Strengthening the commitment Dr Ben Thomas Professional Nursing Adviser Department of Health England

Work so far: UK UK Steering group Easy read summary Academic network UK collaborative Leadership workshops

NHS Education for Scotland DH - Leading the nation's health and care

England Implementation Group Representation from all major Stakeholders People with learning disabilities and Carers engaged & consulted Members identified to take a lead for recommendations Communication Strategy Social media Identifying and disseminating examples best practice DH - Leading the nation's health and care

Progress so far: Nurse Academic Network LDNAN Action Plan 8 Dissemination events Nursing Standard Award Outcome Measurement (HEF) Independent Sector Event x 3 Acute Hospital Care Event x 3 System for disseminating best practice Engaged other professional groups DH - Leading the nation's health and care

Determinants of Health (In)equalities as outcome measures Social factors e.g. poverty, poor housing, unemployment, social isolation Determinant 2 Genetic & biological conditions Determinant 3 Personal health risks & behaviours e.g. self-harm, poor diet, lack of exercise Determinant 4 Communication difficulties & reduced health literacy Determinant 5 Access to healthcare provision People with learning disabilities have poorer health than non-disabled people DH emphasised that Primary, Acute and Specialist NHS trusts must meet the health needs of people with learning disabilities DH working with Nurse Consultants in Learning disabilities to develop a set of outcome measures that Trusts and Commissioners can use to determine that health inequalities are addressed and that health outcomes improved The proposed outcome measures based on the determinants of health inequalities from the Improving Health and Lives: Learning Disabilities Observatory It is the impact of each of these determinants on the health of people with learning disabilities that provides the focus for the development of outcome measures A measurement scale has been developed and will be ready for testing in the Spring For further information contact Dr Ben Thomas ben.thomas@dh.gsi.gov.uk Link to Health Equality Framework on NDTi site: http://www.ndti.org.uk/publications/other-publications/health-equality-framework-HEFguide/ DH - Leading the nation's health and care

Next steps: Scope services Scope current career pathways Link to 6Cs & Winterbourne View & ‘Patients First and Foremost’ Learning Disabilities Nursing contribution to Public Health Progress report by September Launched leadership programme DH - Leading the nation's health and care

Patients first and foremost Preventing problems Detecting problems quickly Taking action promptly Ensuring robust accountability Ensuring staff are trained and motivated DH - Leading the nation's health and care

How are we measuring up? 3,400 people in NHS funded beds CQC visits nearly 150 services 3,400 people in NHS funded beds 1,200 people in Assessment & Treatment Capacity and consent Safeguarding Use of restraint, poor recording & monitoring Management of medicines Care planning and record keeping Respect and involvement Staffing and safety DH - Leading the nation's health and care

Where are we now? People in hospital when they don’t need to be there Placed far from home and staying there too long Long-term care rather than treatment and assessment Poor co-ordination between agencies Inappropriate poor care DH - Leading the nation's health and care

A mandate from the Government to the NHSCB April 2013 to March 2015 Open every possible window into performance Strengthen quality accounts Reduce premature deaths in adults with learning disabilities Ensure that CCGs work with local authorities to ensure people with learning disabilities receive safe, appropriate, high quality care Services are local & people remain in their communities Reduction on inpatient care DH - Leading the nation's health and care

Dr Ben Thomas ben.thomas@dh.gsi.gov.uk @BenT_DH Contact details Dr Ben Thomas ben.thomas@dh.gsi.gov.uk @BenT_DH DH - Leading the nation's health and care

CNO’s 6Cs – Part One How does it translate in learning disability nursing? What do the 6Cs mean to you? What actions would you take to imbed the 6Cs? Provide an example of good practice using the 6Cs DH - Leading the nation's health and care

6 areas of action Maximise independence and wellbeing Provide positive experience of care Deliver and measure high quality care Build and strengthen leadership Right staff, right skills, right place Support positive staff experience DH - Leading the nation's health and care

CNO’s 6Cs – Part Two What do the Action Areas mean to you? What is specific to learning disability nursing under each action? What’s missing from the document? What does ‘making every contact count’ mean for learning disability nursing – good practice examples? DH - Leading the nation's health and care