NHS Commissioning After Winterbourne View - An Update
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NHS CommissioningAfter Winterbourne View
- An Update
Geoff Baines
Associate Director
NHS South West4 October 2011
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Immediate Action
• BBC Panorama 31 May 2011
• advised 13 May 2011• Adult safeguarding
process• Understanding how it
could happen
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Immediate Action• Safeguarding, all agencies,
including Police;
• along with Castlebeck, immediate action and advising families
• Care quality Commission action,
• Additional NHS support• Accelerated discharge, clinical 2nd
opinions, quality check lists
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Features of NHS
• Commissioning is local or regional• Locally held data – not a national view• Lack of registers, health and social care
data• Count me in Census – provider data• NHS campus data limited and no longer
collected
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Range of Structures
• Primary Care Trust commissioners• Specialist commissioning – regionally• Devolved to NHS providers• Delegated to joint Local Authority
providers• Delegated to Local Authority led
joint/pooled budgets
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Nationally
• Strategic Health Authorities network
• Castlebeck wide perspective/national provider
• Safeguarding information• Priority checks on;
– Winterbourne– All Castlebeck services– All Learning Disability Assessment
and Treatment
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Assurance in place
Health Self Assessment
Framework.• All England• Tackles inequality• Says what good is• 2 relevant areas
– Monitoring placements– Challenging Behaviour
strategies
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Next Steps
• Strategic Health Authority Leads• Enhanced assurance framework• Data Collection process• Joint work with ADASS
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Enhanced Assurance
• National process• October to January• Validation process• Five areas• About current practice• To be updated following
review
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Data collection
• National information• 31 October 2011• NHS funded placements• Adult Learning Disability only
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Mock example
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Mock example
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Mock example
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Mock example
Proportion of patients placed from Out of Area
Out of Area
Not out of Area
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Mock example
Number of patients having Annual Health Check
Yes
No
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Mock example
PCT
NHS Tru
st
Loca
l Aut
horit
y
Specia
list C
omm
ission
ing
Joint
PCT le
d
Joint
NHS T
rust
led
Joint
Loc
al Aut
horit
y Le
d0
1
2
3
4
5
6
7
8
Proportion of Contract Holders
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Conclusion
• Total commitment and priority• Need to understand the now• Assurance for today• Serious Case Review and NHS review
underway• Will focus on how society supports the
needs of highly vulnerable people• Will lead to positive changes