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Showing posts from November, 2017

Transforming Care: Leaving

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This blogpost is the final one of five looking at the Transforming Care programme through the prism of the national statistics regularly produced by the ever excellent @NHSDigital. The first blogpost looked at the overall number of people with learning disabilities and autistic people identified by the statistics as being in inpatient services. The second blogpost looked at statistics on the number of people being admitted to inpatient services, and where they were being admitted from. The third blogpost looked at when people were in inpatient units, how far were they from home and how long were they staying in inpatient services. The fourth blogpost looked at planning and reviews for people within inpatient services. This final blogpost will focus on the number of people leaving inpatient services (charmingly called ‘discharge’ or 'transfer') and what is happening leading up to people leaving. Again, even if the numbers of people leaving are not yet rapidly changing as a r...

Transforming Care: Planning

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This blogpost is the fourth of five looking at the Transforming Care programme through the prism of the national statistics regularly produced by the ever excellent @NHSDigital. The first blogpost looked at the overall number of people with learning disabilities and autistic people identified by the statistics as being in inpatient services. The second blogpost looked at statistics on the number of people being admitted to inpatient services, and where they were being admitted from. The third blogpost looked at when people were in inpatient units, how far were they from home and how long were they staying in inpatient services. This blogpost will focus on what the statistics are telling us about planning within inpatient services, just using statistics from Assuring Transformation. Even if Transforming Care is not yet showing big reductions in the number of people in inpatient services, its effects should be felt through the inpatient care plans people have, whether people’s needs a...

Transforming Care: How far from home, for how long?

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This blogpost is the third of five looking at the Transforming Care programme through the prism of the national statistics regularly produced by the ever excellent @NHSDigital. The first blogpost looked at the overall number of people with learning disabilities and autistic people identified by the statistics as being in inpatient services. Among other things, this post looked at the different views provided by commissioners (via the Assuring Transformation statistics ), who tend to focus more on people in specialist learning disability inpatient services, and mental health service providers (via the MHSDS ), who tend to focus more on people with learning disabilities and autistic people in mainstream mental health inpatient services often for short periods of time and for many people apparently for the purposes of ‘respite’. This is important to remember when looking at the graphs to follow. The second blogpost looked at statistics on the number of people being admitted to inpatient...

Transforming Care - Who is going in?

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This blogpost is the second of five looking at the Transforming Care programme through the prism of the national statistics regularly produced by the ever excellent @NHSDigital. The first blogpost looked at the overall number of people with learning disabilities and autistic people identified by the statistics as being in inpatient services. Among other things, this post looked at the different views provided by commissioners (via the Assuring Transformation statistics ), who tend to focus more on people in specialist learning disability inpatient services, and mental health service providers (via the MHSDS ), who tend to focus more on people with learning disabilities and autistic people in mainstream mental health inpatient services often for short periods of time and for many people apparently for the purposes of ‘respite’. This is important to remember when looking at the graphs to follow. After this first post focusing on the overall numbers, the rest of the posts will look at fo...

Through the keyhole - (still) trying to understand Transforming Care from the statistics

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The Transforming Care policy/programme, led by NHS England, is designed to reduce the number of people with learning disabilities and autistic people in specialist inpatient services, and to increase and improve the support people get such that the option of putting people into inpatient services does not arise. Transforming Care as a programme, with its predecessors, has been going since 2012, and is due to wrap up as a programme at the end of March 2019. The effects of the Transforming Care programme should by now be visible in the statistics. As @MarkNeary1 has rightly pointed out, each cold number represents people, and we need to keep this in mind as our eyes glaze over at the numbers to follow. I also want to say hats off to @NHSDigital, who have unobtrusively been working to collect sensible information (no mean feat in the circumstances) and have been steadily improving the information they release. I’ve done blahg after blahg on what the statistics might be telling us about ho...

Employment statistics - quick update

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A whole new raft of social care statistics relating to 2016/17 came out last week from NHS Digital. This includes statistics on the number of working age adults with learning disabilities getting long-term social care support who are in paid/self employment, according to councils. The statistics are available here http://digital.nhs.uk/catalogue/PUB30122 although they’re a bit scattered this time around. The blogpost is a very quick update on the overall paid/self employment figures over time, as shown in the graph. Up to 2013/14, the information was collected for adults with learning disabilities aged 18-64 who were known to councils (so not necessarily getting regular social care support). From 2014/15, the information was only collected for adults with learning disabilities aged 18-64 who were identified as having learning disability as their primary reason for support and who were getting long-term social care support. This means we can’t assume continuity in the information collec...