Valuing People Now: The Delivery Plan...

Valuing People Now: The Delivery Plan 2010‑2011‘Making it happen for everyone’

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PolicyHR/WorkforceManagementPlanning/Clinical

EstatesCommissioningIM&TFinanceSocial Care/Partnership Working

Document purpose ForInformation

Gateway reference 13960

Title ValuingPeopleNow:TheDeliveryPlan2010-2011

Author DepartmentofHealth

Publication date 01Apr2010

Target audience PCTCEs,NHSTrustCEs,SHACEs,CareTrustCEs,FoundationTrustCEs,LocalAuthorityCEs,DirectorsofAdultSSs

Circulation list MedicalDirectors,DirectorsofPH,DirectorsofNursing,NHSTrustBoardChairs,DirectorsofHR,DirectorsofFinance,AlliedHealthProfessionals,GPs,DirectorsofChildren’sSSs,VoluntaryOrganisations/NDPBs

Description ThesecondoftheValuingPeopleNowDeliveryPlansthismarksprogressoverthelastyearandsetsoutactionsandresponsibilitiesthatwillbetakenin2010-2011tosupporttheimplimentationofValuingPeopleNow.

Cross reference ValuingPeopleNow:anewthree-yearpeoplewithlearningdisabilities

strategyfor

Superseded documents ValuingPeopleNow:theDeliveryPlan

Action required N/A

Timing N/A

Contact details SocialCarePolicyandInnovationDepartmentofHealthArea110WellingtonHouse133-135WaterlooRoadLondonSE18UGemail:[email protected]

For recipient use

©Crowncopyright2010

FirstpublishedMarch2010

ProducedbyCOIfortheDepartmentofHealth

Thetextofthisdocumentmaybereproducedwithoutformalpermissionorchargeforpersonalorin-houseuse.

www.dh.gov.uk/publications

mailto:[email protected]

mailto:[email protected]

i

Contents

Executive summary 9

Introduction and review of 2009-10 1

1. The Delivery Plan 2010-2011 13

2. Co production – the key to delivering Valuing People Now 17

3. Funding of Learning Disability Services 21

4. Including Everyone – and the Equalities Agenda 25

5. Personalisation – starting with the individual and their family 29

6. Better health 33

7. Housing 37

8. Employment 41

9. Children and Adult Services – working together 45

10. Other Work/Actions to support implementation 49

11. Regional Delivery Plans 2010/11 53

Annex 1 00

1

Executive summary

2 ExEcutivEsummary

Introduction and review of 2009-2010

1 theGovernmentpublishedValuing People Now1 inJanuary2009.thiscrossgovernmentstrategylaidoutthevisionthatallpeoplewithalearningdisabilityarepeoplefirstwiththerighttoleadtheirliveslikeanyothers,withthesameopportunitiesandresponsibilities,andtobetreatedwiththesamedignityandrespect.atthesametimetheDeliveryPlanfor2009-2010waslaunchedoutliningsixkeyprioritiesandtheactionsthatwererequirednationally,regionallyandlocallytosecureimplementation.

2 Peoplewithlearningdisabilities,familycarers,centralandlocalgovernment,theNHs,thevoluntaryandprivatesectorshavetakenupthechallengeofmakingValuing People Nowhappenforallpeoplewithlearningdisabilitieseverywhere.mostoftheactionscontainedintheDeliveryPlanfor2009-2010havebeencompletedandappendix1showstheprogressmade.

3 muchmore,however,remainstobedone.

The Delivery Plan 2010-2011

4 Valuing People Nowisathree-yearstrategyandmuchoftheworkbegunin2009-2010willbegintoimpactontheareasabovewheresustainedprogressisneeded.thisupdatedDelivery Plan for 2010-2011 focusesonthefurtherworkneeded,nationally,regionallyandlocallytosecureimplementationeverywhereandforeveryone.

5 thefocusoftheworkin2010-2011istodisseminateandimbedbestpracticeeverywhere.across–cuttingpriorityunderthevaluingPeopleNowDeliveryPlan2010-11istoimprovethequalityandproductivityofservicesandtomakebestuseofexistingresourcesinLearningDisabilityservices.

The Key Priorities 2010-2011

6 OfthesixprioritiessetinthefirstDeliveryPlan,fivecontinuetoberelevant.sufficientactionhasbeentakenonraisingawarenessofValuing People Now soitisnolongerapriority,althoughworkwillcontinue.However,anewpriorityhasbeenaddedtoensurebetter

1 valuingPeopleNow:anewthreeyearstrategyforpeoplewithlearningdisabilities,(HmG,2009)

3vaLuiNGPEOPLENOW:tHEDELivEryPLaN2010-2011

informationsharing,commissioningandtransitionplanningacrosschildren’sandadultservices.

7 thesixkeyprioritiesforactionfor2010-2011are:

• tohavestrongleadershipandaneffectiveLearningDisabilityPartnershipBoardoperatingineverylocalauthorityarea;

• tosecureaccessto,andimprovementsin,healthcare,withstrategicHealthauthoritiesandPrimarycaretrustsresponsiblefor,andleadingthiswork;

• toincreasetherangeofhousingoptionsforpeoplewithlearningdisabilitiesandtheirfamilies,includingtheclosureofNHscampuses;

• toensurethatthePersonalisationagendaisembeddedwithinalllocalauthorityservicesanddevelopmentsforpeoplewithlearningdisabilitiesandtheirfamilycarers,andisunderpinnedbypersoncentredplanning;

• toincreasethenumberofpeoplewithlearningdisabilitiesinrealpaidjobsof16hoursaweekforallwhocan–includinginthepublicsector;

• toimprovejointstrategicplanning,commissioningandservicedevelopmentacrosschildren’sandadultservices,sothatpeoplearesupportedtoplanforfutureemploymentandafulllife.

8 Outofthesesixpriorities,threehavebeenidentifiedashavingthegreatestimpactonimprovingtheoutcomesforpeoplewithlearningdisabilities.theseare:

• health;

• housing;and

• employment.

9 theDeliveryPlanandregionalworkwillthereforeparticularlyconcentrateontheseareas.theotherprioritiesremainveryimportant,underpinningalltheworktoimplementValuing People Now.

Co production – the key to delivering Valuing People Now

10 apartnershipapproachatnational,regionalandlocallevelisessentialifthevisioninValuing People Now istobecomearealityforallpeople

4 ExEcutivEsummary

withlearningdisabilitieseverywhere.centraltothisistheinvolvementofpeoplewithlearningdisabilitiesandfamilycarersandtheactiveengagementofallrelevantagencies.theGovernmentwillcontinuetoworkwiththeNationalForumforPeoplewithLearningDifficulites,theNationalvaluingFamiliesForumandtheNationaladvisoryGroupforLearningDisabilitiesandEthnicity(NaGLDE),aswellasotherkeydeliverypartnerssuchasthetheassociationofDirectorsofadultsocialservices(aDass)theLocalGovernmentassociation(LGa),theNHsconfederationandtheProvidersForum.

5


6 iNtrODuctiONaNDrEviEWOF2009-10


1 theGovernmentpublishedValuing People NowinJanuary2009.thiscrossgovernmentstrategylaidoutthevisionthatallpeoplewithalearningdisabilityarepeoplefirstwiththerighttoleadtheirliveslikeanyothers,withthesameopportunitiesandresponsibilities,andtobetreatedwiththesamedignityandrespect.atthesametimetheDeliveryPlanfor2009-2010waslaunchedoutliningsixkeyprioritiesandtheactionsthatwererequirednationally,regionallyandlocallytosecureimplementation.

