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Welcome to the February 2017 Hertfordshire Transforming Care Partnership newsletter, bringing you the latest Transforming Care news and achievements in Hertfordshire.
Transforming Care is a national programme about……..
Improving the quality of life of people with a learning disability and/or autism who also display behaviour that challenges.
Making sure as many people as possible can live in their local community with the right level of support.
Reducing the number of people who go into hospital and cutting the time people stay in hospital.
How are we doing this in Hertfordshire? Since 2012 Hertfordshire has worked with people with a learning disability and / or autism, their families and people who provide services to Transform Care. Together we have reduced the need for learning disability / rehabilitation inpatient beds from 46 to 10 and re-used the money to provide responsive community services like the Positive Partnerships Team and the Transforming Care Team. You can read more about these services in this newsletter.
Useful Links
For more information about the national vision for Transforming Care click here:
https://www.england.nhs.uk/learningdisabilities/
For more information about Hertfordshire’s Transforming Care Programme and easy read plan click here:
www.hertfordshire.gov.uk/transformingcare
If you have any feedback about this newsletter or want to send a news item for the next edition please email [email protected]
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The Positive Partnerships Team was set up in April 2016. You can read about their work in this article. Our Coordinators and Support Workers offer the following:
We provide information on local community opportunities for people to feel a part of their neighbourhood.
We provide support to help solve problems as they arise.
We can help signpost the person/carers to mainstream or specialist support services as early as possible.
We can support carers to develop skills in Positive Behaviour Support and other Person Centred Approaches.
Our Practice Development Trainer provides training in:
Positive Behaviour Support
Person Centred Active Support
Autism Training
Person Centred Practice and Partnerships
We can also provide hands-on coaching, supporting carers to develop leadership skills.
John’s Story John was moving back to Hertfordshire after some years of living in hospital. The Positive Partnership Team (PPT) worked with John’s nurse and psychologist. They went to John’s review meetings before he moved and began to get to know John and his family.
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PPT worked with John’s new support team, and provided some training in Positive Behaviour Support. Once John moved to his new home, PPT visited John to see how things were and to offer support to John’s staff team.
PPT also got to know John’s interests, skills, likes and dislikes and helped him and his staff team to identify local opportunities for him to take part in, supporting him to get to know his new neighbourhood and find things he liked doing, local to where he lived.
Once John’s nursing team felt he no longer needed their support, PPT could continue to work with John and his support staff, linking in with his support plan and helping to respond to any issues that might arise to help ensure John lives well in his new home.
The Positive Partnerships Team is part of HPFT’s Community Assessment and Treatment Service. For more information, please call 01923 633470.
Transforming Care - A personal view from the manager of Hertfordshire’s Transforming Care Team
The Transforming Care Team is made up of:
A service finder
social workers
A person centred planner
A clinical psychologist and
Business support.
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We work directly with people, planning for discharge from hospital. (Some people have been in hospital for many years).
We work with people who have offended and need specialist services to help them stay out of trouble.
We often now work with people who may be at high risk of going into hospital or prison.
The team are committed and hardworking and believe in what they are doing.
I have been very lucky to be the manager of this team for three years now, a good time to think about how things have changed and what our experiences have taught us.
The meaning of transforming care has changed and widened, the pressure for national data has increased and different models of ‘ideal’ services have been put forward.
Our success stories are due to the person being ready and wanting a different life and making sure the services they receive have been planned specifically for them and with them.
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The best work is when we work closely with our partner agencies like the Offending Behaviour Intervention Service (OBIS) and our commissioners who have responsibility for the transforming care agenda. We also work with our providers in sharing learning and supporting them to support people.
We have learnt that hospitals have a place and that we should not think of admissions, even long ones, as being wrong. But, hospitals should be safe and healthy places, intent on helping people get better - get a diagnosis and get the treatment they need and this may be medication, therapies or talking to skilled staff. The treatment people receive should be very personal and not general treatment offered to everyone regardless of their problems.
Some people have long term conditions like personality disorders; hospitals should help people understand their diagnosis and how best to live with them. Very importantly, hospitals should always be about a discharge plan even if a long time off and never should become ‘home’.
In short, we’ve learnt that transforming care is about the right support for the person delivered at the right time to achieve the best outcomes, regardless of the registration of the building or the nature of the provider - it’s about attitude!
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Care and Treatment Reviews (CTRs) aim to stop people being admitted to specialist Learning Disability and Mental Health hospitals when they don’t need to be there. Since they have been in post, Hertfordshire’s 2 CTR Managers have been developing this part of the Transforming Care Programme.
Children, young people and adults have regular care and treatment reviews to make sure that they are getting the right care in the right place.
These reviews help check if someone needs to go into hospital or if it would be better for them to have their care and treatment in the community.
They are also used in hospital to find out about a person’s care and treatment and how this can be made better.
CTRs are person-centred and based on the needs of the person. This means that people with a learning disability and their family are included in looking at and asking questions about a person’s care and treatment.
We have written an Easy Read leaflet for people to fill in before their CTR. It is called “Things you must know about me.”
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A CTR will also include:
Experts by Experience – a person with a learning disability or a family carer with experience of services.
Clinical Experts – a person who works in services for people with learning disabilities.
Commissioner – the person who pays for the services for you are getting.
Other people involved in providing care.
In Hertfordshire we have been increasing the number of people who can help with CTRs.
We now have 5 people who are on our Expert by Experience list for helping out in CTRs.
A new group of young carers and 2 people who have a lived experience of mental health service services and one with experience of Hospitals are going to have our CTR training in March to become qualified experts.
Once the training has been completed we offer a shadowed CTR for the individual to listen in and observe how others are contributing to the day.
Experts by experience have helped us to make CTRs a better experience.
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We have written an easy read document for the people who said they were interested in offering their support to people having a CTR. This has created interest from people who have social workers in the community and who have been informed of the CTR process.
We now have 8 Clinical Experts who can help with CTRs.
“Your Care & Treatment Review Panel” is a document with information about the people who will be part of the CTR. It is given to the person who is having the CTR before the meeting to help put them at ease - so any new recruits will need to agree to have their picture taken!
Hertfordshire helped to make a good practise film about CTRs. You will be able to see it on the NHSE e-learning website soon.
If you would like to find out more about care and treatment reviews in Hertfordshire or are interested in being an expert by experience please email [email protected]
NHS England has a CTR website. This is the link: https://www.england.nhs.uk/learning-disabilities/ctr/
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If you have any questions about Transforming Care in Hertfordshire or if you would like to write about Transforming Care in one of our newsletters please contact [email protected] Thank you to photosymbols for the pictures.