What is the national Transforming Care Programme?
NHS England recognising the need to do more in the development of services for people with learning disabilities and/or autism, who display behaviour that challenges including those with a mental health condition, commissioned Sir Stephen Bubb to produce a report looking into how to speed up developments.
Following this report, NHS England together with the Association of Adult Social Services, the Care Quality Commission, Local Government Association, Health Education England and the Department of Health, published a programme of work, outlining the Transforming Care Programme (TCP). These plans focus on addressing long-standing issues, with the aim of creating:
- More care in the community, with personalised support provided by multi-disciplinary health and care teams
- More innovative services to give people a range of care options, with personal budgets, so that care meets individuals’ needs
- Early, more intensive support for those who need it, so that people can stay in the community, close to home
- Inpatient care, but only for as long as is needed and necessary
From this, there is a national plan, ‘Building the Right Support’, which outlines the next stages. This includes details on the 48 Transforming Care Partnerships that are charged with re-shaping local services in line with this plan.
What is the Berkshire Transforming Care Partnership?
Seven CCG’s and six Local Authorities jointly run the Berkshire Transforming Care Partnership. Together, they have created a plan to implement system-wide changes across Berkshire.
It is widely recognised that Learning Disability and Autism Services need to improve. After speaking to a variety of people locally, it has been concluded that:
- People feel they are staying in hospital for too long
- Communication should be improved for families and carers
- Positive Behavioural Support should be widely used across the area, with staff receiving the appropriate training to deliver it
- The Intensive Support Team model is promising, but more information is required on how it will work in practice
- There is a need to move from a bed-based model to a more community focus
This insight, combined with national guidance, best practice, clinical input and expert knowledge has fed into the development the Berkshire Transforming Care Plan, which covers the following:
- Strengthening the role of the community teams using the Positive Living Model. Creating an Intensive Support Team to provide personalised, intensive intervention in the community, all with the aim of preventing a hospital admission and reducing the reliance on bed-based care
- Promoting greater support to carers and families
- Offering a choice to service users about where and who they choose to live with to lead everyday lives
- Developing a provider market that will support people to realise their aspirations and maintain wellbeing
- Using existing beds differently and creatively to offer short term interventions with robust plans for discharging people back into the community with the support from well-developed community teams for people with learning disabilities, the voluntary sector, housing and day care facilities
- Promoting greater access to advocacy to encourage choice and a voice for people with lived experience
- Strengthening the role of Primary Care to support health and wellbeing
What is the impact of the programme on individuals with learning disabilities and/or autism?
These models will allow:
- Service users to be truly at the heart of their care – using personalised budgets effectively and allowing them choice and empowerment
- The reduction of the reliance on bed-based care
- People to stay out of hospital where possible, and if a stay is required, ensure discharge happens quickly and safely
More information on the TCP
National TCP plans: The NHS England website has links to the national TCP plan (called Transforming care for people with learning disabilities – next steps), and the national plan, ‘Building the Right Support’, as well as details about the 48 regional Transforming Care Programmes: www.england.nhs.uk/learningdisabilities/care
Berkshire TCP plan: You can find details of our regional plan in the document below:
Transforming Care Stakeholders:
- Wokingham Clinical Commissioning Group
- South Reading Clincial Commissioning Group
- North and West Reading Clinical Commissioning Group
- Newbury and District Clinical Commissioning Group
- Slough Clinical Commissioning Group
- Bracknell and Ascot Clinical Commisioning Group
- Windsor, Ascot and Maidenhead Clinical Commissioning Group
- Reading Borough Council
- Wokingham Borough Council
- West Berkshire Council
- Slough Borough Council
- Bracknell Forest Council
- The Royal Borough of Windsor and Maidenhead
- Berkshire Healthcare Foundation Trust