Breakdown of the progress of the Coming Home Implementation report from February 2022: FOI release

Information requested

A detailed breakdown of the progress of The Coming Home Implementation report from February 2022 answering the following:

1. How many people with learning disabilities (LD) have been put on the national register to date?
2. What proportion of the total number of Scots with LD who have been out of area and/or stuck in hospital on delayed discharge is this?
3. Who is on the national oversight panel and how is it holding local authorities to account?
4. Is the Scottish Government routinely recording who is stuck in hospital or out of area?
5. How many people with LD are currently recorded as delayed discharge and how many are currently recorded as out of area?
6. What actions has the Scottish Government taken to progress the implementation report from February 2022?

Response

1. Following the publication of the Coming Home Implementation Report, significant further work has been required to develop the recommendations proposed by the working group. The report was clear that Dynamic Support Registers are a tool to be used and held locally. We have been working to develop and test a register under the principles of co-design with people with lived experience, Health and Social Care Partnerships and NHS professionals across Scotland. We will be launching this work in the coming months.
2. Work on developing the dynamic support register recommendation is under way.
3. The National Support Panel as published in the report was proposed to bring sector expertise together and to work in parallel with the new Dynamic Support Register. The recommendation made clear that additional work was required by Scottish Government on the precise role and remit of a panel in order to ensure that it would provide value and achieve its objectives. The Scottish Government and COSLA have since established and been working with a new senior strategy group who are advising us on developing the panel recommendation before it is formally established.
4. Work on developing the dynamic support register recommendation is under way.
5. Work on developing the dynamic support register recommendation is under way. However, you may wish to contact Public Health Scotland, who would be able to provide further information on the data currently available about the number of people with a learning disability recorded as a delayed discharge. PHS can be contacted at phs.foi@phs.scot
6. The Scottish Government is committed to working with people with lived experience, COSLA, professionals from local authorities, health and social care partnerships and the NHS to progress the recommendations set out in the Coming Home Implementation Report to reduce delayed discharges and out-of-area placements. A collaborative and partnership approach to realising this is needed which is why we have established Senior Strategy Group to support work on the recommendations. We have been progressing work on the dynamic support register, peer support network and national support panel under the principles of co-design with a number of Health and Social Care Partnerships across Scotland to improve local case management of people with learning disabilities and complex care needs.

Since February 2022 we have:

• Established a Senior Strategy Group with oversight of the implementation of the recommendations. This group meets regularly to discuss progress and consists of experts with lived experience working with leaders from Integration Joint Boards, Local Authorities and Social Care Providers.
• Worked with all 32 local areas to understand how they are spending the £20m Community Living Change Fund.
• Worked to develop our Dynamic Support Register under the principles of co-design with a number of Health and Social Care Partnerships across Scotland to improve local case management of people with learning disabilities and complex care needs.
• Planned for the introduction of new national data collection and monitoring for people with learning disabilities and complex care needs who are in hospital or out-of-area.
• Worked with partners to understand the role and purpose of a Peer Support Network in order to design a model that provides value and allows for genuine collaboration across Scotland.
• Developed options for the potential role and remit of a National Support Panel to share expertise with local areas who need additional targeted support.
• Worked with partners within Government to build in sustainable and meaningful change, ensuring our work complements that of the National Care Service, the Barron Forensic Services Review, and the Scottish Mental Health Law Review.

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