Building the right support for people with a learning disability and/or autis...NHS England
Presentations from NHS England's national event Building the right support for people with a learning disability and/or autism: one year on and two years ahead, 8 November 2016.
The Appointment - a film to support working towards dementia friendly dental ...UKFacultyPublicHealth
The Appointment: a film to support working towards dementia friendly dental practices - presentation at the Faculty of Public Health annual conference 2016
This presentation is from the Art of Social Prescribing event which took place on 17th September 2015 in Liverpool.
This presentation was given by Debbie Hicks from the Reading Agency on the Reading Well Books on Prescription initiative. http://readingagency.org.uk/
This one day conference aimed to respond to increasing interest in social prescribing. It presented the latest academic and applied research with particular reference to the role that arts and cultural activities play in social prescribing. A range of workshops took place introduced a range of established arts and cultural programmes, highlighted good practice approaches in mental health and wellbeing and encouraged debate on how to most effectively commission, fund and evaluate social prescribing schemes.
The conference was delivered in partnership by NEF and academics leading the AHRC-funded Art of Social Prescribing project at Liverpool John Moores University. It is a Making Connections event, part of the Cultural Commissioning Programme, an Arts Council England funded initiative to support commissioners, arts & cultural sector and policymakers with undertaking cultural commissioning to improve public service outcomes. www.ncvo.org/CCProg.
A presentation by Sue Turner from National Development Team for Inclusion (NDTi) and Alison Giraud-Saunders on their report which will support anyone working to implement personal health budgets for the benefit of people with learning disabilities.
The presentation was delivered at the first national learning event for the Making it Real for everyone - a personalised response to Winterbourne View.
Building the right support for people with a learning disability and/or autis...NHS England
Presentations from NHS England's national event Building the right support for people with a learning disability and/or autism: one year on and two years ahead, 8 November 2016.
The Appointment - a film to support working towards dementia friendly dental ...UKFacultyPublicHealth
The Appointment: a film to support working towards dementia friendly dental practices - presentation at the Faculty of Public Health annual conference 2016
This presentation is from the Art of Social Prescribing event which took place on 17th September 2015 in Liverpool.
This presentation was given by Debbie Hicks from the Reading Agency on the Reading Well Books on Prescription initiative. http://readingagency.org.uk/
This one day conference aimed to respond to increasing interest in social prescribing. It presented the latest academic and applied research with particular reference to the role that arts and cultural activities play in social prescribing. A range of workshops took place introduced a range of established arts and cultural programmes, highlighted good practice approaches in mental health and wellbeing and encouraged debate on how to most effectively commission, fund and evaluate social prescribing schemes.
The conference was delivered in partnership by NEF and academics leading the AHRC-funded Art of Social Prescribing project at Liverpool John Moores University. It is a Making Connections event, part of the Cultural Commissioning Programme, an Arts Council England funded initiative to support commissioners, arts & cultural sector and policymakers with undertaking cultural commissioning to improve public service outcomes. www.ncvo.org/CCProg.
A presentation by Sue Turner from National Development Team for Inclusion (NDTi) and Alison Giraud-Saunders on their report which will support anyone working to implement personal health budgets for the benefit of people with learning disabilities.
The presentation was delivered at the first national learning event for the Making it Real for everyone - a personalised response to Winterbourne View.
Michelle Pilling, Lay Member Patient and Public Involvement and Deputy Chair with Dave Rogers, Head of Communications & Engagement at East Lancashire CCG
Sharing and Learning Together to Deliver High Quality End of Life Care for AllNHS Improving Quality
Sharing and Learning Together to Deliver High Quality End of Life Care for All
Presentations from the Sharing and Learning Together to Deliver High Quality End of Life Care for All event held on
Tuesday 24 June 2014, Congress Centre, London, WC1B 3LS
#nhsiqeolcare
Integrated personal commissioning, innovate stage, 1pm, 3 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
A new model of care for general practice, pop up uni, 10am, 2 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Personal Health Budgets and Continuing HealthcareMS Trust
This presentation by Gill Ruecroft, Commissioning Manager, provides an overview of Personal Health Budgets (PHBs) and demonstrates the effectiveness of PHBs through case studies.
