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Winterbourne View - Time is Running Out

The 6 month independent review of the Transforming Care and Commissioning Steering Group, chaired by Sir Stephen Bubb

1. When Winterbourne View – Time for Change was published in November 2014, still more people with learning disabilities and/or autism were being admitted to inpatient facilities than being discharged. This is despite a promise from Government to close institutions such as Winterbourne View.

2. The report laid out a clear roadmap of action – a new national framework in which commissioners choose community-based provision over hospitals. The programme would deliver closures and enable providers to work in partnership to offer new facilities, to ensure community support and independence for people with learning disabilities and/or autism. In particular Sir Stephen argued that people with learning disabilities and/ or autism must have a central role in designing the care that will best meet their needs. And they should be able to challenge decisions when it does not.

3. A joint response was made by the Transforming Care programme in Transforming Care for People with Learning Disabilities – Next Steps. Sir Stephen is now leading an independent review of the work of the Transforming Care partners – Department of Health, NHS England, Health Education England, Care Quality Commission, Association of Directors of Adult Social Services, and Local Government Association – to ensure sufficient action is being taken to improve the way services for people with learning disabilities and/or autism are delivered.

4. This report is Sir Stephen’s six month review. The steering group was reconvened on 6th July 2015, and ongoing engagement has been had with those partners that have taken responsibility for acting on recommendations, as outlined in the Transforming Care response. Each stakeholder has submitted an update on their work, for review by Sir Stephen and the group. This report records those responses and offers a reflection on where we are, and where we need to be.