Health – a big priority Helen Mycock Valuing People Support Team.
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Transcript of Health – a big priority Helen Mycock Valuing People Support Team.
![Page 1: Health – a big priority Helen Mycock Valuing People Support Team.](https://reader035.fdocuments.net/reader035/viewer/2022062519/5697bfa51a28abf838c97f17/html5/thumbnails/1.jpg)
Health – a big priority
Helen MycockValuing People Support Team
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A couple of Years of Tough News
• The Healthcare Commission Reports into Cornwall and Merton and Sutton
• The Disability Rights Commission Formal Investigation into health inequalities
• ‘Death By Indifference’• The Healthcare Commission Audit
of learning disability health services• Healthcare for all – Michael Inquiry• Ombudsman report – still to come
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The NHS Agenda for the Healthcare of People
with Learning Disabilities
1. General Healthcare – dealing with health inequalities in mainstream healthcare
2. Specialist learning disability health services – being evidence based and up to date
3. Stopping doing the things the NHS shouldn’t be doing
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• Every NHS body must have a Disability Equality Strategy that takes action on learning disability health inequalities
• The easiest starting point is comprehensive health checks
• Audit the delivery of key health initiatives e.g. cancer screening
• Does every PCT have commissioning capacity and skill’s in learning disabilities?
• Action on facilitating access to general hospitals and primary care
General Healthcare – Dealing with Inequalities
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• The Primary Care commissioning Framework
• DES – annual health checks for people known to Social Services
• Darzi - work streams• New guidance out soon on health
action planning and health facilitation.• A Guide on the NHS meeting the
Disability Equality Duty (out very soon)• Michael inquiry - develop local action
plans and commitments• The Valuing People Support team
General Healthcare – Some Help
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• Commissioning guidance on specialist learning disability health services
• The Mansell 2 report on services to support people with challenging behaviour and/or Mental Health needs
• The Healthcare Commission Audit report
Specialist Health Services – Key recent publications
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• Importance of properly resourced specialist health services
• Partnership with ‘social care’ services
• Outlines key roles and functions
• Recommends continuing NHS employment
• Practice based commissioning ‘inappropriate’ for specialist learning disability services
• PCT skill and resource to do all this
Specialist Health Services Good Practice Guidance – Key Points
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Key elements of:
• Specialist community staff
• Specialist teams
• Support to general health needs
• ‘Handful’ of inpatient beds
• Forensic partnerships
• No campuses
• Continuing care at home where possible
Specialist Health Services Good Practice Guidance – Key Points
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1. Commissioning Social Care – so NHS ‘social care’ funding will be transferred to local authorities
2. Stop providing NHS campuses – they must close by 2010 and be replaced by ordinary housing and support
3. Stop ‘buying’ services – proper commissioning skills are needed
Stopping Doing The Things The NHS Should Not Be Doing
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Key headlines:
• Develop local skills and resources
• Apply the same commissioning standards to the independent sector as to the NHS
• Personalised, individual service design works best
Local Services and the Mansell Report
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• Learning Disability in the NHS Operating framework for the first time
• The Healthcare Commission and CSCI doing a further review on commissioning
• Regional health self assessment and performance framework
The Performance Framework
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Regional health self assessment and performance framework
• Regional and local structures - regional strategic overview
group - regional health network - Partnership board health
subgroup• Quality and performance
framework • Measurable outcomes• Self assessment process via
annual health check
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Four top targets / key objectives
• NHS Campus closures and person centred reprovision
• Addressing health inequalities
• Making sure people are safe
• Making progress on Valuing People objectives.
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Taking the framework forward
• Jackie Sochocka working with SHA’s in each region to introduce framework
• Successful pilot in Yorkshire and Humber
• Several other SHA’s and regions have signed up to using the framework
• The framework is flexible to regional and local needs and will support evidencing of progress by all key stakeholders on the health agenda
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Strategic Primary Healthcare facilitation
Responsive mainstream generic
health services -providing Annual
Health Checks and supporting HAP’s
Acute Hospital Liaison /
Facilitation Individuals, Families and Learning Disability Partnership Board
Collaborative Mental Health Services
Flexible Community
Learning Disability Teams
High quality range of social care models of support within which 1:1 health facilitation
is provided
Interdependent Whole System Approach to Ensuring Accessible Mainstream Health Services for People with Learning Disabilities.