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David HarlingProgramme Lead Improving Lives Team &

National Safety Lead for Learning Disability

More Questionsthan Answers?

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The Improving Lives team was established to review the

care of the 48 ex-residents of Winterbourne View in

addition to a number of other serious cases of concern.

Supporting

providers to think

differently...

Posing a challenge

where required

Providing extra assurance

to make sure people are

safe

Undertaking in-depth

review of peopleslives

Checking the persons

current experience of

care

Ensuring plans are

in place for a better

future for people

Engaging co-production by

working with Expert by

Experience

01924 372060

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What did we learn from the abuse of people with

learning disabilities in the 1970s hospital

scandals, at Ely, Normansfield, South Ockendon

and others...

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What did we learn about the lives of

people with learning disabilities in the

1980s living at Borocourt, Rampton &St Lawrence's hospitals....

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Health Ministers in 1983 said thesehospitals were "unlikely to be the only

exceptions to an otherwise admirable

system"....

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When Jim Mansell gave us his first

report in 1992 why didn't we listen?

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When Valuing People wrote

about Rights, Independence,

Choice and Inclusion - whatdid we do?

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How could Sutton and Merton and Cornwall scandals

happen, when wed closed all the long stay NHS

hospital campuses and created smaller, moreindividualised services?

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In 2006 there were around 3000 people with learning

disabilities using learning disability hospital beds.

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In 2014 there around 2600 people using learning

disability hospital beds....

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In 2011 howcouldWinterbourne view

happen?

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In 2012 how could Atlas

Care happen?

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In 2013 whydid Connor

Sparrowhawk die a

preventable death?

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In 2013 whyhad Lisabeen kept behind this

hatch for almost 9 years

in long term

segregation?

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40years of waiting for

something to happen?

40years of learning?

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The Improving Lives Team have conducted over

70 in-depth reviews nationwide since January

we have found....

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We have seen

placements that cost

2500 per day to keepsome individuals locked

in seclusion...

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We have met

people who have

not seen theirparents for over

three years due to

being 200 miles

from home?

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We have seen

services still failing

to engage Families& Carers as

partners in true

co-production?

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Why have

seen limited

provision of

high quality

independent

advocacy?

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We have seen

limited person

centred thinking,

planning, or

doing...

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We have seen an over reliance on restrictive practices

like restraint or seclusion or long term segregation...

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We have seen limited evidence of treatment for

people detained under the Mental Health Act...

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We have seen too many services that lack vision; or a

desire to change & where staff only choose to do things

a certain way...

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We have seenpeople who use

services not

having a realsay in their own

care

arrangements...

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We have seen

services thathave noclear

discharge

pathway...

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We have

visited peoplewho have

neverreceived

any traumasupport for

the abuse they

haveexperienced.

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So what does work?

People livingtheir dreams!!!

Better lives in

the

community!!!

Innovative &Creative

commissioning!!!

The determination,

attitude & personality of

staff can make a big

difference!!!

Where PBS is

understoodand

embedded!!!

Proper person

centred

approaches!!!

Making quality checkingand co-production a

priority!!!

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So thankfully better lives are possible

and change is possible.

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BUT...not enough people are having better lives

and we are not seeing rapid enough change to

get people out of hospital

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The Improving Lives Team will continue until

March 2016 and our reviews will focus on

highly complex cases and individuals residingin high and medium secure services.

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David HarlingProgramme Lead Improving Lives Team &

National Safety Lead for Learning Disability

Thank you for listening