An overview of learning disability services


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Mencap presentation by Richard Wilson,
Commercial Development Manager,
May 2010

Published in: Health & Medicine, Education
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An overview of learning disability services

  1. 1. Mencap presentation An overview of learning disability services Richard Wilson Commercial Development Manager May 2010
  2. 2. Background • Historically care and support for vulnerable people was provided by philanthropic organisations • Based on a desire to ‘do good and give relief to those in need’ • Emergence of institutional settings, poor houses and colonies • State provision, subsidence levels only
  3. 3. The Welfare State • Created in 1948 • Focus on health needs not social needs • Shift to state holding responsibility for provision of services to vulnerable people funded through taxation • Emergence of NGO’s, campaigning and raising profile of needs of vulnerable people and their families • Mencap founded in 1946 • Campaigning successfully led to the development of more and better services. (Better services for the Mentally Handicapped 1971, Government White paper)
  4. 4. Introduction of Community Care • Government Care Act 1990 moved responsibility from State Government to Local Government • Birth of mixed funding streams • Based provision around the assessment of an individual's needs • Focus on local and mainstream services • Local Governments budget for the provision of care and support was cash limited • Local, government Purchaser provider split created • Clearly defined tender process • Local Government urged to contract with ‘not for profit’ providers to deliver services
  5. 5. Personalisation agenda • Driven by ‘Valuing People’ last 10 years have seen new approach to LD • move from care homes to individual tenancies • Focus on support at home and early medical intervention • Use of mainstream benefit systems • Emphasis on involvement and consultation • People having greater choice about where and who they live with • Personalisation builds service around the person • People able to purchase their own care through the ‘direct payments’ scheme – users can become employers • Growth of brokerage services • Far more flexible staff structures
  6. 6. Questions
  7. 7. Contracting culture • Local Government secured service provision by legal contracts • Best value / MEAT (most economically advantageous tender) tendering processes • Approved providers • Shift in purpose of Non Government Organisations from philanthropic to accountable service providers • ‘Not for profit’ bodies required to demonstrate that they had: – Sound financial systems – Good policies and procedures – Effective management structures • Created risks for ‘not for profit’ organisations e.g. risks to Trustees • Created tensions as many bodies were campaigning groups as well as service providers
  8. 8. Current position • Government still committed to mixed economy for service delivery • Introduce protocols for local government when working with ‘not for profit’ organisations, COMPACT • Provide money for small ‘not for profit’ organisations to build infrastructure e.g. Future Builders’ programme • Gershon report reviews the way in which government purchases services
  9. 9. How is quality ensured • Compliance with external requirements, legal and contractual – monitoring processes • Having clear organisational standards to work to • Have a framework for quality improvement • Keeping in touch with customers needs, service users and commissioners • Person centred planning / approaches
  10. 10. Questions
  11. 11. More about Mencap Visit our website Or email us