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CLAHRC Fellowship Project

CLAHRC Fellowship Project. Coming Home : How best can the needs of men and women with ID from out of area placements be met locally, and what are the barriers?. Context. Mansell 2 (DOH, 2007) and the re-affirmation to re-direct resources from expensive OOA placements

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CLAHRC Fellowship Project

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  1. CLAHRC Fellowship Project Coming Home : How best can the needs of men and women with ID from out of area placements be met locally, and what are the barriers?

  2. Context • Mansell 2 (DOH, 2007) and the re-affirmation to re-direct resources from expensive OOA placements • Winterbourne View scandal (2011) and on-going safeguarding concerns • Cost of OOA treatments - national QIPP priority in the area of Mental Health • NHS Peterborough financial turnaround plans

  3. Project questions • How best can the needs of men and women with Intellectual Disabilities (ID) from out of area placements be met locally, and what are the present barriers and enablers? • Have the saving assumptions detailed in the Peterborough LD efficiency savings programme been fully realised? • What has been the experience of a defined number of ‘returnees’ and has local provision met expectation including quality of life factors?

  4. Limited studies in this area • Andrea Barron, Hassiotis et al (2011) • Allen et al (2007) • Beadle-Brown et al (2006)

  5. OOA Cohort Profile

  6. OOA Placement Costs Box and whisker plot to show the spread of values for those returning and not returning to area.

  7. Model of OOA returnship 7. Review and refine 6. Monitor 5. Implementation 4. Agree and share ‘whole system’ strategy 3. Planning structure 2. Needs assessment 1. Stock take Source: NHS Confederation - Briefing May 2011 Issue220

  8. Lessons learnt • Data integrity has been a problem • Cohort fluidity – who’s in and who’s out? • Constraints and limitation • Nothing stays the same – key personnel and organisational change • Value of project supervision and CLAHRC Fellows teaching

  9. Emerging barriers 7. Compromised by structural change locally 6. Absence of quality assurance 5. Savings the priority? 4. Not a whole systems approach 3. Dependence on key players rather than the plan 2. Data integrity, again 1. Mapping the unknown

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