• Consultation: proposed redesign of learning disability and autistic spectrum disorder services
• Consultation for the proposed redesign of learning disability and autistic spectrum disorder services in the North West
• Easy Read: Consultation for the proposed redesign of learning disability and autistic spectrum disorder services in the North West

New proposals published today propose the closure of England’s last long-stay learning disability hospital at Calderstones in Lancashire, while creating more community support for people with a learning disability and/or autism in the North West.

People in the region are being urged to have their say on the proposals that have been drawn up by local health and care leaders to modernise services. The proposals include the closure of Mersey Care Whalley site formerly called Calderstones hospital, as called for by Sir Stephen Bubb’s ‘Winterbourne View – Time for Change’ report and the Public Accounts Committee.

NHS England will be consulting widely across the North West and beyond to ensure that the views of people who both deliver and depend on these services are at the heart of how care is transformed across the region.

Today’s announcement sets out proposals for delivering the reforms set out in Building the right support: A national implementation plan to develop community services and only use inpatient facilities for those people with a learning disability and/or autism, when absolutely necessary and for shorter periods of time.

The proposals ensure that people with learning disabilities and/or autism will:

*  Have greater choice in their pathway of care with equal and fair access to services;
*  Be able to live in a community setting;
*  Continue to receive care and treatment, closer to home, at the appropriate level to meet their needs;
*  Receive proactive healthcare to maintain health and wellbeing, and;
*  Have access to acute assessment services/ inpatient provision when needed.

The North West currently has an over-dependence on institutional hospital care for people with a learning disability and/or autism compared to other areas of the country, due mainly to the historic lack of appropriate, high quality alternatives in the community.

This consultation proposes to reverse this trend so that care and support is available closer to people’s homes and in the community where they usually feel most comfortable – one of the aims set out in NHS England’s Five Year Forward View.

Lesley Patel, NHS England’s Regional Director of Nursing for Specialised Services in the North said: “People in the North West who have a learning disability or autism deserve services which empower them to lead more independent lives, in the communities they know and feel part of, and have greater say about the support they receive to do that.

“These proposals represent a shared vision on how we can deliver integrated, modern and excellent services for those with the most complex needs over the next three years.

Jane Cummings, Chief Nursing Officer for England, said: “These proposals put the north west region at the forefront of key changes that are being implemented across the country. Improving care for this group of people is a national priority and these proposals represent a major step forward in securing real improvements to people’s lives.”