MEETING: DATE: TITLE: LEAD DIRECTOR/ MANAGER: AUTHOR: CONTACT DETAILS: Haringey Clinical Commissioning Group Governing Body Meeting Thursday 28 November 2013 Winterbourne View Progress Report Jill Shattock – Director of Commissioning Tristan Brice – Adults Commissioning Manager (LD &MH) [email protected] 020 3688 2733 SUMMARY: In May 2011 the BBC documentary ‘Undercover Care: the Abuse Exposed’, revealed criminal abuse by staff of patients at Winterbourne View, a private hospital in South Gloucestershire. This resulted in the closure of Winterbourne View and a number of subsequent inquiries and reports. These culminated in the Department of Health putting in place a programme of action and the establishment of the Winterbourne View Concordat across commissioners, providers and Local Government agencies. Following the signing of the concordat, there was a commitment to the production of a report to provide national assurance on progress against the agreements made by the signatories of that document. This process was carried out over the summer and the resulting report was launched in October 2013, showing progress against eleven areas as detailed in the attached paper. SUPPORTING PAPERS: Winterbourne View joint improvement programme. Stocktake of progress report. September 2013. http://www.local.gov.uk/documents/10180/12137/Winterbourne+View+Joint+Improve ment+Programme+-+full+stocktake+report/6cdf21b5-6a3a-4633-bef4a82d29801db0 http://arcuk.org.uk/wp-content/uploads/2013/10/WV-JIP-LGA-Stocktake-of-ProgressSep-13-Easy-Read-version.pdf http://www.esd.org.uk/esdtoolkit/pdf/Stocktake+Haringey.pdf Department of Health (2012). Transforming care: A National Response to Winterbourne View Hospital. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/12731 0/final-report.pdf.pdf Department of Health (2012). DH Winterbourne View Review Concordat: Programme of Action. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/12731 2/Concordat.pdf.pdf 1 RECOMMENDED ACTION: The Governing Body is asked to: NOTE progress made in delivering the Winterbourne View Review Programme of Action and Work Planning as evidenced through the stocktake of progress report. Objective(s) / Plans supported by this paper: Supports the Learning Disability commissioning work stream. Audit Trail: Update on the local action plan was presented to the CCG Quality Committee on 17 April 2013. Update on the local action plan was presented to the CCG Governing Body on 16 May 2013 Update on the local action plan was presented to the Health and Wellbeing Board on 9 July 2013 Update from the national review was presented to the CCG Senior Management Team on 30 Oct 2013 Update from the national review was presented to the CCG Clinical Cabinet on 7 November 2013 Patient & Public Involvement (PPI): Family engagement is integral to the review process and is client centred. Equality Analysis: Being carried out as part of the engagement exercise. Risks: Failure to meet the timescales for review and re-provision of services within available options and financial resources. Resource Implications: The assessment pathway and project management resources are being drawn jointly from the CCG and Local Authority. 2 Winterbourne View Progress Report 1. EXECUTIVE SUMMARY 1.1 Following the signing of the concordat on Winterbourne View, there was a commitment to the production of a report to provide national assurance on progress against the agreements made by all the signatories of that document. This process was carried out over the summer and the resulting report was launched in October 2013, this showed progress against eleven areas as detailed below. 1.2 This report details the feedback from the National Improvement Group to Haringey, alongside national progress. Haringey was identified as performing strongly in seven of the eleven areas. The main areas for further development include: Children and adults – transition planning Training local teams and services around mental capacity assessments Developing pooled funding arrangements 2. INTRODUCTION 2.1 On 31 May 2011, an undercover investigation by the BBC’s Panorama programme revealed criminal abuse by staff of patients at Winterbourne View Hospital near Bristol. This resulted in the closure of Winterbourne View and the placement of the remaining residents in other settings. The police launched their own investigations, with 11 criminal convictions, and the Care Quality Commission (CQC) inspected all hospitals and homes operated by Winterbourne View’s owners (Castlebeck Care) and conducted a wider “health check”, inspecting 150 learning disability services across England. 2.2 In addition, the Government set up its own Review, led by the Department of Health (DH) to investigate the failings surrounding Winterbourne View, to understand what lessons should be learnt to prevent similar abuse and explore and recommend wider action to improve quality of care for vulnerable groups. An interim report was published in June 2012, followed by the full Government response to Winterbourne View in December 2012. 2.3 A Concordat between commissioners and providers of health care and Local Government agencies was developed by the Department of Health following the Winterbourne Review. The Concordat is a commitment to change and improve services delivered to people with learning difficulties associated with challenging behaviour. The document sets out its vision for a whole systems change by stating: ‘all parts of the system –commissioner, providers, the workforce, regulators government, all agencies, councils and providers, the NHS and the police - have a role to play in driving up standards for this group of people. There should be zero tolerance of abuse or neglect.’ 3. WINTERBOURNE VIEW JOINT IMPROVEMENT PROGRAMME 3.1 The Winterbourne View Joint Improvement Programme (WVJIP) was established in December 2012 with the purpose of providing national leadership and support to the transformation of services locally. The team was established to work with local areas to provide focused and lasting action across the system to ensure that the support 3 and services that are commissioned throughout people’s lives are personalised, safe and local. This programme is led by the Local Government Association (LGA) and NHS England, and funded by the Department of Health. 