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Commissioning Group to the meeting of the Health and Social Care Overview & Scrutiny Committee to be held on 17 March 2022

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Failure to comply with these requirements is an offense under section 106 of the Local Government Finance Act 1992. INSPECTION OF REPORTS AND COMPANIES (Access to Information Procedure Rules - Part 3B of the Constitution) Background reports and documents for agenda items can be inspected by contacting the person presented after each agenda item. Any request to remove the restriction on a report or historical document should be made to the relevant Strategic Director or Assistant Director whose name appears on the first page of the report.

If you wish to appeal, please contact the official below before the meeting. The report from the Senior Officer, Strategy, Change and Delivery, NHS Bradford District and Craven Clinical Commissioning Group. Provide an update on the procurement and contracting activities undertaken in the final year of the 2019-2021 engagement strategy.

Report by Senior Officer, Strategy, Change and Delivery, NHS Bradford District and Craven Clinical. Appointment group for a meeting of the Health and Social Committee's Overview and Inspection Committee to be held on 17 March 2022. 1% of the general population is estimated to have autism and 50% of them to have intellectual disabilities.

The BDCFT Business Support Team, in collaboration with operational and clinical staff, has undertaken a review of the service and process, particularly the triage process, and has identified efficiencies leading to increased capacity for assessment and other activity.

Recruitment Plan with timeline

Summary of Adult Autism monthly dataset report, Nov. 19 to Jan 22

Appendix 3a: BANDS -Autism Pathway Diagnostic Assessment Process

Triage-

  • Accepted
  • Redirected with advice
  • Completed forms reviewed and questionnaires scored
  • No return of forms Call & letter to patient (wk 2)
  • Clinical decision made to continue with assessment
  • No Autism – signposted to another service- Assessment completed
  • Test call arranged
  • Face to Face
  • Outcome given after assessment on the day Autism – Assessment Completed
  • Unclear-

Additional information gathering Significant other and family interviews Wider use of diagnostic tools Additional face-to-face and/or video calls.

Bradford & Airedale Neurodevelopmental Service (BANDS) Autism Diagnostic Pathway Information

A doctor will perform your assessment appointments, we will let you know who that is. The first appointment is a screening appointment and determines whether your characteristics indicate an autism spectrum disorder. If it is clear at this stage that you do not have autism, we will notify you and try to refer you to other services that may be able to help, or ask you to go back to your GP to discuss other possible to discuss options. be suitable for you.

During assessment appointments, you will be asked questions about yourself, including your developmental history, relationships with others and your current difficulties. Because of the number of questions we ask about your early life, it is helpful if parents (or other close family members) are involved, as they may be able to remember details that you cannot. The assessment will not require a medical examination (eg physical examinations or blood sampling).

It is your decision whether you bring someone to face-to-face appointments with you for support if needed. Please let us know if you require any reasonable adjustments and we will accommodate these if we can. The full diagnostic assessment is usually completed in 3 appointments, but there may be more if we need additional information.

The clinician carrying out your assessment will explain what will happen at each stage of the assessment process. Each appointment will normally last up to two hours with an opportunity for you to take a break if necessary. Please note that while we try to make environments as friendly as possible, waiting areas can sometimes be busy.

The result will be discussed with you and an assessment report will be sent to the person who referred you to our service and a copy will be sent to your GP if this is different. If you have been diagnosed and meet the criteria for an autism spectrum disorder, you and in some cases your family may have a lot of questions. You can discuss this when we provide feedback, but you will also receive a post diagnosis pack with local and national information.

Case Studies x 2

Patricia was referred for an autism assessment with BANDS after her care coordinator within CMHT noticed possible signs of a neurodevelopmental condition. The care coordinator sought advice from a member of the BANDS team and used supervision to explore the possibilities. A referral was agreed, and Patricia continued to be supported by the mental health team.

Patricia was supported by her care coordinator to attend the appointments with the BANDS team. And support was provided on how to make reasonable adjustments to how services communicate and share information with Patricia, to include her care plan and access to psychological interventions. Through the assessment, the team was able to identify areas of Patricia's life where she could benefit from specialist support to help improve her social skills and relationships.

