The comparative needs assessment - this includes comparing existing services and need against current healthcare standards and priorities. For the purposes of this HNA we will be using the nine key principles from the national service model. In particular the HNA was commissioned to focus on: Assessing areas of best practice by exploring the key functions, needs, priorities and performance of local services. Understanding variations in the provision for community support by exploring: Referral/assessment processes for LD patients, care planning systems, Discharge planning; Patient engagement within the services - feedback and satisfaction including complaints/compliments, engagement processes and consultation; Quality controls and assurance processes - clinical governance, risk assessment, care planning, critical incidence/complaints and patient and public involvement; and Workforce planning, inclusion and development - qualifications, training and skills. Reviewing what resources are available and how resources are used. Assessing where gaps in provision are that lead to inpatient admission - reviewing service performance measures in comparison to local and national policies and guidance, value for money, and meeting local commissioning strategies and plans. How the risks to patients are identified e.g. in not having equitable access to community services. Reviewing what analysis of needs has been undertaken at a national and local level. As part of the development of this plan each of the Yorkshire and North Lincolnshire CCGs has committed to work with CIE to undertake a local Health Needs Assessment workshop. A final report on this piece of work will be shared with South Yorkshire and North Lincolnshire TCP and will inform the future development of the programme by the footprint operational board, Learning Disability Partnership Boards, Patients and Carer groups for consideration. We will use the evidence both qualitatively and quantitatively to inform our future once the report has been published. Future engagement plans The TCP is already starting to develop its communication and engagement strategy and the Communications Leads from each area will be meeting in March 2016, to start to design the 3 year strategy and action plan process. The strategy will include:
Analysis of inpatient usage by people from Transforming Care Partnership Since Winterbourne View and the Transforming Care for people with LD guidance, commissioners have a greater understanding of the number of people who they buy care for and who are out of authority. The following table shows the predicted SY and NL TCP bed reduction trajectory to be delivered over the next three years. 9 Number of inpatients Figure 4: Change in inpatient trajectory It is recognised that the SY and NL planned trajectory for the reduction in hospital beds does not fully meet the reduced numbers of beds. Further work needs to be undertaken to determine how national planning assumptions can be achieved. Describe the current system Specialised Commissioning Following the publication of ‘Building the Right Support’ in November 2015 and a workshop that took place in Yorkshire and the Humber (Y&H) the same month with specialist providers, the Y&H Specialist Mental Health Team have been working collaboratively with local commissioners to ensure that local plans include specialised services for their populations. Ongoing dialogue is taking place via various national, regional and Y&H networks and forums in relation to the Transforming Care Agenda and the impact on specialised services, including learning from the six fast track pilot sites nationally. It is crucial that the local planning in the TCP areas is fully integrated for specialised and none specialised services and that populations in specialised services from the localities are part of these plans.
illness for long period of time Development of community teams to support those who have come into contact with criminal justice system to ensure that they can be maintained in community services rather than being referred for treatment under the offender pathway More integrated working between health and social care Community Support and access to general medical services and help. Access to health promoting activities Access to GP services that offer enhanced support such as health action planning and referral to health development services i.e. chronic disease management, screening, dietetics etc Access to dental and optical services Support Help to access employment, education and training opportunities Supported living and housing Immediate support for those who come into contact with the Criminal Justice System CCGs/Experts by Experience Development and improvement of health reviews and health action planning process for people accessing their GPs and ensure clear pathways of support for when people are referred on Enable Dentist and Opticians to make reasonable adjustments to ensure that those with an LD/Autism can easily access services and understand the treatment pathway TCPs to work in partnership with local DWPs to develop employment support packages Work with Social Landlords, care providers and local authorities to plan housing and accommodation Development of Liaison & Diversion services in custody suites
those with a learning disability and/or autism as they progress into adulthood Providing transitional support for children into the adult world, and the care and support that they need Residential care providers, Supported Living providers and Shared Lives carers Providing supportive accommodation options for adults with a learning disability and/or autism Local Authorities Develop the local market to support those with complex and challenging needs Work with housing providers to enable them to form partnerships with care providers to develop suitable supporting housing and accommodation Work with Local Authority Housing Departments Building Forensic teams Providing support to living with a personality disorder/dual diagnosis in the community CCGs Increased ability to manage the needs of people who have come into contact with the Criminal Justice System, and manage the risk that this presents to their wellbeing, that of their families and carers and the wider community, whilst liaising with local Forensic services and justice partners who will manage the risk of offending Trained and experienced in the proactive support of people with behaviours that challenge Increased ability to manage the needs of people with Asperger’s