The Complex Care Commissioning Group

The role of the group:

The Complex Care Commissioning group commissions services for people with the most complex needs. Services are developed around each person’s individual needs. In addition to a learning disability, people may also have physical health needs, mental ill health, a forensic history, complex behaviour needs or Autism.

The package of services includes, housing and support hours commissioned from a provider. Additional resources are provided by Social Workers and Clinicians from the CLDT.

The group maintains a list, which is updated at each meeting to monitor progress.

The group includes:
Service Manager – Learning Disabilities/LA
Commissioner – CLDT/LA
Team Leader – CLDT/LA
Clinical Psychiatrist - CLDT
Consultant Psychiatrist - NTW
Continuing Healthcare Commissioner – PCT
Other practitioners are included as needed/

What the group does:

• The group maintains a list of people with the most complex needs. This is informed by Social Workers and Clinicians within CLDT.
• The group discusses each person’s circumstances and prioritises the order of service development.
• We work with people in a range of situations including:
  • Hospital
  • In placements out of area
  • Living with families who are under pressure
  • Private hospitals
  • Placements, which are no longer suitable
  • People in transition to adult services
• The group requests Joint Specifications front Local Authority and PCT staff and reviews these to ensure that they properly address each persons needs in a comprehensive way.
• Service providers and accommodation are then commissioned in line with these specifications.
• The group monitors progress and identifies any problems with the process.
• The group is also a forum to discuss more general issues and concerns relating to those with complex needs.

Conclusion:

• The group ensures that primary care staff and local authority staff work in a cohesive way to jointly, agree design and develop services.
• This approach means that everyone is clear about expectations, and that services are developed which are comprehensive and able to support those with the most complex needs.

Report for Partnership Board and the Website:

Complex Care Commissioning meeting 19/05/2010

36 people were on the complex case list.

5 new people were put on the list.

• 1 person has moved into ‘in house’ provision from hospital.
• 1 person is having regular visits from hospital to another in house resource.
• A provider is in place for a young woman with Autism, and is working with her in her current out of area placement. She will buy her own shared ownership property through the HOLD scheme.
• A man with a forensic history has moved his own house provided by Riverside Housing. He has a 24 hour support package from a provider who has had specialist training and mentoring from a national organisation who are skilled in working with people with a forensic background.
• A woman has moved to her own home provided by Riverside. New Beginnings worked with her in hospital pending her move back to the community.
• Two women living in a private hospital and Northgate will return to a house in North Tyneside provided by Riverside. United Response have been commissioned to provide the support.
• Two ladies in Campus accommodation will move to an extra care scheme in North Tyneside.
• A young lady with Autism and Sensory impairments has a package of services fully funded by the PCT. She will have her own house through the HOLD scheme. Campus revenue was offered to fund the lead in costs for the house purchase.
• Specialist assessments and service specification will be requested from ‘Waymarks’ for three men in hospital who have a forensic background.

Issues Discussed:

• The Court of Protection and Deprivation of Liberty in relation to ISL services.
• The people without capacity having a tenancy
• The Health and Safety executive and CQC and their involvement in services.