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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.
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NHS CommissioningAfter 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
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