‘Beyond Winterbourne View’ An ADASS Perspective Challenging Behaviour National Strategy Group 5 th October 2012 Andrea Pope-Smith

Context The incidents at Winterbourne View have sent a powerful message that such abusive behaviour will not be tolerated. Significant level of scrutiny and activity to ensure there is a comprehensive stakeholder response and improvement framework. Real sense that services/support must be more efficient, humane and effective. “… people with learning disabilities or autism are people first, with the right to lead their lives like anyone else, with the same opportunities and responsibilities, and to be treated with the same dignity and respect …” Valuing People (2001)

Overall Response Serious Case Review Internal Management Reviews (NHS and CQC) CQC Report (150 x Inspections) Interim Report – Department of Health Final Report – Department of Health (October) Concordat – Department of Health and Key Agencies (October)

Key Messages and Learning Poor quality / inappropriate levels of care Unnecessary stays in hospital / closed environments Staying too long Levels of choice and control

Key Messages and Learning (contd) Improvements to: Commissioning Safeguarding Advocacy Information / Guidance / Advice Quality of Care Model(s) of care Local / community contact and engagement Quality of Inspection Outcomes Quality of workforce Communication Accountability (Visibility / Quality / Performance Outcomes) Use of Mental Health Act

ADASS Commitments In partnership with other stakeholders, ADASS will: Work with the National Programme Board (LD) to develop, monitor and evaluate improvements, quality and performance Develop a new joint health and social care self assessment that focuses on key learning from Winterbourne View Develop a specification for community based alternative models (to support commissioners) Jointly commission services Ensure that there is contact with people and monitor placements Ensure people who use services and family carers are involved in the development, delivery and evaluation of services Review existing contracts Ensure robust and responsive approaches to Adult Safeguarding are in place

ADASS Commitments (contd) In partnership with other stakeholders, ADASS will: Adult Safeguarding Boards to review arrangements and ensure the right information sharing processes are in place to deal with alerts Reinforce and strengthen the role of LDPB’s and links to Health and Well Being Boards Consider the role of Sector Led Improvement to review and support improvements needed in commissioning Work closely with Children’s Services to ensure a whole life cycle approach is taken Provide good quality information which is easily accessed Support and promote the role of Healthwatch Support local Councillors to understand the key issues Communicate, communicate, communicate ….

The Future Significant reduction in use of Treatment and Assessment Units / similar services Creation of a range of community based service models Joined up health and social care commissioning – informed by people who use services and family carers Safe, high quality services Accountable provision, providers and performance Confidence Personalisation Making it Real