2 Peoplewithlearningdisabilities,familycarers,centralandlocalgovernment,theNHs,thevoluntaryandprivatesectorshavetakenupthechallengeofmakingvaluingPeopleNowhappenforallpeoplewithlearningdisabilitieseverywhere.mostoftheactionscontainedintheDelivery Plan for 2009-2010havebeencompletedandappendix1showstheprogressmade.Whereactionshavenotbeencompleted,anexplanationisgiven.

3 muchgoodprogresshasbeenmade:

Leadership and governance

• theNationalLearningDisabilityProgrammeBoardhasexcellentcrossgovernmentmembershipandsupportandrepresentationfromtheNationalForumforPeoplewithLearningDifficultiesandtheNationalvaluingFamiliesForum;

• therehasbeenastrongfocusonawarenessraisinginallareas;

• BestpracticeguidanceonPartnershipBoardswaspublishedinOctober20092;thiswasfollowedbytheselfassessmentreportingtemplateinNovember2009;

• PartnershipBoardsarebeingreviewedandmorearefunctioningeffectively;

• allregionalProgrammeBoardsareinplace,arebeingwellsupportedandhavedeliveryplans.

Better health – progress

• updatedguidanceonHealthactionPlansandHealthFacilitationwaspublishedinmarch20093;

2 GoodLearningDisabilityPartnershipBoards:‘makingithappenforeveryone’(DH2009)3 HealthactionPlanningandHealthFacilitationforpeoplewithlearningdisabilities:goodpracticeguidance(HmG

2009)


• increasingnumbersofpeoplearehavingannualhealthchecksandsomepeoplehavehealthactionplans;

• someacutehospitalsaremakingreasonableadjustmentstomeettheneedsofpeoplewithlearningdisabilities;

• tendersforthePublicHealthObservatoryandtheconfidentialEnquirytookplacefromOctober2007andcontractsawardedinmarch2010;

• Improving the Health and Well-being of people with learning disabilities,aworldclasscommissioningdocumentwaspublishedinNovember2009alongsideEqual Access? A practical guide for the NHS: creating a Single Equality Scheme that includes improving access for people with learning disabilities4;

• theregionalhealthself-assessmentfameworkhasbeenagreedwithallstrategicHealthauthorities;

• thereissteadyprogressonthecampusclosureprogramme;

• Joinedupworkon‘NewHorizons’withmentalhealth5.

Including everyone – progress

• scopingworkforsupportforpeoplelabelledaschallenginghasinformedtheprogrammeforcommissionersandprovidersfor2010/11;

• Professormansellhasconsultedwidelyandpublishedhisreportaboutsupportforpeoplewiththemostcomplexneeds;6

• Groupsofthirtyyoungpeopleineachofthetwelve“GettingaLife”demonstrationsitesincludethosewithcomplexneeds,todemonstratebestpracticeinimplementingapathwayintopaidemploymentandfulllivesforthem;

• theautismactwaspassedinDecember2009andtheautismstrategy,‘Fulfilling and rewarding lives: the strategy for adults with autism in England’7waspublishedon3march2010;

4 Improving the Health and Well-being of people with learning disabilitiesDepartmentofHealth(2009)www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyandGuidance/DH_109088Equal Access? A practical guide for the NHS: creating a Single Equality Scheme that includes improving access for people with learning disabilities. DepartmentofHealth(2009)www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyandGuidance/DH_109753

5 New Horizons: A shared vision for mental health (HmG2009)www.dh.gov.uk/en/Healthcare/mentalhealth/NewHorizons/DH_102051

6 raisingoursights:servicesforadultswithprofoundintellectualandmultipledisabilities(tizardcentre,2010)7 www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyandGuidance/DH_113369

www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_109753

www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_109753

http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_109088

http://www.dh.gov.uk/en/Healthcare/Mentalhealth/NewHorizons/DH_102051

http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_113369


• agoodstarthasbeenmadeinidentifyingpeoplewithlearningdisabilitiesinprisons;

• awarenessraisingprogrammeshavebeganforstaffinprisonsandthecriminalJusticesystem;

• theBradleyreportisverypositiveinitsrecommendationsforpeoplewithlearningdisabilitiesinthecriminaljusticesystem;8

• acomprehensiveEthnicityworkprogrammehasbeenagreedwiththeNationaladvisoryGrouponLearningDisabilityandEthnicity(NaGLDE)andisbeingimplemented.

Family carers – progress

• FamilycarershaveastrongervoiceatregionalandnationallevelviatheNationalvaluingFamiliesForumwhichlinksfamiliesfromacrossthenineregionsinEngland;

• anumberofpracticalresourceshavebeencommissionedandproducedtohelplocalPartnershipBoardsimproveanddeveloplocalsupportservicesforfamilies,includingcarerswithlearningdisabilities;

• mainstreamcarerorganisationsareworkingtofurtherdevelopthesupporttheyprovidetofamiliesofpeoplewithlearningdisabilities,andcarerswithlearningdisabilities.

Personalisation – progress

• thenumberofpeoplewithlearningdisabilitiesreceivingdirectpaymentshasincreasedfrom7,500inmarch2007to13,385inmarch2009

Better housing – progress

• somepeoplearehavingmorechoiceaboutwheretheyliveandprogrammesaredevelopingintheregionstoincreasechoice;

• somelocalauthoritiesandresidentialprovidersaredevelopingsupportedlivingoptions;

• therearesomegoodexamplesofuseofassistivetechnologytosupportindependentlivingandemployment;

• somepeoplehaveactiveperson-centredplansandmorefulfillinglives;

8 DH2009


• in2007itwasestimatedthat2,140peopleremainedincampuses.theOctober2009(unverified)returnshowsthattherearearound900peopleyettomove–includingpeoplewhoareintheprocessofmoving.

Employment – progress

• Valuing Employment NowanditsDeliveryPlanwerepublishedinJune20099.theysetoutanambitiousgoaltoradicallyincreasethenumberofpeoplewithmoderateandseverelearningdisabilitiesinpaidemploymentby2025.theGovernmentwantsasmanyaspossibleofthesejobstobeatleast16hoursaweek.theaspirationistoclosethegapbetweentheemploymentrateofpeoplewithmoderateandseverelearningdisabilitiesandthatofthedisabledpopulationasawhole.acentralcrossgovernmentteamhasbeenestablished,andaresourcehubhasbeenlaunched,tosupportdeliveryofthestrategy;

• thecrossgovernment“GettingaLife”programmeisdemonstratingbestpracticeinimplementingapathwayintopaidemploymentandfulllivesforyoungpeoplewithlearningdisabilitieswhentheyleaveschoolorcollege.therearenowtwelvedemonstrationsitescoveringtheninegovernmentofficeregions.Eachsiteisworkingwiththirtyyoungpeople,familiesandlocalsystems;

• 14ProjectsearchsiteswereannouncedinOctober2009,offeringinternshipstohelppeoplewithlearningdisabilitiesintoemployment;

• JobsFirst(formerlycalledthe‘supportbroker’)demonstrationsiteshavebeenannouncedandwillshowhowpeoplewithlearningdisabilitiescanusepersonalbudgetstobuysupporttogetajob;

• asustainablehubforinnovativeemploymentforpeoplewithcomplexneedshasbeenestablished;

• inotherlocalareas,therearealsosomegoodapproachestoincreasingthenumberofpeopleinrealpaidjobsandcareers.

9 valuingemploymentnow:realjobsforpeoplewithlearningdisabilities(HmG2009);valuingEmploymentNow:theDeliveryPlan(HmG2009)


People as local citizens – progress

• across-GovernmentHatecrimeactionPlanwaspublishedinseptember2009withspecificactionsaroundpeoplewithlearningdisabilities10;

• Workonallareasoftheadvocacydeliveryplanisunderway;

• theDepartmentofHealth(DH)hascommissionedtwosetsofnewmaterialstopromoteitshumanrightsbasedapproach,asetoftrainingmaterialsaimedatsupportworkerswhichwillbeavailableonourwebsiteandnewmaterialsdonebypeoplewithlearningdisabilitiesforpeoplewithlearningdisabilitiesthatwillbeavailablein2010-2011;

• theDHhasbeenworkingcloselywithskillsforcareonthedevelopmentofnewlearningdisabilityfocusedqualifications,thatwillsupportthedeliveryofValuing People Nowaspartofthewiderdevelopmentofnewhealthandsocialcarequalifications.

