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DESCRIPTIONAnne Webster, -Clinical Lead Winterbourne Projects, NHS England, Joanne McDonnell - Senior Nurse for Mental Health and Learning Disabilities, NHS England Neil Hoskin - Expert by Experience, NHS England Presentation from the Winterbourne Medicines Programme Launch held in London on 10 September 2014 Ensuring safe, appropriate and optimised use of medication for people with learning disabilities who demonstrate behaviour that can challenge
- 1. Welcome to the Winterbourne Medicines Programme Launch Event @NHSIQ #winterbourne_meds Improving health outcomes across England by providing improvement and change expertise
- 2. Welcome No fire drill planned today if the alarm sounds, please follow exit signs. Staff will direct you to the assembly point opposite Parnell House, corner of Dyott St & Streatham St (side of the building) Ladies, Gents & Disabled toilets are all located on this floor Please switch mobile phones off or onto silent (if you want to tweet) Free Wi-Fi Code is: Congress Centre Free Wi-Fi Password is: 12345abcde Lunch is at 12:50 in meeting room 1 & 2 on the 5th floor Improving health outcomes across England by providing improvement and change expertise
- 3. Winterbourne Medicines Programme Launch Event @NHSIQ #winterbourne_meds Improving health outcomes across England by providing improvement and change expertise
- 4. Winterbourne Medicines Launch Overview of National Learning Disabilities Programme 8th September 2014 Joanne McDonnell, Senior Nurse, Mental Health & Learning Disabilities, NHS England Neil Hoskin- Expert by Experience, NHS England Anne Webster- Clinical Lead- Winterbourne Projects, NHS England
- 5. Aims of the presentation To give an overview of the NHS England Learning Disability Programme To help you understand where the NHSIQ medication project fits with the wider learning disability programme.
- 6. Message from Ann Earley, Simons mum ( Panorama- Winterbourne View) " Simon's had many indignities foisted upon him. He has been deprived of his liberty, abused, removed from his home and medicated all without his consent. In his position would you stand for it? "
- 7. Message from Dominic Slowie, national clinical director for learning disability, NHS England Far too many people have their behavioural problems managed with anti-psychotics. The Learning Disability Census highlighted that there are huge numbers of people on anti-psychotic medication who havent got a psychiatric diagnosis. I see this as an infringement, or abuse of peoples human rights. I am really looking forward to the findings of the pilot in order to improve the care, and experiences of care for people with learning disabilities.
- 8. Having a learning disability-health The Confidential Inquiry (2013) found that women with learning disabilities died 20 years sooner than the general population. Men died 13 years sooner.
- 9. Having a learning disability-safety Census (HSCIC 2013)- over half in the census had been subject to at least one incident in last 3 months Two thirds were given antipsychotic drugs
- 10. Having a learning disability-choice & control CQC reported (2013) that 38% of detained and 66% of informal inpatients were deemed incapable of consenting to treatment
- 11. Transforming Care delivery model The work programme has 7 workstreams to ensure that we deliver the best care now, and that we are focused on the design of future care. Delivering the best care now Future care design Operational Delivery Getting the basics right, ensuring everyone has a Care Coordinator, has had their care reviewed, and had a date planned for their discharge. Care and Treatment Reviews ensuring all inpatients get a Care and Treatment Review, reviewing care with the person and their families/carers in the context of their Human Rights, the principles of least restrictive practice and with future discharge arrangement s as part of the review. Data and Information ensuring we have accurate and accessible data, and transferring the collection of that data to the HSCIC to enable it to become part of the Mental Health/Learning Disability Minimum Data Set. Planning and Contract work ensuring the NHS Planning Guidance and Standards contract support commissioners to deliver best practice is current and future services for people with a learning disability. New Funding Models working with the Voluntary and Community Sector to develop new ways of commissioning and funding services. New Care Pathways to support commissioners to co-commission services jointly with Local Authorities, people with learning disabilities and their families/carers to meet individual and local needs. Stakeholder Engagement working at all times to ensure people with learning disabilities, their families/carers, and all other stakeholders are involved in designing services.
- 12. NHS England learning disability programme Joint health & social care self assessment framework (SAF) Mortality review group. Annual health checks Positive & safe programme
- 13. 6Cs Website Launch
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