LD Commissioning Workshop Achieving Good Commissioning Outcomes

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Anne Williams, CBE, Member of the DH Expert Panel (Winterbourne View): 'Achieving Good Commissioning Outcomes'

Anne Williams, CBE, Member of the DH Expert Panel (Winterbourne View): 'Achieving Good Commissioning Outcomes'

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  • 1. Emerging Issues& Model of CareAnne Williams CBEExpert Panel MemberDepartment of Health review -Winterbourne View
  • 2. Who are the key players? • Voice of individuals and their families • Commissioners • Providers • Professionals • Regulators 2
  • 3. Are you an intelligent commissioner?• Do you know who you are commissioning for?• Are you jointly commissioning peoples’ whole needs, health, social care, housing, employment etc?• Are you using a pooled budget with a risk sharing protocol? 3
  • 4. Are you an intelligent commissioner?• Are you using evidence based practice to inform your commissioning strategy?• Are you benchmarking your practice? If so what data are you using: eg – Spend on residential care, employment data – Numbers in A&T – How do you decide the number of A&T beds needed? 4
  • 5. Are you an intelligent commissioner?• Are you working with providers to develop a spectrum of local support and services?• Is your Health and Wellbeing Board overseeing your commissioning practice and the outcomes for individuals and their families?• Are you considering a role for Healthwatch in ensuring services are safe and appropriate for groups of individuals known to be at increased risk e.g. those placed outsider local services? 5
  • 6. The model of care Health and well-being boardsLearning Disability Partner-shipBoard Community team Support/ Treatment in local Support Intervention Local Education MH worker services acute FriendsLocal hospital familyCCG AdultBoard Circle of Safeguar support Person ding Treatment GP/ Employ- Board in other local Respite/ primary ment services short care Housing breaks AssessLeisure/ Secure Ment activities services A&T 6
  • 7. Essential Infrastructure• Health and Wellbeing Board to receive annual report on progress of commissioning strategy & the outcomes for individuals.• Learning disability partnership boards• Local hospital board• Joint commissioning strategy• Pooled budget with risk sharing protocol• Joint health and social care community team• Healthwatch 7
  • 8. Community team- the essentials• Single line management• Multi-disciplinary (Social workers, nurses, psychologist, psychiatrist, allied health professionals)• Responsible for the management of the pooled budget• Providing assessment, care management and review• Focused on those with the most complex needs• Assessing and/or providing positive behaviour management 8
  • 9. Local Mental Health Services• Inclusive community based mental health services that offer assertive outreach, 24 hour crisis resolution, a temporary place to go in crisis and general support to deal with the majority of additional needs at home.• Inpatient assessment & treatment to be provided locally. 9
  • 10. Inpatient Services• The individual remains the responsibility of the local community team• Discharge planning starts from day 1• After 6 months of inpatient care, Health and Wellbeing boards and Healthwatch should be alerted to consider the welfare and future planning for the individual 10
  • 11. Your Views• Emerging issues• The model of care• Benchmarking data 11