4 theseareallverypositivestepstoimprovethelivesandopportunitiesforpeoplewithlearningdisabilitiesanddemonstratetheimportanceofleadership,realculturalchange,risingexpectationsandacrossgovernment,crossagencyapproach.

More to do

5 muchhowever,remainstobedone.Leadershipacrossallagenciesandsectorscontinuestobevitalifimprovementsaretobesustainedanddeveloped.Expectationsremainlowamongstsomeprofessionals.Peoplewithlearningdisabilitiesandfamilycarersstilldonotgetalltheinformationandsupporttheyneedtomakeinformedchoicesabouttheirlives.realpersonalisationremainsanaspirationformanypeopleandtheirfamilies.

6 inparticular:

• somePartnershipBoardsstillneedleadershipandsupporttobeeffective,andtofullyinvolveJobcentrePlusandconnexions;

• someJointstrategicNeedsassessmentshavefailedtoincludetheneedsofpeoplewithlearningdisabilitiesandinothersthereisinsufficientdataonwhichtoplanandcommissionserviceseffectively;

10 www.homeoffice.gov.uk/documents/hate-crime-action-plan

http://www.homeoffice.gov.uk/documents/hate-crime-action-plan


• thereisinsufficientjointplanningandcommissioningbetweenchildren’sandadultservicesinmanyareas;

• annualhealthcheckshavebeenslowtostartinsomeplaces;

• itistakingtimeforhospitalstotrainstaffandmakereasonableadjustmentstomeettheneedsofpeoplewithlearningdisabilities;

• mentalHealthprovidershavestilltotrainstaffinlearningdisabilityawarenessandmakingreasonableadjustmentstomeettheneedsofpeoplewithlearningdisabilities;

• Whilstplanswillbeinplaceforallindividuals,somecampuseswillnotclosecompletelybythetargetdate;

• therecontinuestobeagrowinguseofprivate‘LearningDisability’Hospitals;

• thereremainsinsufficientfocusonpersonalisedlocalsupportandservicedevelopmentforpeoplewhosebehaviourchallengesservicesandgapsinimplementingtherecommendationsofthemansell2report;

• Peoplewithprofoundandmultipledisabilitiesandtheirfamiliesstillstruggletogetappropriateserviceswhichfocusontotalcommunication,holistichealthandsocialcareassessment,supportandcare;

• Goodtransitionplanningisnothappeningeverywhereandopportunitiesarebeingmissedtofocusonemploymentandhousingoptionsatanearlystage,forexamplebyembeddingcareerplanninginpersoncentredtransitionpathways;

• someyoungpeoplearebeingplacedinresidentialschoolsthenresidentialcollegeswithexpectationsthatplacementinacarehomewillfollow;

• thereisnosignificantreductionintheuseofresidentialcareandspendinginthisareacontinuestorise,placingmajorfundingpressuresoncouncils;

• theOrdinaryresidenceruleshavebeenanobstaclepreventingsomepeoplemovingfromresidentialcaretosupportedliving;

• theturnbullJudgementhasreducedflexibilityinprovidingsupportedlivingforsomepeoplewiththemostcomplexneedsandthereareissuesoffundingsufficientlivingspaceforpeoplewithcomplexneeds;


• Progressonenablingmorepeopletoaccesssupportedlivingtakestime,butmorecanbedonebycouncilsworkingcollaborativelywithproviders,manyofwhomarekeentodevelopalternativemodels;

• Fewcouncilsaremakinguseofallthedifferentapproachestosupportedlivingwithinsufficientuseoftheprivaterentedsector,lowcostmortgages,familytrusts,sharedLivesetc;

• theemploymentrateforadultswithlearningdisabilitiesknowntocouncilsisshockinglypoorat7.5%–evenlowerthanexpected.Expectationsandopportunitiesforpeoplewithlearningdisabilitiestoworkcontinuetobeverylow;

• Localauthoritiesspendconsiderablesumsondayservices,furthereducationandadulteducationforpeoplewithlearningdisabilities.someofthisneedstoberedirectedtosupportedemploymentforpeoplewithlearningdisabilities.thereisabigopportunitytodothiswiththenewlocalauthorityresponsibilityforfunding16-19learning(16-25forpeoplesubjecttoalearningdifficultyassessment);

• thereisstillinsufficientawarenessoftheparticularneedsofpeoplewithlearningdisabilitiesandtheirfamiliesfromblackandminorityethnicandnewlyarrivedcommunities–acrossallagencies;

• Parentswithalearningdisabilityoftendonotgetthesupporttheyneedandmanyarefacedwiththeprospectofhavingtheirchildtakenfromthem;

• Peoplewithlearningdisabilitiesarestillassumedtobeincapableofhavingrelationshipsorgettingmarriedandmanyaredeniedtheopportunity;

• manypeoplewithlearningdisabilitiesstillfacedailydiscrimination,insultsorbullying;hatecrimeisstillprevalent.

13

1. The Delivery Plan 2010-2011

14 tHEDELivEryPLaN2010-2011

1.1 Valuing People Nowisathree-yearstrategyandmuchoftheworkbegunin2009-2010willbegintoimpactontheareasabovewheresustainedprogressisneeded.thisupdatedDeliveryPlanfor2010-2011focusesonthefurtherworkneeded,nationally,regionallyandlocallytosecureimplementationeverywhereandforeveryone.itlaysoutineachsectionactionstosecuretheseandbywhom.thefocusoftheworkin2010-2011istodisseminateandimbedbestpracticeeverywhere.

The Key Priorities 2010-2011

1.2 OfthesixprioritiessetinthefirstDeliveryPlan,fivecontinuetoberelevant.sufficientactionhasbeentakenonraisingawarenessofValuing People Now soitisnolongerapriority,althoughworkwillcontinue.However,anewpriorityhasbeenaddedtoensurebetterinformationsharing,commissioningandtransitionplanningacrosschildren’sandadultservices.

1.3 thesixkeyprioritiesforactionforthisprogramme2010-2011are:

• tohavestrongleadershipandaneffectiveLearningDisabilityPartnershipBoardoperatingineverylocalauthorityarea;

• tosecureaccessto,andimprovementsin,healthcare,withstrategicHealthauthoritiesandPrimarycaretrustsresponsiblefor,andleadingthiswork;

• toincreasetherangeofhousingoptionsforpeoplewithlearningdisabilitiesandtheirfamilies,includingtheclosureofNHscampuses;

• toensurethatthePersonalisationagendaisembeddedwithinalllocalauthorityservicesanddevelopmentsforpeoplewithlearningdisabilitiesandtheirfamilycarers,andisunderpinnedbypersoncentredplanning;

• toincreasethenumberofpeoplewithlearningdisabilitiesinrealpaidjobsof16hoursaweekforallwhocan–includinginthepublicsector;

• toimprovejointstrategicplanning,commissioningandservicedevelopmentacrosschildren’sandadultservices,sothatpeoplearesupportedtoplanforfutureemploymentandafulllife.


1.4 Outofthesesixpriorities,threehavebeenidentifiedashavingthegreatestimpactonimprovingtheoutcomesforpeoplewithlearningdisabilities.theseare:

• Health;

• Housing;and

• Employment.

1.5 theDeliveryPlanandregionalworkwillthereforeparticularlyconcentrateontheseareas.theotherprioritiesremainveryimportant,underpinningalltheworktoimplementValuing People Now.

