Agenda item

To consider a report providing an update on progress with meeting the key requirements set out in “Transforming Care” and describing the newly introduced Care and Treatment Review process.

Catherine Mills, Clinical Projects Manager, attended the meeting and presented a report providing an update on progress with meeting the key requirements set out in “Transforming Care”, which also described the newly introduced Care and Treatment Review process.

Transforming Care set out four key recommendations in relation to people with LD or autism in NHS funded inpatient settings as follows:-

·         By end of March 2013, CCGs to put in place a register of people with LD or autism funded by the NHS for their care needs.

·         By June 1st 2013, review the care of all those included on the register and agree a care plan for each individual based on their and their families’ needs.

·         By June 1st 2013, all current placements will be reviewed and everyone in hospital inappropriately will move to community based support as quickly as possible, and no later than June 2014.

·         By April 2014 CCGs and their local authorities will have a locally agreed joint plan to ensure high quality care and support services for all people with learning disabilities or autism and mental health conditions or behaviour described as challenging.

In June 2014, fourteen Cheshire East residents had been placed in in-patient settings, eight from NHS Eastern Cheshire CCG and six from NHS South Cheshire CCG.  Since June, two Eastern Cheshire and one South Cheshire patient had been discharged to community settings.

The individuals who remained in hospital were considered to have needs that could not currently be met in a community setting (although it was acknowledged that the decision to deem a placement as appropriate may be due in part to the absence of any realistic alternatives). These patients were now required to have an independent Care and Treatment Review (CTR), unless they had a discharge date prior to 31 March 2015 and or did not give consent.

The focus of CTRs was on:-

·         Whether the individual felt safe in their current placement

·         How their care was progressing

·         What plans were in place for future care

CTRs were being undertaken by independent panels, with the purpose of reviewing the care of all of the patients who were in hospital before and up to 31 March 2014. Once this cohort of patients had been completed those patients in services as of 1 April 2014 would also be reviewed.

Cheshire and Wirral Partnership NHSFT were leading on a piece of work to integrate clients who have been placed out of the local area back into their local communities, if appropriate, in a person centred way with their agreement and family involvement.

A joint commissioning plan had been drafted between the local authority and the two CCGs. North West Commissioning Support Unit had been alerted to this as an area of work for the coming months and had advised the CCG that a Framework approach would be the most appropriate commissioning model.

In considering the report the Board requested that that the next annual report include a mechanism to enable the Board to understand the success of the programme, for example a case study.

RESOLVED

1          That the  progress that is being made in relation to both the review of individuals in inpatient settings and the development of alternative models of care within the local area be noted.

2          That the Local Adult Safeguarding Board receive quarterly updates to provide the routine monitoring of the progress of this area of work and the LASB is required to escalate any concerns that require further strategic scrutiny to the Health and Wellbeing Board.

3          That the Health and Wellbeing Board receive an annual report in January each year, the next annual report to include a mechanism to enable the Board to understand the success of the programme.