LEARNING DISABILITY HEALTH

1
LEARNING DISABILITY HEALTH SOCIAL CARE
PARTNERSHIP

• Presentation to Devon Partnership NHS Trust
• Board Meeting 24th January 2007
• Learning Disability Services Update
• Carolyn Elliott - Assistant Director Learning
  Disability

2

• UPDATE TO INCLUDE
• Partnership arrangements
• Future position of LD and options
• New LD Structure arrangements
• Greenlight agenda and specialist LD Services
• Future of TRS
• Devons response to the Cornwall Enquiry

3

• Partnership Arrangements
• To confirm existing arrangements -
• Partnership of local Health Social Care
  agencies (DCC, PCT, DPT)
• DCC are the lead agency
• Integrated management of staff with adherence to
  policies and procedures of employing authority
• Integration of health social care services
  providing local team for people to access
• No pooled budgets
• Representative for LD at Trust Exec is Carolyn
  Elliott
• Representative at LD Trust Board is Graeme
  Barnell

4

• Future position of LD - options
• Due to changes in legislation by DoH Our
  Health, Our Care, Our Say and the move to
  integrated health social care commissioning, we
  are considering options for the future position
  of LD services
• Provider partnerships with Older People /
  Physical Disability services / Childrens
  services
• Partnership with DPT as part of Foundation Trust
  Partnership
• Social Enterprise to commission and provide all
  LD services

5

• New LD structure arrangements
• Changes required due to move towards
  commissioning authority for health and social
  care
• Stronger emphasis on health as well as social
  care with increase of DPT resources
• Provision of extra Health Development post
• Separation of commissioning and provision of
  services whilst retaining integration

6
(No Transcript)
7

• Greenlight agenda and specialist services
• Greenlight is a toolkit for improving MH
  support services for people with LD published
  in June 2004
• Describes what a good service should look like
  and was written to help MH implement the NSF and
  consider people with LD alongside any other
  person with MH issues.
• In Deon we have made significant progress in LD
  MH services working together.

8

• Greenlight Specialist Services Continued
• Improved awareness raising and joint training
  opportunities
• Consideration of people with LD accessing
  assertive outreach and crisis
• Admission of people with LD into MH beds and
  thereby decreasing the need for specialist beds
• Consideration of resources shifting from LD to MH
  services to enable greater access to MH services
• Consideration of LD in the redesign of MH
  services but within a realistic financial
  envelope.

9

• Future of TRS
• Trust Residential Services was set up
  following the closure of long stay hospitals in
  Devon
• Over the years, TRS has reduced its
  residential beds from 34 homes to 6 homes
  currently supporting 22 people.
• TRS provides residential accommodation to
  people with moderate and profound LD and who
  challenge ordinary services.
• A review of their services has been
  undertaken and we are currently considering
  options for the future which might include the
  possibility of outsourcing.

10

• Devons response to Cornwall
• Devon has no unregulated residential or
  domiciliary care services.
• Devon only has 5 small assessment and treatment
  units owned by DPT (4 are managed by the LD
  Partnership and 2 by Forensic services at
  Langdon)
• Devon has responded to the HCC with an action
  plan against the Cornwall recommendations.
• DPT Trust Board has been asked to respond to a
  questionnaire about the governance of LD
  services.
• HCC will be asking all our 6 units to undertake a
  self-assessment audit.
• HCC will decide whether to visit later this year.

11

• Next Steps
• The HCC Self Assessment and our work following
  the Cornwall enquiry will be brought to the Board
  in March
• Board Assurance Framework for Learning
  Disabilities will be developed and reported on
  quarterly.
• In view of the importance of Learning
  Disabilities within the Trust, an identified lead
  will be nominated from the Trust Board.

12
THANK YOU