Norfolk Health and Wellbeing Board
Information Update: February 2017
Information
Update title:
Lead(s):
Building the Right Support: Transforming Care
Catherine Underwood, Director of Integration, NCC SRO
Alison Leather Director of Quality SNCCG deputy SRO
Reason for the update report
This report provides a summary of key guidance notes for the completion of local plans
aimed at transforming services for people of all ages with a learning disability and/or
autism who display behaviour that challenges, including those with a mental health
condition, in line with Building the Right Support – a national plan to develop community
services and close inpatient facilities (NHS England, LGA, ADASS, 2015). These plans
cover 2016/17, 2017/18 and 2018/19.
Summary
Norfolk and Great Yarmouth & Waveney CCG are one of 48 Transforming Care
Partnerships formed in December 2015, who are working together in the commissioning
arrangements for people including children and young people with Learning Disabilities
including Autism. It brings together the commissioners responsible for funding health and
social care for people with a learning disability and/or autism (CCGs, local authorities with
their responsibilities for care and housing, NHS England specialised commissioning), with
local budgets aligned or pooled as appropriate.
Transforming Care is one of nine ‘must-do’s’ of the Sustainability and Transformation Plan
(STP).
The Norfolk and Great Yarmouth and Waveney Joint Transformation Plan sets out to
deliver the ambitions of the Learning Disability Transforming Care programme, which
aims to significantly re-shape services for people with learning disabilities and/or autism
with a mental health problem, or behaviour that challenges, to ensure that more services
are provided in the community and closer to home, rather than in hospital settings.
Action:
The Health & Wellbeing Board is asked to:

1.
Note the implications of the report and progress made to date.
Background
1.1
Building the Right Support is a national plan to develop community services and
close inpatient facilities (NHS England, LGA, ADASS, 2015) for people with
learning disabilities and/or autism.
1.2
Local plans are required to demonstrate how we will fully implement the national
service model by March 2019 and close inpatient beds, starting with the national
planning assumptions set out in Building the Right Support. These planning
1
assumptions are that no area should need more inpatient capacity than is
necessary at any one time to cater to :

10-15 inpatients in CCG-commissioned beds (such as those in
assessment and treatment units) per million population
 20-25 inpatients in NHS England-commissioned beds (such as those in
low-, medium- or high-secure units) per million population
Local plans are creative and ambitious and based on a strong understanding of the
needs and aspirations of people with a learning disability and/or autism, their
families and carers, and on expert advice from clinicians, providers and others. The
use of inpatients beds will be reduced in accordance with the trajectory set below
with a concurrent increase in the number of people supported out of hospital.
1.3
Final trajectories submitted to DCO teams
11/12/16 and UNIFY 23/12/16
NHS England commissioned inpatients
Inpatient Rate per Million GP Registered Population NHS England
commissioned
CCG commissioned inpatients
Inpatient Rate per Million GP Registered Population CCG commissioned
Total No. of Inpatients with learning disabilities and/or autism* (TCP
level; and by TCP of origin)
Total Inpatient Rate per Million GP Registered Population
1.4
as at
30/06/17
20
Date DCO
Year 2 (2017/18)
Year 3 (2018/19)
signed off
as at
as at
as at
as at
as at
as at
as at
30/09/17 31/12/17 31/03/18 30/06/18 30/09/18 31/12/18 31/03/19 12/12/2016
20
20
20
19
19
19
19
VS AP
24.00
24.00
24.00
24.00
22.80
22.80
22.80
22.80
24
28.80
22
26.40
21
25.20
19
22.80
17
20.40
16
19.20
14
16.80
12
14.40
44
42
41
39
36
35
33
31
52.80
50.40
49.20
46.80
43.20
42.00
39.60
37.20
VS AP
VS AP
Detailed plans are attached below at Appendix 1.
Transforming Care
Planning Template v1.0 signed off.docx
2.
Progress To Date
2.1
The local Transforming Care Plan was signed off by all key stakeholders in July
2016. Programme Governance is well established and all work streams have started
to progress the delivery of key milestones. A detailed milestone plan is attached
below at Appendix 2.
Copy of Norfolk
Milestone Report Dec 2nd 2016 (2).xlsx
2.2
2.3
Successful Launch Event for the Transforming Care Programme took place on 21st
April 2016, attended by people who use the services, service providers and
commissioners across health and social care and the Local Authority. There is
robust service user and carer engagement with Opening Doors actively involved
and supporting implementation.
Key milestones for the immediate future are:





Development of an all age Learning Disability Strategy
Development of a shared care protocol across LA and CCG’s
Submission of Business Cases to NHS England to support development of
new community based services to support discharge from long term
placements including for children in 52 week placements.
Work force development work shop February 1st 2017
Market engagement and provider development event March date TBC
2
Officer Contact
If you have any questions about matters contained in this paper please get in
touch with:
Name: Alison Leather
Tel 01603
257070
Email: [email protected]
If you need this Report in large print, audio, Braille, alternative
format or in a different language please contact 0344 800 8020 or
0344 800 8011 (textphone) and we will do our best to help.
3