16 tHEDELivEryPLaN2010-2011

17

2. Co production – the key to delivering Valuing People Now

18 cOPrODuctiON–tHEkEytODELivEriNGvaLuiNGPEOPLENOW

2.1 apartnershipapproachatnational,regionalandlocallevelisessentialifthevisioninValuing People Now istobecomearealityforallpeoplewithlearningdisabilitieseverywhere.centraltothisistheinvolvementofpeoplewithlearningdisabilitiesandfamilycarersandtheactiveengagementofallrelevantagencies.

2.2 muchhasbeenachievedduringthelastyear.theNationalForumforPeoplewithLearningDifficultiesandtheNationalvaluingFamiliesForumbothhaveactiveprogrammes,andareessentialmembersoftheNationalProgrammeBoardandofregionalandlocalpartnershipboards.theyareinvolvedinthedevelopmentofnationalandlocalpoliciesandservices.

2.3 theNationaladvisoryGroupforLearningDisabilitiesandEthnicity(NaGLDE)isinvolvedinimplementingtheEthnicityworkprogrammeandisfurtherdevelopingitsownroleandremitsothatitbecomesanelectedforum,withstrongerrepresentationofthevoicesoflocalpeoplewithlearningdisabilitiesandfamilycarersfromblackandminorityethniccommunitiesatthenationallevel.

2.4 theassociationofDirectorsofadultsocialservices(aDass)playsakeyroleontheNationalProgrammeBoardandisveryinvolvedintheregionalboards,manyofwhicharechairedbyDirectorsofadultsocialservices.aNationalProvidersForumhasbeenestablishedtohighlightissuesandbarrierstotheimplementationofvaluingPeopleNowandhasaplaceontheNationalProgrammeBoard.thecareQualitycommissionhasamajorfocusonlearningdisabilityservicesinitsworkprogramme.theLocalGovernmentassociation(LGa),theNHsconfederation,idea,sciE,skillsforcareandskillsforHealthallhaveongoingworktosupporttheimplementationofValuing People Now.

2.5 For2010-2011theDHwill:

• continuetosupporttheNationalForumforPeoplewithLearningDifficulties;

• continuetosupporttheNationalvaluingFamiliesForum;

• continuetosupporttheNationaladvisoryGroupforLearningDisabilityandEthnicity–andtobringthethreeorganisationstogethertoensurejoinedupplanningandprogrammes;


• supporttheworkoftheNationalProvidersForumandundertakesomejointworktofacilitateincreasingtherangeofhousingchoicesforpeoplewithlearningdisabilities(seesectiononhousing);

• WorkwiththecareQualitycommissiontosupportimprovementsinthesupportandcareofpeoplewithlearningdisabilities.

20 cOPrODuctiON–tHEkEytODELivEriNGvaLuiNGPEOPLENOW

3. Funding of Learning Disability Services

22 FuNDiNGOFLEarNiNGDisaBiLitysErvicEs

3.1 acrosshealthandsocialcare,£6.5billionpoundsisspentprovidingcareandsupportforpeoplewithlearningdisabilitiesandtheirfamilies.ineachofthelastfiveyears,Localauthorities(La)andHealthservicesinEnglandhavespentanadditional£250montheseservicesandarefacingcontinuingpressures.in2008-2009councilspendingonlearningdisabilityservicesincreasedby10%.Learningdisabilityspendnowaccountsfor£1inevery£4ofadultsocialcare,whilstpeoplewithlearningdisabilitiesaccountfor1inevery12receivingcareandsupportpackages.

3.2 thewayLasandHealthservicesarespendingthesesignificantresourcesisveryvariable.theDepartmentofHealthpublisheda‘useofresourcesguide’11inOctober2009whichhighlightedthesevariations.theproportionofspendingonresidentialcareforpeoplewithlearningdisabilitiesvariesfromunder10%toover80%ofoveralllearningdisabilitybudgets.somecouncilshavedevelopedsupportedhousingandarangeofcommunitysupportactivitiesformostpeopleintheirareas,includingthosewiththemostcomplexneeds.Forothers,residentialcareremainsthepredominantmodel.themostsignificantrisesinunitcostsareforresidentialcare.Lowspendingoncaremanagementforpeoplewithlearningdisabilitiesisassociatedwithhighuseofresidentialcare.

3.3 Valuing Employment Nowstressedthatsomeoftheconsiderableresourcesspentoneducationanddayservicesforpeoplewithlearningdisabilitiesshouldberedirectedintojobcoachingandsupportedemployment.theindependentevaluationofNorthLanarkshirecouncilhasillustratedthebusinesscaseforlocalauthoritiesindoingso:thecostoftheirsupportedemploymentishalfasmuchperplacethanthedayservice.12

3.4 akeypriorityundertheValuing People Now Delivery Plan 2010-11istoimprovethequalityandproductivityofservicesandtomakebestuseofexistingresourcesinLearningDisabilityservices.

3.5 theDH,workingwithLGa,aDassandtheLearningDisabilitycoalitionplansto:

• undertakemoreanalysisofcostsandoutcomes;

• Producebestpracticeguidanceonuseofresourcesinlearningdisabilityservices;

11 useofresourcesinadultsocialcare:aguideforlocalauthorities(DH2009)12 sBeyer,.anevaluationoftheoutcomesofsupportedemploymentinNorthLanarkshire(2007)Welshcentrefor

LearningDisabilities,cardiffuniversity,June2008,p17


• usecost-benefitresearchtodemonstratethereturnoninvestmentforlocalauthoritiesinvestinginsupportedemployment;

• Provideregionalactionandsupport – seetheregionalsectionp17.

Commissioning and funding transfer

3.6 theValuing People Now strategysaidthatcommissioningandfundingofcareserviceswouldtransferfromtheNHstoLocalGovernment.thissocialcarefundingishistoricalandarosewithinPctsastheoldlongstayhospitalsclosedinthe1980sandadultswithlearningdisabilitiesmovedtosocialcareplacements(residentialcarehomesorsupportedlivingarrangements).somemovedtoNHscampusesorNHsfundednursinghomes.allNHscampusesareduetoclosebytheendof2010.

3.7 currentlyfundingisaccessedbylocalauthoritiestomeetthesesocialcarecoststhroughpooledbudgetsorsection256/7(formerlysection28a)transfers.thechangeinfundingandcommissioningresponsibilitytookeffectfromapril2009.Fortheremainingyearsofthecurrentcomprehensivespendingreview(csr)transfersarebeingmadelocally,viapooledbudgetorsection256/7mechanisms.Fromapril2011allocationswillbemadedirectlytolocalauthoritiesaspartofthewiderDepartmentforcommunitiesandLocalGovernment(cLG)settlement–theformulahasyettobeagreed.

3.8 LocalauthorityandPctLearningdisability(LD)commissionerswereaskedtoprovidefinalagreedreturnsshowingsocialcarespendin2009/10byJanuary2010.thisdatawillformthebasisofmodellingdifferentoptionsforallocatingthefundingfrom2011.Goodprogresshasbeenmadeand60%ofareashaveprovidedfinalreturns.theDepartmentisconfidentthattheremainingreturnswillbefinalisedbytheendofmarch2010forboth2009/10and2010/11withthesupportofstrategicHealthauthorities,DeputyDirectorsofsocialcareandvaluingPeopleregionalProgrammeLeads.

• DHinnegotiationwithtreasuryandtheDepartmentforcommunitiesandLocalGovernment(cLG)willdevelopoptionsforallocatingsocialcarefundingtolocalauthoritiesfromapril2011basedonreturnsfromtheNHsandlocalGovernment;

• therewillbefullconsultationonproposedoptions;

• DH/cLGwillconsiderresponses,decideonoptionsinconsultationwithtreasuryandcommunicatetheoutcome.

