NHS CommissioningAfter Winterbourne View

- An Update

Geoff Baines

Associate Director

NHS South West4 October 2011

Immediate Action

• BBC Panorama 31 May 2011

• advised 13 May 2011• Adult safeguarding

process• Understanding how it

could happen

Immediate Action• Safeguarding, all agencies,

including Police;

• along with Castlebeck, immediate action and advising families

• Care quality Commission action,

• Additional NHS support• Accelerated discharge, clinical 2nd

opinions, quality check lists

Features of NHS

• Commissioning is local or regional• Locally held data – not a national view• Lack of registers, health and social care

data• Count me in Census – provider data• NHS campus data limited and no longer

collected

Range of Structures

• Primary Care Trust commissioners• Specialist commissioning – regionally• Devolved to NHS providers• Delegated to joint Local Authority

providers• Delegated to Local Authority led

joint/pooled budgets

Nationally

• Strategic Health Authorities network

• Castlebeck wide perspective/national provider

• Safeguarding information• Priority checks on;

– Winterbourne– All Castlebeck services– All Learning Disability Assessment

and Treatment

Assurance in place

Health Self Assessment

Framework.• All England• Tackles inequality• Says what good is• 2 relevant areas

– Monitoring placements– Challenging Behaviour

strategies

Next Steps

• Strategic Health Authority Leads• Enhanced assurance framework• Data Collection process• Joint work with ADASS

Enhanced Assurance

• National process• October to January• Validation process• Five areas• About current practice• To be updated following

review

Data collection

• National information• 31 October 2011• NHS funded placements• Adult Learning Disability only

Mock example

Mock example

Mock example

Mock example

Proportion of patients placed from Out of Area

Out of Area

Not out of Area

Mock example

Number of patients having Annual Health Check

Yes

No

Mock example

PCT

NHS Tru

st

Loca

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horit

y

Specia

list C

omm

ission

ing

Joint

PCT le

d

Joint

NHS T

rust

led

Joint

Loc

al Aut

horit

y Le

d0

1

2

3

4

5

6

7

8

Proportion of Contract Holders

Conclusion

• Total commitment and priority• Need to understand the now• Assurance for today• Serious Case Review and NHS review

underway• Will focus on how society supports the

needs of highly vulnerable people• Will lead to positive changes