Learning Disabilities Provider Forum Meeting Monday 16 th March 2015 Agenda and Minutes

Transcription

1 Directorate of Adult Services and Health - Learning Disabilities Provider Forum Learning Disabilities Provider Forum Meeting Monday 16 th March 2015 Agenda and Minutes Council Chamber, County Hall Document Details: Status: V1 Date: 6th May 2015 Document Location: Contact: William Westwood Page 1

2 Directorate of Adult Services and Health - Learning Disabilities Provider Forum Contents Learning Disabilities Provider Forum Meeting 19 th January 2015 Agenda and Minutes... 1 Contents... 2 Agenda... 3 Date of next meeting... 3 Future meetings... 3 Minutes... 4 Attendees Introductions Minutes of meeting held on 19 th January Provider feedback from Pre Meet CLDN nurses PowerPoint on service LD Strategy update Update on Day Services Provider Feedback from Partnership Board Update on Supported Living Any other business Date of next meeting Future meeting dates table Page 2

3 Directorate of Adult Services and Health - Learning Disabilities Provider Forum Agenda Please arrive by 9.15 ready for a 9.30 Provider only discussion group and from 10.30am Provider Forum. Finish by 12: Provider only discussion group (this is to facilitate a provider discussion regarding current issues that need to be discussed) 1. Introductions 5 mins 2. Matters from previous minutes 10 mins 3. Provider Feedback 10 mins 4. CLDN nurses PowerPoint on service 30 mins 5. LD Strategy update 10 mins 6. Update on Day Services by Elaine Carolan 10 mins 7. COFFEE BREAK 15 mins 8. Provider feedback from Partnership Board 15 mins 9. Update on Supported Living by Elaine Carolan 10 mins 10. Any other business. 5 mins - Care Act Training for Providers Date of next meeting Next meeting: Monday 18th May 2015 at the Council Chambers at 09:30. End of Forum Future meetings Date Venue Time 20th July 2015 Kidderminster Room, County Hall 10:30 to 12:30 21st September 2015 Redditch Room, County Hall 10:30 to 12:30 16th November 2015 Worcester Room, County Hall 10:30 to 12:30 18 TH January 2016 Worcester Room, County Hall 10:30 to 12:30 21 st March 2016 Worcester Room, County Hall 10:30 to 12:30 16 th May 2016 Worcester Room, County Hall 10:30 to 12:30 Page 3

4 Directorate of Adult Services and Health - Learning Disabilities Provider Forum Minutes Attendees WCC Officers: Elaine Carolan (EC) Melanie Taylor (MT) Speakers: Saffron Box (SB) Providers: Kay Meredith (KM) Kelly Cole-Parsons (KCP) Kirsti Griffin Priory Group (KG) Sophie Herring (SH) Russell Wall Where Next? (RW) Anita Warner Macintyre (AW) Tim Dawson-Law Mencap (TD-L) Ruth Krivosic The Emily Jordan Foundation (RK) Margarot Borkowski The Odell Centre (MB) Sarah McCammon The Myriad Centre (SM) Hayley Hemmings Heart of England Mencap (HH) LD Provider Representatives: David Broadbent (DB) The Broad Group Graham Clarke (GC) - Where Next? Hayley Hemming (HH) - Heart of England Mencap 1. Introductions EC introduced herself as a Lead Commissioning Manager, chairing the meeting. All attendees introduced themselves and signed the attendance register. 2. Minutes of meeting held on 19 th January 2015 Minutes of the previous meeting were agreed. 3. Provider feedback from Pre Meet One member raised concerns around The Young Adults Team not feeding information through to Providers, about how many people are coming through the system who will require support/placements. Elaine suggested Jonathan Monk; the YAT Manager is invited to the next meeting to speak. Action: WW to invite Jonathan Monk to next Provider Forum. Page 4

