Monitoring the quality of care and safety for people with a learning disability and/or people who are autistic in inpatient care

Learning disability and autism safe and wellbeing reviews

As part of the NHS response to the safeguarding adults review (SAR) concerning the deaths of Joanna, Jon and Ben at Cawston Park, a national review, confirmed by Claire Murdoch, National Director for Mental Health has been undertaken to check the safety and wellbeing of all people with a learning disability and autistic people who are being cared for in a mental health inpatient setting. This includes people whose care is being funded by integrated care boards (ICBs) (previously funded through clinical commissioning groups), specialised commissioning and provider collaborative commissioning. All reviews are now complete. Each individual’s review was overseen by the relevant ICB Oversight Panel to check that each person was safe and well and determine what actions needed to be taken if not.

The safe and wellbeing reviews: thematic review and lessons learnt report has been published. Themes emerging from the review findings have been shared with NHS England regional and national teams. These findings have helped inform the work of the Quality Transformation Programme and the Dynamic support register and Care (Education) and Treatment Review policy and guidance. The regional and national teams will make sure the learning from the reviews continues to be used to develop any new guidance and to shape the work being delivered.

For further information please email