How are we doing?

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. 

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Transforming care programme - building the right support

The NHS is committed to a programme of closing unsuitable and outdated inpatient facilities and establishing stronger support for those with learning disabilities in the community.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;

  • 10-15 inpatients in CCG commissioned beds
  • 20-25 inpatients in NHS England commissioned beds
  • In our local transforming care programme (developed across Airedale, Wharfedale & Craven CCG, Bradford City CCG and Bradford Districts CCG), there are 13 beds for our population of 662,004
  • this is based on 20-25 beds per million of the population.

Number of people with learning disabilities and/or autism receiving specialist inpatient care (per million population);

  • in our CCG, 52 per million population
  • across Bradford and Airedale planning footprint the CCGs are on track to deliver use of between 20-25 beds per million of the population by 2020. 

What we are doing to reduce out-of-area placements for people with learning disabilities and/or autism

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.

Annual health checks

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.

  • in our CCG, 54.6% of people with a learning disability received an annual health check,
  • in West Yorkshire, 48.1% of people with a learning disability received an annual health check,
  • the national average for annual health checks is 37.1%