Contact Information: To book a place (seats are limited), please contact Claire Minney on 01234 228204 or claire.minney@bedford.gov.uk 

Learning Disability Partnership Board

Time Item Lead Worker 10.00am Welcome & Apologies 10.05 Hot Topics

Concessionary Travel Scheme 10.20 Minutes of Previous Meetings &

Matters Arising John Bruynseels

10.30 Modernisation Programme 1. Work & Day Opportunities 2. Housing & Residential / Supported

Living Developments 3. Respite / Short Breaks

Peter Loose Kate Walker Marek Zamborsky

10.40 Leadership Partnership Board Terms of Reference Benefits Awareness

Ronnie Franklin / John Bruynseels

11.50 Health Reconfiguration of NHS Services

Michelle Bradley Camilla Bashaarat (Associate Director of Communications & Engagement for the Healthier Together programme)

11.10 Having A Life & User Empowerment, Advocacy

Sandra Pearce

11.20 Carers

Yvonne Clarke

Agenda Tuesday 20th March 2012, 10am – 12noon

Committee Room 1, Borough Hall, Cauldwell Street, Bedford, MK42 9AP

Send your comments through to your LD Partnership Board representative or directly to us at learning.disability@bedford.gov.uk or 01234 276209 or Claire Minney, Learning Disability Partnership Board, Borough Hall, Cauldwell Street, Bedford, MK42 9AP

For more information about the LD Partnership Board go to www.bedfordboroughpartnership.org.uk/learningdisability

11.30 Transition

Peter Loose

11.40 Any Other Business

John Bruynseels

11.55 Dates for future meetings 15th May 2012, 10th July 2012,  11th September 2012, 4th December 2012

12.00 Close Meeting

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Minutes

Title of Meeting: Learning Disability Partnership Board

Date of Meeting: Tuesday 20th March 2012

Attendees: John Bruynseels (Co-Chair), Ronnie Franklin (Co-Chair), Sandra Pearce, Claire Minney, Kate Walker, Peter Loose, Michelle Bradley, Sandra Green, Cllr Colleen Atkins, Trevor Darlow, Liz Harris, Anne Bustin, Caroline Jordan, Sheena Blake, Malcolm Ross, Lianne Bowskill, Hayley Chivers, Sarah Solman, Anne Tombs, Andrea Thasan, Mark Constant, Marian McEwen, Peggy Todd, Yvonne Clark, Matt Tylee, Nikki Keer, John Myers, Jason Gregory, Camilla Bashaarat & 12 Service Users from the Bedford & Kempston Centre

Apologies: Vanessa Wilson, Frances Darlow, Terri Dorman, Claire Foster, Sue Crabbe No. Item Actions 1. Apologies and Welcome

Ronnie and John Bruynseels welcomed everyone to the meeting and introductions were made. Attendance and apologies were noted.

2. Hot Topics Blue Badges – Kate confirmed that she had spoken to the Transport department and clarified that a residential home with 12 or more people requiring a Blue Badge are able to request for 1 blue badge per vehicle. For those with 6 or less people requiring a Blue Badge, individual badges need to be requested. This measure has been put in place to reduce the misuse of blue badges. Residential homes are able to submit a business case to request for multiple blue badge use. Living It Up Campaign – Anne confirmed that the Living It Up events will continue and will be organised by the Living It Up group. Lansdowne Services are sponsoring the group. Concessionary Bus Pass Scheme – An Executive Decision was made to allow bus pass holders to use their passes before 9.30am. Emergency Access – Anne asked if the Health Facilitation Services were available for out of hour’s emergencies. Social Work duty teams can be accessed during working hours via duty desks. Out of Hours calls are

