NHS England sets out its values, ways of working and commitment to the Winterbourne View Concordat to see more people move out of in-patient care and live in community settings.

1. .
J O N A T H A N H E P W O R T H
S N R S U P P L I E R M A N A G E R S P E C I A L I S E D M E N T A L H E A L T H
Y O R K S H I R E & H U M B E R
COMMISSIONING
SPECIALISED
MENTAL HEALTH
&
WINTERBOURNE REVIEW
QUALITY ASSURANCE

2. NHS ENGLAND VALUES
• Respect and dignity
• Commitment to quality of care
• Compassion
• Improving lives
• Working together for patients
• Everyone counts

3. NHS ENGLAND VISION
• Enable everyone to have greater control of their health
and their wellbeing, support people to live longer, to have
healthier lives
• To ensure that the care delivered is high quality and that
care services are compassionate, inclusive and
constantly improving

4. OUR PURPOSE
• We create the culture and conditions for health and care
services and staff to deliver the highest standard of care
and ensure that valuable public resources are used
effectively to get the best outcomes for individuals,
communities and society for now and for future
generations

5. Commissioning is the process of
planning, agreeing and monitoring
services.
Securing services is much more
complicated than securing goods and the
diversity and intricacy of the services
delivered by the NHS is unparalleled.
Commissioning is not one action but many,
ranging from the health-needs assessment
for a population, through the clinically
based design of patient pathways, to
service specification and contract
negotiation or procurement, with
continuous quality assessment

6. NHS England commissions specialised
services, primary care, offender healthcare and
some services for the armed forces.
There are 10 Area Teams across England with
responsibility for commissioning Specialised
Mental health services.
Locally Yorkshire & Humber commissioning for
specialised MH is delivered from the South
Yorkshire and Bassetlaw area office with
responsibility for Medium and Low Secure
services, CAMHS T4, Eating Disorder services
for children and adults, Perinatal,
Neuropsychiatry, Gender Dysphoria and Tier 4
Personality Disorder

7. QUALITY ASSURANCE
• Case Management
• Supplier Management
• Contract Reviews
• Area Team Quality and Governance
• Working with regulators and experts by experience

8. The Winterbourne View Concordat is an
action plan to ensure that all people with
learning disabilities receive the health care
and support they need in the most
appropriate setting.
Too many people with learning disabilities
end up unnecessarily in hospital and are
staying there for too long. The Concordat
aims to put measures in place to lead to a
rapid reduction of this.

9. 31 March 2014:
35% of patients that were in hospital on 1
April 2013 have now been transferred.
Of a total of 2,615 patients, 256 have a
transfer date, of which 182 are before 1
June 1, 2014
1,702 patients do not have a planned
transfer date due to a clinical decision
preventing it.
Many of these people have very complex
needs. Some may be too ill or possibly a
danger to themselves or the public.
A total of 534 patients are in high or
medium secure services and most are
subject to Ministry of Justice order.

10. “We need to redouble our efforts and
through the Winterbourne Joint
Improvement Programme, we will continue
working with our Area Teams and Clinical
Commissioning Groups to ensure these
patients receive the best possible care.”
Jane Cummings, Chief Nursing Officer for
England

11. NHS England wrote to its Area Teams in
June setting out six priority actions to focus
on:
1, All patients are on a register
2, A local care co-ordinator is assigned to
each patient
3, Estimated transfer dates and care plan
reviews
4, A patient tracking list to schedule
reviews for people who have not been
assessed for six months
5, CCGs with five or fewer patients should
by the end of June 2014 ensure that all
have a transfer date
6, Patients in non-secure hospital settings
for two or more years should be prioritised
for review

12. There has been a 100 per cent response
rate from the 211 Clinical Commissioning
Groups (CCGs) and 10 NHS England Area
Teams responsible for specialised
commissioning of secure mental health
and child and adolescent mental health
services who were asked to submit
information.
The information covers a number of key
important areas including the number of
patients currently in inpatient
care, whether they have been
transferred, is there a planned date to
transfer and how many had been admitted
in the last quarter.

13. NHS England recognises that more
progress needs to be made to help more of
these people move out of in-patient care
into the community.
Consideration now needs to be given to a
new approach that places more control and
direction in the hands of the people
affected, their carers, and the expert
advocacy and voluntary organisations
involved.