5 Directorate of Adult Services and Health - Learning Disabilities Provider Forum Members asked what training was available to them? With upcoming Care Act could really do with some detailed information on how this will affect services in Worcestershire. Elaine confirmed that Melanie is currently organizing 2 sessions for April, WW will confirm date ASAP. Action: WW to bring details of future training courses to next meeting. EC mentioned that there were 3 or 4 sessions carried out late last year, Providers would like to know who attended these previous Care Act training sessions as no one from LD seems to have been invited. MT to investigate and confirm. Action: WW to establish details of who attended the previous course. Elaine also confirmed to the group that there is other training available to Providers; we will circulate the link to this. Action: WW to investigate and bring details to next meeting A member raised concern over the new website and the authorization levels 1-3, especially for day opportunities, seems to be some confusion over what we were told at event and what is happening on the system. The group discussed, this could cause major issues especially for smaller organizations. EC will seek a response from Charles Huntington and Contracts Team on this and contact the forum via to confirm. Action: EC and WW to speak with Charles Huntington and Contracts and bring a response to next meeting. A member asked if the group could be provided with a flow diagram of the referral process and how people move through the system? Elaine explained that ways of working will be changing quite quickly from April. Elaine suggested inviting a WCC rep to the group to speak about how Social Workers will work going forwards. The group agreed this would be beneficial. WW will invite rep, possibly Liz Staples. Action: WW to invite Liz Staples or a suitable representative to the next meeting. 4. CLDN nurses presentation on service Saffron Box delivered a presentation on the CLDN team Saffron ran through the wide range of referrals the teams can receive. If anyone needs to send something to the Nurses team to look into then they can use the referral form, this will be sent round with the minutes. Responses are usually quite quick and are prioritized by urgency. If anyone needs any help or advice with anything then the team welcomes contact via phone or referral form. Elaine updated the group on what commissioning is doing to improve annual health checks Page 5

6 Directorate of Adult Services and Health - Learning Disabilities Provider Forum 5. LD Strategy update Elaine presented the group with the final copy of the LD strategy, which has been shared with the group several times whilst in draft. This has been sent to be printed and will be uploaded to the website and sent to this group. Action: WW to upload a copy of the LD strategy to the forum webpage and send as an to the group. Commissioners within The ICU are leading on different sections of the strategy. Elaine informed the group that WCC are expecting a 50% increase in requests for assessments from April. A market position statement will be the next thing for Commissioners to work on producing. 6. Update on Day Services Elaine informed the group that the proposals for Worcester and Malvern are going through today, these now have a 5 day call in period before they can be passed. Cllr Sheila Blagg and Cllr Marcus Hart have been given delegated responsibility from Cabinet to make the decisions. A design group will be setup for the new room at The CUBE in Malvern. Elaine wanted to make Providers aware of likely changes to transport and to prepare for probable changes. Going forward WCC providing transport as it does now looks unlikely with offers being expensive and unstainable. The money instead will be put into people's personal budgets for them to purchase from a chosen provider. Graham made the group aware that from his experience providing transport can get complicated and to talk to insurance companies. 7. Supported Living update Elaine updated the group on supported living, WCC have a target to move 200 service users into Supported Living. There will be a tender on the e-portal soon for small pots of capital money to convert existing buildings or build new ones to create more supported living in Worcestershire, please keep an eye on the portal if you are interested. There is a team of 3 Social Workers within ICU working on moving Older People into Extra Care. There are also 4 Social Workers in The YAT looking at supported living as an option for people. Elaine informed the group that WCC have had their first parent and child placement, this was for an elderly mother and her daughter with LD who she cares for, they have moved into Meadow Court which is an extra care facility, this is a great scenario where both can get the appropriate care whilst still being independent. Page 6

