Solihull CCG and Solihull Metropolitan Borough Council share general concerns about people being avoidably admitted to hospital when there is not a clinical necessity. Solihull began implementing an approach to supporting people with complex needs to remain in the community six years ago.
This approach – referred to as Enhanced Support – has enabled us to:
- Discharge people, who may have spent long periods of their lives in hospitals, into their own homes with intensive support;
- Prevent all avoidable admissions to hospital in the past four years;
- Support people – and their families or their support organisations – in the community during difficult times which in turn avoids hospital admission;
- Develop a variety of housing solutions which has enabled people with very complex needs to live in their own homes. This includes enabling some people to access shared ownership;
- Work with organisations that are committed to supporting people with complex needs to live meaningful lives in their communities.
In terms of the specific Transforming Care Plans, NHS England requires the first stage of the process to focus on those localities which have hospitals/units identified for ‘fast-track‘ closure; this does not apply to Solihull. However, we do now have an opportunity to submit plans for phase two and our proposals will include:
- Strengthening our Enhanced Support approach by increasing its capacity as this approach is already consistent with the model outlined by NHS England;
- Working with our partners in Coventry, Warwickshire and Birmingham to consider how we extend this effective approach to children and young people – including young people of ‘transition’ age;
- Continuing to work with commissioners of forensic services, to plan for the safe and effective return to the community of people with learning disabilities and/or autism who have spent time in secure provision – often when directed by the Courts because of offences committed;
- Continuing to work with housing providers to ensure that there are suitable accommodation options.
We have made significant strides over the past six years, and we acknowledge there is always more that can be done. Achieving this change is more than plans, systems and processes. It is about values and principles that ensure people with complex needs are treated with fairness and equality, so that they can live well and safely in our community. We hope our Transforming Care proposals show how we are doing this and will be supported by the public in the future.
If you would like any further information about our work, please contact Catherine Nolan, our Joint Strategic Commissioner for People with Disabilities – firstname.lastname@example.org