Agenda item

7.1

The report, which updated the Sub-Committee on the work that had progressed since the last update in June 2003, on the emerging model for the delivery of community and in-patient services for people with a learning disability/autism, and informed the Sub-Committee on the move to the implementation of the Transforming Care Programme, was introduced by Hassan Mahmood (Clinical Director and Consultant Psychiatrist, NHS Sheffield Health and Social Care Trust), Richard Bulmer (Head of Service, NHS Sheffield Health and Social Care Trust), Adam Butcher (Service User Engagement and Experience Team ) and Louisa King (Head of Commissioning - Mental Health, Learning Disabilities, Dementia and Autism, South Yorkshire Integrated Care Board, Sheffield Place).

7.2

Richard Bulmer clarified that Primary Care services were not within the scope of the report, however the service would work closely with GPs to encourage service users to have regular health reviews. Social Care was still provided by Sheffield City Council who worked closely with the Health and Social Care Trust.  Hassan Mahmood added that they also worked closely with other primary care services such as dentistry to ensure service users’ health was considered holistically and to promote STOMP (Stopping Over Medication of People with a Learning Disability, Autism or Both).  This was particularly important due to the life expectancy of people with learning disabilities being significantly lower than average.  Adam Butcher added that the “Health Passport” had been evaluated to establish whether it was fit for purpose, which helped services establish who else should be contacted.  Louisa King confirmed that they would clarify the structure of the service and how it related to other services as part of the communication plan.

7.3

Members asked when Phase 2 would be completed.  Richard Bulmer advised that the aim was to complete Phase 2, i.e. development and recruitment, by July 2024.

7.4

Members asked for further information regarding the engagement process.  Louisa King advised that the next stage of the process would be a joint engagement plan with partner organisations, which would take shape over the next 4-6 weeks. 

Adam Butcher stated that engagement work had taken place throughout the project to ensure it would be supported by clients and carers.  This had included the formation of a co-production group and a session with stakeholders at Hillsborough Arena. Hassan Mahmood added that diverse communities had been involved in the consultation, and feedback had been incorporated into service action plans i.e. a constant feedback loop was in place which included evaluation.

7.5

Members inquired whether there would be capacity for overall money saving.  Richard Bulmer explained that it was not anticipated that the scheme would provide any cost saving to the service. Any savings would be to the health system in general and by enabling service users to better contribute to society. Hassan Mahmood advised that the team had been asked to share their learning at an international forum in London in April 2024.

7.6

In response to a query regarding when the changeover from use of the Firshill Rise Centre, to the new model would take place Richard Bulmer stated that the Firshill site had closed, and some staff had moved across to the new model which was in an evolutionary phase and should be operating 7 days a week by July 2024, provision was being increased gradually. Early recruitment had taken place into the areas with the longest waiting lists, e.g. Speech Therapy, and to specialist nurse roles.

7.7

Members asked where the short stay residential model for South Yorkshire would be provided.  Louisa King advised that this was currently mid procurement so could not be shared publicly but she would update the Chair of the Sub-Committee when she was able to do so.

7.8

Members requested examples of where feedback/co-production had had a direct influence on the service.

Richard Bulmer advised that the opening hours of the service had been arrived at via consultation with users who had also clarified what support was needed at weekends. Louisa King advised that a “You Said, We Did” would also be produced explaining how the co-production exercise had made a difference to the model.

Adam Butcher stated that he was keen to continue the involvement of service users and their carers who had often developed expertise due to their own experiences. Richard Bulmer added that co-production would be ongoing, it was not a one-off process. Hassan Mahmood stated that the introduction of service users having a “lead professional” to prevent having to repeat their story, had been a response to feedback.

7.9

Members requested a further update be provided in 12 months on phase 2, to include information regarding care quality and outcomes, the progress of staffing and recruitment, a summary of complaints and how they were handled, and information on any cases dealt with out of area.

7.10

RESOLVED: That the Sub Committee:

(a)  notes that phase one of implementing the model of delivery for the new Sheffield LDA (Adult Learning Disability) service, has begun; and

(b)  requests that a further update should be provided in 12 months.