NHS South Norfolk Clinical Commissioning Group is a member of the Norfolk and Waveney Transforming Care Partnership, aimed at developing the care and support available for people with learning disabilities, autism and challenging behaviour in the area over the next 3 years.
‘Transforming Care’ is a national initiative launched in 2016, jointly coordinated by NHS England and the Association for the Directors of Adult Social Services (ADASS).
The Norfolk and Waveney Transforming Care Partnership is made up of Clinical Commissioning Groups, NHS England, Norfolk and Suffolk County Council, supported by experts with lived experience and providers of services.
The aim of the Partnership is to reduce the amount of people with learning disabilities and / or autism who are currently in secure inpatient care because of their challenging behaviour.
This can be achieved through a range of support that is available to people who are experiencing mental health crisis, such as health support in the community provided by the Enhanced Assessment and Treatment Service (EATS), the Intensive Support Team (AST) and the Forensic EATS. These specialist teams complement and support the integrated local community teams to maintain people in their home and reduce the potential for hospital admission
The teams work together to provide a multidisciplinary approach working with the community provider to identify how best to support any person who is identified as being ‘Red’ on the Risk of Admission Register (RoAR). This specialist support will offer a range of interventions and techniques that will reduce the levels of heightened behaviour and in the large majority of occasions have positive outcomes
In 2018-19, a transition facility in the community has been commissioned which will allow care providers to assess people discharged from hospitals in a community rather than a hospital setting. This will also support discharged patients prepare for community provision through social and health care support.
More information, links and documents regarding Transforming Care are available on Norfolk County Council's website: www.norfolk.gov.uk/transformingcare
Experts by Experience
To ensure that the voice of people with learning disabilities is at the core of the Transforming Care Partnership, an 'Experts by Experience' Panel meets monthly to discuss the priorities and progress of Transforming Care, and share experiences of inpatient care and living in the community, and designing how more people with learning disabilities can be involved in the Partnership going forward.
The group is led by people with lived experience of accessing learning disability services, and is supported by Opening Doors, a Norfolk-based advocacy organisation for people with disabilities. Read more about Opening Doors work on their website: http://www.openingdoors.org.uk/
In 2019-20, NHS South Norfolk CCG continued its work in engaging and involving people with learning disabilities in local health and care developments.
People with learning disabilities told us that they wanted more accessible information to support Health Checks, so the CCG worked with and their carers to coproduce a pack of Easy Read Literature designed to support people with a learning disability to live a healthy lifestyle. These resources will be particularly useful when completing Learning Disability Health Checks and it is really important that they are utilised wherever possible.
The CCG supported local learning disability advocacy organisation Opening Doors to deliver their annual conference, which in 2019 was called Health, Happy, Safe, and focused on how health and social care is supporting better health and wellbeing for people with learning disabilities.
The conference used a range of innovative methods to involve all stakeholders in effective planning for the next phase of improving health and care for people with learning disabilities. You can read more about the conference by searching for #HealthyHappySafe
We also support people with learning disabilities in being involved in the Norfolk and Waveney Learning Disabilities Mortality Review (LeDeR) Programme. The Norfolk and Waveney LeDeR steering group is co-chaired by a person with learning disabilities, and in 2019 produced an Easy Read Annual Report of the work it has done.