National plan – Building the right support

The national plan – Building the right support – gives commissioners a clear framework to develop more community services for people with learning disabilities and/ or autism who display behaviour that challenges, including those with a mental health condition, and close some inpatient facilities.

Developed jointly by NHS England, the Local Government Association (LGA) and the Association of Directors of Adult Social Services (ADASS) – with active input from people who use the services and their families – it will enable people to live more independent lives in the community, with support, and closer to home.

Forty eight transforming care partnerships (TCPs) – including the first six (Fast-Track) sites – will develop three-year plans to re-shape services, to meet local needs. This will reduce in-patient beds by up to 50% but when community services are developed.

Developing community services

The plan includes three core building blocks to radically change how we commission and deliver services, with £30m transformation funding, matched by CCGs being made available over three years and £20m capital funding over five years.

  • Forty eight Transforming Care Partnerships (TCPs) – these will bring together health and care commissioners, providers, charities, people with a learning disability and/or autism and their families to develop local plans by April 2016, to be delivered over three years. See the implementation plan (pg 37) for the geographical footprint of the TCPs.
  • A new financial framework – shared budgets across the NHS and councils, to deliver more joined-up services and speed up discharges, and for those who have been in-patients for five years or more, NHS funding will move with them to community services, for as long as they need it.
  • Service Model describing ‘good care’ – this is for health and care commissioners and has nine principles that define what good services should like, starting with ‘I have a good and meaningful everyday life’ and ‘my care is person-centred, planned, proactive and coordinated’, with supplementary information. This is based on the early learning from the six (Fast-Track) areas.
  • New guidance for Care and Treatment Reviews (CTRs) – to prevent unnecessary in-patient admissions and lengthy hospital stays; the review team includes people with ‘lived experience’ of learning disabilities/ autism’ and aim to ensure there is a care plan in place to meet the individual’s needs.
  • 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.

The Transforming Care Partnership journey

The TCPs will follow key steps to engage their local communities, including people with a learning disability and/or autism and their families, providers and commissioners, to shape their local services, using the national plan and Service Model as their framework.

The TCP journey: mobilise communities, understanding the status quo, develop your vision for the future, implementation planning, delivery, monitoring progress. Involvement of people with lived experience and their families and carers in every part of the plan.

Building the right support: one year on and two years ahead

One year after publishing our national plan we brought together TCPs and key stakeholders from across the country to reflect on the progress made to date and look ahead to the next two years of the national plan.

Find out more