This page contains the key documents that were produced by the programme.
- Stocktake report
- Executive summary of stocktake
- Easy read executive summary
- National concordat for action
- Transforming Care One Year On
- Transforming Care Two Years On
- Transforming Care Two Years On Easy Read
- Transforming Care – Next steps
- Transforming the Commissioning of Services for People with Learning Disabilities and/ or Autism
- Adult autism strategy statutory guidance (26 March 2015)
Local area approaches: case studies
Eastern region
Local area partners from across the Eastern region have worked together to develop a Market Relations protocol. The protocol – developed with people, carers, advocates, commissioners and providers – is about committing to working together across the region to ensure the availability of high-quality person-centred support for people.
Barnsley
Key things that the case study covers:
- fundamental reform of learning disability services using the ‘progression model'
- significant efficiency savings for the local authority and CCG
- focus on enabling people and giving people choice and control
- importance of specialist social work and case management expertise
- establishing a culture that strikes the right balance between safety and autonomy
- looking at increasing specialist crisis support in the community to prevent crisis hospital admission – in partnership with other authorities within region.
Dudley
Key things that the case study covers:
- joint commissioning arrangements including joint commissioning post
- integrated community learning disabilities team across social care and health and continued oversight of hospital admissions by the community team
- partnership working with NHS England specialised teams
- close working with families and carers in assessment, support and review, as well as advocacy services
- investment in specialist community-based support
- accommodation developments, including ‘New Build New Lives' initiative
- planning from childhood
Gloucestershire
Key things that the case study covers:
- development of Challenging Behaviour strategy backed by local concordat
- joint ethos and partnership working across health and social care
- focus on prevention by addressing behaviours which challenge services while still low-level and / or during childhood
- training programme for providers, involving service users and carers, to ensure consistency of Positive Behaviour Support approach
- use of Better Care funding.
Sunderland
Key things that the case study covers:
- long-standing pooled budget for people with learning disabilities with high level needs and established links between commissioning and care management
- regular contact with NHS specialised commissioning
- working together with people with learning disabilities and families through a Transforming Care Project Board which reports into the Health and Wellbeing Board
- community treatment team providing outreach and crisis support to maintain people in the community
- multi-agency children resolution group which agrees the commissioning of proposed new placements and reviews any issues with current placements.
Islington
Key things that the case study covers:
- Positive Behaviour Support approach to form part of legal contracts with providers
- ‘Circles of Protection' service for people placed out of borough
- pooled funding agreement between health and social care providing a ‘one stop' service for people
- a pod' model for accommodation to tackle the shortage of local extra care supported housing, and limited building development space
- invest to save funding to develop local transition services for younger adults
- joint working with neighbouring boroughs to enable people to live closer to home, irrespective of borough boundaries
Bedford
Key things that the case study covers:
- Progression pathway model for strategic and operational planning
- Starting the planning process for young people's future needs at least 5 years prior to transition from children's to adults' services
- Putting effort into understanding the best communication methods, both for providing general information on services and for communicating with individuals and their families
- In-house provision uses a pre-screening tool to assess values and attitudes of potential staff prior to formal interview
Leicester, Leicestershire and Rutland
Key things that the case study covers:
- Partnership working across three councils and CCGs
- NHS England specialised commissioning works closely with local commissioners
- An Information Sharing Agreement that allows safe information sharing across councils and the NHS
Nottingham and Nottinghamshire
Key things that the case study covers:
- Partnership working across councils and the NHS in city and county areas
- Additional capacity for undertaking individual assessments based on positive behaviour support
- Development of core and cluster accommodation
- Development of Strategic Providers consortia producing new innovative models of care including those in transition
Surrey
Key things that the case study covers:
- Development and implementation of the Healthcare planning team, overseen by CCGs and the local authority, provides key link role to people in inpatient settings
- Development of county wide Positive Behavioural Support network
- Development of Strategic Providers consortia producing new innovative models of care including those in transition
Richmond
Key things that the case study covers:
- Focus on early intervention with young people and families to prevent or reduce the need for future services
- A building and refurbishment programme to extend community accommodation partnerships across council functions, the CCG and registered social landlords
- Aligning council and CCG commissioning with outcome-based contracts