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Joint Commissioning Strategy for Adults with Learning Disabilities: Planning for Better Lives and Health

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This strategy outlines a comprehensive approach for improving the lives and health of adults with learning disabilities through effective commissioning. It highlights the necessity of personalisation, service user feedback, and the financial climate impacting local authorities. The strategy is structured in two parts: Part 1 focuses on the policy context and the characteristics of good commissioning, while Part 2 discusses a whole system approach and the stepped care model. Emphasizing independence, community living, and integrated health and social care, this strategy aims to shape a better future for individuals with learning disabilities.

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Joint Commissioning Strategy for Adults with Learning Disabilities: Planning for Better Lives and Health

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Presentation Transcript

  1. Provider Forum A Joint Commissioning Strategy – planning for better lives and better health for Adults with Learning Disabilities

  2. Context for the Strategy • Changing commissioning arrangements • Existing plans – personalisation, short breaks, community opportunities, settled housing, carers strategy, campus closure, 6 Lives, Health Checks and Action plans, pathways, etc • Financial climate – LA consultations on FACS and charging • Efficiency • Service user and carer feedback

  3. Structure of the strategy (1) Part 1: • policy context – general and specific to LD • Characteristics of good commissioning • Summary of people’s needs for independence, quality of life, healthcare • Messages and trends from JSNA, Register, etc, and implications for trends in service delivery

  4. Structure of the Strategy (2) • Part 2: • Whole system approach - overview • Stepped Care: principles; forms of case management; • interventions; proposed stepped care model • Care Pathways: Definitions and principles; pathways • required; core care pathway; specialist pathways; • common features of pathways • Responsibilities of partner agencies • Commissioning priorities: under 3 headings – Maximising • independence and community living; Improving health and • health care; Developing whole system of care • Investment - overview • Efficiency and lower priority service reduction – 7 headlines

  5. Key points (1) 1) Expectations on all providers to work within • policy, regulation and quality regimes, legal duties under DDA, etc • personalisation • stepped care approach and care pathways 2) Market shaping in response to personalisation in social care provision 3) Healthcare development in line with VPN Top Targets – campus closure; primary, community and acute healthcare; 6 Lives; strengthening local specialist care; etc

  6. Key points (2) 4) Securing inter-agency sign up to whole system approach 5) Priority pathways – transitions; complex need/multiple disabilities; MH; Dementia; ASD; challenging behaviour; forensic; acute hospital care; access to activity, learning and work 6) Further integration of health and social care (less structurally and more practice- focussed) 7) Efficiency

  7. Efficiency • Continuous minimisation of residential social/healthcare • Savings in complex high-cost/out-of county care • Development of innovation in non-institutional community opportunities, accessible through self-directed care and personal budgets • Review of eligibility and charging • Workforce efficiency through pathway development • Reduction of management costs in commissioning and provision

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