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I know, I know (thank you for ongoing twitter tutorials @FindlayEquality and @rich_w), I do my best to take to heart the Antonio Gramsci mantra of “Pessimism of the intellect, optimism of the will”. But as the Sir Stephen Bubb group’s task nears completion, there’s a worry that’s increasingly on my mind as I see the public manifestations of the group’s thinking and Jeremy Hunt’s response to the excellent question on ATUs posed to him by @BendyGirl and @People1stEng. My personal nightmare scenario runs something like this: 1) The original Sir Stephen Bubb plan only proposes to work with around 1,700 people currently in inpatient services. As I’ve set out (and as the Jeremy Hunt response also implies), I think this means that the plan is only going to work with those people who are not in forensic inpatient services (around 1,600 people in total, although the majority of these people are in low secure services and very few – 73 in the 2013 LD Census – are in high secure services). 2) So,...

The latest batch of papers from the Transforming Care and Commissioning Steering Group, chaired by Sir Stephen Bubb, have been made available by NHS England at the bottom of this webpage http://www.england.nhs.uk/2014/08/01/community-support/ There are the agenda and notes from a meeting held on 18 th August, a paper containing a draft of a ‘National Framework for Local Commissioning’ and a paper from Skills for Care on workforce development. You will be relieved to know I won’t be going through these in depth – instead in a relatively short post I just want to make a few observations arising from my reading of these papers. 1) The social finance reference group. This group is supposed to be coming up with options for the social financing of the transforming care strategy. The person leading this group is the CEO of Social Investment Business. According to Debrett’s ( http://www.debretts.com/people-of-today/profile/24799/Stephen-John-Limrick-BUBB ), Sir Stephen Bubb has since 2008 been...