24 FuNDiNGOFLEarNiNGDisaBiLitysErvicEs

4. Including Everyone – and the Equalities Agenda

26 iNcLuDiNGEvEryONE–aNDtHEEQuaLitiEsaGENDa

4.1 includingEveryoneremainsakeyobjectiveforValuing People Nowtoensurethatallpeoplewithlearningdisabilitiesandtheirfamiliesbenefitfromthepolicy.thisincludestheimportanceoffamilies,particularlyforpeoplewiththemostcomplexneeds,askeypartnerstoensurepeoplehavethelivestheywantandneed.Policies,actionsandservicedevelopmentsshouldbeinclusiveoftheneedsofallgroupsofpeoplewithlearningdisabilities.theDeliveryPlanfor2010-2011therefore,continuestofocusontheneedsofthosegroupsidentifiedinValuing People Nowastheleastlikelytobeheardandmostoftenexcluded.theyare:

• Peoplewithmorecomplexneeds;

• Peoplefromblackandminorityethniccommunities;

• Peoplewithautisticspectrumconditions;and

• Offendersincustodyandthecommunity.

4.2 DHwilltherefore:

• Publishabestpracticeguideoncommunicationstosupportpeoplewiththemostcomplexneeds;

• respondtoProfessormansell’sreportonpeoplewiththemostcomplexneeds:Raising our sights: services for adults with profound intellectual and multiple disabilities (spring2010);

• Workwithcommissionersandproviders,throughthetizardcentreandthechallengingBehaviourFoundation,toembedbestpracticeintheassessmentcareandsupporttopeoplewhosebehaviourchallengesservices.thiswillalsoincludeworkingwithskillsforcareandskillsforHealthonnewqualifications,careerpathwaysandotherworkforceplanninganddevelopmentprojectsforworkerssupportingpeoplewhosebehaviourchallengesservicestoensurethedeliveryofthemansellreportrecommendationsinthisarea.(2010-2011);

• continueworktobuildandsustainthecapacityofmainstreamcarersorganisationstomeettheneedsoffamilycarersofpeoplewithlearningdisabilities;

• continueworktosupportpeoplewithlearningdisabilitieswhoarecarers;

• continuetoimplementtheEthnicityworkprogramme,whichincludes:


– scopingworkaroundadvocacyforpeoplefromblackandminorityethniccommunities;

– workwithmainstreamblackcarersorganisationstodeveloptheircapacitytosupportfamiliesofpeoplewithlearningdisabilities;

– nationalawarenessraisingeventsaimedatcommissioners,communitydevelopmentmanagersandpersonalisationleads;

– regionalraceequalitytrainingtosupportthebetterinclusionofpeoplefromblackandminorityethniccommunitiesintotheregionalforumsandcarersnetworks,withsupportfromtheregionalEthnicityNetworkswheretheyexist;

– workwitharc,BiLDandmencapontheGiving us a VoiceProgramme;13

• PublishthefirstyearautismDeliveryPlaninmarchandthefullthreeyeardeliveryplanandstatutoryguidancebytheendofDecember;

• theDHwillworkjointlywithoffenderhealthto:

– continueprogressonawarenesstrainingacrossthecriminalJusticesystem;

– continuetodeveloptheLearningDisabilityscreeningtoolwithinthecriminalJusticesystem;

– update‘PositivePractice,PositiveOutcomes’14forthecriminalJusticesystem;

– developaccessibleinformationforthecriminalJusticesystem;

– developsystemstopreventpeoplewithlearningdisabilitiesreturningtothecriminalJusticesystem.

13 ‘Givingusavoice:acharterforinclusionforpeoplewithlearningdisabilities’.Formoreinformationgoto:www.giving-us-a-voice.org.uk/

14 PositivePractice:PositiveOutcomes:aHandbookforProfessionalsinthecriminalJusticesystemworkingwithOffenderswithLearningDisabilities

http://www.giving-us-a-voice.org.uk/

28 iNcLuDiNGEvEryONE–aNDtHEEQuaLitiEsaGENDa

5. Personalisation – starting with the individual and their family

30 PErsONaLisatiON–startiNGWitHtHEiNDiviDuaLaNDtHEirFamiLy

5.1 Personcentredplanning,self-directedsupportandpersonalbudgetshavecontinuedtotransformthelivesofmanypeoplewithlearningdisabilities.thetransformingadultsocialcare(tasc)programmeintheDepartmentofHealth,andtheassociationofDirectorsofadultsocialserviceshave,agreedmilestonestoensuretheprogrammeishappeningeverywhere.itremainsachallengetoensurethatpeoplewiththemostcomplexneedsbenefitfromthisapproach,thatpersoncentredtransitionplansareinplaceforallyoungpeopleastheypreparetomovetoadultservicesandthatemploymentandhousingaregivensufficientfocus.

5.2 Peoplewithlearningdisabilitieshavehighlightedtheimportanceforthemtohavesupporttoestablishandmaintainrelationships,includingmarriage.itisimportantthatthisisincludedaspartofperson-centredplanning

• theDH,withtheDepartmentofchildren,schoolsandFamilies(DcsF),theDepartmentofWorkandPensions(DWP),theOfficeofDisabilityissues(ODi)andtheDepartmentofBusiness,innovationandskills(Bis)willtakeonboardthelessonsemergingfromtheGettingaLifesitesanddevelopmentofbestpracticeintransitionpathwaysforyoungpeoplewithlearningdisabilities;

• theDHwillembedemploymentinitsworkonpersonalbudgetsandwillmakethisasuccesscriterionfortheprogramme;

• theJobsFirstsites(whicharealignedwiththerighttocontroltrailblazers)willstarttodemonstratebymarch2011howindividualbudgetscanbeusedtobuythesupportthatpeoplewithlearningdisabilitiesneedtogetandkeepajob;

• theOfficeoftheNationalDirectorofLearningDisabilitieswillworkwiththeteampreparingtheWhitePaperoncareandsupporttoensurethatitwillmeettheneedsofpeoplewithlearningdisabilities;

• theOfficeoftheNationalDirectorofLearningDisabilitiesandthetascProgrammewilljointlyengagewithpeoplewithlearningdisabilitiesandfamilycarersindesigninganddevelopinglocalsupporttodeliverpersonalisationinwaysthatofferrealchoiceandflexibility;


• theOfficeoftheNationalDirectorwillworkwiththeadultsocialcareWorkforcePolicyteamonthenewcompactandwithbothskillsforcareandskillsforHealthtoensurethattheworkforceplanning,developmentandworkforceredesignnationally,regionallyandlocallysupportsthedeliveryofpersoncentredsupportforallpeoplewithlearningdisabilities;

• theDHwillpublishanddisseminatepersoncentredplanningguidance

• thetakeupofthenewlearningdisabilityfocusedqualificationswillenableworkersinmainstreamandspecialistservicestodeveloppersoncentredattitudes,knowledgeandskillsinsupportingpeopleto,amongotherthings,developandmaintainfriendshipsandrelationships,thinkaboutemployment,bepartoftheirlocalcommunityandhavemorechoiceandcontrol.

32 PErsONaLisatiON–startiNGWitHtHEiNDiviDuaLaNDtHEirFamiLy

6. Better health

34 BEttErHEaLtH

6.1 Progresshasbeenmadetoimprovehealthcareforpeoplewithlearningdisabilities.thenumbersofpeoplereceivinganannualhealthcheckareincreasing,withthechecksimprovingunderstandingoflearningdisabilityinprimarycare.althoughthereareexamplesofexcellentpractice,progressinacutecarehasbeenslower.thereisincreasingleadershipwithinPctsandstratgicHealthauthorities(sHas)onimprovinghealthcareforpeoplewithlearningdisabilities,allhaveagreedtocarryoutregionalselfassessmentsintoprogressonthiswork.

