Focusing on health owned/leased estate across the four York and North Yorkshire CCGs, the below table outlines the properties where learning disability and autism services are delivered from. The list contains both clinical and administrative services and we will validate the list with local authority partners and voluntary sector providers in the next phase of the programme. Site Service Description Condition Commentary on future use White Horse View Easingwold (closed April 2016) White Horse View was an 8 bedded community based unit for the area of North Yorkshire and York that provided continuing complex rehabilitation for service users who presented with longer term and enduring mental health problems. The service was a male only provision. The site has three independent two storey houses. One was the clinical unit and was refurbished and is compliant, one was partially refurbished and was used for admin functions and the third had been vacant for a long period of time (needing investment to be bought back into use). At the time of closure, there were three clients at White Horse View. All three clients were transitioned into alternative placements so that the clinical function on site could cease. This site is now going through the process of assessing if it is surplus to clinical requirements which will allow the property owner, NHSEPS to dispose of this site. Oak Rise York An 8 bedded community based inpatient unit for the area of York that provides acute assessment and treatment for service users with a learning disability who present with acute mental health problems. The service has two separate patient areas, one for female service users (4 beds) and the other for male service users (4 beds). There are 7 beds for the York and Selby locality with 1 bed for Harrogate. The provider of the service is identifying a number of estates issues with the facility, with the owner NHS Property Services. As part of the Vale of York CCG Estates strategy, investment in the property is being assessed and prioritised. Early discussions indicate that the provision of eight beds should continue. Gibraltar House Northallerton A leased property for community team administration Property is in reasonable condition. Recently provider has moved staff into the space from an adjacent office, where the lease ended Continued used as an admin base anticipated.
The aim is for people to have access to enhanced community services delivered by a workforce that is confident in community risk assessment and management. We plan to work with our NHS and local authority providers to develop knowledge so that teams are able to provide: Effective and accurate discharge planning from in-patient services with respective partners and advocacy which will include comprehensive and rapid assessments encompassing Offending and criminogenic need delivering community risk assessments identifying trigger factors to past and future risk behaviours Treatment plans addressing trauma and presenting comorbidity factors. Where required brief hospital in-patient admissions for mental health needs. Effective case management by skilled practitioners including criminal justice partners where applicable Schema focused interventions Effective use of Conditional Treatment Orders Good sign posting when recognised the service user is struggling to manage behaviour that challenges People in out of area placements will be supported to come home. Support training in Police, Probation and Criminal Justice systems to help recognise learning disabilities and/or autism and provide appropriate response Remodelling, operational changes and commissioning new services Subject to further scoping, financial planning, releasing in-patient resource, and being awarded new funding to ensure the right future and sustainable resources are in place, by March 2019 the TCP aims to: Intention Actions Reduce reliance on inpatient care Reduce admissions to inpatient learning disability services Reduce learning disability inpatient beds Reduction in Length of Stay Sustainable and effective crisis support allowing for Early Intervention – enhanced home intensive support teams in the community Reduce in-patient beds – close eight bed in patient service by May 2016 Secure relevant funding / resource to: Develop the skill set within commissioned workforces and with family carers in Positive Behaviour Support (PBS) to allow for emergency response within the community in order to prevent admission Work with providers to create models of community care that meet seven day services and provide wrap-around 24 hr care support; personalised, tailored, with a bespoke range of choice (encouraging the uptake of personal health budgets) Enhance Community Provision Shift provision to a ‘Home’ Intensive Treatment model (HIT) Complex Care Support 24/7 combined with Supported Living MDT review/support Medicines Management Further scope and define an enhanced community model with learning disability community team (LDCT) members and Experts with Direct Experience Review capacity of existing LDCTs to deliver additional functions Apply learnings from Bootham Hospital in-patient