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picked up by the Emergency Duty Team on 0300 300 8123. NHS Direct and A&E are 24 hour services. The Health Facilitation Team are available during working hours (9-5pm). Postural Care – Nikki Keer said that SEPT are looking at developing a specific pathway and will provide information to the Board when ready. Benefits Awareness – Liz said that Fremantle had had some difficulties understanding benefit entitlements particularly finding it difficult to navigate around the legalities of what people can and cannot claim for/ are entitled to when their circumstances change or if they have been in a care home/ supported living service for some time. Liz asked if arrangements could be made for some awareness training to happen for providers. John said he would find out if a workshop could be arranged through the Council but he asked other services who have information on this topic to support. Mark said that the Care Solutions Group receive regular updates about benefits from a nominated lead person. He agreed he could share these updates with other providers. Organisations can email info@socialwelfaretraining.co.uk at a fee. Ann said Signpost Volunteers are able to support and guide carers / individuals about benefits.

JB MC

3. Minutes of the last meeting & Matters Arising The minutes of the last meeting were agreed. Partnership Board Website – Documents are currently being uploaded to the website. Peter to action. GP Symposium – It was agreed to send the LD Health Action Plan to the Board for information on what actions were agreed. Michelle to action. Olympics 2012 – Further discussions to take place. John confirmed that the Olympic Torch will be passing through Bedford on Sunday 8th July.

PL MB

4.

Modernisation Programme  Presentation slides attached. The presentation provided an update on the work achieved since the last partnership board on:

Supported Employment Day Opportunities / Gadsby Street developments / Transport

preparation Housing and Residential / Supported Living Developments Short Breaks developments / George Beal House

Kate explained that where possible the Supported Employment Team are trying to encourage paid employment. Kate asked members of the board

All to

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to notify the team if they were aware of anyone in supported employment opportunities, that the Council may not know about and pass the information on. It was suggested to have a photo of the team on the slides, so members of the Board could get to know them. Peter said that he has been completing work on the Day Services Strategy and Short Breaks Strategy and thanked the organisations that took part in this. Peggy had concerns about a particular case where the housing benefit did not cover the rent for a housing association. Peter agreed to investigate.

note KW PL

5. Leadership Terms of Reference – John said that the terms of reference were going to be reviewed and asked if members had any comments. Organisations and job titles need to be reviewed. Sandra from POhWER said that a group has been set up at St John’s to see how their voices can be heard at the Board. Yvonne from Carers In Bedfordshire said that a learning disability carer will attend future boards. It was agreed the Board could send comments by email to John at john.bruynseels@bedford.gov.uk . John to make amendments and present the revised document to the next Board meeting.

JB

6. Healthier Together Camilla Bashaarat (Associate Director of Communications & Engagement, Healthier Together Programme) attended the meeting. Presentation slides attached. Leaflets were distributed. The team is looking at Hospitals and ways to improve the quality of care service users receive and attended today’s meeting to make members of the Board understand the huge pressures the NHS is dealing with and gather everyone’s views. Camilla said that the Team would be happy to visit local groups to gather views. Several members of the Board recommended:

- Looking at the ‘Death by Indifference’ publication when setting out proposals.

- Tele medicine – avoid travelling to and from hospitals. - SEPT Health Facilitation Service need to be considered as a lot of

work has took place locally to increase the awareness and understanding from a service users perspective.

- Look at best practice nationally and internationally, what is already good within services and copy.

- Look at how GPs deal with people who have a learning disability.

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7. Health Update

Michelle updated the board on the following:

- Learning Disability Health Self Assessment and action plan is to be signed off. Michelle thanked people for their comments.

- First Autism Partnership Board took place. Michelle is keen for more people to attend from an autistic perspective.

- Michelle will be setting up a meeting to set next years health priorities.

- SEPT LD Service Review group has been arranged. Michelle agreed to forward information to the Board.

- LD Health Facilitation service was launched - received positive feedback.

