Académique Documents
Professionnel Documents
Culture Documents
National Valuing
Families Forum
24 June 2015
*Department of Health. Valuing People: A New Strategy for Learning Disability for the 21st Century.
Changing how people in specialist hospitals are cared for Making sure that people only go into specialist hospitals when
there is no other choice, continuing to improve patient care,
treatment, and pathways for people to leave hospital.
2.
Investing in the community Working with partners to reduce the number of patients in
specialist hospitals and investing in more local community
services.
3.
Supporting young adults with learning disabilities Ensuring that all young people with a learning disability leaving
residential school will have an Education, Health and Care Plan
by March 2016.
4.
Dominic Slowie
National Clinical Director
Fiona Clark
Programme Director
Supporting patients with complex needs - carrying out in-depth Improving Lives reviews
for hospital patients with complex needs.
Best Care Now making sure that people only go into specialist hospital when necessary,
receive good quality care, and have a clear pathway from the start and all the way through to
leaving hospital with good care plans for the future.
Future Care Design - a new service model for commissioners to provide better local and
community-based services.
Reducing the number of people in specialist hospitals - planning to ensure that less
people are living in specialist hospitals for long periods of time.
Access to Healthcare improving access to key services, such as annual health checks.
Data and information collecting the right information to support services.
Minister + cochair
Safe?
Making a difference
The Improving Lives Team
Supporting good quality care for people with learning disabilities
in specialist hospitals
Email - England.improvinglives@nhs.net
Improving Lives
Team
Defining a life...
Life No 1: Lisa
9 years in long term segregation.
The staff
observation
shed
Allowed Lisa to
be viewed in a
small area
surrounded by a
9ft high fence.
A worn
area of lino
where staff
would sit
during their
12 hour
shifts.
Improving Lives
Team
Defining a life...
Life No 2: Kenny
No clearly defined
treatment rationale.
Zero risk taking.
Sit in the corner of the room...Put your hands on your knees...Are you risk free?
Improving Lives
Team
Making a difference
We stopped Kenny
from going to high
secure hospital
He has contact with
other patients again
He goes out every
day - 150 outings
and no incidents
Discharge from
hospital is now a real
possibility
Email - England.improvinglives@nhs.net
Improving Lives
Team
How we work
A review usually lasts two days
The team includes Experts by
Experience and professional advisers
We meet all the people involved
We make recommendations about
how the persons care can improve
At the review and in a report which the
commissioner sends to everyone
We carry out follow-up reviews to see
how things are going
Improving Lives
Team
Many services
and peoples
lives have
greatly improved
Improving Lives
Team
Improving Lives
Team
Improving Lives
Team
Improving Lives
Team
Weve made
about 800 recommendations!
Improving Lives
Team
Improving Lives
Team
Improving Lives
Team
Improving Lives
Team
The CTR review team spend a day looking at the care the person is receiving
in the learning disability hospital. They meet the person, they read about the
person, the meet people who care for the person and they talk to people
who know the person well.
Great
idea!
Sounds like
a plan!
CHECK AT
RISK
REGISTER
ALWAYS
LOOK TO
PROVIDE
PLANNED
ASSESSMENT
Pre-Admission
CTR (CPA)
UNPLANNED
ASSESSMENT
RIGHT TO
REQUEST (CTR)
Blue Light
Meeting (CPA)
CPA within
2 weeks
DISCHARGE
1 YEAR
CTR (CPA)
MANDATORY
What next?
Between June and
September we will be
rolling out the new CTR
process and testing how it
works.
We will strengthen
our links with the
expert hubs/groups and
keep gathering the
learning.