How we are doing when it comes to learning disability and / or autism
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 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 transforming care programme states 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. Work continues to deliver our strategy Transforming services for people with learning disabilities which launched in 2016/17:
Two stars - similar to the English average.
For all three CCGs across Bradford district and Craven the rate of specialist inpatients is 54 per 1,000,000 population. We need to reduce this by at least half.
Housing – currently developing more than seven sites across Bradford district and Craven to support all people with learning disabilities and autism – including people with complex presentations.
The first site opened on the 2nd May 2018. Over all this will offer different housing options and individual tenancies for more than 82 people with a learning disability. We have appointed a person to a 12 month post to coordinate nominations from people to live in these developments
Through our work with Specialised Commissioning then we have reduced the number of Bradford people we report on within our transforming care partnership from 15 to 9. This is due to these people’s primary needs being mental health and not learning disabilities. In doing so it ensures they are on the correct pathway for support.
Three stars - better than the English average
Two out of every three people aged 14 or over with a learning disability receive their annual health check. This result is amongst the highest across England.
We are working with GP practices to promote the benefits of being on the Learning disability register. Some families and individuals are still reluctant to have their name on a register that indicates they have a learning disability.
This will be supported by better sharing of information and data across health and social following the Local access to SystmOne, which is the primary care clinical patient record system. Being included within this register also helps GPs to offer physical health checks as the register is used to send invitation letters to people when health checks are due.
Increasing annual health checks has been helped by the Bradford District Care NHS Foundation Trust who have recently re-launched easy read publicity and sent this to GP surgeries and other public buildings. This publicity material describes the importance of having an annual physical health check in an easy read format.