8. Having A Life, User Empowerment & Advocacy Bedfordshire Borough Voice Group has been set up. The group is made up of 5 branches. The Borough branch have talked about the Health & Wellbeing strategy. Everyone was positive about this. Service users would like to learn more about the partnership board and would like to take part more in the Board meetings. They are looking at ways to do this. The next meeting is Thursday 22nd (2-4pm). Sandra agreed to put all future dates and times of meetings in the notes. One member was concerned that the ‘Friends Groups’ were being stopped. Sandra explained that she is currently piloting the Biggleswade Group to look how it works. Anne suggested that maybe providers attending this meeting could help to facilitate the ‘Friends Groups’.

SG

9. Carers Carers In Bedfordshire will be opening a facility in the Hospital for carers to visit. They will be able to get information on being a carer and also to ensure support is available to carers so more appropriate discharges take place. Yvonne will be working closely with Nikki Keer. Carers in Bedfordshire will be able to gather people’s views from a carers perspective on their experience within the Hospital.

10. Transition More information on Transition can be accessed via www.bedfordboroughpartnership.org.uk/transition . The MAAT tool is available online. New Transition Co-ordinator to be recruited and it is hoped they will attend future partnership boards. The Board agreed that they would like to be kept informed of progress on Transition and want to make sure anyone under the age of 18 has a transition plan.

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11. Any Other Business Get Into Project – See attached leaflet for more information. The Princes Trust is running a project to enable young people (18+ years) to experience Health and Social Care sessions for 2 weeks. It is a great opportunity for other organisations to work in partnership with the Princes Trust. If an organisation would like to be involved, please contact Claire.merrick@princes-trust.org.uk . Inspire Me Project – Workshop is being held at the Bedford International Athletics Stadium. They would like people aged 16-25 to attend. Those interested, please liaise with Peter. Partnership Board Paperwork – The Board agreed that future paperwork for the Board needs to be reviewed. John to action.

All to note JB

12. Date and Time of Next Meeting 15th May 2012 (10-12noon) Committee Room 1, Borough Hall 10th July 2012 (10-12noon) 11th September 2012 (10-12noon) 4th December 2012 (10-12noon)

All to note

• A review of the way health services are provided across our region

• It  includes  the  five  main  hospitals  as  well  as  new  ways  of  delivering  services  closer  to people’s homes

• The  review  is  being  led  by  clinicians  working together with patients and local people

What is Healthier Together?

3

Healthier Together PartnersFive hospitals:

Bedford Hospital NHS Trust

Kettering General NHS Foundation Trust

Luton & Dunstable NHS Foundation Trust

Milton Keynes Hospital NHS Foundation Trust

Northampton General Hospital NHS Trust

Two PCT Clusters:

NHS Milton Keynes & NHS Northamptonshire

NHS Luton and NHS Bedfordshire

Clinical Commissioning Groups:

Bedfordshire Clinical Commissioning Consortium 

Corby Commissioning

Luton Health Commissioners 

MK Commissioning

Nene Commissioning

• Local Councils

• Community providers

• Ambulance Trusts

• NHS staff

• Third sector

• LINKs

• Patient groups

• Local residents

Working together with…

• Improving health outcomes for patients

• Ensuring our health services have a long term future

• Making the best use of our knowledge, skills and funding

Healthier Together is about…

• Excellent services will be maintained, others will be improved

• All 5 hospitals will continue to deliver services including A&E

• Changes will not be made without engaging and consulting stakeholders, patients and the public

Our promise

Why we need to change• Our population is expected to rise from

1.6 million people to 2.2 million by 2031

• When the NHS was founded average male life expectancy was 66, it is now 80 years

• As well as needing more we expect more. New treatments, drugs and technology are expensive

Why we need to change

• If we stay the same, hospital workloads will rise by 50% over the next 30 years

• The NHS throughout England has been asked to improve its efficiency by up to 20% by 2014/15

• We need to improve health outcomes and secure the long-term future of services

• More will be carried out locally e.g. in GP surgeries

• Some specialist centres will established

• Expertise will be combined across our 5 hospitals

• Services will be better co-ordinated especially for the frail elderly and those with long term conditions

Spelling out our vision

• Cancer

• Children

• Planned Care

• Maternity

• Emergency Care

• Long Term Conditions

Six Clinical Working Groups

Assessment criteria

Quality/safety Will the model deliver improved patient outcomes where this is needed?

