Adults with learning disabilities living in accommodation whose status is unknown to LA (%) 2013/14 3.38 7.31 1.79 * 7.41 0.00 1.05 * Adults with learning disabilities living in severely unsatisfactory accommodation (%) 2013/14 0.25 0.57 0.00 0.00 0.00 0.00 0.00 0.00 Adults with learning disabilities in employment (%) 2013/14 6.7 8.80 5.40 14.80 11.10 14.70 4.20 9.40 Adults with learning disabilities receiving direct payments (%) 2013/14 30.5 32.20 21.00 58.70 36.80 52.80 49.20 22.60 Rates of referral for abuse of vulnerable person per 1,000 2012/13 109.3 111.50 188.90 61.70 87.40 109.60 155.30 144.80 Coordination and Local Planning Comparison of LA and QOF prevalence estimates (%) 2013/14 -0.1 1.1 -0.4 20.50 21.40 9.60 -0.4 0 Comparison of pupils with learning disabilities and LA prevalence estimates (%) 2013/14 80.2 80.6 * * * * * * Comparison of pupils with severe and Profound and multiple LD and LA prevalence estimates (%) 2013/14 13.5 21.3 * * * * * * Adults using day care services supported by the LA (per 1,000 people) 2013/14 323.7 259.9 386.9 102.3 277.8 120 10.5 335.6 Adults receiving community services supported by local authorities (per 1,000 people with learning disabilities) 2013/14 754 690 869 636 472 640 589 671 Children with learning disabilities known to schools per 1,000 pupils 2013/14 20.6 16.7 14 11.1 * * * 13.4 LA gross current expenditure relating to residential personal social services for adults (£ per capita) 2013/14 £22,165.00 £25,149.00 £37,794.00 £15,684.00 £15,557.00 £36,592.00 £19,718.00 Source: Public Health England, Learning Disabilities Profiles
South west London has 17 CCG funded inpatients in placements. According to the national planning assumptions, there should be 10-15 inpatients in CCG commissioned beds per million population. South west London has a population of 1.5 million, meaning that the maximum number that should be in CCG commissioned beds is 23 (1.5 × 15). South west London as a whole is complying with the national planning assumption, however it is recognised that patients are not evenly distributed across the south west London boroughs, and that not all of these inpatients are being treated closer to home. To ensure that the vision outlined above is delivered, the following measures of success will be used: SPECIFIC MEASURE To reduce crisis events by adopting early intervention and prevention techniques. These will be identified by multidisciplinary teams across south west London who take appropriate actions to intervene and try to ensure that potential crisis events are identified early, and escalation is avoided. There will be fewer crisis events across south west London. South west London boroughs will have multidisciplinary teams in place To reduce readmissions following a crisis event by appropriately following up with patients when they have been discharged. The level of follow up support following admissions will be increased, and the number of readmissions will reduce. To offer personal budgets and personal health budgets equitably across south west London. Personal budgets and personal health budgets will be offered to patients on the same across south west London, regardless of where they reside. To provide patients a wide choice of services, and to ensure that services are appropriately signposted. Patients will access a variety of services on their individual need. Patients will be able to access their personal health budget (if they wish) and use this to purchase services that they require. To provide advocacy support for patients. There will be an increase in the use of advocates and mentors across south west London.
Indicator No. Indicator Source Measurement 1 Proportion of inpatient population with learning a disability or autism who have a person-centred care plan, updated in the last 12 months, and care co-ordinator Mental Health Services Data Set Average census calculation applied to: Denominator: inpatient person-days for patients identified as having a learning disability or autism. Numerator: person days in denominator the following two characteristics are met: (1). Face to face contact event with a staff member flagged as the current Care (MHD_CareCoordinator_Flag) in preceding 28 days; and 2. Care review (Event record with MHD_EventType ‘Review’) within the preceding 12 months. 2 Proportion of people receiving social care primarily because of a learning disability who receive direct payments (fully or in part) or a personal managed budget (Not possible to include people with autism but not learning disability in this indicator) Short and Long Term Support statistics This indicator can only be produced for upper tier local authority geography. Denominator: Sum of clients accessing long term support, community services only funded by full or part direct payments, managed personal budget or commissioned support only. Numerator: all those in the denominator excluding those on commissioned support only. Recommended threshold: This figure should be greater than 60%. 3 Proportion of people with a learning disability or autism readmitted within a specified period of discharge from hospital Hospital Episodes Statistics (HES) and Assuring Transformation datasets. Readmission following discharge with HES main specialty - Psychiatry of Learning Disabilities or diagnosis of a HES is the longest established and most reliable indicator of the fact of admission and readmission. Denominator: discharges (not including transfers or deaths) from inpatient care the person is identified as having a learning disability or autism Numerator: admissions to psychiatric inpatient care within specified period The consultation took 90 days as the specified period for readmission. We would recommend that this period should be reviewed in light of emerging readmission patterns. Particular
National Outcome Measures that relate to this Plan west London Strategic Objectives Adult Social care Outcomes Framework2015/6 NHS Outcomes Framework 2015/6 Public Health Outcomes Framework 2013-6 More people with learning disability and/or autism will be supported to live in the community/at home The frequency of people displaying behaviours that challenge will be reduced as will the severity of episodes People with a learning disability and/or autism who display challenging behaviours will be kept safe in their communities wherever possible Fewer people from south west London will be admitted to and secure hospitals Delayed discharges will be minimised Any hospital stays will be closer to the individual’s home and support networks There will be fewer inpatient beds commissioned for the south west London population People with a learning disability and/or autism who display challenging behaviours will enjoy an improved quality of care and an improved quality of life Domain One: Enhancing quality of life for people with care and support needs 1B. Proportion of people who use services who have control over their daily life 1C. Proportion of people using social care who receive selfdirected support, and those receiving direct payments Carers can balance their caring roles Domain Three: Ensuring that people have a positive experience of care and support 3A. Overall satisfaction of people who use services with their care and support Domain Four: Safeguarding adults whose circumstances make them vulnerable and protecting them from avoidable harm 4A. The proportion of people who use services who feel safe Domain 1 – Preventing people from prematurely (LD specific in development) Domain 2 – Enhancing quality of life for people with conditions Domain 3 - Helping people to recover from episodes of ill health or following injury Domain 5 - Treating and caring for people in a safe environment and protecting them from avoidable harm 1.06 Adults with a learning disability who live in stable and appropriate accommodation 1.08i Gap in the employment rate between those with a learning disability and the overall employment rate 1.18i Social Isolation: % of adult social care users who have as much social contact as they would like 1.18ii Social Isolation: % of adult carers who have as much social contact as they would like Appendix C – Population breakdown across west London Projected population to 2018 by age by borough