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Winterbourne View: Transforming Care Two Years On

i. Winterbourne View was a scandal that shocked and appalled us all. Our review, Transforming Care: A national response to Winterbourne View Hospital: Department of Health Review Final Report (2012) looked at why this happened and set out a programme of work to take every step we can, to ensure this does not happen again.

ii. The Department of Health committed in Transforming Care to produce a report two years on to account for progress1. This report is a collective account from partners across the health and care system to reflect the cross-system effort that has continued over the past year to tackle the root causes of the abuse and treatment of people at Winterbourne View.

iii. This report sets out what has been done and recognises there is still much more to do. The summary includes a number of achievements, for example:

• We know how many people are in inpatient settings, where they are and who is responsible for them.

• We have strong accountability and corporate responsibility arrangements in place via the Duty of Candour and Fit and Proper Person Test to assure the quality and safety of care services that people receive.

• We have new DH guidance on minimising restrictive interventions, complemented by a suite of information by Skills for Care and Skills for Health setting the foundation for a broader new programme Positive and Safe launched by the Department of Health in 2014. Work is underway to improve and report on data about the use of restraint.

• A more rigorous registration, assessment and inspection approach is in place for learning disability services, involving experts by experience and ratings are being published from inspections taking place since October 2014.

• The Care Act 2015 underpins and reinforces the importance of good quality, independent advocacy and will play an important part in supporting people, their families and carers to raise concerns when these arise.

• There has been a step change in leadership within NHS England since April 2014.

iv. It is also clear that we have not made as much progress as we intended, which is not good enough. The commitment to transfer people by 1 June 2014 from inappropriate inpatient care to community-based settings was missed. This commitment is still right but the process is clearly more complex than we anticipated and the system has not delivered what we expected to achieve when Transforming Care was published. There are many people with very complex needs, in many different types of inpatient settings and we need to ensure the right decisions are made about their care, listening to the people who matter most: individuals, their families and carers.