{"id":1315,"date":"2019-07-17T09:57:07","date_gmt":"2019-07-17T09:57:07","guid":{"rendered":"http:\/\/wp.lancs.ac.uk\/cedr\/?p=1315"},"modified":"2019-07-17T14:42:16","modified_gmt":"2019-07-17T14:42:16","slug":"inpatient-admissions-report","status":"publish","type":"post","link":"https:\/\/wp.lancs.ac.uk\/cedr\/2019\/07\/17\/inpatient-admissions-report\/","title":{"rendered":"New Report: Inpatient Admissions and attempts to Transform Care in England"},"content":{"rendered":"<div id=\"attachment_1331\" style=\"width: 232px\" class=\"wp-caption alignleft\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1331\" data-attachment-id=\"1331\" data-permalink=\"https:\/\/wp.lancs.ac.uk\/cedr\/2019\/07\/17\/inpatient-admissions-report\/yusuf\/\" data-orig-file=\"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2019\/07\/Yusuf.png?fit=661%2C894&amp;ssl=1\" data-orig-size=\"661,894\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Yusuf\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2019\/07\/Yusuf.png?fit=222%2C300&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2019\/07\/Yusuf.png?fit=661%2C894&amp;ssl=1\" class=\"wp-image-1331 size-medium\" src=\"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2019\/07\/Yusuf.png?resize=222%2C300\" alt=\"\" width=\"222\" height=\"300\" srcset=\"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2019\/07\/Yusuf.png?resize=222%2C300&amp;ssl=1 222w, https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2019\/07\/Yusuf.png?w=661&amp;ssl=1 661w\" sizes=\"auto, (max-width: 222px) 100vw, 222px\" \/><p id=\"caption-attachment-1331\" class=\"wp-caption-text\">Photo by P Yusef Rightful Lives Exhibition<\/p><\/div>\n<p>Brown, M., James, E. and Hatton, C. (2019) <strong>Is Care Transformed? A Review of Transforming Care in England<\/strong> Lancaster: Centre for Disability Research.<\/p>\n<p>This report is available in <a href=\"http:\/\/wp.lancs.ac.uk\/cedr\/files\/2019\/07\/Inpatient-Admissions-and-Attempts-to-Transform-Care-in-England-1.pdf\">pdf<\/a> and <a href=\"http:\/\/wp.lancs.ac.uk\/cedr\/files\/2019\/07\/Inpatient-Admissions-and-Attempts-to-Transform-Care-in-England.docx\">word (docx)<\/a> format.<\/p>\n<p>The UK government policy of Building the Right Support in England was launched in 2015 as part of Transforming Care. Transforming Care is the policy agenda set up to get people out of inpatient hospitals after the scandal at Winterbourne View.<\/p>\n<p>This report looks at Transforming Care and Building the Right Support and gives an overview of what we think has worked and what hasn\u2019t worked.<\/p>\n<p>It takes information from Transforming Care Implementation Plans, Freedom of Information requests, Assuring Transformation data about the numbers of people in in-patient hospitals and information from evaluations commissioned by NHS England.<\/p>\n<p>The government set a target to reduce by over a third the number of learning disabled people in hospitals, by March 2019.\u00a0 This target has not been met.<\/p>\n<p>In this report we argue that Transforming Care, has not met its goal of achieving profound and radical change which would reduce by over a third the number of learning disabled and autistic people who are inappropriately in secure mental health hospitals due to a failure to position learning disabled and autistic people and their families as leaders of the national programme.<\/p>\n<p>We point out that Transforming Care and Building the Right Support are not mentioned in the NHS Long Term Plan 2019 and that the new commitment to reduce unnecessary hospital admissions for learning disabled and autistic people is disappointingly low in ambition.<\/p>\n<p>We hope that this report will add to the growing body of evidence calling for policy makers to implement the 8 Point Plan* to Transform Care proposed by #RightfulLives:<\/p>\n<ol>\n<li>A review and plan for everyone in an Assessment and Treatment Unit (ATU) to get community support within 12 months.<\/li>\n<li>An independent body led by people with learning disabilities, autistic people, families and lawyers that has power to monitor and direct commissioners and can remove power from commissioners that are failing.<\/li>\n<li>Ring fencing money just for community services and the transition from\u00a0Assessment and Treatment Units.