6.2 maintainingfocusonmeetingtheneedsofpeoplewithlearningdisabilitieswithinthehealthserviceremainsvitallyimportant.thereportoftheOmbudsmen;‘sixlives’,15receivedinmarch2009withrequirementsthroughinto2010/11ensuresaclearfocusforaction.

• theDHwillworkwithallpartnersparticularlythecareQualitycommission(cQc)tocheckthathealthcareforpeoplewithlearningdisabilitiesisimproving;

• annualhealthcheckswillcontinueforatleastanotheryear.theirimpactandreachwillbemonitoredbytheDH,sHasandPcts.

• theDHwillworkwiththeroyalcollegeofGPsonbestpracticeintrainingandimplementingofhealthchecks;

• theconfidentialinquiryintoprematureandavoidabledeathsofpeoplewithlearningdisabilitiesandthePublicHealthObservatoryinrelationtothehealthandcareofpeoplewithlearningdisabilitiesweresubjecttocompetitivetenderingstartinginOctober2009.contractswereawardedinmarch2010;initiallyfora12monthperiod.theDepartmentwilldecideinearly2011,basedonanevualuationofworkandavailabilityoffunds,whethertoextendthecontractforafurthertwoyearstomarch2013;

• allsHaswillcompleteatleastthefirstyearoftheregionalselfassessmentframeworkintoprogressondeliveringhealthcareforpeoplewithlearningdisabilitiesbysummer2010;

• theDHwillreporttotheParliamentaryandHealthserviceOmbudsmanandLocalGovernmentOmbudsmanonprogressagainsttherecommendationsof‘sixLives’inautumn2010;

• theOfficeoftheNationalDirectorwillworktoensurethatmentalHealthandcommissionedhealthservicesareinvolvedinallhealthactions;

15 sixLives:theprovisionofpublicservicestopeoplewithlearning,PHsO2009


• theDHwilldevelopguidanceon‘WhatisspecialistHealthcare’;

• theOfficeoftheNationalDirectorwillcontinuetoworkwithcQcon‘Greenlight’/’NewHorizons’forpeoplewithlearningdisabilitiesindicators;

• theOfficeoftheNationalDirectorwillcontinuetoworkwithoffenderhealthonbetterhealthwithinthecriminalJusticesystem;

• theDHwillcontinuetoworkwithroyalcollegesandprofessionalgroupsoncurrentdevelopmentsanddissemination.

36 BEttErHEaLtH

37

7. Housing

38 HOusiNG

7.1 Despitedevelopmentsinsomeareasandgoodworkassociatedwiththecampusclosureprogramme,33,000adultswithlearningdisabilitiescontinuetoliveinresidentialcare,sometimesplacedinanemergencyandoftenalongwayfromtheirfamilies.therearewideregionalvariationsandtoofewpeoplehavearealchoiceastowheretheyliveandwithwhom.thekeypriorityistoreducevariationandtoachieveasignificantreductioninindividualslivinginresidentialcare.anationalgoalofa5%reductionfor2010-2011isbeingset.

7.2 Laswhichhavemadethemostsignificantprogressinofferingarangeofhousingoptionshavethefollowingcharacteristics:

• astrongcultureofworkingtoenablepeopletoexercisechoice;

• agoodassessmentofthehousingneedsofpeoplewithlearningdisabilitiesinJointstrategicNeedsassessments;

• acomprehensivehousingcommissioningstrategy;

• Good,earlyplanningacrosschildren’sandadultservices;

• useofabroadrangeofhousingoptions;

• collaborationacrossthecouncil,housingandsocialcareproviders;

• useofaservicedevelopmentapproachaswellasmoretraditionalapproachestoprocurement.

7.3 Extendingtherangeandavailabilityofchoiceofhousingandsupportinordertomaximiseindependenceandemploymentopportunitiesremainsoneofthetopthreeprioritiesfor2010-2011.itisessentialthathousingchoicesdonotlimitindividuals’opportunitiestotakeuppaidwork;goodpracticepromotesplanningforhousingandemploymentatthesametime.thefollowingactionswillthereforebetakentoacceleratethereductionintheuseofresidentialcareandimprovetherangeofhousingwithsupportoptionsavailable.

• theDH,aDass,thecQcandtheNationalLearningDisabilitiesProviderForumwillworktoresolvebarrierstochangingresidentialcareincludingtheissueofOrdinaryresidencetodevelopatransitionpathwayfromresidentialcaretosupportedlivingforproviders;

• theDHwillcontinuetomakecapitalandrevenuefundingavailableasplannedtofacilitatetheclosureofNHscampuses;


• theDHwillworkwiththeDWP,onLocalHousingallowancesothatreasonableadjustmentsaremadeforextralivingspaceforpeoplewithcomplexneedsandbehaviourthatchallengesservices.cLGwillassistwherepossible;

• theDHandcLGhousingdeliverytoolkitwillbepromotedtopeoplewithlearningdisabilities,families,carersandprofessionals;

• theDHwillworkwithcLGtoensurethatgoodpracticeguidanceonchoiceBasedLettingsandallocationsPoliciesachievepolicyaimsofchoice,independenceandinclusion;

• theDHhaspublishednewguidanceonOrdinaryresidencethatprovidesspecificadviceontheordinaryresidenceofpeoplemovingfromresidentialcaretosupportedliving.inaddition,thedepartmenthasaskedtheLawcommissiontoconsideraspartoftheirworktoreviewadultsocialcarelaw,whetherthecurrentlegalframeworkonOrdinaryresidencecontributestothedifficultiesthatpeoplefacewhentheymovefromonelocalauthoritytoanother;

• thevaluingPeopleNow HousingleadwillworkwiththeNationalvaluingFamiliesForumtoensurethatolderfamiliesgetthesupporttheyneedtoplanforthefutureusingarangeofpersoncentredhousingandsupportoptions.

40 HOusiNG

41

8. Employment

42 EmPLOymENt

8.1 Havingareal,paidjobthatyouenjoyisthebestroutetoafulllife.ifweareseriousaboutequalityforpeoplewithlearningdisabilities,employmentmustbeatoppriority.realjobsmakepeoplebetterofffinancially,aswellasgrowingpeople’sconfidence,sociallifeandimprovinghealth.However,thefirstnationaldataonemploymentforpeoplewithlearningdisabilities(Ni146,publishedaugust2009)showedtheemploymentratetobeevenlowerthanexpected,atjust7.5%.

8.2 Valuing Employment Nowaimstoradicallyincreasethisby2025,especiallyforpeoplewithmoderateandseverelearningdisabilitieswhohavebeenleftbehindthefurthest.asmanyaspossibleofthesejobsshouldbe16hoursormoreperweek,becausethisiswhenpeoplewillbefinanciallybetteroffandwillachievegreatersocialinclusion.theaspirationinValuing Employment Nowistoclosethegapbetweentheemploymentrateofpeoplewithmoderateandseverelearningdisabilitiesandthatofdisabledpopulationasawhole,whichintoday’stermswouldmean48%ofpeoplewithmoderateandseverelearningdisabilitiesinwork.

8.3 Weknowthatyoungpeoplearemuchmorelikelytogetarealjobafterschoolorcollegeiftheyhavehadmeaningfulworkexperienceandsupportfromasupportedemploymentproviderfromage14,underpinnedbyperson-centredplanningandreviews16.researchalsoshowstheimportanceofparentsandcarerswhoviewemploymentasapositiveandpossibleoptionfortheyoungperson17.thesefactorscanbebuiltintoacomprehensivetransitionpathway,whichwillleadtoemploymentforyoungpeoplewithlearningdisabilitieswhentheyleaveschoolorcollege.

