NHS Commissioning
After Winterbourne View
- An Update
Geoff Baines
Associate Director
NHS South West
4 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
Proportion of Contract Holders
8
7
6
5
4
3
2
1
0
PCT
NHS Trust
Local Authority
Specialist
Commissioning
Joint PCT led
Joint NHS Trust led
Joint Local
Authority Led
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