7 Directorate of Adult Services and Health - Learning Disabilities Provider Forum 8. Provider feedback from Partnership Board Elaine informed the group that David Broadbent has resigned from The Learning Disability Partnership Board as a rep for the Providers. Graham confirmed that he was still a rep and that there was space to have 3 Provider reps on the group. EC asked the group to come up and agree a new rep and to let Will know who these are; she recommended that Providers from different sectors are represented to give a broader knowledge base. 9. Any other Business Elaine noted that LD banding rates for care are currently being worked on; this should tell people what they would expect to pay for care, with and without nursing etc. The final document will be shared with the group, WW to circulate. Action: WW to circulate LD banding rates document to group. It was agreed that the minutes for the Partnership Board and its sub groups would be uploaded to the website for this group to see, along with a list of who are the Provider reps on each group. Action: WW to send documents to be put up onto website. 10. Date of next meeting Monday, 18th May 2015 Pre-meet: 09:30 to 10:30 Main meeting: 10:30 to 12:30 Location: Council Chamber, County Hall 11. Future meeting dates table Date of meeting Location of meeting 20 th July 2015 Kidderminster Room, County Hall 21 st September 2015 Redditch room, County Hall 16 th November 2015 Worcester Room, County Hall 18 TH January 2016 Worcester Room, County Hall 21 st March 2016 Worcester Room, County Hall 16 th May 2016 Worcester Room, County Hall Page 7

8 Who are we? Registered Nurses in Learning Disabilities Part of the integrated Community Learning Disability Teams

9 South North Worcester & Droitwich Lisa Gwin Matthew Brookes Wychavon & Malvern Saffron Box Michelle Griffin John Peakman Bromsgrove & Wyre Forest Redditch Andrew Helen Needham Cotterill Melanie Jones Michelle Billings Sharon Cox Professional Lead Nurse Helen Collins Professional Lead Nurse Elaine Harris Team Managers Jeremy Foxall Emma Mackey Sarah Hill Julia Dawson

10 Assessment of need Health surveillance and health promotion Developing personal competence Enhanced therapeutic skills Managing and leading teams of staff Enhancing the quality of support Enablement and empowerment Co-ordinating services Continuing the Commitment, Learning Disability Nursing Project (1995) Strengthening the Commitment, Department of Health (2012)

11 Referrals *(not exhaustive) Continuing Health Care screening, assessments, reviews and monitor care packages Continence pathway Dementia pathway Epilepsy Management Plans Health promotion & facilitation Joint Care Management with Social Workers for people in secure hospitals, including CPA reviews Health facilitation within acute services, and in the community Health Action Plans and My Hospital Books Initial Behaviour screening and assessment Support with Mental Capacity Assessments and Best Interest Decisions around health issues

12 Health promotion National Screening Programmes: o Cervical cancer, women years o Breast cancer, women years o Bowel cancer, men & women years o Triple A, men 65 th year Testicular care and cancer awareness

13 Menstruation and menopause Personal hygiene Oral hygiene and dental care Loss & bereavement Healthy eating and healthy lifestyles Diabetes Blood pressure, cholesterol etc. Epilepsy Autism Substance misuse, smoking, alcohol Sexual health and relationships Desensitisation e.g. blood tests, IM injection

14 GP Link Nurse Role Point of contact for Primary Care within the Community Learning Disability Teams Maintaining Learning Disability GP registers: o Eligibility o Invitations for clinics i.e. Diabetes, Asthma, Epilepsy, Coronary Heart Disease o National Screening Programme database o Check Oasis alerts Facilitating and monitoring Annual Learning Disability Health Checks

15 Annual Health Checks Everybody on LD register invited annually by GP 69% of eligible people receiving health checks* Monitored for quality GP Link Nurse Outcome based health goals identified CN referrals generated for: o BMI >30 and <15 o Down s Syndrome >45 years Dementia Screening o Health promotion e.g. cervical and breast screening o HAP, My Hospital Book *Ref: Public Health England, Improving Health and Lives report

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18 Health Action Plans Valuing People 2001 Actions for Health; Detailed Good Practice Guidance on Implementation for Learning Disability Partnership Boards Live working document, belonging to the person with a learning disability Requires ongoing review and updates by Health Facilitator Database of people who have been offered a HAP kept by CLDT includes Provider s versions Awaiting new format in Worcestershire

19 How to refer

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21 References Department of Health (2001) Actions for Health: Health Action Plans and Health Facilitation; Detailed Good Practice Guidance for Learning Disability Partnership Boards. London Public Health England (2015) Learning Disabilities Profile for Worcestershire ew=e Department of Health (1995) Continuing the Commitment; The Learning Disability Nursing Project. London Department of Health (2012) Strengthening the Commitment. London

22 Questions?