8.4 in2010/2011,DH,DWP,DcsF,Bis,ODi,Departmentfortransport(Dft),LifelongLearninguk(LLuk),JobcentrePlusandthecabinetOfficewilldeliverthecommitmentsmadeinValuing Employment Now.theprioritiesforthecross-governmentvaluingEmploymentNowteaminthisyearwillbe:

• WorkwiththeGettingaLifedemonstrationsitestopublishandimplementthepathwaytoemploymentforyoungpeoplelocally,sharegoodpracticeregionallyandreporttogovernmentontheremainingbarrierstoyoungpeoplegoingintojobsandgettingfulllives;

16 What works?Transition to employment for young people with learning disabilities–Beyer,kaehne,Grey,sheppard,andmeek,shawtrust,2009

17 asabove


• supportthenewProjectsearchsitestogoliveinseptember2010andleadafullevaluation;

• supporttheworkofthesustainableHubforinnovativeEmploymentforpeoplewithcomplexneeds;

• WorkwiththeJobsFirstsitestodemonstrateandevaluatehowpersonalbudgetscanbeusedforemployment;

• setnationaltargetsandmilestonesforValuing Employment Now inlinewiththebaselinesetbyPsa16inJuly2009andsubjecttofutureprioritiesinthenextspendingreview;

• Developandpublishnationalstandardsforsupportedemploymentandjobcoaching,andworkwithBisandtheappropriatesectorskillscouncilstodevelopjobcoachqualifications;

• addtotheValuing Employment Nowresourcehubinlinewithfeedbackfromregionsandlocalareas;

• Workwithpeoplewithlearningdisabilitiesandfamilycarersacrossthecountrytopromotetheaspirationandexpectationofemployment;

• Progression through Partnership18willbeupdatedandadeliveryplanwillbepublishedsettingoutactionsfornationalimplementation.

8.5 itisessentialthatthepublicsectorleadsbyexampleinrecruitingpeoplewithlearningdisabilities.thirteenGovernmentDepartmentsarecommittedtodevelopingpoliciesandproceduresthatwillleadtotherecruitmentofpeoplewithlearningdisabilitiesthroughoutthecivilservice.asimilarcommitmentisintrainwithintheNHs,beginningwithaprojectthatwilltargettentruststhroughoutEngland.

18 Progression through Partnership:aJointstrategybetweentheDFEs,DHandDWPontheroleofFurtherEducationandtraininginsupportingPeoplewithLearningDifficultiesand/orDisabilitiestoachieveFulfillingLives(HmG,2007)

44 EmPLOymENt

45

9. Children and Adult Services – working together

46 cHiLDrENaNDaDuLtsErvicEs–WOrkiNGtOGEtHEr

9.1 thevitalimportanceoftheearlycareandeducationofchildrenwithlearningdisabilities,andsupportandinformationfortheirfamiliesisverywellresearchedanddocumented,asistheimportanceofgoodplanningandactionacrosschildrensandadultsservices.thisisespeciallyimportantatthetimeoftransitionforyoungpeopleandtheirfamilies.

9.2 Practicehowever,continuestovary,especiallyaroundthelevelofjointplanning,commissioningandservicedevelopmentandtherobustnessofthetransitionprocess.EarlylearningfromtheGettingaLifesiteshashighlightedlowexpectationsaroundindependence,employment,relationshipsandhousingchoices,althoughgoodprogressisbeingmadeunderthetransitionsupportProgramme.Withoutstrongfoundationsinchildren’sservices,health,educationandsocialcare,Valuing People Nowwillnotmeetitsvisionandobjectives.thishasemergedasakeypriorityforthisprogrammeduring2009/2010.

9.3 DcsFhaspublishednewstatutoryGuidanceonchildren’strusts19inmarch2010.theguidanceemphasises:

• theneedforDirectorsofadultsocialservicesandchildren’sservicesworkingcloselytogethertoensuresmoothtransitionforyoungpeoplemovingfromchildren’sservices;

• theimportanceofdecenthousingandplanningfortheneedsofchildrenandyoungpeoplewithcomplexhealthconditionsordisabilities;

• theimportanceofconsultingwidelyinthepreparationofthechildrenandyoungPeople’sPlanincludingchildrenwhohavespecialeducationalneedsorwhoaredisabledandwithparentsorbodiesrepresentingthesechildren;

• theimportanceofeachchildrenandyoungPeople’sPlanincludinganoutlineofthekeyactions,asidentifiedbytheneedsassessment,plannedtoimprovetheoutcomes,forchildrenandyoungpeoplewhohavespecialeducationalneedsoraredisabled;

• theroleoftheDirectorofchildren’sservicesinensuringthatlinksbetweenchildrentrustpartners–bothstatutoryandnon-statutory–workeffectivelytogether.Forexample,tomeettheholisticneedsoffamilieswithdisabledchildrenandyoungpeopleaswellasdeliveryoftheirchildrenandyoungPerson’sPlan.

19 childrenstrusts:statutoryguidanceonco-operationarrangementsincludingthechildren’strustBoardandthechildrenandyoungPeoplePlan(DcsFmarch2010)www.dcsf.gov.uk/everychildmatters

http://www.dcsf.gov.uk/everychildmatters


9.4 thetransitionsupportProgrammepartofaimingHighDisabledchildrenwillcontinuetopromotelocalareaimprovementintransitionsupporttoensurethatallareasareatleastmeetingminimumstandardsby2011.

9.5 throughourcontractedpartners,DcsFis:

• activelyraisingtheprofileoftransitionthroughnationalandregionaleventswithchildren,adultservicesandabroadrangeofpartnerorganisations;

• FundingthesENregionalhubstodeliverimprovementsintransitionacrosstheregion,shareandpromotegoodpracticeanddevelopalastingregionalnetwork;

• Providingaseriesofcasestudiestoshowgoodpracticeintransition,includingjointworkingacrosschildrenandadultservicesandhowthelocalareaworkedtogethertoachieveit;

• Fundingadditionalinnovativeoutcomesfocusedworkfromlocalareasfocusingonthefiveareasofimprovement:participation,personalisation,jointassessmentsacrosschildrenandadultservices,realisticpost16options,andstrategicjointpartnershipworking;

• EnablinggreaterparticipationfromyoungpeoplefromthemakingOurselvesHeardproject,dedicatedareaofthetransitioninformationNetworkwebsiteforyoungpeopleandencouragethedevelopmentofdisabledyoungtrainers.

48 cHiLDrENaNDaDuLtsErvicEs–WOrkiNGtOGEtHEr

49

10. Other Work/Actions to support implementation

50 OtHErWOrk/actiONstOsuPPOrtimPLEmENtatiON

Other work strands and emerging priorities for the future

10.1 thoseworkstrandsinValuing People Nowwhicharenotcurrentlylistedaspriorityareasarestillimportanttoo.Goodadvocacy,forexample,iscrucialinsupportingpeopleandtheirfamiliestogettheservicestheywantandneedandshouldbeacentralpartofpersoncentredapproaches.Workforceandleadershipdevelopmentarekeythemesrunningthroughoutthisdeliveryplanastheyunderpinworktoimproveserviceplanning,commissioninganddelivery.

10.2 WorkaroundHatecrimewillcontinuetoensurethatpeoplewithlearningdisabilitiescanliveintheirowncommunitiesfreefromfear.similarly,worktosupportparentswithalearningdisabilitywillcontinueandstrengthenasnewguidanceforcommissionersislaunchedanddisseminated.

10.3 alloftheabovearepartofthisyear’sdeliveryplan.somewillunderpinandfacilitateprogressinotherareas.