Access Will it deliver better quality care within maximum or reasonabletravel distances?

Sustainability Does the model address future demographic changes?

Affordability Is this model achievable with the money available

Achievability Does the model meet national and regional requirements?

Timelines

Phase Two

Development of Options

Dec 2011 – Sept 2012

PhaseOne

Scoping Phase

June - December 2011

Phase Three

FormalConsultationand

Agreement

October – Feb 2013 -

Phase Four

Implementation

Feb 2013 – March 2015

• Read the case for change booklet

• Take a copy home for your family/friends

• Check out our website

• Take part in the on‐line survey or postal survey and encourage others to do the same

• Like us on Facebook

• Sign up for Twitter feeds

• Watch our DVDs on YouTube

• Tell people about our open public meetings

How you can help

• Our  priority  is  to  develop  proposals  for  how  to  change services for the better

• This work is led by our clinicians and we are actively seeking the views of patients and the public

• Excellent services will be maintained, others improved

• Changes will not be made without consulting stakeholders, patients and the public

• We want to hear from everyone, including you

Healthier together in summary

Any questions?

We would like to know what you think

How aware are you that the local health system is facing challenges in organising healthcare in the future?

Because of population growthBecause of the need to provide high quality servicesBecause of reduced growth in public funding

Which of the following possible ways forward are you most supportive of

1.    Moving some services that are traditionally provided in hospitals e.g. tests closer to where people live (e.g. in community settings such as GP surgeries and local health centres)

2.     Creating specialist centres of excellence, and taking some specialist services out of some hospitals 

3. Properly co‐ordinating services for frail older people and those with long‐term conditions so that easier access to specialist advice is available and fewer hospital stays are needed

4. No change ‐ I don’t support any of these

Assessment criteria

Quality/safety Will the model deliver improved patient outcomes where this is needed?

Access Will it deliver better quality care within maximum or reasonabletravel distances?

Sustainability Does the model address future demographic changes?

Affordability Is this model achievable with the money available

Achievability Does the model meet national and regional requirements?

Healthier Together

• Twitter: @HealthTogether

• Facebook: www.facebook.com/pages/Healthier-Together-South-East-Midlands

• Flickr: www.flickr.com/photos/healthiertogether/

• YouTube: http://www.youtube.com/user/HealthierTogether

1

Learning Disability Partnership Board

Bedford Borough Council

March 2012

Valuing People Now

Supported Employment

Voluntary - 31 people at 39 positions

(+ 2 new positions since January)

Team - Ian, Beverley, Carol & Stella

+ Student Placement Sophie (from April)

Paid Work - 27 people in 27 positions

(No Change Since November )

Referrals - 22 people 16 Active Positions being Pursued

(+ 3 New Referrals since January)

We are dealing with a total of 80 Individuals

2

Supported Employment

Transportation – April, 2 months work experience to start

Parking Shop – January, 2 months work experience continuing with another person to carry on In March

Commissioning Office – December, work experience now an ongoing voluntary position

Mayor’s Office – January, 2 months work experience started

Staff Restaurant – April, 2 months work experience

ALDT – March, Office Assistant Adult Social Care started

Food Services – 3 people passed their City and Guilds Level 1 Hygiene Computer Based Training at Borough Hall

BBC Work Experience Programme - Current Status

Day Opportunities

• We have planning permission for Gadsby Place and the building work started yesterday.

