We have set out a clear programme of work with other national partners, in Transforming care for people with learning disabilities – next steps, to improve 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 close to home.
Led jointly by NHS England, the Association of Adult Social Services (ADASS), the Care Quality Commission (CQC), Local Government Association (LGA), Health Education England (HEE) and the Department of Health (DH), the Transforming Care programme focuses on the five key areas of:
- empowering individuals
- right care, right place
This work is driven forward by the Transforming Care Delivery Board (TCDB).
The national plan, Building the Right Support, that has been developed jointly by NHS England, the LGA and ADASS, is the next key milestone in the cross-system Transforming Care programme, and includes 48 Transforming Care Partnerships across England to re-shape local services, to meet individual’s needs. This is supported by a new Service Model for commissioners across health and care that defines what good services should look like.
The plan builds on other transforming care work to strengthen individuals’ rights; roll out care and treatment reviews across England, to reduce unnecessary hospital admissions and lengthy hospital stays; and test a new competency framework for staff, to ensure we have the right skills in the right place.
The Transforming Care programme is focusing on addressing long-standing issues to ensure sustainable change that will see:
- more choice for people and their families, and more say in their care;
- providing more care in the community, with personalised support provided by multi-disciplinary health and care teams ;
- more innovative services to give people a range of care options, with personal budgets, so that care meets individuals’ needs;
- providing early more intensive support for those who need it, so that people can stay in the community, close to home;
- but for those that do need in-patient care, ensuring it is only for as long as they need it.
After publication of Building the right support, areas were asked to establish TCPs by 15 December 2015. Following this process the number of TCPs reduced from 49 to 48 (including the 6 fast track areas).
Transforming Care Delivery Board (TCDB)
The Transforming Care Delivery Board (TCDB) was set up in February 2015 comprising the Association of Directors of Social Services (ADASS), the Care Quality Commission (CQC), the Department of Health (DH), Health Education England (HEE), the Local Government Association (LGA) and NHS England – being the six partner organisations leading the Transforming Care programme nationally.
TCDB is a strategic national body with responsibility for directing and driving the overall implementation of the transforming care programme across the health and social care system at the national, regional and local levels. The TCDB is chaired by Jane Cummings, Chief Nursing Officer from NHS England, with Ray James, President of ADASS, as Vice Chair.
TCDB is a strategic national body with responsibility for directing and driving the overall implementation of the transforming care programme across the health and social care system at national, regional and local levels. TCDB brings together the senior responsible officers from all national partner organisations involved in the delivery of the programme and collectively the group is accountable to the Transforming Care Assurance Board which is chaired by Alistair Burt (MP) Minister of State for Community and Social Care at the Department of Health.
Minutes of TCDB meetings can be found here:
- 24 February 2015
- 30 March 2015
- 11 May 2015
- 13 July 2015
- 06 October 2015
- 16 November 2015
- 16 December 2015
Transforming Care: new learning disability model service specifications
Building on the Transforming Care programme’s national service model, published in October 2015, NHS England has published three model service specifications to provide additional detail for commissioners about the purpose, functions and intended outcomes for enhanced (intensive) multi-disciplinary health and social care support, specialist community forensic support and acute learning disability inpatient services. Each specification aims to help commissioners review and meet the needs of their local population, giving people the best quality care and quality of life.
Find out more
For more details see:
- New housing guidance – Building the right home – has been developed jointly by NHS England, the LGA and ADASS; this supports NHS and local authority commissioners to expand the housing options available for this group of people who form part of the Transforming Care Programme.
- National plan, Building the Right Support – developed jointly by NHS England, the LGA and ADASS and covering services across health and care; an easy read version of the national plan is also available.
- A Service Model – developed jointly by NHS England, the LGA and ADASS, with supplementary information for commissioners; this describes what good services should look like and supports the national plan; an easy read version of the Service Model is also available.
- Progress report from the Transforming Care Delivery Board (3 July 2015) – on the joint Transforming Care programme that is being delivered by NHS England, LGA, DH, ADASS, CQC and HEE; an easy read of the progress report is also available.
- ‘Transforming Care for People with Learning Disabilities – Next Steps’ – a joint action plan agreed by NHS England, LGA, DH, ADASS, CQC and HEE, to transform services for people with learning disabilities; the joint action plan easy read is also available. See our news release.
- ‘Winterbourne View – Time for Change’ – commissioned by NHS England, this report from Stephen Bubb, outlines recommendations to transform the commissioning of services for people with learning disabilities and/or autism. Winterbourne View – easy read is also available.
- Assuring transformation data – published quarterly, this data tracks progress on discharging people from in-patient to community settings, with support.
- Peer-to-peer nursing support on learning disabilities – see NHS England’s nursing, midwifery and care staff section.