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Gavin Harding
Learning Disability Adviser - Improving Lives
Team & Best Care Now Support Team
NHS England
So...
Whats changed?
What have we learned?
Every decade
since the 1970s there
has been a national scandal
involving the care of people
with learning disabilities
Confidential Enquiry
(CIPOLD)...
Healthcare for All...
Six Lives...
Death by indifference - 74
deaths and counting...
Are we a profession
with a memory?
WHO LISTENS?
When we
suggest change?
When we
challenge?
When we
suggest a
new idea?
When we
complain?
When we
wont
collude??
When we
blow the
whistle?
Good
enough?
Good
enough?
Many people in
hospital are not in receipt
of active treatment and do not
know when they are likely to be
discharged.
Good
enough?
For many people who have close family ties, they end
up being placed miles away from home. In many cases
the persons family are not actively involved in
decisions about their loved ones care.
Good
enough?
Huge inequalities
continue to exist for
people with learning
disabilities, with
avoidable
contributory factors
having led to
hundreds of
premature deaths.
Good enough?
Good
enough?
Reviewing Lives
To date, the Improving Lives Team and Best Care Now
team have undertaken over 120 reviews.
In addition, multiple Care & Treatment Reviews (CTRs)
have been carried out across the country .
The findings of these reviews have identified many
of the themes we have mentioned previously.
They also highlighted some novel and creative
practice and saw many people having a good life.
2) Meaningful Co-production
3) Knowing Capability and Capacity
4) Proper Positive Behavioural Support
5) Effective Person Centred Approaches
6) Available & Responsive Intensive Support
7) Clearly Defined Pathways
Gavin Harding
Learning Disability Adviser - Improving Lives
Team & Best Care Now Support Team
NHS England
gavin.harding@nhs.net