Agenda and minutes

To remind Members of the need to record the existence and nature of any Personal, Disclosable Pecuniary or other interests in items on the agenda, in accordance with the Members’ Code of Conduct.

There were no declarations of interest received.

The West Berkshire Health & Wellbeing Board is asked to acknowledge, understand and endorse the Transforming Care Plan.

The Board considered a report (Agenda Item 3) concerning the Transforming Care Plan, which had been jointly developed with the six local Berkshire authorities and the seven Clinical Commissioning Groups (CCGs) across Berkshire West.

Sarita Rakhra, Carers/Voluntary Sector/Mental Health and Learning Disability Commissioning Manager for NHS Berkshire West CGs, introduced the report which set out how services would be transformed for people of all ages with a learning disability (LD) and/or autism who displayed behaviour that challenged, including those with a mental health condition.

In 2012 a BBC Panorama programme had revealed abuse of vulnerable people at Winterbourne View. This provoked the Department of Health to conduct a Review all CCGs and local authorities were required to submit a joint strategic plan to show how people with LD would be supported out of the Assessment and Treatment units.  A joint Berkshire strategic plan was developed in 2013 and a Winterbourne Project Board lead service re-design work and developed key elements of a Positive Living Model. The Review concluded that in-patient provision should be scaled back with a stronger focus on community based support. A target was set for 50% of in-patient beds to be moved by June 2014 and not all Berkshire patients were moved within this timeline due to complex care needs that could not be met in appropriate community placements.

A concordat was signed between the Local Government Association (LGA), Association of Directors of Adult Social Services (ADASS) and NHS England to improve the lives of people with learning disabilities and/or autism and mental health problems.

The Berkshire Transforming Care Plan was aligned to the national plan, Building the Right Support, to strengthen community services and close 50% of the inpatient facilities by March 2019. The shared Berkshire vision was to improve the pathway for people with learning disabilities and challenging behaviour by reducing reliance on in-patient beds through increasing access to intensive specialist community services.

There was a national process to support discharge from the Access and Treatment Units (ATUs) and CCGs were required to chair and facilitate multidisciplinary Care and Treatment reviews that drew up recommendations and action plans to support timely and effective moves from in-patient beds into the community.

NHS England commissioned the forensic pathway, such as at Rampton Secure Hospital. There was one patient who had been accommodated there for 14 years and could be considered to be institutionalised; a stepped change would be required to resettle that individual into the community. Commissioners were working with national leads to ensure people were effectively supported for life in the community.

In Berkshire, the Berkshire Transforming Care Partnership Board (TCPB) had been lead by Gabrielle Alford, Director of Commissioning for Berkshire West CCGs, and Alan Sinclair, Interim Director of Adult Social Services and the Deputy Senior Responsible Officer. The TCPB has worked with CCGs, Local Authorities, and the Learning Disabilities Partnership Boards in developing the Plan. The TCP had been due for submission in July 2016 but NHS England had moved the timeline for  ...  view the full minutes text for item 107.