It was presented at the MS Trust Annual Conference in November 2014.
Working together for Better Care in Richmond HW_Richmond
Presentation from Richmond CCG, Healthwatch Richmond, Hounslow and Richmond Community Healthcare, Kingston Hospital, West Middlesex University Hospital and the Richmond GP Alliance on the changes happening to community services in Richmond.
Similar to Improving Lives: Supporting Adults with Learning Disabilities conference (20)
Acorn Recovery: Restore IT infra within minutesIP ServerOne
Introducing Acorn Recovery as a Service, a simple, fast, and secure managed disaster recovery (DRaaS) by IP ServerOne. A DR solution that helps restore your IT infra within minutes.
This presentation, created by Syed Faiz ul Hassan, explores the profound influence of media on public perception and behavior. It delves into the evolution of media from oral traditions to modern digital and social media platforms. Key topics include the role of media in information propagation, socialization, crisis awareness, globalization, and education. The presentation also examines media influence through agenda setting, propaganda, and manipulative techniques used by advertisers and marketers. Furthermore, it highlights the impact of surveillance enabled by media technologies on personal behavior and preferences. Through this comprehensive overview, the presentation aims to shed light on how media shapes collective consciousness and public opinion.
0x01 - Newton's Third Law: Static vs. Dynamic AbusersOWASP Beja
f you offer a service on the web, odds are that someone will abuse it. Be it an API, a SaaS, a PaaS, or even a static website, someone somewhere will try to figure out a way to use it to their own needs. In this talk we'll compare measures that are effective against static attackers and how to battle a dynamic attacker who adapts to your counter-measures.
About the Speaker
===============
Diogo Sousa, Engineering Manager @ Canonical
An opinionated individual with an interest in cryptography and its intersection with secure software development.
Have you ever wondered how search works while visiting an e-commerce site, internal website, or searching through other types of online resources? Look no further than this informative session on the ways that taxonomies help end-users navigate the internet! Hear from taxonomists and other information professionals who have first-hand experience creating and working with taxonomies that aid in navigation, search, and discovery across a range of disciplines.
This presentation by Morris Kleiner (University of Minnesota), was made during the discussion “Competition and Regulation in Professions and Occupations” held at the Working Party No. 2 on Competition and Regulation on 10 June 2024. More papers and presentations on the topic can be found out at oe.cd/crps.
This presentation was uploaded with the author’s consent.
Sharpen existing tools or get a new toolbox? Contemporary cluster initiatives...Orkestra
UIIN Conference, Madrid, 27-29 May 2024
James Wilson, Orkestra and Deusto Business School
Emily Wise, Lund University
Madeline Smith, The Glasgow School of Art
Improving Lives: Supporting Adults with Learning Disabilities conference
1. www.england.nhs.uk
Carl Shaw, Learning Disability Advisor
Fiona Mcmillan-Shields, Head of Transformation
(Delivery)
Transforming Care,
transforming lives:
Learning Disability Programme
January 2017
2. www.england.nhs.uk
• Carl Shaw, Learning
Disability Advisor
• Fiona McMillan-Shields,
Head of Delivery
(Transformation)
Hello, my name is:
2
3. www.england.nhs.uk
• Making sure less people are in
hospitals by having better services in
the community
• Making sure people don’t stay in
hospitals longer than they need to
• Making sure people get good quality
care and support in hospital and in the
community
• The national plan is called ‘Building the
right support’ (published October 2015)
– 48 Transforming Care Partnerships
(TCPs) are doing the work locally
The transforming care work
has three big aims:
3
4. www.england.nhs.uk
Equal access to services
Keep people healthy
Strengthening people’s rights
More:
• housing options
• employment
• personalisation
We need to change culture to achieve our
big aims. We are ambitious!
