Background to the collection
The Department of Health published 'Transforming Care: A national response to Winterbourne View Hospital and the Concordat: Programme of Action' in December 2012. The review of services received indicated that failings were widespread within the operating organisation, but importantly, also evident across the wider care system. The Concordat and 63 actions detailed within the review seek to address poor and inappropriate care and achieve the best outcomes for people with a learning disability or autism, who may also have mental health needs or behaviour that challenges.
The purpose of this data collection is to ensure that the public awareness of the NHS commitments in the Winterbourne View Concordat is transparent and robust. It will also be used to triangulate with the Learning Disability Census, completed by providers on 30 September 2015. This process is important for informing and influencing The Winterbourne View Joint Improvement Programme.
The Assuring Transformation collection followed the Learning Disability Census.
The in-scope definition
The collection will consider in-patients receiving treatment or care in a facility registered by the Care Quality Commission as a hospital operated by either an NHS or independent sector provider. The facility will provide mental or behavioural healthcare. Record level returns will reflect only in-patients or individuals on leave with a bed held vacant for them.
This should include patients of:
- any age
- any level of security (general/low/medium/high)
- any status under the Mental Health Act (informal or detained)
People not included:
- patients in accommodation not registered with the CQC as hospital beds
- patients in beds for physical health care
- patients who do not have either learning disabilities or autism
The guidance from NHS England's National Clinical Director for Learning Disability, regarding whether a patient should be included if they have a 'primary diagnosis of Learning Disability' only, is as follows:
'For our purpose whether or not a person is recorded as having a primary diagnosis of LD is not relevant, and should not be used as a criterion for inclusion in this data collection. If a person is in specialist hospital bed (either MH or LD) and that person has a Learning Disability or Autism, then that person should be included in the Assuring Transformation data return.'
Last edited: 14 December 2023 9:11 am