer simulation to model the interactions between different elements of a system. The focus of the project was to examine the impact of a community based intensive support service for people with learning disabilities with complex behavioural needs on the use of inpatient beds and out-of-borough residential care home. The initial overview of the model was developed through a stakeholder workshop and then refined through discussions with the commissioners. Data from the local area, national data sets and research were then used to populate the model. A second workshop enabled stakeholders to provide further comment and to test out different service configurations in light of the anticipated needs and demand. Once commissioners understood the terminology and concepts behind the modelling they found it a helpful and useful framework. The interactive model enabled commissioners to input data on future needs and test different combinations and capacities of services. Difficulties identified included: availability of accurate data to populate the model; the consistency of commissioning personnel; and risk that a focus on costs could dominate over quality of life considerations. It concludes that System Dynamics could make a positive contribution to social care commissioning if used on a medium-long-term basis to allow for development of data sets and potential scenarios. (Edited publisher abstract)
Connect for change: an update on learning disability services in England
- Author:
- ROYAL COLLEGE OF NURSING
- Publisher:
- Royal College of Nursing
- Publication year:
- 2016
- Pagination:
- 24
- Place of publication:
- London
This report looks at the steps that need to be taken to develop the learning disability nursing workforce and improve community learning disability services in order to deliver the government policy 'Transforming care', and move the care of people with learning disabilities from hospitals into the community. The report highlights the disconnect between workforce planning and service design, and the reduction and devaluing of the learning disability workforce. It presents data to show that there is still a 'revolving door' with people with learning disabilities continuing to be admitted into inpatient services, often due to the inability to access the right care and support to help people to live independently. It also looks at the current state of the workforce in terms of staffing levels, numbers, skill mix and projections for the future workforce. A number of recommendations are presented in relation to workforce and service development to address the issues raised in the report. These include a long-term workforce strategy that connects workforce planning to the transformation and delivery of services for children and adults with learning disabilities; ensuring that quality community services are commissioned to support the appropriate transition of people from inpatient care to living more independently in the community; establishing long-term commissioning arrangements of community services to protect children and adults who rely on vital services in the community; and for positive behaviour support to be embedded across organisations and training. (Edited publisher abstract)
Learning disability services efficiency project: report
- Author:
- LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Local Government Association
- Publication year:
- 2016
- Pagination:
- 17
- Place of publication:
- London
This report outlines the findings from the Learning Disability Services Efficiency Project and pulls together the evidence and some key messages for the sector. The project was set up by the Local Government Association in 2014 and is part of the Transforming Care programme. The Project aims to enable local authorities to develop and share new and innovative approaches to improve care and support for people with learning disabilities and to make efficiencies. The practice examples are based on the principles of promoting independence; working collaboratively to develop person centred solutions; maximising the use of resources, including digital technology and reducing costs. Five councils were tracked over a two year period and learning is being shared for the benefit of the wider sector. The Councils who took part were the London Borough of Barking and Dagenham, Darlington Borough Council, Cumbria County Council, Kent County Council and Wiltshire Council. The findings are described using the following headings: understanding need and the cost of meeting that need, the progression model, carers, transitions, NHS as key partners, staff, housing, transport and efficiency savings. (Edited publisher abstract)
Building bridges to a good life: a review of asset based, person centred approaches and people with learning disabilities in Scotland
- Authors:
- McNEISH Di, SCOTT Sarah, WILLIAMS Jennie
- Publisher:
- Scottish Commission for Learning Disability
- Publication year:
- 2016
- Pagination:
- 79
- Place of publication:
- Glasgow
This review explores the potential to join up thinking on increased choice and control for people with learning disabilities and the principles of asset based working. Commissioned by the Scottish Commission for Learning Disability, it considers the efficacy of asset based approaches for people with learning disabilities, looks at evidence of the impact these approaches can have on people’s lives and also identifies examples of good practice in Scotland. The review draws on the results of a literature review; interviews with key informants involved in asset based working and learning disability services; and a mapping of projects using asset based principles with people with learning disabilities across Scotland. The results suggest that there are is reason why the focus of assets work cannot be broadened to include opportunities for people with learning disabilities. However it suggests that asset based approaches should be seen in the context of efforts to advance the personalisation and social integration agendas, and that if that they need to fit alongside services, support systems and initiatives. Examples included in the review illustrate how services can add to the assets of individuals and communities, provided they are willing and committed to relating to people and doing things differently. Factors identified that facilitate asset based approaches with people with learning disabilities, include: addressing wider inequalities and stigma; ensuring people with learning disabilities are active participants in place based community development; and tackling attitudinal barriers and established ways of doing things. (Edited publisher abstract)