1. NHS Commissioning After Winterbourne View - An Update Geoff Baines Associate Director NHS South West 4 October 2011

2. Immediate Action BBC Panorama 31 May 2011 advised 13 May 2011 Adult safeguarding process Understanding how it could happen

3. Immediate Action Safeguarding, all agencies, including Police; along with Castlebeck, immediate action and advising families Care quality Commission action, Additional NHS support Accelerated discharge, clinical 2 nd opinions, quality check lists

4. Features of NHS Commissioning is local or regional Locally held data – not a national view Lack of registers, health and social care data Count me in Census – provider data NHS campus data limited and no longer collected

5. Range of Structures Primary Care Trust commissioners Specialist commissioning – regionally Devolved to NHS providers Delegated to joint Local Authority providers Delegated to Local Authority led joint/pooled budgets

6. Nationally Strategic Health Authorities network Castlebeck wide perspective/national provider Safeguarding information Priority checks on; –Winterbourne –All Castlebeck services –All Learning Disability Assessment and Treatment

7. Assurance in place Health Self Assessment Framework. All England Tackles inequality Says what good is 2 relevant areas –Monitoring placements –Challenging Behaviour strategies

8. Next Steps Strategic Health Authority Leads Enhanced assurance framework Data Collection process Joint work with ADASS

9. Enhanced Assurance National process October to January Validation process Five areas About current practice To be updated following review

10. Data collection National information 31 October 2011 NHS funded placements Adult Learning Disability only

11. Mock example

17. Conclusion Total commitment and priority Need to understand the now Assurance for today Serious Case Review and NHS review underway Will focus on how society supports the needs of highly vulnerable people Will lead to positive changes