In other words we need to drive CHANGE from the top through better commissioning and from the bottom up through empowering people and families to challenge the system.Ħ Underpinning a shift to community provision and away from inappropriate institutional care are exciting proposals for workforce development and a new social finance fund. And we support a major expansion of the right to request a personal budget again we believe this underpins an empowerment of the individual citizen to have care and support appropriate to them. We also propose that community based providers have the right to propose alternatives to inpatient care from commissioners. In tackling this challenge it became clear to me that we need both a major expansion of community delivery driven by better commissioning but also, crucially, the empowerment of people with learning disabilities and/or autism and their families.ĥ That means a clear and robust Charter of Rights and an effective Right to Challenge, backed by strong advocacy and support, that enables citizens to demand CHANGE. So we need a mandatory national commissioning framework that delivers that expansion, pooled budgets, and a focus on the individual's needs not the system boundaries.Ĥ The role of the many voluntary and community organisations that both advocate for and provide services for people with learning disabilities and/or autism is crucial to that aim, as are the individuals themselves, their families, clinicians, managers and professionals across the health service and in local councils, who need to work together to achieve a dramatic turn-around. Only by a big expansion of such community provision can we achieve a move from institution to community. In light of the need to achieve progress Simon Stevens, the CEO of NHS England, asked me to consider how we might implement a new national framework, locally delivered, to achieve the growth of community provision needed to move people out of inappropriate institutional care. It led to the Government pledge to move all people with learning disabilities and/or autism inappropriately placed in such institutions into community care by June this year.ģ Not only has there been a failure to achieve that movement, there are still more people being admitted to such institutions than are being discharged. The WINTERBOURNE View scandal, exposed by the Panorama programme, shocked the nation. Summary of Recommended Social Investment Structures from WINTERBOURNE View and Social Investment (2014). Challenging Behaviour National Strategy Group Charter.
We have the right' statement Appendix 3 40. Membership of the steering group Appendix 2 38. Why has there not been more progress? 17.Ģ Recommendations 20. Designed and typeset by Soapbox CONTENTS. Transforming the commissioning of services for people with learning disabilities and/or autism Published in 2014. Transforming the commissioning of services for people with learning disabilities and/or autism A report by the Transforming Care and Commissioning Steering Group, chaired by Sir Stephen Bubb 2014.
0 kommentar(er)
