Mental Health and Learning Disability Services

1
Mental Health and Learning Disability Services

• Sue Culling
• Operations Manager
• MHLD Division
• Specialist Directorate

2
Purpose

• To update the Board with regard to developments
  in MHLD Division
• To indicate how issues relating to Cornwall and
  Sutton and Merton inquiries are being addressed
  in in the Division
• To make the Board aware of the preparations for
  the Healthcare Commission National Audit of
  Learning Disability services

3
What do we provide?

• 74 staff _at_ budget 4.5million
• Specialist Mental Health in Learning Disability
  community service covers four boroughs Lewisham,
  Lambeth, Southwark and Croydon (LD Psychiatry
  only).
• Additionally each borough has a local partnership
  arrangement with PCT/SS for the delivery of
  psychological Therapies and behavioural support e
  g the team are co located and/or working towards
  integration
• Weston Unit - a unique 6 bedded in patient
  assessment and treatment service for people with
  Menatl Health and Learning Disabilities
• ESTIA - Internationally reknowned centre that
  provides research, education and training in
  partnership with Institiute of Psychiatry . Also
  provides specialist training and support for
  local clinical services and local providers of
  services in LSL

4
Issues from Cornwall report (July 2006)

• Inquiry centred on the systematic abuse of people
  with Learning Disability and failure to provide
  care within range of in patient and community
  settings
• Issues included abuse of basic human rights and
  assault, lack of clinical care and clinical
  responsibility and a lack of corporate and
  executive responsibility

5
Issues from Sutton Merton (January 2007)

• Systematic sexual and physical abuse of people
  with Learning Disability
• Lack of Trust ownership of the services
• Lack of external scrutiny
• Lack of carer involvement
• No system for staff concerns to reach Board Level

6
What has SLAM MHLD done to address issues raised
by reports

• Review of SLAM MHLD services post Cornwall
  against key areas governance,safeguarding
  adults,empowering people and clinical
  practice/service delivery
• Report produced and discussed at LD Executive
  meeting and discussed with LD commissioners as
  PCTS were asked to provide assurances that SLAM
  had considered the issues
• Sutton Merton (January 2007) similar issues
  to above relating to continuing care services in
  transit from health to social care provider. SLAM
  do not provide comparative service however key
  areas currently being reviewed for MHLD
• Working closely with local PCTs and Social
  Services with regard to operating a shared
  responsibility to provide high quality and safe
  services.

7
Healthcare Commission National Audit of Learning
Disability in patient services 2007

• Weston Unit completed self assessment
  questionnaire submitted February 2007
• Peer review visits anticipated 24 hours notice
  given
• In preparation for External Peer Review Team
  visit DVD about process used, an action plan is
  in place and includes meetings with service users
  and staff, review of evidence for Standards for
  Better Health and PEAT visits
• In addition Monks Orchard House also self
  assessed and have an action plan for preparation

8
Context for Learning Disability services

• To reflect Valuing People principles
• To ensure compliance with all applicable
  assurance and governance frameworks for the NHS
• To explicitly meet the Healthcare Commission
  expectations for quality of service delivery