Transforming Care in Suffolk An easy-read guide Transforming Care in Suffolk
The Suffolk plan looks at the life of a person with a learning disability and/or autism and throughout their life.
The plan makes sure that people can access mainstream and specialist health, education and social care services when they need them.
The local Transforming Care Partnership makes sure that there is local focus on improving services for people. Transforming Care in Suffolk
The plans have been developed using 3 documents:
Children and Young People’s Joint Learning Disability Family 2020 Emotional Wellbeing Plan Strategy for Adults
This plan sets out how it we can improve children and young people’s emotional wellbeing and mental health by improving services, working in new ways and training the workforce.
Family 2020 looks at the important things and sets actions that will give better outcomes for families in Suffolk, and looks to 'Give every child in Suffolk the best start in life.'
This Joint Learning Disability Strategy sets out a clear vision on how we can work together differently to deliver better outcomes, and make sure people live good lives as part of their community. Transforming Care in Suffolk
The Government has asked us to change how we spend money so we help people stay out of hospital.
The Partnership looks at ways it can develop how it plans and pays for the services that people would like to have in the community.
Clinical Commissioning Groups are the organisations that buy health and care services.
The Partnership includes people who live in Ipswich and East Suffolk CCG and West Suffolk CCG. Ipswich and East Suffolk CCG, West Suffolk CCG and Suffolk County Council are working together.
Transforming Care in Suffolk Transforming Care in Suffolk Our aims include:
To make sure people’s hopes and aspirations are at the centre of planning.
Making sure this programme is age inclusive. (This means working with children, young people and adults.)
Making sure that no one stays in an acute inpatient setting for longer than thy need to and that appropriate services are put into place to support people in the community.
Making sure that people receive regular reviews of their needs because they change over time. Transforming Care in Suffolk Our aims include:
To make sure that all Health and Social Care Reviews involve listening to people and their families.
To make sure that all Health and Social Care staff have good skills to be able to support people in their own home and in the community.
Improving communications across different providers so the right people know how to help. So people know what has worked in the past and what has not.
To offer positive behaviour support training to families, schools and care providers.
Transforming Care in Suffolk Transforming Care Programme
The Transforming Care Programme has other work plans linked to the following areas which are both proactive and reactive.
A proactive approach focuses on stopping problems before they have a chance to appear.
? A reactive approach is based on responding to events after they have happened.
These work plans are explained in more detail on the next few pages.
Transforming Care in Suffolk Transforming Care Programme
Our proactive plans include:
2. Community Care and 1. Risk Registers Treatment Reviews
3. Care Programme 4. Access to specialist Approaches community health services
5. Intensive Support at 6. Urgent and planned respite home teams
8. Integration of Learning 7. Step up/step down scheme Disability Social Care team Transforming Care Programme
Our reactive plans include:
1. Blue light Care and 2. Redesign of assessment Treatment Reviews and treatment units
3. Intensive Support at home teams
Transforming Care in Suffolk Key Contacts
The Senior Responsible Officer for Transforming Care is Barbara McLean who is the Chief Nursing Officer at Ipswich and East CCG and West Suffolk CCG.
The Deputy Senior Responsible Officer is Julie Bateman who is the Assistant Director- Personalisation, Quality and Safeguarding and Adult and Community Services.
For further information at the CCG please contact Gabby Irwin (Transforming Care Lead) at [email protected]
Amanda Dunn, (Transformation Programme Manager for Learning Disability Services) [email protected]
Richard Selwyn (Assistant Director Commissioning - Children and Young People’s Services) at [email protected] New Service Models
Walker Close, Ipswich The redesign of Walker Close will include 2 bungalows (each with 3 beds).
The focus of Walker Close will be an ‘Assessment and Treatment’ unit with a focus on supporting people to return to or remain in the community.
Intensive support at home
A Home Intensive Support Team will work with people in the community stopping them from in-patient admission or supporting an early return home.
We will support people, their families and carers where they live now to get the right support, in the right place, at the right time. New Service Models
Other work plans A short term step up/step down supported housing provision is being developed to support people who are not able to return home but may need a period of time outside the usual care setting.
The national Shared Lives is being explored for Suffolk. This provides people with the opportunity to live within a family / home environment with support.
A bid to access funds from NHS England is currently being developed. The Time Away from Home Service will be developed alongside the Home Intensive Support Team.
Plans for a ‘Time Away from Home Service’ are being developed so that people are able to remain in the community at times when additional family support is needed, without having to be admitted into a hospital bed.
Transforming Care in Suffolk Transforming Care Board
Our Transforming Care Board will manage progress, shape our direction and resolve issues.
The board meets every month.
The Board includes provider representation; both Norfolk and Suffolk Foundation Trust and someone from the learning disability provider forum.
The Board includes self-advocates and carers.
Transforming Care in Suffolk Health and Social Care working together
Autism Strategy
The local system has agreed and signed up to the national autism strategy, and there is a best practice group in place in Suffolk to make sure things are on track.
A new Director post has been created to make sure that health and social care are working together well.
Transforming Care in Suffolk