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Transforming
Care in SuffolkAn easy-read guide
Transforming
Care in Suffolk
The Suffolk plan looks at the life of a person
with a learning disability and/or autism and
throughout their life.
The local Transforming Care Partnership makes
sure that there is local focus on improving
services for people.
The plan makes sure that people can access
mainstream and specialist health, education
and social care services when they need them.
Transforming
Care in Suffolk
The plans have been developed using 3 documents:
Family 2020Children and Young People’s
Emotional Wellbeing PlanJoint Learning Disability
Strategy for Adults
This plan sets out how it we can improve
children and young people’s emotional
wellbeing and mental health by improving
services, working in new ways and training
the workforce.
Family 2020 looks at the important things and
sets actions that will give better outcomes for
families in Suffolk, and looks to 'Give every
child in Suffolk the best start in life.'
This Joint Learning Disability Strategy sets out
a clear vision on how we can work together
differently to deliver better outcomes, and
make sure people live good lives as part of
their community.
Transforming
Care in Suffolk
The Partnership looks at ways it can develop
how it plans and pays for the services that
people would like to have in the community.
The Government has asked us to change how
we spend money so we help people stay out
of hospital.
Clinical Commissioning Groups are the organisations that buy health and care
services.
The Partnership includes people who live in
Ipswich and East Suffolk CCG and West Suffolk
CCG. Ipswich and East Suffolk CCG, West Suffolk CCG and Suffolk County Council are
working together.
Transforming Care in Suffolk
Transforming
Care in SuffolkOur aims include:
Making sure this programme is age inclusive. (This means working with children, young
people and adults.)
Making sure that people receive regular
reviews of their needs because they change over time.
Making sure that no one stays in an acute
inpatient setting for longer than thy need to and that appropriate services are put into
place to support people in the community.
To make sure people’s hopes and aspirationsare at the centre of planning.
Transforming
Care in Suffolk
To make sure that all Health and Social Care
staff have good skills to be able to support
people in their own home and in the
community.
Our aims include:
To make sure that all Health and Social Care
Reviews involve listening to people and their
families.
To offer positive behaviour support training to families, schools and care providers.
Transforming Care in Suffolk
Improving communications across different
providers so the right people know how to
help. So people know what has worked in
the past and what has not.
Transforming Care
Programme
The Transforming Care Programme has other
work plans linked to the following areas which
are both proactive and reactive.
A proactive approach focuses on stopping
problems before they have a chance to
appear.
A reactive approach is based on responding to
events after they have happened.
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These work plans are explained in more detail
on the next few pages.
Transforming Care in Suffolk
Transforming Care
Programme
8. Integration of Learning
Disability Social Care team7. Step up/step down scheme
6. Urgent and planned respite5. Intensive Support at
home teams
4. Access to specialist
community health services
3. Care Programme
Approaches
2. Community Care and
Treatment Reviews1. Risk Registers
Our proactive plans include:
3. Intensive Support
at home teams
1. Blue light Care and
Treatment Reviews
2. Redesign of assessment
and treatment units
Transforming Care
ProgrammeOur reactive plans include:
Transforming Care in Suffolk
Key Contacts
The Deputy Senior Responsible Officer is Julie
Bateman who is the Assistant Director-
Personalisation, Quality and Safeguarding and
Adult and Community Services.
The Senior Responsible Officer for Transforming
Care is Barbara McLean who is the Chief
Nursing Officer at Ipswich and East CCG and
West Suffolk CCG.
Richard Selwyn (Assistant Director
Commissioning - Children and Young People’s
Services) at [email protected]
For further information at the CCG please
contact Gabby Irwin (Transforming Care Lead)
Amanda Dunn, (Transformation Programme
Manager for Learning Disability Services)
New Service
Models
The redesign of Walker Close will include 2
bungalows (each with 3 beds).
A Home Intensive Support Team will work with
people in the community stopping them from
in-patient admission or supporting an early
return home.
The focus of Walker Close will be an
‘Assessment and Treatment’ unit with a focus
on supporting people to return to or remain in the community.
Walker Close, Ipswich
Intensive support at home
We will support people, their families and
carers where they live now to get the right
support, in the right place, at the right time.
New Service
Models
A short term step up/step down supported
housing provision is being developed to
support people who are not able to return
home but may need a period of time outside
the usual care setting.
The national Shared Lives is being explored for
Suffolk. This provides people with the
opportunity to live within a family / home
environment with support.
A bid to access funds from NHS England is
currently being developed. The Time Away
from Home Service will be developed
alongside the Home Intensive Support Team.
Transforming Care in Suffolk
Other work plans
Plans for a ‘Time Away from Home Service’ are
being developed so that people are able to
remain in the community at times when
additional family support is needed, without having to be admitted into a hospital bed.
Our Transforming Care Board will manage
progress, shape our direction and resolve
issues.
The Board includes self-advocates and carers.
The Board includes provider representation;
both Norfolk and Suffolk Foundation Trust and someone from the learning disability provider
forum.
Transforming Care
Board
The board meets every month.
Transforming Care in Suffolk
Health and Social
Care working together
Autism Strategy
The local system has agreed and signed up to
the national autism strategy, and there is a
best practice group in place in Suffolk to
make sure things are on track.
A new Director post has been created to make
sure that health and social care are working
together well.
Transforming Care in Suffolk