Agenda item

Following the presentation of the Haringey Winterbourne Review Joint Action Plan to the shadow Health and Wellbeing Board in February of this year, this report provides a summary update to the Health and Wellbeing Board on the implementation and progress of the Plan, against targets set by the Department of Health’s Winterbourne View Review Concordat Programme of Action. The Health and Wellbeing Board are asked to approve the latest version of the Haringey Winterbourne Review Joint Action Plan as set out at Appendix 1 to this report.

The Board received the report on the implementation and progress of the Haringey Winterbourne Review Joint Action Plan, against targets set by the Department of Health’s Winterbourne View Review Concordat Programme of Action. The report was presented by Beverley Tarka and Tristram Brice, Adult Commissioning Manager.

The Board was asked to note progress against the key targets and the following were highlighted:

·        The compilation of a register of people with learning disabilities in NHS funded care had been completed on time, and the cohort of clients with learning disabilities in Assessment and Treatment Units had been identified.

·        It was important to ensure systems were in place to enable the CCG and Local Authority to have oversight of clients within forensic services.

·        Appendix 3 set out the plans for facilitating the discharge of service users into the community. Of the service users listed, it was anticipated that 50% would have moved on by the end of 2013, which was a positive development.

·        The Winterbourne Joint Improvement Programme was keen to share practice and challenges, and to discuss and share information nationally.

·        It was noted that Haringey had developed areas of good practice, for example the joint establishment concerns process which was now being rolled out as part of the pan-London procedures.

·        In terms of engagement with families, questionnaires had been developed, interviews had taken place and focus groups were planned as part of a process of reflective learning. It had been identified that some families were not aware of how to recognise early signs of neglect, and also what to do about it if signs had been recognised, and officers were looking at how these issues could be addressed.

·        The importance of there now being a pathway for people in Assessment and Treatment Units was emphasised, as this had not been the case previously. Progress was also recognised in terms of clinical oversight for people placed in Assessment and Treatment Units out of borough, and the facilitation of discharge back into the community.

·        A key piece of work was gathering information on the needs of this particular cohort in order to identify gaps; this work would help to inform commissioning and the JSNA.

·        Funding was identified as a challenge, as there was the risk of a potentially significant cost-shunt to the local authority. Funding arrangements in this area were complex, and there was concern that this had not been fully taken into account at a national level.

·        The Board congratulated the team for the progress they had made within the timescales set out by the Government, and noted the financial concerns, which would need to be addressed nationally.

·        With regard to addressing the financial challenges, it was reported that the Council was looking at more innovative ways of delivering services and greater use of partnership working, but it was acknowledged that this was an ongoing challenge. One of the approaches that had been successful in delivering greater value for money was integrated working and commissioning around health and housing, which had led to several projects for helping people into supported housing with tailored care. The Local Authority was doing what it could to minimise the impact on services, but it was recognised that there may come a time when greater impact on services would become unavoidable.

·        The Board asked to be kept up to date with this work.

RESOLVED

That the content of the report be noted.