In our times of austerity with LA budgets so tight there is no support for family carers, beds or equipment, benefits slashed to £62.50 per week for 24/7 care, £103 DLA, the government gives 136 million to transfer 300 LD/autistic, from NHS public hospitals, to private increasingly venture capital backed monopoly corporation ‘ community living’ care, and replace public, but not private hospital admissions of the autistic/LD and/or behaviour challenged
Laing and Bouisson specialist consultants in care development produced this report on care provision back in 2011.
Commissioned by the Director of Learning Disabilities NHS under the Valuing People now initiative.
Why are the deemed ‘learning disabled’ and autistic being effectively removed for life ?
How is this ‘valuing’ them ? And why is there not even a costs consideration for them to remain with their parents in a real community ?
Five years later and the plan is finally coming to total fruition, rebranded as ‘community living’.
Learning Disability Today featured an article this month entitled,
‘Local Plans To Transform Care for People With Learning Disabilities Launched’.
And National Media followed
A national implementation plan to develop ‘community services’, and close inpatient facilities was published in October 2015 by NHS England, the Local Government Association (LGA), and the Association of Directors of Adult Social Services (ADASS).
‘Building the right support set an ambition of empowering individuals and their families to have more say in their care’
But did not say how ‘community services’ empowered them.
The service users and their families still have no rights, or choice. and ‘community services’ can be enforced by the Court of Protection and the family gagged.
The article continues;
‘by developing and strengthening good quality support options in their communities.’
There are no ‘options’, as no choice is given, there is only one provider and one community placement.
Where has this ‘good quality’ support suddenly come from ?
Why has it not been utilised before and what is it ?
What is meant by ‘their communities’ ?
As residents are subject to 24/7 surveillance and deprivation of liberty orders, it can only be that they will live and go on accompanied outings in the area they originated from.
Which meant ‘they’ and where they originated from, had to be audited, so in 2013 the Health and Social Care Information Centre published a Learning Disability Census.
Stating it was to deliver action 17 in ‘Transforming Care’. A national response to Winterbourne View’.
This was the first audit of inpatients in the NHS or independent care and assessment Units.
Governments had not even counted the number of ‘Winterbourne type residents’, but had paid out millions of public money for their care for decades.
The audit was needed to shear up the remaining public health provision, between the chosen venture/private capital providers, and to ascertain which Local Authority, NHS payments for past/present treatment could be reimbursed from- see Sunday Times 2014 http://www.thesundaytimes.co.uk/sto/news/uk_news/Health/article1478483.ece
And to achieve the only change to care services- treating inpatients in the area they originated from rebranded as ‘community living’.
The last general audit of the total number of LD/Autism/CB was in 2011.
This 2013 audit hyperboles that it alone ‘marks a significant progression in enabling transformation of care’.
The Article continues
‘and, as a result, reducing the number of people with a learning disability and/or autism in England who are in hospitals ( public NHS )by up to half over 3 years’.
A third of the ATU 3000, have been there 5 years or more, and will be zomibified from their polypharmacy ‘treatment’, and in need of rehabilitation, so likely to be moved to community living’s ‘specialist hospitals’, but likely to be medicated on release, as 74% are chemically coshed like Thomas Rawnsley.
The Article continues;
‘To this end, 48 local Transforming Care Partnerships (TCPs) – which are made up of people who use services, their families, ( without rights ) providers of services, clinical commissioning groups, local authorities and NHS England specialised commissioning hubs – are tasked with taking forward these intentions and designing new, high-quality, community-based services ( big player monopolies Dimensions/Cambian/Hesley commissioned, and overseen by these TCPs, so a conflict of interests.) https://www.theguardian.com/social-care-network/2014/sep/05/personal-services-support-adviser-learning-disabilities
that reflect the wishes and circumstances of local residents. (I assume this refers to local residents and not the vulnerable residents who have no choice).
‘The first awards from a £30 million, 3-year NHS England revenue fund to help TCPs where there is a need to speed up the delivery of new services have now been finalised.
Funding of almost £6.5 million has been designated to 23 TCPs on a match-funding basis to help get new services up and running while older models of care are still in place, ( unclear what these are) allowing for safe and effective transition between the two.
NHS England has also confirmed that £100 million of funding will be available over five years to support Transforming Care projects – up from the £15 million announced at the time of Building the right support. Investment of more than £20 million has already been provisionally earmarked for schemes across the country in 2016/17, including new housing and services.’
136 million of public money paid over to private, often venture capital backed service providers to establish ‘community living’ facilities .
This services are untested, monopolised and for profit, and commissioned by the state with no effective input or choice from the service providers or their families.
The LGA’s community wellbeing portfolio holder, Cllr Izzi Seccombe, said:
“Councils remain absolutely committed to supporting people with a learning disability and autism to live close to family and friends, in good quality accommodation with support from highly skilled staff. On occasions when a person’s mental health needs does require an admission to hospital, steps must be taken to ensure it is properly managed with the individual discharged in a safe and timely way.’
Public NHS Adult Treatment Units have merely been replaced by private for profit ‘specialist hospitals’, owned by the ‘community services’ provider.
The number of beds commissioned in NHS is to be reduced by up to 70%,replaced by the community living provision for life, enforced if necessary by the MCA..
In England, about 24,000 people who have a learning disability and/or autism are classed as ‘being at risk of admission.’
It is unknown what ‘risk of admission’ actually means, or, how this figure was arrived at.
Admissions, can be triggered by meltdowns, inappropriate behaviour, violent outbursts, parents unable to cope, reaction to medication or its withdrawal, or assessments.
Or simply a call for help to police, GP , Social Services .
Now it triggers ‘community living’, and this, unlike hospital admission under the MHA, is for life under the MCA , and parents can be gagged, and prevented from even seeing their adult children ‘in the community’, if in their childrens ‘best interests’.
These projected 24,000 a year, will now be fed into the ‘community living’ industry, and are a valuable commodity with an increasing income potential of at least £4000 per week, guaranteed for life.
Plans for a large autistic village community living has already caused concern.http://www.disabilitynewsservice.com/alarm-over-huge-new-care-village-for-autistic-adults/
And are in addition to all other LD/Autistic, whose only adult support service is now ‘community living’ .
So, other than the financing and setting up of local bodies and chosen, private monopoly providers, receiving millions of public money, and billions of future guaranteed income, and the LD/ autistic/CB living in the area they came from, how else has this transformed care ?