CBF response to File on 4 Programme - Transforming Care – Is it Working?

2nd October 2018 @ 8pm:

The Transforming Care Programme was established to reduce the number of people with learning disabilities living in restrictive in-patient settings .  The aim was to develop appropriate local community support and services.  It is perfectly possible to support people with complex needs in the community with the right support and with services that meet their individual needs. 

The Transforming Care Programme has failed to deliver what was promised. Too many adults and children are admitted to, or remain in inappropriate services that do not meet their needs.    The figures obtained by the File on 4 programme show an alarming 50% rise in the use of restraint in inpatient settings from 15,065 (2016) to 22,620 (2017).   Prone (face down) restraint has risen 41% from 2,250 (2016) to 3,170 in 2017.  Use of seclusion has risen by 44% and chemical restraint (medication) has risen by 26%.  We know that being subjected to restraint, seclusion and over medication is traumatic and can have long term physical and emotional consequences.  The data, which is collected but not published, should be regularly scrutinised to understand the reasons for the increase and to address these urgently.  Restraint should only be used as a last resort, and Department of Health Guidance states “There must be no planned or intentional restraint of a person in a prone/face down position on any surface, not just the floor”.

“The Transforming Care Programme was an acknowledgement that no one part of the system could ‘transform care’ and was meant to be a multi-stakeholder approach to addressing the systemic issues that are well known and documented.  What is needed now, is a revised approach learning from what has and hasn’t worked.  This requires a Cross-Government commitment to deliver the principles in ‘Building The Right Support’ with proper scrutiny and action to address a whole range of issues including people being in inappropriate settings that are high risk and where restraint and seclusion are used”. Viv Cooper, CEO

The CBF has produced a signposting list for anyone who may be affected by the issues this programme has raised: supportforfamiliesinfosheet2016.pdf

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