4
5. www.england.nhs.uk
• Building the Right Support says that people
should have choice and control over how their
health and care needs are met;
• they should be able to choose where they live and
who they live with.
https://www.youtube.com/watch?v=eyffDUgqD8g
Empowerment
5
6. www.england.nhs.uk
• Fewer people in hospital
• New community services opened
• People moving home
• Signing the Stopping Over Medication (STOMP) pledge
• Care and Treatment Reviews (CTRs) continue to be done,
including Community CTRs
• A new set of hospital discharge standards – coming soon
• Reducing health inequalities; mortality review programme
rolling out
Examples of progress on our ‘big aims’:
6
7. www.england.nhs.uk
What is a
Care and Treatment
Review?
• The CTR panel is led by the
person’s commissioner
• Plus two expert advisers,
• A clinical adviser.
• And an expert by experience –
either a person with a learning
disability or a family carer with
experience of services
• They meet the person being
reviewed and all the people
involved in the person’s care
• They make recommendations to
improve the person’s care
• Policy review due February 2017
8. www.england.nhs.uk
STOMP – Stop over medicating people
February 1, 2017
• Stopping the over-medication of people
with psychotropic medication
• Helping people have a better quality of
life
• Empowering people to have more
choice and control
• Alternatives and other support
• Influencing the health professionals and
prescribers
• Programme of work over next 2 years
• Awareness-raising
• Commissioning theatre company
production
• Campaign with people and families
• Change professional practice
9. www.england.nhs.uk
Hospital discharge standards
• New standards and steps for
commissioners which will be part of the
new CTR policy
• Focus on timely discharge from
hospital
• Standards around named people
supporting the person
• Good quality of person-centred
planning and involvement
• Respecting the importance of families
• Steps to guide the commissioner and
others through the process
10. www.england.nhs.uk
Raising a complaint or a concern
• We are having a workshop in
February to get stakeholders
views.
• We are having another
workshop in March to get the
views of people with learning
disabilities autism or both
which will be hosted by NHS
England’s Engagement team.
• We have already had some
really good thoughts and
comments from the Learning
Disability Engagement Team
Advisory Board2/1/2017
11. www.england.nhs.uk
There are five people with a learning
disability working for NHS England
• Three Learning Disability Advisers
• They work to make healthcare better
• And help to write policies to show the
NHS how to make its care better
• And carry out work to make that happen
• They work with people with learning
disabilities, family carers, NHS, social
care, Transforming Care and others
• There are also two people with learning
disabilities in the Engagement Team,
working with people and their families
Employees with a learning disability
12. www.england.nhs.uk
• We are still admitting too many people
into hospital – including children and
young people.
• The experience for some people and
their families could be better
• Some plans aren’t good enough yet –
more ambition needed.
• Plans don’t make change – actions do
• Money!
• Lots still to improve in general health
care and tackling health inequalities –
in primary, acute and specialist care.
We could do better
14. www.england.nhs.uk
More people living in homes in the community, fewer
in hospital
Commissioners will be working with clear plans to
improve things
Help local commissioners build community services
and close hospital beds
Better access to NHS services for people with a
learning disability,
What we want to do by the end of
2016/17
15. www.england.nhs.uk
GPs will know more people with a learning disability- and do more
Annual Health Checks
More screening for things like cancer and diabetes
Better treatment ‘pathways’
Better ways of checking the quality of services for people with a
learning disability
Better ways of checking people with a learning disability aren’t dying
too young
Housing options
What we want to do by the end of
2016/17
It is a very ambition programme of work but itis absolutely the right thing to prioritise. As we work together to make the vision set out in Building the Right Support real, we must remember that for each person we are able to move out of unnecessary hospital accommodation our actions are life-changing.
The things that keep people healthy sit mostly outside of the NHS – like homes, jobs, relationships and social life. Our work is as much about strengthening people’s rights and providing a good life, as it is about keeping people well. We are letting people down until we provide, for everyone:
- equal access to services
- opportunity to a family life, and a home environment, ready to go and with well thought through planning to make sure people stay there.
So we need to make sure that when people leave hospital, they go to live in a good place. Local councils are working with local healthcare providers to join this up and to check that teams have the right expertise across health, social care and wider welfare – like employment and housing support, to give people the best possible chance of quality healthcare and quality of life.