Advocacy

• theDHwillcommissionworktodevelopgoodpracticeexamplestosupportaccesstoadvocacyforpeoplewithlearningdisabilitieswithcomplexneedsandthosefromBmEcommunities;

• theDHwillworkwiththeNationalForumforPeoplewithLearningDifficultiestodevelop,publishanddisseminateatoolkitforselfadvocacygroups;

• theNationalLeadsforadvocacyandFamilieswilljointlycommissionsomescopingworkonfamilyadvocacy;

• theNationaladvocacyLeadwillsupportotherGovernmentDepartmentsontheuseofaccessibleinformationwhereappropriateandindependentadvocacyforparentswithlearningdisabilities.theywillsupportworkwithinclusionNorthandtheNationalForumtocollectevidenceanddataviatheregionalforumsaboutthedevelopmentandeffectivenessoflocaladvocacyservices;


• theOfficeoftheNationalDirectorwillworkwithotherDHpolicyleadstoensurethatpeoplewithlearningdisabilitiesareincludedinanypolicydevelopmentandimplementationinrelationtothementalcapacityact2005,thementalHealthact,NosecretsandLiNks.

Hate Crime and the Criminal Justice System

• DHandHomeOfficewillcontinuetobeinvolvedintheimplementationofthecross-governmentHatecrimeactionPlan;

• DHwillcontinuetoworkwiththeNationalForum,theFamiliesForumandNaGLDEonimplementingthespecificlearningdisabilityactionsintheactionPlan.

Parents with a Learning Disability

• DHandDcsFwillcontinuetoworkwithkeystakeholderorganisationstoraiseawarenessoftheissuesfacingparentswithalearningdisability;

• DHandDcsFwillsupportthedisseminationofthenewcommissioningguidanceaspartofa‘pack’toincludebestpracticeresources.

52 OtHErWOrk/actiONstOsuPPOrtimPLEmENtatiON

53

11. Regional Delivery Plans 2010/11

54 rEGiONaLDELivEryPLaNs2010/11

11.1 ataregionallevel,regionalBoardswillprioritisemakingithappenforthethreepriorityareasthatareidentifiedashavingthegreatestimpactonimprovingtheoutcomesforpeoplewithlearningdisabilities:

• Health:tosecureaccessto,andimprovementsin,healthcare,withsHasandPctsresponsiblefor,andleadingthiswork;

• Housing:toincreasetherangeofhousingoptionsforpeoplewithlearningdisabilitiesandtheirfamilies,includingtheclosureofNHscampuses–andensurethatthesemaximisechangesofemployment;

• Employment:toincreasethenumberofpeoplewithlearningdisabilitiesinreal,paidjobs(of16+hours),includinginthepublicsector.

11.2 theregionalBoardswillalsocontinuetosupporttheunderpinningprioritiestohelpmakethishappen:

• tohelpmakesurethatthereisstrongleadershipandaneffectiveLearningDisabilityPartnershipBoardoperatingineverylocalauthorityarea;

• tocontinuetosupportPartnershipBoardsfollowingthecompletionoftheirannualselfassessmentreports;

• toensurethatthepersonalisationagendaisembeddedwithinalllocalauthorityservicesanddevelopmentsforpeoplewithlearningdisabilitiesandtheirfamilycarers,andisunderpinnedbyperson-centredplanning;

• toimprovejointstrategicplanning,commissioningandservicedevelopmentacrosschildren’sandadultservices.

Regional goals and action to secure improvements in health

11.3 sHashavetheleadroleforensuringlocaldeliveryintheNHs.regionalboardswillsupportthemindeliveringthenationalgoalsforhealthto:

• increasethenumberandqualityofannualhealthchecksdeliveredtopeoplewithlearningdisabilities;

• supportsuccessfulimplementationoftheregionalPerformanceandselfassessmentFrameworkwhichallsHashaveagreedtocarryout,withaviewtoensuringthatlocalhealthsystemsarerespondingeffectivelytotheissuesraisedbythemichael’sreport;


• Developlocalleadershiponthehealthagendaforpeoplewithlearningdisabilities;

• maintainmomentumontheclosureofhealthcampusprovision;

• increaseemploymentofpeoplewithlearningdisabilitiesintheNHs.

Regional goals and actions to secure improvements in housing

11.4 DHDrDshavetheleadroleforimprovinghousingforpeoplewithlearningdisabilities,withsupportfromcolleaguesinGovernmentOffices.theywilldrawupregionalDeliveryPlanswithaworkprogrammeonhousingforagreementthroughtheregionalLearningDisabilitiesProgrammeBoards.thesewillhelptoensuredeliveryofthenationalgoalsforhousing:

• toreduceby5%ofthenumberofpeoplelivinginresidentialcarebymarch2011;and

• toincreasethenumbersofpeopleinsettledaccommodation.

11.5 regionalactionstosupportlocaldeliverywillinclude:

• WorkingwithregionalandlocalpartnerstoimproveconsistencyandqualityofdataforPsa16reportinginrelationtosettledaccommodationandemployment;

• analysisandidentificationofthelocalareasthatmostneedsupporttomakethischangehappen;

• Offerofaregionalprogrammetosupportlocalauthoritiestousetheirresourcestocommissioncosteffectivehousingsolutions,workingwithDH’scareservicesEfficiencyDirective(csED)tospreadbestpractice;

• HelptovalidatelocalprogressusingthenationalhousingtoolkitandworkingwithregionalcolleaguesincommunitiesandLocalGovernment;

• EnsurethatthechangesneededtotransformthelivesofpeoplewithlearningdisabilitiesareintegraltotheregionalworkprogrammeforthePuttingPeopleFirstprogramme.Forexample:

– regionalworkonassistivetechnology

– innovationseventstoencourageproviderstobringforwardchanges


– regionalworkonproviderandmarketdevelopment;

• WorkwiththeNationalHousingFederationregionalnetworkstoencourageproviderstoadapttothetransformationneeded.Forexample,spreadinginformationaboutthetransitionpathwayfromresidentialcaretosupportedlivingforproviders,oncethisisready.

Regional goals and actions to secure improvements on employment

11.6 theNationalDeliveryPlanforValuing Employment Now, publishedinJune2009createdaregionalleadershipstructurefordeliveryoftheemploymentstrategythroughtheregionalLearningDisabilityPartnershipBoards.Progresshasbeenmadeindevelopingregionalplans,butthetimetableforsettinggoalsforthenumbersemployed(originallybyNovember2009)hasbeendelayeduntilnationalgoalsareagreed.

11.7 regionalgoalsfor2010/11willnowbeto:

• supportthenationalValuing Employment Nowgoal(nationaltargetsandmilestonesforwhichwillbepublishedin2010)toradicallyincreasethenumberofpeopleinrealpaidjobs,ofwhichasmanyaspossibleshouldbe16hoursormoreperweek.

11.8 DHwillbeallocatingfurtherfundingtoDrDstosupportthedeliveryofPsa16(boththeemploymentandsettledaccommodationoutcomes)foradultswithlearningdisabilitiesandthosewithseverementalhealthconditions.someofthisfundingisthereforelikelytofurthertheambitionssetoutinValuing Employment Now.

11.9 regionalactionstosupportlocaldeliverywillinclude:

• tosupportLocalPartnershipBoardstodevelopValuing Employment Nowplansforimplementation,includingplansfor usingtoolsintheValuing Employment NowresourceHub;

• toworkwithcolleaguesinchildren’sservicestoestablisharegionalprogrammeforthetransitionagegroup14-25,acceleratingthelearningfromtheGettingaLifeProgramme,withaviewtoincreasingexpectationsandplansforemploymentamongstthisagegroup;


• topromoteimprovementinpublicsectoremployment.Forexample,runningjointregional‘valuedinpublic’eventsforlocalauthority,NHs,probationandcivilserviceandwiderpublicsectoremployers;

• toworkwithregionalfamilycarers’networkstoshareafamilycarerperspectiveonemploymentandunderstandbarriers.


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