Learning Disability Emerging Plan - Turning Point

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Turning Point Learning Disability Emerging Plan 2013 - 2016The proportion of inpatients in independent healthcare organisations increased from 20% in 2006 to 33% in2010. This is likely to be a result of closing NHS campuses, with people moving from hospital to communitysettings.Many people are in hospitals needlessly and therefore step down services, of the kind Turning Point can provide,are crucial to ensure people get the support they need in the community.TURNING POINT’S PERSPECTIVE:Our focus will be to expand services for individuals with complex needs movingout of NHS/independent hospital provision into less restrictive (but still specialist)accommodation and support. The drive to reduce acute assessment and treatmentunits means that we are well placed to develop our expertise in enabling peoplewith complex needs moving on to lead more independent and fulfilled lives.5. Health IssuesIt is well known that people with learning disabilities die younger than the general population. They are 58 timesmore likely to die before the age of 50 and 4 times more likely to have a preventable cause of death xv .Their health needs can be complex with many having more than two major co morbidities.Reducing mortality rates of people with a learning disability are also included in both the Clinical CommissioningGroups (CCG) and NHS Outcomes frameworks for 2013/14.TURNING POINT’S PERSPECTIVE:People struggle more to enjoy and participate fully in life if their health isimpeded. Turning people’s lives around will also mean ensuring people’s health isthe best it can be. For these reasons we will focus on the health of people with alearning disability and ensure that everyone has a health action plan to meet theirspecific health needs.6. Eligibility CriteriaEligibility Criteria, as part of the review on funding is being revised. With increasing financial pressures, thereare already examples of local authorities only funding services for those with critical needs, with the majorityfocusing on critical and substantial needs only. In the Care and Support Bill, the Government intend to establisha single threshold for defining eligible needs. The likely result is that the minimum national eligibility thresholdwill be set at a point equivalent to the current substantial category. This means that less preventative work willbe commissioned and undermines the Government’s commitment to keeping people independent for as long aspossible.12
Turning Point Learning Disability Emerging Plan 2013 - 2016Table 1:Severity Of Learning Disability of Predicted New Entrants To Adult Social Care Between 2011 And 2030 xviSeverity of Learning DisabilityLower estimate (critical orsubstantial needs only)Upper estimate (critical,substantial or moderate needs)Mild/Moderate 24.4% 71.1%Severe 55.3% 22.3%Profound Multiple 20.3% 6.6%7. Transitiona. Child to AdultOver 70,000 children in England have a Statement of Special Educational Needs (SEN) and a primary SENassociated with learning disabilities. Of these, just over half have a moderate LD, one third have a severe learningdisability and just over one in ten have profound multiple learning disabilities.There are approximately 200,000 children in England at the School Action Plus stage of assessment of SEN orhave a Statement of SEN and a primary SEN associated with LD. Out of these 4/5 have a moderate learningdisability, one in twenty have profound multiple learning disabilities xvii .There is still significant improvements to be made in the transition of young people to adult services and theHealth and Social Care Act begins to address some of the issues by giving local authorities a duty to conductneeds assessments for adult care and support, ahead of a child’s 18th birthday where required. Given thenumbers of young people with a learning disability and the fact people are living longer, transition services andsupport for young adults is vital to get right to prevent issues arising in adulthood.b. Adult to Older AdultsThe crux of the social care reforms is the ageing population and the unsustainable nature of the current fundingTURNING POINT’S PERSPECTIVE:We shall look to develop good services for young people to move into adulthood,looking at individuals from the age of 14 onwards. In particular, we wouldanticipate piloting a summer camp for young people with complex needs.system. Current population figures show that there are currently 10 million people in the UK over 65. In the next20 years that figure is due to more than double.Fortunately, people with a learning disability are also living longer. Recent estimates state that by 2030 thenumber of adults aged over 70 using social care services for people with learning disabilities will also more thandouble.Issues around coordination of older people’s services exist which we could be well placed to help address,given the numbers of older people we already support. Issues include the lack of coordinated response across13
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Learning Disability Emerging Plan - Turning Point

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