<\/li>\n<li>Families being given rights to visit when their family member has been detained under Section of the Mental Health Act 1983 and being allowed to speak out publicly about it.<\/li>\n<li>Information about the numbers of people in ATUs, where they are, how much money is being spent\u00a0and by which commissioners, is made publicly available.<\/li>\n<li>Funding of regional &#8216;hit squads&#8217; with people who have expertise to help stop people being detained under the Mental Health Act.<\/li>\n<li>Support for the proposals of the Disabled People (Community Inclusion) Bill 2015, also known as \u201cthe #LBBill\u201d so that laws and systems change to safeguard people\u2019s right to have community alternatives to a hospital or care home admission considered first.<\/li>\n<li>STOMP (Stop over medicating people) to be part of all NHS and private health care practice.<\/li>\n<\/ol>\n<p>*This plan is currently at draft stage and undergoing consultation. The final version will be published on their webpage <a href=\"https:\/\/myownfrontdoor.net\/\">https:\/\/myownfrontdoor.net\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p class=\"excerpt\">Brown, M., James, E. and Hatton, C. (2019) Is Care Transformed? A Review of Transforming Care in England Lancaster: Centre for Disability Research. This report is available in pdf and word (docx) format. The UK government policy of Building the Right Support in England was launched in 2015 as part of Transforming Care. Transforming Care [&hellip;]<\/p>\n","protected":false},"author":38,"featured_media":964,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[],"class_list":["post-1315","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2018\/05\/human-rights.jpg?fit=210%2C186&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7ZPU6-ld","jetpack-related-posts":[{"id":660,"url":"https:\/\/wp.lancs.ac.uk\/cedr\/2017\/06\/27\/a-trade-in-people\/","url_meta":{"origin":1315,"position":0},"title":"A Trade in People","author":"Hannah Morgan","date":"June 27, 2017","format":false,"excerpt":"Within the Centre for Disability Research (CeDR) at Lancaster University we\u2019ve been supporting the 7 Days of Action campaign (see their website \u00a0https:\/\/www.sevendaysofaction.net\/ ). This campaign, led by activist families has three aims: to get people with autism and learning difficulties out of in-patient settings and back into their communities;\u2026","rel":"","context":"In \"Rebecca Fish\"","block_context":{"text":"Rebecca Fish","link":"https:\/\/wp.lancs.ac.uk\/cedr\/tag\/rebecca-fish\/"},"img":{"alt_text":"A Trade in People Image of young man sitting, head in hands, on a railway line","src":"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2017\/06\/NL2.png?resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2017\/06\/NL2.png?resize=350%2C200 1x, https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2017\/06\/NL2.png?resize=525%2C300 1.5x, https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2017\/06\/NL2.png?resize=700%2C400 2x"},"classes":[]},{"id":962,"url":"https:\/\/wp.lancs.ac.uk\/cedr\/2018\/05\/16\/the-big-bedtime-audit-evening-routines-in-the-community\/","url_meta":{"origin":1315,"position":1},"title":"Accessible Summary: The Big Bedtime Audit","author":"Rebecca Fish","date":"May 16, 2018","format":false,"excerpt":"Evening routines in the community By Elaine James, Mark Harvey and Rob Mitchell Accessible summary by Rebecca Fish An NHS England report called Building the right support was published in 2015. The report set targets to cut down the amount of people in units by about half before 2019. The\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2018\/05\/building_the_right_support.