Regional Joint Commissioning Strategy for People Learning Disabilities
In 2020-21 partnership organisations delivered outcomes through co-production, partnership and integration against each of the eight workstreams Joint Commissioning Strategy for Adults with Learning Disabilities
2020-21 was challenging year across learning disability services. Most face-to-face activity was discontinued, non-essential social activities, groups and day opportunities were closed. Many staff, who people have good working relationships with, were repurposed into front line delivery roles. People with learning disabilities had to be supported to understand and adapt to these changes to normal life.
However, in spite of the global pandemic, passionate, committed and enthusiastic learning disability teams across Cardiff and the Vale of Glamorgan contacted and supported many people with learning disabilities through the pandemic continuing to deliver and preventative actions and positive outcomes by putting people at the centre of their activities.
Across Cardiff and the Vale:
- 9 projects for people with learning disabilities delivered, supported by Welsh Government Integrated Care Funds (ICF)
- £1,111,000 ICF spent on people with learning disabilities
- 8 workstreams delivered outcomes against the Cardiff and Vale of Glamorgan Joint Commissioning Strategy
- Improving Lives fund delivered outcomes against 6 key Welsh Government recommendations for people with learning disabilities
The Multi Agency Transition Review Interface Group (TRIG) transition process for those most vulnerable and in need of continued care and support into adult life is now well established in Cardiff and maintained within the Vale of Glamorgan. Good attendance was reported for meetings despite pressure on partner’s time due to the pandemic.
- 41 young people received multiagency discussions to enable a successful transition to the right support as adults
- 47% of young people were allocated an adult learning disability social worker
- All young people’s views and wishes now included in their transition assessment.
Based at Ty Gwyn Special School in Ely (which supports pupils aged 3-19 with Autism and /or profound and complex needs), the Ty’r Bont pilot is in its second year of funded support staff working alongside and building relationships with the young people whilst in their education setting. Seven pupils have been supported to transition from school to adult life whilst remaining in their local community. This is an excellent example of partnership working between Education, Health and Social Services to deliver the best support and care for young people with complex needs in preparing to leave school and move into adult services.
The CAIDS-Q pilot was developed to support practitioners to assess the level of learning need to support next steps in transition planning. This tool provides an easier way of identifying children/young people who are likely to have an intellectual disability and may go on to require the support of Adult Learning Disability Service. This assessment has been successful as a pilot in supporting earlier identification of need and support transition discussions and will be shared with all Cardiff and Vale of Glamorgan schools.
Supporting young people with learning needs in employment
A regional steering group is preparing for roll out of ‘Project Search’. This is a supported internship pilot that will provide employment opportunities for young people with learning needs and will begin in September 2021:
- 3 initial schools identified.
- 1 information evening delivered to young people and parents across Cardiff and the Vale of Glamorgan.
- Sustainable funding confirmed for the Job Coach and Tutor roles.
- Application form developed and shared with young people.
More integrated health, social care and housing is a challenging aim to improve life chances and services and allow funding to be used more effectively.
The Cardiff Supported Living team adapted to COVID-19 by:
- Taking a lead role in supporting providers with complex COVID risk plans
- Running a weekly consultation risk assessment clinic
- Management of learning disability isolation beds
- Management of respite for those with an urgent need
As the service moved into recovery, the team also achieved:
- 9 positive accommodation moves
- 8 accommodation moves in progress (4 from residential colleges and 4 supported to live in local communities)
- A business analyst recruited to provide data about future need
Capital Investment in Independent Living
The development of Castle Avenue Smart House in Penarth was supported by Welsh Government Integrated Care funding. It enabled SMART devices to help residents with learning disabilities to have greater control over their living environment such as controlling heating, lighting and security. Health applications will also help manage medical care via screens.”