NHS South Yorkshire Integrated Care Board Doncaster Place : Doncaster Learning Disability and Autism Programme Cluster model for 4 individuals

All four patients have a long history of inpatient admissions with the average length of stay being 7 years. Three patients present with autism and Emotionally Unstable Personality Disorder (EUPD) diagnoses and one with Autism/ADHD. Previous discharge and community placement arrangements have failed and learning from those experiences has led the council and ICB to propose a new approach. <br/>To build a successful community home the provider must have confident support and care staff who are appropriately experienced, skilled, competent and resilient. Staff must be provided with support and supervision matching with their workload and relevant continuing professional development. <br/>Managers and staff of the Service will have knowledge and expertise in relation to:<br/>• People with learning disabilities and/or Autism <br/>• Challenging Behaviour including self-injurious behaviour and disorders of eating<br/>• Devising and delivering Positive Behavioural Support plans with a heavy emphasis on getting a person’s life in balance as opposed to reactive behaviour management, where good practice identifies this is an appropriate approach using recognised PBS frameworks and evaluation tools<br/>• Personality Disorder and Attachment Disorder; the effects of early life trauma<br/>• Issues related to offending and the Criminal Justice System e.g. Police, Court Liaison, Probation <br/>• People who misuse substances (though not their primary need) <br/>• Trauma informed care<br/>• The early identification of deterioration in mental health<br/>• The prompt identification of physical health needs and how to respond to these<br/>• Safeguarding, Advocacy, Equality, Diversity & Social Inclusion<br/>• Quality monitoring to evidence outcomes and continuous improvement<br/>Personal profiles are provided as part of this PIN along with a draft service specification.<br/>The health and social care opinions are that all the patients require their own self-contained and specifically adapted accommodation with an intensive support package in or near Doncaster to reduce risk and increase successful step down to their community home. However, owing to the complex health and social care needs of the patients; individually commissioned in isolation care packages are also considered to be at high risk of placement breakdown owing to the potential for staff burn out. Additional information: The Proposal <br/><br/>Commissioners are seeking to procure a new solution specifically to address the long-term housing and support needs of these four patients by providing a sustainable solution. <br/><br/>The proposal is for a dispersed model of accommodation with the same care provider supporting all four individuals.