Patricia's self-esteem and confidence increased, which in turn improved her general mental health and well-being. Mike is quiet and polite, but makes the police officers feel uncomfortable about his. The psychiatrist interviewed him and noted that Mike did not make eye contact during the assessment.

Following concerns raised by the psychiatrist, Mike is referred for an autism assessment by BANDS. After assessment, Mike is diagnosed with autism and receives a comprehensive report from the team, which he can share with his employer if he wishes. The report outlines some of the reasonable adjustments that could be considered for Mike's return to work.

After a mediation session with Mike and his victim, Mike is able to return to work. Mike is now fully integrated back into his workplace and his colleagues have a greater appreciation for his condition. Report of the Strategic Director of Health and Wellbeing to the meeting of Health and Social Care Review and.

Report of the Strategic Director of Health and Wellbeing to the meeting of Health and Social Care Overview and

Subject

Summary statement

  • BACKGROUND
  • Report issues
  • FINANCIAL & RESOURCE APPRAISAL
  • RISK MANAGEMENT AND GOVERNANCE ISSUES
  • LEGAL APPRAISAL
  • OTHER IMPLICATIONS
    • SUSTAINABILITY IMPLICATIONS
    • GREENHOUSE GAS EMISSIONS IMPACTS
    • COMMUNITY SAFETY IMPLICATIONS
    • HUMAN RIGHTS ACT
    • TRADE UNION
    • AREA COMMITTEE ACTION PLAN IMPLICATIONS (for reports to Area Committees only)
    • IMPLICATIONS FOR CHILDREN AND YOUNG PEOPLE
    • ISSUES ARISING FROM PRIVACY IMPACT ASSESMENT
  • NOT FOR PUBLICATION DOCUMENTS 1 None
  • OPTIONS
  • RECOMMENDATIONS
  • APPENDICES

Supporting this work to develop a co-production partnership is mandated by our ULO suppliers. Recent investment in the team's resource will enable the improvement of quality monitoring systems and intelligence gathering for the best support providers to continue to deliver quality services. Audits of direct payments are being completed by the team and the success of investment in the team as well as the implementation of new processes has led to the forecast of just over £2.2m of recovered revenue for 21/22; this is almost £1.2m more than the budget revenue target, which was lifted by £132k to fund additional capacity in the team.

This included the creation, at the end of 2020, of the Covid Support Team, which continued to support the sector until 2021 and played an important role in the vaccination programme. This included looking at basic costs for care homes, which will now contribute to the fair cost of care work required by the government by 2023 as part of the implementation of the White Paper 'Putting people at the center of care'. The Council-funded Occupancy Support Scheme also ran until September 2021, supporting care homes with low occupancy due to the pandemic.

Over the year we will work with colleagues in Public Health and the NHS to review the service, including the new pilot of carers' assessments, and identify future commissioning opportunities to ensure ongoing high quality support for carers across the district. We will review our use of the enhanced framework and consider whether to engage in a regional re-purchase (if available) or what may need to be commissioned at a local level to meet the need. It has been identified that many residents in our block bought residential services for adults with learning disabilities could benefit from a move to support residential services.

This is likely to include support people considering different options already available in the District, as well as developing new services, including through user-led organizations and community interest companies. The Health and Care Bill: The Bill introduces two-tiered statutory Integrated Care Systems, consisting of an integrated care board (ICB), responsible for NHS strategic planning and allocation decisions, and an integrated care partnership (ICP), responsible for assembling a wider set of system partners to develop a plan to address the wider health, public health and social care needs of the local population. Budgets are drawn up in every area of ​​the department and financial and performance monitoring takes place regularly.

The fundamental rights include rights that have a direct impact on services in the health and social sector. The Council's ability to fulfill its legal and moral duty to ensure and promote outcomes for its looked after children will be considered in the detailed commissioning intentions. Background documents are documents relating to the subject of the report and which reveal facts or circumstances on which the report or an important part of the report is based and which have been relied upon to a significant extent in the preparation of the report.

All documents used in the preparation of the report but not specifically referred to must be listed. Services to support people who are or are at risk of homelessness (extension available).

Referências

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Decisions of the Health and Social Care Overview and Scrutiny Committee on Tuesday, 26 January 2021 These decisions are published for information in advance of the publication of the