Learning Disability Emerging Plan - Turning Point

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Turning Point Learning Disability Emerging Plan 2013 - 2016Future spendWithout a finalised forward funding programme in place, estimating future spend is difficult. According to theNuffield Trust x the below variation exists between current spend and, if the Dilnot proposals are accepted, intheir current form.We also have to consider Payment by Results. PbR is already being introduced across mental health, substancemisuse, employment and the criminal justice system. In the latest (October 2012) guidance from the DH, there isreference to PbR being introduced into NHS funded LD provision.The landscape is therefore one where we need to deliver more for less while not compromising on quality. Thiswill only be achieved through innovative solutions, developing partnerships with other organisations; the use oftechnology and a more flexible approach to service delivery whose outcomes are evidenced.8
Turning Point Learning Disability Emerging Plan 2013 - 2016TURNING POINT’S PERSPECTIVE:High quality services with meaningful service user involvement will be thecornerstone of our approach. In such a difficult financial time, we will build thestrongest dialogue and partnership with commissioners so we can balance thechange demanded by financial realities against our commitment to high qualityservice delivery.In the climate we are entering, all providers will have to recognise if they arereaching the point when the money being provided is no longer enough tocontinue delivering a high quality service. Turning Point will develop a matrixof indicators to help us identify if this point is being approached, and to makemeasured timely decisions about how to proceed with the contract in question.2. Health and Social Care ReformsReforms to the NHS and wider care and support services are changing the way services are designed anddelivered. The Health and Social Care Act (2012) and forthcoming Care and Support Bill enshrine much of thegovernment’s aims in law, namely;• n Focus on people’s wellbeing and keeping them independent for as long as possible• n Greater national consistency in access to care and support• n People having the information to make choices about their care• n People having more control over their care• n Improved support for carers• n Improved quality of care and support• n Improved integration of different services around individual’s needs• n A duty on local authorities to provide information and advice, prevention services and shape themarket for care and support services• n Clear legal entitlements to care and support, including giving carers a right to support putting themon the same footing as the people they care for• n Everyone (including carers) should have a personal budget (PB) as part of their care and supportplan. The Care and Support Bill states everyone will be offered a PB and have the right to take thisas a direct payment• n New duties to ensure that no-one’s care and support is interrupted when they move from one localauthority area to another• n A new statutory framework for adult safeguarding, setting out the responsibilities of localauthorities and their partners, and creating Safeguarding Adults Boards in every areaTURNING POINT’S PERSPECTIVE:We will continue to engage, speak out and influence to positively shape theexternal policy environment affecting people with a learning disability.9
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Learning Disability Emerging Plan - Turning Point

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