The Care Quality Commission (CQC) is reviewing the use of restrictive interventions in places that provide care for people with mental health problems, a learning disability and/or autism. The first phase of the review has focused around those at greatest risk in the system, those likely to be segregated and was completed in July. One of the key recommendations of this review was to convene an expert group to explore a better system of care for those at risk of segregation.
So last month, the CQC, the Department for Health and Social Care (DHSC), BILD RRN (Restraint Reduction Network) and NHS England held a joint event to explore what a better system for people at risk of segregation in a hospital would look like. Common themes raised by participants at the event included:
- The vital importance of listening to people and their families so that services can draw on their experiences.
- The helplessness of people once admitted to hospital and concern that their basic human rights are often not respected.
- The value of introducing support registers that are mandatory in each local area for children and young people with a learning disability and/or autism who have complex needs.
- The risk posed by transitions and exclusion from school. These are common crisis points and times that families begin to struggle to support people on their own.
- A need to explore what more can be done to ensure that, when people are admitted to hospital, they receive high quality care and are discharged promptly.
The outcome of the event was to generate draft proposals for a better, more integrated and preventative system. CQC want to hear your views on taking this work forward. They would like people to read the draft proposals and background work before they share their views via an online survey.