Transforming care for people with learning disabilities

Summary of TCP Plan

Buckinghamshire’s partnership plan takes a lifespan and whole systems approach to the health and social care needs of people with a learning disability and/or autism who display behaviour that challenges, including those with a mental health condition.  The overall aim is to achieve positive outcomes for people as evidenced by lives that are healthier, that offer more choice and control, with greater support & independence, within local communities.

As a first step to achieving these outcomes, Buckinghamshire’s specialist learning disability health service will be transferring to a new provider from the summer of 2016.  The new contract will deliver more intensive support in the community, with services eventually moving from five days to seven days a week.  This will further reduce the need for specialist inpatient admissions.  For those people who do need an inpatient stay, the new contract will see people being treated within a larger, state-of-the-art centre, providing patients and staff access to a wider range of specialist support and facilities while in hospital, but also greater support in their community.

We are also exploring an innovative shared ownership housing initiative, with support from NHS England and care providers, to improve the quality of life for individuals and repatriate people back into the community from hospital settings.  Retaining and up-skilling staff is also key to delivering interventions earlier and preventing placement breakdowns.

Update August 2016

Transformation funding was sought to deliver some of our ambitions.  NHS England has announced transformation funding allocations and we have been advised by NHS England that unfortunately Buckinghamshire has been unsuccessful in securing transformational funding.

Although this is disappointing, we do appreciate that NHS England needs to prioritise the systems where beds need to be closed and patients accommodated in local communities.  We are already within NHS England’s planning assumptions for inpatient beds and have no beds to close.  Nevertheless we have secured some increased investment from the CCGs to support delivery of our Transforming Care programme.  This is being used to fund the extension of the Intensive Support Team from Monday to Friday to 7 days a week working.  This will help to support people earlier in the community to prevent/delay admissions to inpatient settings and are working towards funding this with existing health resources.

Related Documents

Understanding people’s views

We have been working towards transforming specialist health services, in line with the national programme, for more than a year now. We started last year by asking people for their views about the services, as well as understanding people’s thoughts about our plans for the future.

Some of the main things that people told us were important to them included:

  • More specialist healthcare for people closer to home
  • More support for people to stay at home instead of going into hospital
  • A better understanding in mainstream services about how to work with people with learning disabilities.

For more detail about what people told us, there is a summary report.

How you can get involved

We would welcome your views on our Transformation Plan and would like to hear your ideas about how we can make them work best for all those affected. Please let us know how we can work with you as we make these changes, as well as any concerns you may have.

We would like to set up a group of people, including people who use our services, their carers and families, to help us plan for these changes. If you would like to share your views, or are interested in taking part in the working group, please email or contact Talkback by email: or telephone: 01494 43 4448.

Further information

There is a question and answer document to help people understand more about the new specialist health service. Aneasy read question and answer document is also available.

Learning Disabilities Mortality Review (LeDeR) programme

The Learning Disabilities Mortality Review (LeDeR) programme has been commissioned by NHS England to support local areas in England to review the deaths of people with a learning disability to:

  • Identify common themes and learning points
  • Provide support to local areas in their development of action plans to take forward the lessons learned Reporting a death of someone with learning disabilities can be done in a number of ways: via 0300 7774 774 directly to a member of the LeDeR team, or via the Programme’s secure web-based portal, which can be accessed through the LeDeR website.
  • Deaths of people with learning disabilities will be notified to a single point of contact by anyone (family member, advocate, GP, residential care worker or other) who is aware of the death of a person with learning disabilities, ( whether expected, or not).


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