• The building will be finished in the middle of August and we will leave Huddleston way at the end of August

• The focus of the next 6 months will be service user preparation including transport preparation

3

Housing and Residential / Supported Living Developments

• Turning Point homes – staffing levels at Sandhurst Place and Houghtons have been resolved and we are working on a plan for replacing the property at Dove Lane

• 1 The Glade will become supported living on 1st April and converted into 3 flats between Easter and June

• We are meeting with families of South Lodge and Silverdale Street residents this evening and expect to those homes to become supported living in July

• We have put together a plan to convert Stagsden Road (Walsingham) to supported living at the end of July

• We have submitted the planning application for the new Orchard House and expect it to be available in October 2013

• The new home at 8 the Crescent opened last week

Short Breaks

• Orchard House closed yesterday morning• The last long stay resident leaves George Beal

House tomorrow• All the moves of furniture and equipment are

happening this week and the new combined service starts at the end of next week

• The new service will have 8 places Monday to Thursday and 10 places at weekends and bank holidays but it is registered for 12 people

• Shared Lives is also moving into George Beal House in April

with The Prince’s Trust in partnership with Peterborough Regional College

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The Prince's Trust and Peterborough Regional college are offering a free four-week training course at peterborough Regional College, which gives you work experience in Social Care.

If you are 18-25, unemployed and interested in a career within the care sector, join our free training programme where you can:

have the opportunity to achieve a social care qualification. improve skills in communication, teamwork, reliability. Gain essential work experience through a work placement with care

organisations. Have help to: up-date your CV, identify employment opportunities, complete

application forms, write letters to potential employers; and practice interviews . Learn from various professional organisations in the Care Sector about potential

job opportunities. Meet new people, learn new skills and have some fun!

Interested? To register your interest or for more information contact Claire Merrick on 07717207103 or email claire.merrick@princes-trust.org.uk. Or Text: CARE to 07717 207 103 Once successful, you will be invited to a Taster Day on 15th February at Peterborough Regional College. This programme runs from 12th March to 12th April at Peterborough Regional College. NB: CRB checks will be carried out.

What is a Get into? Get into is a short programme for unemployed 16-25 year olds that aims to give young people who are work ready the opportunity to develop the relevant vocational skills and/or work experience to move into a sustainable job in a specific sector of work. The programme is delivered across many different sectors. Some examples below have been delivered in the East of England

Get into Construction July 2010 Get into Emergency Services March ‘10

Get into Airports Nov 2011 Get into Coffee May 2011 When assessing whether to develop a programme in a new sector the following criteria is assessed:

are there a high number of job opportunities in the sector

are the jobs obtainable for young people from The Trust’s target groups?

are the jobs available sustainable, with opportunities for skills development and career progression

do young people want jobs in these sectors? The content of the programme is flexible so that it can be delivered according to the sector in which it operates. However these aspects remain the same:

Programme Length: 3 -6 weeks; the aim of the programme is to give an introduction to the sector of work

Employer Involvement: Employers must be involved in the development/ delivery of each programme

Vocational Skills/ Qualifications: The programme should cover vocational skills, experience and certificates or qualifications which are recognised by potential employers

Employability Skills: The programme should also cover generic employability skills

Employment Opportunities: There should be clear paths into jobs at the end of the programme, preferably

through employers supporting the programme delivery

Progression: Each young person must be offered six months progression support after the end of the programme

Each Get into is delivered by a Get into programme executive from the Prince’s Trust who is assigned to that specific programme and sees it through the planning, delivering and aftercare. The programme executive is the main point of contact for the organisations involved and organises the recruitment of young people for the programme and their 6 month aftercare.

Benefits of Get into’s For the young person the benefits are from: Developing workplace skills, both specific and general. Helping to make an informed decision about which area of work might suit

them. Gaining current experience to add to their CV and a reference.

We hope your organisation will also benefit from: The opportunity to assist the local community, thereby demonstrating

social responsibility. Offering a development opportunity to current employees as ‘buddies’. Accessing a potential new recruit. The opportunity for PR- successes will make local ‘good news stories’. And, an extra pair of hands.

As part of Get into’s a celebration event is held to celebrate the achievements of the young people and to thank the organisations involved. This is a great publicity opportunity and to thank all staff who have had a part in making the Get into happen.