Find out more about our plans for people living with a learning disability in Bradford and how well we are doing with those plans.
A learning disability is described as a reduced intellectual ability and difficulty with everyday activities – for example day to day tasks such as household tasks, socialising or managing money – which affects someone for their whole life.
People with a learning disability tend to take longer to learn and may need support to develop new skills, understand complicated information and interact with other people.
The level of support someone needs depends on the individual. For example, someone with a mild learning disability may only need support with things like getting a job. However, someone with a severe or profound learning disability may need fulltime care and support with every aspect of their life – they may also have physical disabilities.
Our plans for learning disabilities focus on transforming care. These plans are based strongly on the transforming care for people with learning disabilities – next steps report which follows on from the Winterbourne View Concordat.
The author of the report, Stephen Bubb, states: "over the past few years people with learning disabilities and / or autism have heard much talk but seen too little action". Transforming care for people with learning disabilities - next steps, therefore focuses on improving services for people with learning disabilities and / or autism, who display behaviour that challenges (including those with a mental health condition). This will drive system-wide change and enable more people to live in the community, with the right support, and closer to home.
The programme reinstates that children, young people and adults with a learning disability and / or autism have the right to the same opportunities as anyone else to live satisfying and valued lives, and to be treated with dignity and respect. They should have a home within their community, be able to develop and maintain relationships, and get the support they need to live healthy, safe and rewarding lives.
Over the past 10 years, we have been making strides to ensure this vision becomes a reality. Locally Bradford’s changing lives programme has been the vehicle to implement this strategy for people with learning disabilities. However, for a minority, we continue to remain reliant on inpatient care - a view often held by families.
We are also following the NHS England policy and guidance following a care and treatment review.
Our data looks at two key areas to assess how we are doing with improving learning disabilities services; specialist inpatient care (delivered through the Transforming Care Programme - building the right support) and annual health checks.
The NHS is committed to a programme of closing unsuitable and outdated inpatient facilities and establishing stronger support for those with learning disabilities in the community.
In Bradford, the Transforming Care Partnership have established plans for a year-on-year reduction on the reliance on specialist inpatient care for people with learning disabilities and / or autism.
The commissioning of inpatient beds for those with learning disabilities and / or autism is split between our CCG and NHS England. Per million population, by 2019 no area should need more inpatient capacity than is necessary at any one time to cater for;
Number of people with learning disabilities and/or autism receiving specialist inpatient care (per million population);
The joint commissioner for learning disablities works closely with specialised commissioning to understand the needs of people in out of area low/medium secure provision in order to plan service provision that will meet their needs. There are currently 18 people identified by specialised commissioning as being part of Bradford’s transforming care cohort. Of these 18 people it is projected that potentially seven people may return to the responsibility of the CCG – although these numbers have not been confirmed. NHS England regional team are working with all transforming care partnerships within Yorkshire and Humber as to whether a regional response can be made to support people returning to community settings.
Locally, the CCG commission six inpatient beds which supports people with learning disabilities who require inpatient services. This provision is considerably lower that the recommended number as described by NHS England and the aim of Bradford’s transforming care plan is to reduce these 6 beds down to 3 beds over a three year period, whilst at the same time developing a robust and flexible community support for people with complex needs. It is believed that future planning around inpatient provision can be delivered on a needs based arrangement as oppose to the current block contract arrangement. This reduced number of beds will meet the needs of people within the district.
GPs conduct annual health checks for people with learning disabilities who are over the age of 14. The aim of these annual health checks is to ensure that people with a learning disability are in good health and receive care and support from mainstream health services.
The number of annual health checks is assessed using the general practice learning disability register.
We make sure that we are listening, engaging and involving patients in the planning and design of their local NHS. To do this, each programme of work has the infrastructure to engage and collect information from people through:
The insight and feedback you give us makes sure that we don't just collect information, but that we have the means and ability to use it to inform our commissioning activity and improve quality. All the insight and feedback is pulled together in a system we call grass roots.
For each programme of work, in addition to the above, we tailor engagement to ensure we are reaching people who use the services.
Grass Roots pulls together information reported through NHS Choices, Patient Opinion, Healthwatch, complaints, local groups and direct patient, family and community feedback to inform CCG planning and decision making.
The following represents feedback received in to Grass Roots:
We are continuing to work towards transforming care for people with learning disabilities, autism or both.
Over the next three years we will be further developing community services and closing unnecessary inpatient services. This will be done in partnership with Bradford Districts CCG, Airedale, Wharfedale and Craven CCG, the local authority and NHS England specialised commissioners.
We are also working with key partners across Bradford and Airedale to develop and deliver our Transforming Care Plan (TCP):
Over the next five years we plan to improve care and the quality of the services we commission. We will be doing this by creating a system-wide model for the delivery of planned care.
Our focus is on transforming both mental health services and learning disability services. The main aim is to make sure that those with mental health problems, learning disabilities and autism get the same standard of health and care as the rest of the population.
There are also a number of recommendations that have been set out by the national Mental Health Taskforce that we will be addressing, namely:
For children, we have a school liaison and prevention project. This is a model of therapeutic integrated care for vulnerable children and young people. The project is currently also implementing a single point of access to preventative support.