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":1417,"url":"https:\/\/wp.lancs.ac.uk\/cedr\/2019\/12\/10\/election-2019\/","url_meta":{"origin":1315,"position":2},"title":"Election 2019","author":"Hannah Morgan","date":"December 10, 2019","format":false,"excerpt":"What do the manifestos say about disability? Chris Grover and Hannah Morgan There are 14 million disabled people in the UK (over a fifth of its population). They are more likely to be unemployed, in poverty and facing disadvantages in education, health and housing. As recent expos\u00e9s demonstrate, too many\u2026","rel":"","context":"In \"Chris Grover\"","block_context":{"text":"Chris Grover","link":"https:\/\/wp.lancs.ac.uk\/cedr\/tag\/chris-grover\/"},"img":{"alt_text":"Front covers of the party manifestos","src":"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2019\/12\/manifestos.png?fit=919%2C202&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2019\/12\/manifestos.png?fit=919%2C202&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2019\/12\/manifestos.png?fit=919%2C202&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2019\/12\/manifestos.png?fit=919%2C202&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":143,"url":"https:\/\/wp.lancs.ac.uk\/cedr\/2016\/10\/12\/that-blue-room-seclusion-and-locked-wards\/","url_meta":{"origin":1315,"position":3},"title":"Blog: \u2018That blue room\u2019 \u2013 seclusion and locked wards","author":"strongs","date":"October 12, 2016","format":false,"excerpt":"Rebecca Fish In 2012 I spent 9 months doing ethnographic research on 3 locked wards for women on an NHS secure unit for people with learning disabilities in England. People are detained in these units under the Mental Health Act if they have committed an offence, or if their behaviour\u2026","rel":"","context":"In &quot;Events&quot;","block_context":{"text":"Events","link":"https:\/\/wp.lancs.ac.uk\/cedr\/category\/events\/"},"img":{"alt_text":"Rebecca Fish","src":"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2016\/10\/Becky-Fish-239x300.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":590,"url":"https:\/\/wp.lancs.ac.uk\/cedr\/2017\/02\/22\/friends-and-family-on-the-locked-ward\/","url_meta":{"origin":1315,"position":4},"title":"Blog: Friends and Family on the locked ward","author":"Hannah Morgan","date":"February 22, 2017","format":false,"excerpt":"by Rebecca Fish Throughout my career, I have met many family members of people who have been detained in inpatient units. I have talked to people who have had their son or daughter \u2018placed\u2019 in various services, not just forensic units, for many different reasons. Yet there was a common\u2026","rel":"","context":"In \"friends. family\"","block_context":{"text":"friends. family","link":"https:\/\/wp.lancs.ac.uk\/cedr\/tag\/friends-family\/"},"img":{"alt_text":"Rebecca Fish","src":"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2016\/10\/Becky-Fish.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":982,"url":"https:\/\/wp.lancs.ac.uk\/cedr\/2018\/05\/17\/working-with-men-who-self-harm-in-a-learning-disability-secure-unit\/","url_meta":{"origin":1315,"position":5},"title":"Accessible Summary: Working with men who self-harm in a learning disability secure unit","author":"Rebecca Fish","date":"May 17, 2018","format":false,"excerpt":"Rebecca Fish and Hannah Morgan Introduction Some research from Canada and the US says that more young men are self-harming. \u00a0There is a small amount of research from the UK. This says that when men self-harm, their injuries are usually more violent and can be seen as accidental. Some of\u2026","rel":"","context":"In \"gender\"","block_context":{"text":"gender","link":"https:\/\/wp.lancs.ac.uk\/cedr\/tag\/gender\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/wp.lancs.ac.uk\/cedr\/files\/2018\/05\/Self-harm-cutting-arms_more_male-e1526552342634.png?fit=350%2C396&ssl=1&resize=350%2C200","width":350,"height":200},"classes":[]}],"_links":{"self":[{"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/posts\/1315","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/users\/38"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/comments?post=1315"}],"version-history":[{"count":6,"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/posts\/1315\/revisions"}],"predecessor-version":[{"id":1338,"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/posts\/1315\/revisions\/1338"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/media\/964"}],"wp:attachment":[{"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/media?parent=1315"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/categories?post=1315"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.lancs.ac.uk\/cedr\/wp-json\/wp\/v2\/tags?post=1315"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}