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Delivering the Transforming Care programme: a case of smoke and mirrors?

  • John L. Taylor (a1)
Summary

The Transforming Care national plan for England to develop community services and close hospital beds for people with intellectual disabilities and/or autism was published in October 2015 and is due to finish in March 2019. In this editorial the key plan objectives are evaluated, with particular reference to people with intellectual disabilities and/or autism who offend or are at risk of offending. The conclusion is that, to date, the plan has failed to meet its targets to reduce the number of in-patients with intellectual disabilities and/or autism and to invest in community services, and the number of patients in independent sector beds is increasing.

Declaration of interest

The author is employed by Northumberland, Tyne and Wear National Health Service Foundation Trust, however the opinions expressed in this article are the author's own and do not reflect the views of the Trust.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Corresponding author
Correspondence to John L. Taylor (john.taylor@ntw.nhs.uk)
References
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1Breslin, J. How the Good Guys Finally Won, Notes from an Impeachment Summer. Viking, 1975.
2National Health Service (NHS) England. Building the Right Support: A National Plan to Develop Community Services and Close Inpatient Facilities for People with a Learning Disability and/or Autism Who Display Behaviour that Challenges, Including Those with a Mental Health Condition. NHS, 2015 (https://www.england.nhs.uk/wp-content/uploads/2015/10/ld-nat-imp-plan-oct15.pdf).
3Department of Health (DoH). Transforming Care: A National Response to Winterbourne View Hospital. DoH, 2012.
4Public Accounts Committee. Oral Evidence: Care Services for People with Learning Disabilities and Challenging Behaviour. HC 973, Monday, 9 February. Public Accounts Committee, 2015.
5National Audit Office. Local Support for People with a Learning Disability: Report by the Comptroller and Auditor General. National Audit Office, 2017.
6Moore, A. National learning disabilities programme ‘leading to unplanned costs’. Health Serv J 2018. Available at www.hsj.co.uk/finance-and-efficiency/national-learning-disabilities-programme-leading-to-unplanned-costs/7022111.article.
7Resonance. Winterbourne View and Social Investment. Resonance, 2014. Available at http://resonance.ltd.uk/wp-content/uploads/2016/06/Winterbourne_View__Social_Investment_Report_26_Nov_2014.pdf.
8Bubb, S. Winterbourne View: Time for Change. Transforming Care and Commissioning Steering Group, 2014. Available at https://www.england.nhs.uk/wp-content/uploads/2014/11/transforming-commissioning-services.pdf.
9ACEVO. Time for Change: The Challenge Ahead. AVECO, 2016. [Known as the second Bubb report.]
10National Audit Office. Care Services for People with Learning Disabilities and Challenging Behaviour, Session 2014–15, HC 1028. National Audit Office, 2015.
11National Health Service (NHS) Digital. Learning Disability Services Monthly Statistics England Commissioner Census (Assuring Transformation) – February 2018 Provisional Statistics. NHS Digital, 2018. Available at https://files.digital.nhs.uk/pdf/8/9/ldsm-feb-18-main-report.pdf.
12National Health Service (NHS) Digital. Learning Disability Services Monthly Statistics: Mental Health Services Dataset: Learning Disability and Autism Statistics – February 2018, Experimental. NHS Digital, 2018. Available at https://files.digital.nhs.uk/B0/AE5F14/MHSDS%20Monthly%20February%202018%20LDA%20Main%20Report.pdf.
13Taylor, JL, McKinnon, I, Thorpe, I, Gillmer, BT. The impact of Transforming Care on the care and safety of patients with learning disabilities and forensic needs. Br J Psychiatry Bull 2017; 41: 205–8.
14Brown, M, James, E, Hatton, C. A Trade in People: The Inpatient Healthcare Economy for People with Learning Disabilities and/or Autism Spectrum Disorder. Lancaster University: Centre for Disability Research, 2017.
15Glover, G, Olson, V. Assessment and Treatment Units and Other Specialist Inpatient Care for People with Learning Disabilities in the Count-Me-In surveys, 2006 to 2010. Improving Health and Lives: Learning Disabilities Observatory, 2012.
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BJPsych Bulletin
  • ISSN: 2056-4694
  • EISSN: 2056-4708
  • URL: /core/journals/bjpsych-bulletin
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Delivering the Transforming Care programme: a case of smoke and mirrors?

  • John L. Taylor (a1)
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