3.2 The strategic objectives of the WVJIP include: To support the transformation of commissioning and provision of support and services for people with learning disability, autism and/or challenging behaviour so that they are personalised, safe and local. To significantly reduce in the reliance on long term placements in Assessment and Treatment (A&T) Centres. Development of more locally based provision enabling people to remain closer to home throughout the pathway of their care. 3.3 To locally meet the requirements of the Winterbourne View Concordat Programme of Action; the Haringey Winterbourne View Joint Improvement Board was set up. 4. STOCKTAKE OF PROGRESS REPORT 4.1 In June 2013 the WVJIP asked local areas – specifically Local Authority Chief Executives, and Clinical Leads of Clinical Commissioning Groups (CCGs) – to undertake a local stocktake and self- assessment of progress against key activities that support local delivery of Transforming Care and Concordat commitments. Sent out on 1 June 2013, returns were requested by 5 July 2013. 4.2 The stocktake covered 11 key areas of enquiry: Models of partnership Understanding the money Case management for individuals Current review programme Safeguarding Commissioning arrangements Developing local teams and services Prevention and crisis response capacity Understanding the population who may need/receive services Children and adults transition planning Current and future market requirements and capacity 4.3 Haringey CCG and Local Authority submitted their response to the WVJIP within the agreed timescale following approval by the Haringey Winterbourne View Joint Improvement Board. 4.4 The national WVJIP team undertook an analysis of the submissions received from local areas and produced the Stocktake of Progress Report on 17 October 2013, which provided a summary of this analysis at a national and local level. 5. NATIONAL PROGRESS ANALYSIS 5.1 The headline conclusions from a National perspective from the stocktake exercise highlighted both the strengths and areas for development. 4 5.2 Nationally the areas of strength included; • • • • • • • 5.3 all localities engaging and working on the Concordat commitments progress and leadership across the partners HWBs being sighted on the Winterbourne priorities; many received detailed reports in the autumn from their partnerships skilled and committed staff at commissioner, care management, community and provider levels and in leadership roles supporting change service user and family carer engagement, although this was not always consistent, nor evident everywhere safeguarding practices being followed consistently the engagement of newly formed CCGs is bringing fresh impetus and priority in some localities. The areas requiring further development include; • • • • • • • • • the development of whole life course planning the need to rapidly improve engagement, understanding and joint working across the various commissioning functions (specialist, forensic and health and social care) the need for localities to work together both within and across geographical boundaries to achieve longer term sustainable solutions consistent application at local level of Continuing Health Care criteria investment in behaviour support and community-based accommodation options to enable safe and local support services collaborative work with providers at national, regional and local level to develop alternatives to current provision increase the development of, and investment, in service user, family carer and advocacy activity increase the understanding and application of personalisation for all individuals, notwithstanding the complexity of their situation ensure wide understanding and application of the Mental Capacity Act (MCA). 6. HARINGEY SPECIFIC ANALYSIS 5.1 Table 1 presents the national WVJIP team analysis of the Haringey submission identifying areas of strengths and those that require further development. Table 1: Haringey Analysis Key Strengths Areas for Development / Potential Development 1 Models of partnership Very good understanding of the issues and are planning ways to deal with them 2 Understanding the money May need support to develop agreed pooled type financial arrangements 3 Case management for individuals Strong case management 5 4 Current Review Programme Good evidence of progress on reviews and understanding who is in scope 5 Safeguarding Very strong safeguarding activities 6 Commissioning arrangements Very good understanding of the issues in This may also be a development area commissioning. May need support to handle future financial implications 7 Developing local teams and services Mental Capacity Assessments may need some support 8 Prevention and crisis response capacity No comments provided No comments provided 9 Understanding the population who need/receive services Very good understanding of population needs 10 Children and adults – transition planning Strong focus on transition. Support This may also be a development area needed for life course planning 11 Current and future market capacity Some local market planning 6. CONCLUSION 6.1 The findings from the Stocktake identify the progress that Haringey has made in implementing the Haringey Winterbourne Review Joint Action Plan. In order for Haringey to be compliant in meeting the actions included within the Concordat, further work is still required and needs to focus on: . 6.2 6.3 Children and adults – transition planning Training local teams and services around mental capacity assessments Developing pooled funding arrangements While undertaking the stocktake returns, the national team have focussed on preparing a status report for each locality. Although this will not provide a ranking or benchmarking information per se, it will ultimately help to highlight which localities are making more progress as well as those which may be less well developed, particularly across the 3 dimensions of commissioning, funding and achieving the June 14 Concordat target. This will be formally published on 13 December 2013. Haringey Winterbourne View Joint Improvement Board working closely with the national WVJIP team will continue to oversee implementation of the Concordat ensuring Haringey is compliant in meeting the needs of this vulnerable group. The local action plan will be strengthened where necessary as a result of the feedback. 6 7. RECOMMENDATIONS 7.1 The Governing Body is asked to: NOTE progress made in delivering the Winterbourne View Review Programme of Action and Work Planning as evidenced through the stocktake of progress report. 7
© Copyright 2024