![]() ![]() Under the programme’s local areas, NHS England allocated piecemeal funding, with every bit of funding tied to a reduction in inpatient numbers. The national programme ’ s delivery model did not support the development of a community-based model of care specialist assessment and treatment units but also mainstream mental health hospitals.Ī key performance metric for Transforming Care Partnerships was a low number of inpatients and this means there is a real risk that people with autism or learning disabilities in mainstream mental health hospitals are ignored – even though we know these institutions routinely fail people with these conditions. those designed specifically for people with learning disabilities, whereas others – correctly – monitored any person with a learning disability or autism, or both, in any mental health inpatient setting, i.e. Some CCGs only monitored those individuals in specialist assessment and treatment units, i.e. However, as the national initiatives changed – from the Winterbourne View Concordat to the Transforming Care Programme – and the definitions of the ‘Winterbourne View/ Transforming Care cohort’ has evolved, exactly who CCGs are monitoring has changed. ![]() This is absolutely right, except exactly who is being counted varied with CCGs, and the performance monitoring approach prevents CCGs and regional assurance teams from finding the right people. Transforming Care was a closely assured programme and clinical commissioning groups (CCGs) were strongly performance managed on their number of inpatients. Here are some lessons that need to be considered and ideas for what can be done better: Everyone needs to be counted Policymakers and senior managers driving the national programme centrally must learn the lessons from the Transforming Care programme, or be faced with a fourth iteration of a post-Winterbourne View initiative. While it’s sensible to extend the timescales, this will not be enough to address the scandal of too many people, particularly those with autism or learning disabilities, spending far too long in mental health inpatient facilities.
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