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David HarlingProgramme Lead Improving Lives Team &
National Safety Lead for Learning Disability
More Questionsthan Answers?
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The Improving Lives team was established to review the
care of the 48 ex-residents of Winterbourne View in
addition to a number of other serious cases of concern.
Supporting
providers to think
differently...
Posing a challenge
where required
Providing extra assurance
to make sure people are
safe
Undertaking in-depth
review of peopleslives
Checking the persons
current experience of
care
Ensuring plans are
in place for a better
future for people
Engaging co-production by
working with Expert by
Experience
01924 372060
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What did we learn from the abuse of people with
learning disabilities in the 1970s hospital
scandals, at Ely, Normansfield, South Ockendon
and others...
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What did we learn about the lives of
people with learning disabilities in the
1980s living at Borocourt, Rampton &St Lawrence's hospitals....
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Health Ministers in 1983 said thesehospitals were "unlikely to be the only
exceptions to an otherwise admirable
system"....
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When Jim Mansell gave us his first
report in 1992 why didn't we listen?
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When Valuing People wrote
about Rights, Independence,
Choice and Inclusion - whatdid we do?
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How could Sutton and Merton and Cornwall scandals
happen, when wed closed all the long stay NHS
hospital campuses and created smaller, moreindividualised services?
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In 2006 there were around 3000 people with learning
disabilities using learning disability hospital beds.
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In 2014 there around 2600 people using learning
disability hospital beds....
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In 2011 howcouldWinterbourne view
happen?
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In 2012 how could Atlas
Care happen?
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In 2013 whydid Connor
Sparrowhawk die a
preventable death?
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In 2013 whyhad Lisabeen kept behind this
hatch for almost 9 years
in long term
segregation?
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40years of waiting for
something to happen?
40years of learning?
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The Improving Lives Team have conducted over
70 in-depth reviews nationwide since January
we have found....
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We have seen
placements that cost
2500 per day to keepsome individuals locked
in seclusion...
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We have met
people who have
not seen theirparents for over
three years due to
being 200 miles
from home?
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We have seen
services still failing
to engage Families& Carers as
partners in true
co-production?
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Why have
seen limited
provision of
high quality
independent
advocacy?
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We have seen
limited person
centred thinking,
planning, or
doing...
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We have seen an over reliance on restrictive practices
like restraint or seclusion or long term segregation...
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We have seen limited evidence of treatment for
people detained under the Mental Health Act...
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We have seen too many services that lack vision; or a
desire to change & where staff only choose to do things
a certain way...
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We have seenpeople who use
services not
having a realsay in their own
care
arrangements...
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We have seen
services thathave noclear
discharge
pathway...
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We have
visited peoplewho have
neverreceived
any traumasupport for
the abuse they
haveexperienced.
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So what does work?
People livingtheir dreams!!!
Better lives in
the
community!!!
Innovative &Creative
commissioning!!!
The determination,
attitude & personality of
staff can make a big
difference!!!
Where PBS is
understoodand
embedded!!!
Proper person
centred
approaches!!!
Making quality checkingand co-production a
priority!!!
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So thankfully better lives are possible
and change is possible.
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BUT...not enough people are having better lives
and we are not seeing rapid enough change to
get people out of hospital
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The Improving Lives Team will continue until
March 2016 and our reviews will focus on
highly complex cases and individuals residingin high and medium secure services.
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David HarlingProgramme Lead Improving Lives Team &
National Safety Lead for Learning Disability
Thank you for listening
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