Recommendations & Conclusions
6 items
7
Recommendation
Fifth Report - The treatment of autisti…
Rejected
We recommend that the Trieste model of care is implemented for autistic people and people with learning disabilities by the Department of Health & Social Care and NHS England & Improvement. All new long-term admissions of such people to institutions should be banned except for forensic cases. For cases where …
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We recommend that the Trieste model of care is implemented for autistic people and people with learning disabilities by the Department of Health & Social Care and NHS England & Improvement. All new long-term admissions of such people to institutions should be banned except for forensic cases. For cases where there is a severe co- morbidity any admission longer than three months should be subject to the safeguard as set out in the next paragraph.
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Government response AI summary
The government rejects the recommendation to ban long-term admissions and implement the Trieste model, stating it does not want to prevent necessary mental health hospital admissions but aims for shorter stays and increased community support.
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Department of Health and Social Care
12
Recommendation
Fifth Report - The treatment of autisti…
Rejected
We recommend that, in addition to the implementation of the Mental Health Units (Use of Force Act) (i.e. ‘Seni’s Law’), all Assessment and Treatment Units (ATUs) are closed within two years and replaced with person-centred services that are: i) designed for easy discharge as well as easy admission; ii) physically …
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We recommend that, in addition to the implementation of the Mental Health Units (Use of Force Act) (i.e. ‘Seni’s Law’), all Assessment and Treatment Units (ATUs) are closed within two years and replaced with person-centred services that are: i) designed for easy discharge as well as easy admission; ii) physically designed and maintained to meet the needs of autistic people and people with learning disabilities; iii) located close to the homes of autistic people and people with learning disabilities; and iv) only admits autistic people and people with learning disabilities for short periods of time.
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Government response AI summary
The government rejects the recommendation to close all Assessment and Treatment Units (ATUs) within two years, instead stating the importance of mental health treatment places and ensuring quality of care.
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Department of Health and Social Care
17
Recommendation
Fifth Report - The treatment of autisti…
Rejected
The physical health and wellbeing of autistic people and people with learning disabilities requires greater prioritisation. We believe that the creation of an Intellectual Disability Physician to co-ordinate care in line with the model established in the Netherlands should be fully explored by the Department and NHS England & Improvement; …
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The physical health and wellbeing of autistic people and people with learning disabilities requires greater prioritisation. We believe that the creation of an Intellectual Disability Physician to co-ordinate care in line with the model established in the Netherlands should be fully explored by the Department and NHS England & Improvement; and that this model would be a positive approach to addressing key problems facing autistic people and people with learning disabilities.
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Government response AI summary
The government has looked into creating an Intellectual Disability Physician role but is concerned about potential negative effects, opting instead to focus on training all doctors to work with autistic people and those with learning disabilities.
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Department of Health and Social Care
18
Recommendation
Fifth Report - The treatment of autisti…
Rejected
We recommend that the Department and NHS England & Improvement undertake an assessment of the merits of establishing the Intellectual Disability Physician as a new professional discipline within the NHS with the objective of reducing admissions 42 The treatment of autistic people and people with learning disabilities and the length …
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We recommend that the Department and NHS England & Improvement undertake an assessment of the merits of establishing the Intellectual Disability Physician as a new professional discipline within the NHS with the objective of reducing admissions 42 The treatment of autistic people and people with learning disabilities and the length of hospital stays for people with intellectual disabilities; as well as improving the quality of care autistic people and people with learning disabilities receive. We expect an update on this matter by the end of 2021.
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Government response AI summary
The government has considered assessing a new Intellectual Disability Physician role but rejects it due to concerns about potential negative effects, preferring to focus on training all doctors to work with autistic people and those with learning disabilities.
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Department of Health and Social Care
19
Recommendation
Fifth Report - The treatment of autisti…
Rejected
In recent years there have been too many incidences of autistic people and people with learning disabilities dying in inpatient settings. Families and friends have too often had to go to extreme and difficult lengths to have independent reviews into such deaths. Of even greater concern is that in some …
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In recent years there have been too many incidences of autistic people and people with learning disabilities dying in inpatient settings. Families and friends have too often had to go to extreme and difficult lengths to have independent reviews into such deaths. Of even greater concern is that in some cases, the poor treatment of autistic people and people with learning disabilities has led to people dying unnecessarily in hospital. The evidence we heard presented a compelling case for making mandatory, subject to family consent, an independent review of every autistic person and person with a learning disability who dies in inpatient settings or community settings.
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Government response AI summary
The government rejects the recommendation for mandatory independent reviews of deaths, stating they already look into reasons for deaths in mental health hospitals with appropriate local involvement.
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Department of Health and Social Care
20
Recommendation
Fifth Report - The treatment of autisti…
Rejected
We therefore recommend that the Government and NHS England & Improvement bring forward the necessary financial and workforce resources required to mandate the independent review of the deaths of all autistic people and people with learning disabilities in inpatient and community settings, and ensure there is a structured way to …
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We therefore recommend that the Government and NHS England & Improvement bring forward the necessary financial and workforce resources required to mandate the independent review of the deaths of all autistic people and people with learning disabilities in inpatient and community settings, and ensure there is a structured way to make sure any learning that emerges is disseminated across the system with clear actions following. (Paragraph 111) The treatment of autistic people and people with learning disabilities 43
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Government response AI summary
The government rejects the recommendation to mandate an independent review of all deaths, stating they already investigate deaths of people with learning disabilities and autistic people in mental health hospitals locally.
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Department of Health and Social Care