Commissioning Assessment and Treatment and Forensic step down services for people with a learning disability in Birmingham

Closed 18 Apr 2014

Opened 3 Mar 2014

Contact

0121 303 3893

LDcommunitypathways@birmingham.gov.uk

Feedback updated 11 Aug 2015

We asked

We really want to hear from everyone, especially people with a learning disability. We will also be talking to patients, carers, providers of services and clinicians.

You said

Your (6) responses were gratefully received and will formpart of the decision making process

We did

This consultation formed part of a larger project and filtered into decisions made and recommendations for changes to take place. For further information please email: LDcommunitypathways@birmingham.gov.uk

Results updated 23 Sep 2014

Commissioning Assessment and Treatment and Forensic Step Down Services for People with a learning disability in Birmingham

Assessment and Treatment services

We asked:

For your views on the proposed investment in an Enhanced Community Outreach Team and the decommissioning of 4 block contracted inpatient beds.

You said:

26 people contributed their views to the consultation either through attending a focus group or completing a questionnaire.

Of the responses of the 11 people completing a questionnaire 87% indicated that they thought the changes were the right ones to deliver the stated outcomes, 9% did not and 4 % did not know. The 15 representatives attending the focus groups indicated broad support for the proposals. The following issues were raised during the consultation process which require monitoring or further action between now and March 2015.

1.    The need for greater partnership working between BCHC community services, social workers, health professionals and inpatient providers to ensure inpatient stays are minimised and that discharge planning commences early. This is necessary to ensure fluidity and availability of beds within the market. Action: The JCT and BCHC are actively addressing this in 2014/15 with 2 CQUINs aimed at improving care pathways and greater integration and partnership working between stakeholders

2.    Concerns about potentially longer distances to travel to visit family members. Action: The JCT is committed to using local inpatient services where possible and is actively working with providers to develop specialist services in Birmingham.

3.    Active monitoring of both community outreach and inpatient services against outcome indicators is essential to evaluate success. Action: Performance will be actively monitored by BCHC and the JCT through existing contractual arrangements.

4.    Concerns that the proposals are cuts to services simply to save money. Action: There will be no overall cuts to budgets. Funds previously used to buy inpatient services are being invested in the Enhanced Community Outreach Team.

We did:

The proposed changes were approved by the Integrated Commissioning Board in May 2014.

Forensic step down services

We asked:

For your views on the proposal to decommission 9 block-contracted Forensic step down beds and to use alternative local providers instead.

You said:

24 people contributed their views to the consultation either by completing a questionnaire or attending a focus group.

The key messages from the consultation process were:

1.    The need for greater partnership working between BCHC community services, social workers, health professionals and inpatient providers to ensure inpatient stays are minimised and that discharge planning commences early. This is necessary to ensure fluidity and availability of beds within the market. Action: The JCT and BCHC are carrying out work during 2014/15 to develop improved pathways and partnership working between stakeholders.

2.    Concerns that by closing a service in Birmingham, people will be placed in services further away. Action: There is a range of providers in or local to Birmingham. The JCT will continue to monitor demand for services to ensure that local provision remains available.

3.    Concerns that non-NHS providers can only provide cheaper services by cutting corners and therefore deliver a lower quality service. Action: There is no evidence to suggest that the non-NHS providers local to Birmingham are delivering reduced quality services. The JCT has an active quality monitoring programme and regularly reviews the services it commissions.

We did:

The proposed changes were approved by the Integrated Commissioning Board in May 2014.

 

Overview

Have your say on Specialist Healthcare Services for People with a Learning Disability in Birmingham.

This is a consultation being carried out by the Joint Commissioning Team on behalf of the 3 CCGs.

Over the last 12 months the Joint Commissioning Team and Birmingham Community Healthcare have been engaged in dialogue around the need to remodel services to deliver better outcomes for people with learning disabilities and provide better value for the public purse. This is being done to ensure a choice and range of good quality, person centred services that deliver value for money and support people to live in their own homes within their communities. This fits with the Government’s mandate to the NHS Commissioning Board which says:

“The NHS Commissioning Board’s objective is to ensure that Clinical Commissioning Groups work with local authorities to ensure that vulnerable people, particularly those with learning disabilities and autism, receive safe, appropriate, high quality care. The presumption should always be that services are local and that people remain in their communities; we expect to see a substantial reduction in reliance on inpatient care for these groups of people.”

(Transforming Care: A national response to Winterbourne View Hospital, Department of Health, Dec 2012)

To achieve the Government’s ambitions as set out in their mandate to the NHS we propose to commission the following services in different ways. We plan to do this starting in August 2014:

  • Assessment and Treatment Services
  • Forensic Step Down services

Why your views matter

We really want to hear from everyone, especially people with a learning disability. We will also be talking to patients, carers, providers of services and clinicians.

We will be holding separate focus groups around commissioning intentions for the future for Assessment and Treatment and Forensic Step Down Services for people with learning disabilities in Birmingham.

The consultation will run for 6 weeks from 3rd March 2014 to 18th April 2014.
 

Events

Areas

  • ACOCKS GREEN
  • ASTON
  • BARTLEY GREEN
  • BILLESLEY
  • BORDESLEY GREEN
  • BOURNVILLE
  • BRANDWOOD
  • CITY CENTRE
  • CITY-WIDE
  • EDGBASTON
  • ERDINGTON
  • HALL GREEN
  • HANDSWORTH WOOD
  • HARBORNE
  • HODGE HILL
  • KINGS NORTON
  • KINGSTANDING
  • LADYWOOD
  • LONGBRIDGE
  • LOZELLS AND EAST HANDSWORTH
  • MOSELEY AND KINGS HEATH
  • NECHELLS
  • NORTHFIELD
  • OSCOTT
  • PERRY BARR
  • QUINTON
  • SELLY OAK
  • SHARD END
  • SHELDON
  • SOHO
  • SOUTH YARDLEY
  • SPARKBROOK
  • SPRINGFIELD
  • STECHFORD AND YARDLEY NORTH
  • STOCKLAND GREEN
  • SUTTON FOUR OAKS
  • SUTTON NEW HALL
  • SUTTON TRINITY
  • SUTTON VESEY
  • TYBURN
  • WASHWOOD HEATH
  • WEOLEY

Audiences

  • Carers
  • Disabled people
  • People with Learning Disabilities

Interests

  • Care & Support for Adults
  • Children & Young People
  • Health & Wellbeing