Together with the 48 Transforming Care Partnerships, we are working to reach the level of ambition and high quality support that’s needed to give people power and influence over their own life - and we have plans that hold TCPs to account for what they say they’re going to do. For this to transform lives in the long term, individuals have to be at the centre of planning, it’s up to us to make that happen.
Building the Right Support says that people should have choice and control over how their health and care needs are met; they should be able to choose where they live and who they live with. As we work together to make the vision set out in Building the Right Support real, we must remember that for each person we are able to move out of unnecessary hospital accommodation our actions are life-changing.
David’s story
Personal budgets are another way of making sure support is tailored to an individual’s need. I caught up with colleagues who work on PHBs when I was getting this presentation ready. They told me about Clare, Claire used to live in residential care. Because of her personal budget she now lives in her own home and can enjoy sailing. she met with Simon Stevens, chief executive of NHS England. They talked for 2 hours about how more people like Claire could get choice and control. PHBs work well for people with the highest support needs. They enable a wider range of possible solutions than traditionally commissioned services. They promotes self-management which reduces reliance on NHS services.
We’re making good progress – The number of inpatients has reduced from 2,800 at the end of January 2016 to 2,520 at the end of November 2016 and November was the 11th consecutive month that the number of people being cared for in hospital reduced. We are especially concerned about people who are in hospital long-term and there is a real focus on getting these people home. I’m pleased to say that this group of people is also reducing in number.
Around 200 CTRs are carried out a month. I recently heard how Derbyshire Transforming Care Partnership have enhanced their CTRs for people with a learning disability and/or autism to have an extra focus on medicines, physical health and making information accessible. Derbyshire have also expanded their CTR process to also cover children and young people, so that CTRs for people of all ages are delivered as part of one joint team.
They are also for children and young people
Talk abut the documents like GP leaflet, Mixit company leaflet and the performance.
Talk about the events that you have being to.
2 year plan to bring awareness of the issues, talk to care providers about their role, influence GP and prescriber practice and empower people to question and be aware of the meds they take.
We employ five people with a learning disability in full time roles; they inform our work in all parts of the healthcare system, because our learning disabilities programme is about getting it right for all people with a learning disability, not just those in treatment. We are about to employ a family carer.
Employing someone with a learning disability is a good example of giving someone power over their own life, and a good example of how that helps to redress the balance between us doing what we think people need, and allowing people to make their own choices and have influence.
Everyone benefits because of it.
- We need to reduce the number of people being admitted.
- Its taking time to get the money right, but we are making progress.
- We are still building support in the community and developing the skills of staff; and working towards better integration of health and social care.
- We still need to increase people on a health register, and widen access more generally to mainstream health services.
You need to learn from each other – and from the people whose lives we are trying to transform!
Equally important as moving people out of hospital is making sure that they’ve gone to a good place, that the right package of support follows them, and they will be well supported in all parts of life.
We need to make sure that when someone leaves hospital to live at home or in the community, the right package of care follows them, and they will be well supported in all parts of life. Personal budgets are one way of tailoring that support, to meet individual needs and give people the best chance to do well. Another important thing is making sure that if someone does need to be in hospital, their discharge is being planned for from the very beginning. We are doing a lot of work to make sure those standards are in place, CQC are a key partner in that work – including identifying what are the barriers to discharge for people who have been inpatients for a long time?
We also need to make sure that when people leave hospital, they go to live in a good place. Local councils are working with local healthcare providers to join this up and to check that teams have the right expertise across health, social care and wider welfare – like employment and housing support, to give people the best possible chance of quality healthcare and quality of life.
Our new Senior Psychiatrist Roger Banks is working with one of our learning disability advisors to do just that.
Local councils are working with local healthcare providers to join this up and to check that teams have the right expertise across health, social care and wider welfare, to give people the best possible chance of quality healthcare and quality of life.
To support the delivery of both settled and short-term accommodation in the community, NHS England has made £100 million available between 2016 and 2021. This capital will only be granted to develop accommodation which is in line with the service model
